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Orthopaedics and Bone Health

From head to toe, our team collaborates on simple and complex orthopaedic problems.

Spine Surgery and Scoliosis

Leading the region for complex spine procedures and revisions.

Spine Surgery and Scoliosis

Expert care for scoliosis and spine deformity.

Orthopaedics and Bone Health

From head to toe, our team collaborates on simple and complex orthopaedic problems.

Spine Surgery and Scoliosis

Leading the region for complex spine procedures and revisions.

right arrowright arrow in super-specialty slider
  • Adolescent idiopathic scoliosis
  • Adult degenerative scoliosis
  • Cervical degenerative disc disease
  • Cervical disc herniation
  • Cervical stenosis
  • Degenerative spondylolisthesis
  • Flat back syndrome
  • Kyphosis
  • Lumbar degenerative disc disease
  • Lumbar disc herniation
  • Lumbar osteoarthritis
  • Lumbar stenosis
  • Neck sprain (whiplash) and strain
  • Scoliosis and deformity
  • Spinal stenosis (pinched nerve)
  • Spinal tumors
  • Spine trauma
  • Vertebral compression fractures
Proud of our

Leadership and Practice

Jonathan J. Carmouche, M.D.Jonathan J. Carmouche, MDSection Chief, Orthopaedic Spine

"I believe that every patient and every case is unique, and I strive to provide the highest quality personalized and patient-focused care in the least invasive way available."

Carilion Orthopaedic Surgery Series

Play Video

Cutting-Edge Treatments

Cutting-Edge Treatments

We provide the most advanced technology to offer minimally invasive surgery, including revision surgeries, decompression, spine fusions and scoliosis and deformity correction operations. Lateral spine surgery is a game-changing procedure that yields enhanced patient outcomes. At Carilion Clinic, we perform the most lateral spine surgeries in our region using image guided implant placement in surgeries.

Scoliosis and deformity

Scoliosis and deformity

Scoliosis affects 2-3% of the population and is most often diagnosed in childhood or early adolescence. Early detection and treatment, which includes observation, bracing or surgery, provides better outcomes for patients. We offer the region’s only program for deformity corrections such as scoliosis for adults and kids and have the only pediatric orthopaedist in the region for spine deformity.

MAGEC Growing Rods

MAGEC Growing Rods

MAGEC growing rods are a new surgical treatment for children with severe spinal deformities. The system, which includes implantable rods and an external remote control, are used to brace the spine while the child is still growing to minimize the progression of scoliosis. The MAGEC rods are lengthened magnetically every three to six months in a short, non-invasive procedure that takes place in a doctor’s office.

Spine

Disc Replacement

Patients suffering with symptoms of a degenerated disc or an acute unresolved herniated disc can benefit from disc replacement surgery. Following the procedure, patients can expect improved pain relief, less tingling, and increased mobility in daily activities. At Carilion Clinic, our team has the experience and training to provide successful outcomes. They will work with you to determine if a surgical procedure is right for you.

Minimally Invasive Spine Surgery

Minimally Invasive Spine Surgery

Technological advances have allowed more back and neck conditions to be treated with minimally invasive surgical techniques. For patients who need surgery, these techniques avoid significant damage to the muscles surrounding the spine and often times offers less pain after surgery and a faster recovery. Minimally invasive techniques can be used for common procedures such as lumbar decompression and spinal fusion.

physical therapy

Therapy and Rehabilitation

Our team of caring experts helps restore function, movement and, most importantly, independence for our patients. Our therapists provide individualized programs that help restore and maintain maximum physical movement and enable you to live your life safely and comfortably.

Slider Arrow
Cutting-Edge Treatments

Cutting-Edge Treatments

We provide the most advanced technology to offer minimally invasive surgery, including revision surgeries, decompression, spine fusions and scoliosis and deformity correction operations. Lateral spine surgery is a game-changing procedure that yields enhanced patient outcomes. At Carilion Clinic, we perform the most lateral spine surgeries in our region using image guided implant placement in surgeries.

Scoliosis and deformity

Scoliosis and deformity

Scoliosis affects 2-3% of the population and is most often diagnosed in childhood or early adolescence. Early detection and treatment, which includes observation, bracing or surgery, provides better outcomes for patients. We offer the region’s only program for deformity corrections such as scoliosis for adults and kids and have the only pediatric orthopaedist in the region for spine deformity.

MAGEC Growing Rods

MAGEC Growing Rods

MAGEC growing rods are a new surgical treatment for children with severe spinal deformities. The system, which includes implantable rods and an external remote control, are used to brace the spine while the child is still growing to minimize the progression of scoliosis. The MAGEC rods are lengthened magnetically every three to six months in a short, non-invasive procedure that takes place in a doctor’s office.

Spine

Disc Replacement

Patients suffering with symptoms of a degenerated disc or an acute unresolved herniated disc can benefit from disc replacement surgery. Following the procedure, patients can expect improved pain relief, less tingling, and increased mobility in daily activities. At Carilion Clinic, our team has the experience and training to provide successful outcomes. They will work with you to determine if a surgical procedure is right for you.

Minimally Invasive Spine Surgery

Minimally Invasive Spine Surgery

Technological advances have allowed more back and neck conditions to be treated with minimally invasive surgical techniques. For patients who need surgery, these techniques avoid significant damage to the muscles surrounding the spine and often times offers less pain after surgery and a faster recovery. Minimally invasive techniques can be used for common procedures such as lumbar decompression and spinal fusion.

physical therapy

Therapy and Rehabilitation

Our team of caring experts helps restore function, movement and, most importantly, independence for our patients. Our therapists provide individualized programs that help restore and maintain maximum physical movement and enable you to live your life safely and comfortably.

Slider Arrow
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High volume

Surgeries

Perform approximately 400 minimally invasive spine operations annually

Education

Spine School

Patients attend pre-surgical spine school educational class

Virginia

Expertise

Regional resource for adult and pediatric complex spine surgeries.

High volume

Surgeries

Perform approximately 400 minimally invasive spine operations annually

Education

Spine School

Patients attend pre-surgical spine school educational class

Virginia

Expertise

Regional resource for adult and pediatric complex spine surgeries.

Spinal Surgery

What you need to know

Spinal surgery is an option when other treatments haven’t worked and pain interferes with daily activity. Our spine team has one goal, to help you heal physically so you can enjoy life. There is lot for you to know to get ready for your surgery.

Preparing for the surgery

What you need to know before and after

Clinic

Spine education class

We invite you and a caregiver to attend our education spine class. You will learn what to expect before, during and after surgery.

Going Home

After surgery, your mobility will be limited.

You will need some assistance when you're discharged, so we'll prepare you for what you'll need to know when you first get home.

Awards

Top Orthopaedic Team

Your care is elevated by innovative

Research and Education

Research

/sites/default/files/2020-03/Collaboration%20-%20Research%20-%20web_0.jpgplay-buttonplay-button

Collaboration in Research

The Musculoskeletal Education Research Center (MERC) facilitates and fosters musculoskeletal research for students with faculty mentors.

Education

/sites/default/files/2020-03/RiversideCampusPhotos_18_05_21_019.jpegplay-buttonplay-button

VTCSOM Virtual Tour

We are proud to have nationally and internationally recognized faculty committed to educating the next generation of students at VTCSOM.

Education

/sites/default/files/2020-03/GME%20-%20website_4.jpgplay-buttonplay-button

Graduate Medical Education

When it comes to residencies and fellowships, finding the right fit is very important. Our GME program offers amazing support and training.

Research

Select Research Studies

Select Research

We are actively involved in finding innovative ways to improve the care we give to our patients. Having the opportunity to train the next generation of healthcare professionals is inspiring and we are honored for our faculty to be recognized as an Outstanding Research Mentor from the Virginia Tech Carilion School of Medicine and Preceptor of the Year in 2020.

Research

/sites/default/files/2020-03/Collaboration%20-%20Research%20-%20web_0.jpgplay-buttonplay-button

Collaboration in Research

The Musculoskeletal Education Research Center (MERC) facilitates and fosters musculoskeletal research for students with faculty mentors.

Education

/sites/default/files/2020-03/RiversideCampusPhotos_18_05_21_019.jpegplay-buttonplay-button

VTCSOM Virtual Tour

We are proud to have nationally and internationally recognized faculty committed to educating the next generation of students at VTCSOM.

Education

/sites/default/files/2020-03/GME%20-%20website_4.jpgplay-buttonplay-button

Graduate Medical Education

When it comes to residencies and fellowships, finding the right fit is very important. Our GME program offers amazing support and training.

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right-arrowright-arrow card-bubbles slider-arrow

Patient Stories

Malaya

Hospitals are tough on her because she has so many sensory issues. It's just a really tough time.... The closest place if he hadn't been able to do it in Roanoke at Carilion was three hours away for us."

Malaya Vest

, Magnetic Expansion Control (MAGEC) for Scoliosis

Lindsey Hanks

I think the gravity of the situation fully hit me was when he started talking about wearing the back brace and then the possibility of surgery. "

Lindsey Hanks

, Scoliosis Treatment

ortho-slider-right-button

Meet Our Spine Surgery and Scoliosis Team

Our team of spine and scoliosis surgeons provides care at the Institute for Orthopaedics and Neurosciences in several locations throughout southwest Virginia. Our board-certified, fellowship-trained reconstruction surgeons evaluate and treat thousands of patients each year.

cta-link-iconcta-section link icon Call 540-510-6200
  • Adolescent idiopathic scoliosis
  • Adult degenerative scoliosis
  • Cervical degenerative disc disease
  • Cervical disc herniation
  • Cervical stenosis
  • Degenerative spondylolisthesis
  • Flat back syndrome
  • Kyphosis
  • Lumbar degenerative disc disease
  • Lumbar disc herniation
  • Lumbar osteoarthritis
  • Lumbar stenosis
  • Neck sprain (whiplash) and strain
  • Scoliosis and deformity
  • Spinal stenosis (pinched nerve)
  • Spinal tumors
  • Spine trauma
  • Vertebral compression fractures

Conditions Treated

  • Adolescent idiopathic scoliosis
  • Adult degenerative scoliosis
  • Cervical degenerative disc disease
  • Cervical disc herniation
  • Cervical stenosis
  • Degenerative spondylolisthesis
  • Flat back syndrome
  • Kyphosis
  • Lumbar degenerative disc disease
  • Lumbar disc herniation
  • Lumbar osteoarthritis
  • Lumbar stenosis
  • Neck sprain (whiplash) and strain
  • Scoliosis and deformity
  • Spinal stenosis (pinched nerve)
  • Spinal tumors
  • Spine trauma
  • Vertebral compression fractures

Treatment Options

  • Alif, plif and tlif
  • Anterior cervical discectomy with fusion
  • Artificial disc replacement
  • Balloon kyphoplasty
  • Bone Morphogenetic Protein (BMP)
  • Bracing (spinal, cervical and lumbar)
  • Computer enhanced navigation
  • Image-guided spine surgery
  • Interbody fusions
  • Laminoplasty
  • Minimally invasive spine surgery
  • Motion preservation surgery (total disc replacement)
  • Pain management
  • Physical therapy
  • Scoliosis and kyphosis corrections
  • Spinal decompressions/discectomy
  • Spinal fusion with instrumentation
  • Spinal implants
  • Spinal injections
  • Spinal osteotomies and vertebral column resection
  • Spine deformity corrections
  • Spondylolisthesis corrections/fusions
Proud of our

Leadership and Practice

Jonathan J. Carmouche, M.D.Jonathan J. Carmouche, MDSection Chief, Orthopaedic Spine

"I believe that every patient and every case is unique, and I strive to provide the highest quality personalized and patient-focused care in the least invasive way available."

Carilion Orthopaedic Surgery Series

Play Video

Cutting-Edge Treatments

Cutting-Edge Treatments

We provide the most advanced technology to offer minimally invasive surgery, including revision surgeries, decompression, spine fusions and scoliosis and deformity correction operations. Lateral spine surgery is a game-changing procedure that yields enhanced patient outcomes. At Carilion Clinic, we perform the most lateral spine surgeries in our region using image guided implant placement in surgeries.

Scoliosis and deformity

Scoliosis and deformity

Scoliosis affects 2-3% of the population and is most often diagnosed in childhood or early adolescence. Early detection and treatment, which includes observation, bracing or surgery, provides better outcomes for patients. We offer the region’s only program for deformity corrections such as scoliosis for adults and kids and have the only pediatric orthopaedist in the region for spine deformity.

MAGEC Growing Rods

MAGEC Growing Rods

MAGEC growing rods are a new surgical treatment for children with severe spinal deformities. The system, which includes implantable rods and an external remote control, are used to brace the spine while the child is still growing to minimize the progression of scoliosis. The MAGEC rods are lengthened magnetically every three to six months in a short, non-invasive procedure that takes place in a doctor’s office.

Spine

Disc Replacement

Patients suffering with symptoms of a degenerated disc or an acute unresolved herniated disc can benefit from disc replacement surgery. Following the procedure, patients can expect improved pain relief, less tingling, and increased mobility in daily activities. At Carilion Clinic, our team has the experience and training to provide successful outcomes. They will work with you to determine if a surgical procedure is right for you.

Minimally Invasive Spine Surgery

Minimally Invasive Spine Surgery

Technological advances have allowed more back and neck conditions to be treated with minimally invasive surgical techniques. For patients who need surgery, these techniques avoid significant damage to the muscles surrounding the spine and often times offers less pain after surgery and a faster recovery. Minimally invasive techniques can be used for common procedures such as lumbar decompression and spinal fusion.

physical therapy

Therapy and Rehabilitation

Our team of caring experts helps restore function, movement and, most importantly, independence for our patients. Our therapists provide individualized programs that help restore and maintain maximum physical movement and enable you to live your life safely and comfortably.

Slider Arrow
Cutting-Edge Treatments

Cutting-Edge Treatments

We provide the most advanced technology to offer minimally invasive surgery, including revision surgeries, decompression, spine fusions and scoliosis and deformity correction operations. Lateral spine surgery is a game-changing procedure that yields enhanced patient outcomes. At Carilion Clinic, we perform the most lateral spine surgeries in our region using image guided implant placement in surgeries.

Scoliosis and deformity

Scoliosis and deformity

Scoliosis affects 2-3% of the population and is most often diagnosed in childhood or early adolescence. Early detection and treatment, which includes observation, bracing or surgery, provides better outcomes for patients. We offer the region’s only program for deformity corrections such as scoliosis for adults and kids and have the only pediatric orthopaedist in the region for spine deformity.

MAGEC Growing Rods

MAGEC Growing Rods

MAGEC growing rods are a new surgical treatment for children with severe spinal deformities. The system, which includes implantable rods and an external remote control, are used to brace the spine while the child is still growing to minimize the progression of scoliosis. The MAGEC rods are lengthened magnetically every three to six months in a short, non-invasive procedure that takes place in a doctor’s office.

Spine

Disc Replacement

Patients suffering with symptoms of a degenerated disc or an acute unresolved herniated disc can benefit from disc replacement surgery. Following the procedure, patients can expect improved pain relief, less tingling, and increased mobility in daily activities. At Carilion Clinic, our team has the experience and training to provide successful outcomes. They will work with you to determine if a surgical procedure is right for you.

Minimally Invasive Spine Surgery

Minimally Invasive Spine Surgery

Technological advances have allowed more back and neck conditions to be treated with minimally invasive surgical techniques. For patients who need surgery, these techniques avoid significant damage to the muscles surrounding the spine and often times offers less pain after surgery and a faster recovery. Minimally invasive techniques can be used for common procedures such as lumbar decompression and spinal fusion.

physical therapy

Therapy and Rehabilitation

Our team of caring experts helps restore function, movement and, most importantly, independence for our patients. Our therapists provide individualized programs that help restore and maintain maximum physical movement and enable you to live your life safely and comfortably.

Slider Arrow
left-arrowleft-arrow in bubble-containerright-arrowright-arrow in bubble-container
High volume

Surgeries

Perform approximately 400 minimally invasive spine operations annually

Education

Spine School

Patients attend pre-surgical spine school educational class

Virginia

Expertise

Regional resource for adult and pediatric complex spine surgeries.

Spinal Surgery

What you need to know

Spinal surgery is an option when other treatments haven’t worked and pain interferes with daily activity. Our spine team has one goal, to help you heal physically so you can enjoy life. There is lot for you to know to get ready for your surgery.

Preparing for the surgery

What you need to know before and after

Clinic

Spine education class

We invite you and a caregiver to attend our education spine class. You will learn what to expect before, during and after surgery.

Going Home

After surgery, your mobility will be limited.

You will need some assistance when you're discharged, so we'll prepare you for what you'll need to know when you first get home.

What you need to know

Spinal surgery is an option when other treatments haven’t worked and pain interferes with daily activity. Our spine team has one goal, to help you heal physically so you can enjoy life. There is lot for you to know to get ready for your surgery.

Preparing for the surgery

minus-symbol

What you need to know before and after

Clinic

Spine education class

We invite you and a caregiver to attend our education spine class. You will learn what to expect before, during and after surgery.

Going Home

After surgery, your mobility will be limited.

You will need some assistance when you're discharged, so we'll prepare you for what you'll need to know when you first get home.

Awards

Top Orthopaedic Team

Awards

Top Orthopaedic Team

Your care is elevated by innovative

Research and Education

Research

/sites/default/files/2020-03/Collaboration%20-%20Research%20-%20web_0.jpgplay-buttonplay-button

Collaboration in Research

The Musculoskeletal Education Research Center (MERC) facilitates and fosters musculoskeletal research for students with faculty mentors.

Education

/sites/default/files/2020-03/RiversideCampusPhotos_18_05_21_019.jpegplay-buttonplay-button

VTCSOM Virtual Tour

We are proud to have nationally and internationally recognized faculty committed to educating the next generation of students at VTCSOM.

Education

/sites/default/files/2020-03/GME%20-%20website_4.jpgplay-buttonplay-button

Graduate Medical Education

When it comes to residencies and fellowships, finding the right fit is very important. Our GME program offers amazing support and training.

Research

Select Research Studies

Select Research

We are actively involved in finding innovative ways to improve the care we give to our patients. Having the opportunity to train the next generation of healthcare professionals is inspiring and we are honored for our faculty to be recognized as an Outstanding Research Mentor from the Virginia Tech Carilion School of Medicine and Preceptor of the Year in 2020.

Research

/sites/default/files/2020-03/Collaboration%20-%20Research%20-%20web_0.jpgplay-buttonplay-button

Collaboration in Research

The Musculoskeletal Education Research Center (MERC) facilitates and fosters musculoskeletal research for students with faculty mentors.

Education

/sites/default/files/2020-03/RiversideCampusPhotos_18_05_21_019.jpegplay-buttonplay-button

VTCSOM Virtual Tour

We are proud to have nationally and internationally recognized faculty committed to educating the next generation of students at VTCSOM.

Education

/sites/default/files/2020-03/GME%20-%20website_4.jpgplay-buttonplay-button

Graduate Medical Education

When it comes to residencies and fellowships, finding the right fit is very important. Our GME program offers amazing support and training.

left-arrowleft-arrow card-bubbles slider-arrow
right-arrowright-arrow card-bubbles slider-arrow

Patient Stories

Malaya

Hospitals are tough on her because she has so many sensory issues. It's just a really tough time.... The closest place if he hadn't been able to do it in Roanoke at Carilion was three hours away for us."

Malaya Vest

, Magnetic Expansion Control (MAGEC) for Scoliosis

Lindsey Hanks

I think the gravity of the situation fully hit me was when he started talking about wearing the back brace and then the possibility of surgery. "

Lindsey Hanks

, Scoliosis Treatment

ortho-slider-right-button

Patient Stories

Malaya
play-buttonplay-button in super-specialty-patient-stories

Hospitals are tough on her because she has so many sensory issues. It's just a really tough time.... The closest place if he hadn't been able to do it in Roanoke at Carilion was three hours away for us.

Malaya Vest

, Magnetic Expansion Control (MAGEC) for Scoliosis

Lindsey Hanks
play-buttonplay-button in super-specialty-patient-stories

I think the gravity of the situation fully hit me was when he started talking about wearing the back brace and then the possibility of surgery.

Lindsey Hanks

, Scoliosis Treatment

ortho-slider-right-button
slider-arrow-rightslider-arrow-right in super-specialty-patient-stories
slider-arrow-leftslider-arrow-left in super-specialty-patient-stories

Meet Our Spine Surgery and Scoliosis Team

Our team of spine and scoliosis surgeons provides care at the Institute for Orthopaedics and Neurosciences in several locations throughout southwest Virginia. Our board-certified, fellowship-trained reconstruction surgeons evaluate and treat thousands of patients each year.

cta-link-iconcta-section link icon Call 540-510-6200
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