Center for Spine Disorders and Scoliosis Surgery

Recognized as a National Leader and Best in Florida in Pediatric Spine Care

Providing treatment for spine disorders for over 35 years and pioneering surgical spine treatments now in use around the world.

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Nicklaus Children’s Hospital’s Center for Spinal Disorders, part of the Orthopedic, Sports Medicine, and Spine Institute, provides comprehensive diagnosis and treatment for a wide range of spine conditions in children and teens up to age 21. Recognized nationally and internationally for its expertise in pediatric spine care, the program offers families access to pediatric spine surgeons and specialized care teams in locations throughout Miami-Dade, Broward, and Palm Beach counties, with same- and next-day appointments available. For parents, that means expert scoliosis and spine care can begin close to home.

Nicklaus Children’s also offers EOS spine imaging in all three counties as a walk-in service with a valid prescription. EOS uses low-dose radiation technology that is safe for kids, which is especially important for children with scoliosis and other spine conditions who may need periodic imaging over time. This advanced technology helps support accurate diagnosis, ongoing monitoring, and greater peace of mind for families.

Focused on the Needs of Growing Children

The Institute’s scoliosis and spine services are designed around the needs of growing children and their families. Care includes expert spine evaluation, care navigation, advanced imaging, and close monitoring for children whose spinal curves need to be observed over time. For patients with more complex spine conditions, the program offers the depth of experience that has helped it continue to lead the state in caring for children with complex conditions. Families benefit from a team that understands not only how to diagnose scoliosis, but how to guide them through every stage of care — from observation and bracing to surgery when needed.

Best in Florida for Pediatric Spine Care

Nicklaus Children’s Hospital performs more pediatric spine surgeries than any other program in Florida with outstanding results. Most patients are able to return home within two days of surgery (shorter than the national average) and can resume most activities within three months of surgery.

Conditions we Treat

The Center for Spinal Disorders at Nicklaus Children's is one of the nation’s leading providers of treatment for children with spinal conditions. The center has been providing treatment for more than 35 years and has been instrumental in development of corrective surgical procedures for spine conditions now in use throughout the world.

Treatments and Procedures

The Center for Spinal Disorders at Nicklaus Children’s is one of the nation's leading providers of treatment for children with spinal conditions. The center has been providing treatment for more than 35 years and has been instrumental in development of corrective surgical procedures for spine conditions now in use throughout the world.

A Team Approach

The center offers a team approach to care that has been established as a model of practice within the spinal surgical field. The team includes Nicklaus Children’s Hospital’s highly experienced board-certified orthopedic surgeons who specialize in spinal surgery in children, dedicated spine-trained anesthesiologists and a PhD neurophysiologist who monitors the spinal cord and nerve function throughout surgery. Dedicated spinal surgical nurses, technicians, and radiology technicians complete the spinal surgical team. The surgical nurses are experts in the care of spinal surgery patients, managing six-eight patients per week.

Meet the Team

Scoliosis Screenings for Children

Routine scoliosis screenings are performed at the pediatrician's office or at your child's school. If your child receives a positive screening result, the child should be evaluated by an orthopedic spine doctor to further assess whether he or she has any form of scoliosis.

Scoliosis is usually confirmed by taking an X-ray of the entire spine looking from front to back. Scoliosis is a curvature of the spine that can cause asymmetric growth of the spine and the chest wall. Common symptoms of scoliosis include: one shoulder blade higher than the other, uneven waist and hips, uneven rib cage, bump in the back or front of the chest.

Generally, scoliosis is a disorder of growth and usually occurs in adolescents during the time of growth spurt just before puberty. It is very important to diagnose scoliosis early so that appropriate treatment can be initiated to prevent any progression of the scoliosis and avoiding unnecessary back surgeries.

Newest Spine Imaging Technology Reduces Radiation Exposure

At Nicklaus Children's Hospital, we are committed to providing our patients and their families with the best care and technology available. This focus has led to our recent acquisition of the EOSedge™, an imaging system that delivers high-quality, three-dimensional full-body images of patients in a standing position using low-dose radiation.

EOSedge has a unique setting called Flex DoseTM that adjusts the amount of radiation patients receive. This setting minimizes exposure of areas of the body when possible, while still delivering the high- resolution images needed for our doctors to make treatment decisions. EOSedge is offered at the Center for Spinal Disorders at Nicklaus Children's Hospital.

The Center for Spinal Disorders at Nicklaus Children's has been using EOS imaging systems for its pediatric spine patients since 2013. Traditional EOS imaging services are offered at the hospital's spine clinics in Miramar and Palm Beach Gardens.

Child- and Family-Friendly Surgical Experience

The center's orthopedic nurses devote unlimited time to preoperative teaching for the patient and family to ensure that each is ready for the procedure. In addition, Child Life Specialists work with children and families upon admission to help with questions before, and after surgery. Children recover in the region's leading pediatric hospital, which has many special child- and family-friendly features.

Nurse Navigation, the Personal Touch

The hospital’s patient navigators are nurses who are experienced in the care of children undergoing spinal surgery. They help families, before, during and after the surgery to ensure a smooth surgical experience and transition to home care.

Patient navigators are available 24-7 by phone to address patient and family questions about the care journey before and after surgery, coordinate referring physicians to plan care, including imaging appointments, and manage post-operative care and the transition home.

The Patient Journey

infographic.

Research and Innovation

The Center for Spinal Disorders at Nicklaus Children's Hospital is committed to offering the latest in research and innovation to the patients and families we serve.

Nicklaus Children’s Hospital spine surgeons have membership status in the Harms Study Group, a worldwide collaborative of distinguished surgeons dedicated to advancing treatment of children with spine deformity. Areas of focus at Nicklaus Children’s Hospital include:

  • Lowering radiation exposure
  • Minimizing blood loss
  • Optimizing recovery and hospitalization after scoliosis surgery
  • Fusionless/growth-friendly spine correction

The Center for Spinal Disorders and Scoliosis Surgery is one of few centers in the nation involved in a clinical trial for fusion less spinal surgery. This leading edge technique for scoliosis correction in children and adolescents is uses a vertical body tether to correct scoliosis rather than using traditional spinal fusion techniques.

Florida’s Most Advanced Surgical Facilities for Spine Patients 

The Nicklaus Children’s Hospital Kenneth C. Griffin Surgical Tower features the latest technologies for pediatric spine patients, including:

  • Leading-edge technology to convert radiographic images to three-dimensional images to enhance surgical planning. Nicklaus Children’s is the only center in South Florida with this technology. 
  • Navigated-assisted surgery with the Medtronic O-arm Surgical System, an intraoperative 2D/3D imaging device that enables surgeons to view, in real-time, the location of implant devices relative to the patient’s anatomy, confirming optimal placement of hardware while surgery is in progress.
  • EOSedge™, an imaging system that delivers high-quality three dimensional full-body images of spine patients in a standing position using ultra-low-dose radiation. The equipment has a special flex-dose setting that adjusts the amount of radiation patients receive, minimizing exposure, when possible, while still delivering high-resolution images. 

36

years as one of the nation's leading providers

200+

spine surgeries annually

2

average length of stay (in days) after spine surgery

3 months

on average, patients can return to normal activity 3 months after surgery
Jayla standing in a white dress and black brace.
Jayla standing in a white dress and black brace.

She Just Had a Cold. The X-Ray Revealed So Much More.

Jayla was like most kids. Some days she'd mention her back hurt, and other days she'd run around without a single complaint. Jayla’s father had always noticed that one of Jayla's shoulders sat slightly higher than the other, but it never raised any red flags, especially since Jayla didn’t complain or notice the difference herself. It took an unlikely turn of events, a simple cold and a chest X-ray, for the truth to finally surface. At 13 years old Jayla was diagnosed with scoliosis and needed corrective surgery for her spine.

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Locations of Service

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Awards & Associations