We serve as a regional resource for adult and pediatric complex spine surgeries and revisions. 

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Conditions & Treatment
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Care and Treatment
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Spine Surgery and Scoliosis
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Leading the region for complex spine procedures and revisions.
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Our Team
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Meet Our Team
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Spine Surgery and Scoliosis
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Expert care for scoliosis and spine deformity.
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Locations
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View Our Locations
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Orthopaedics and Bone Health
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From head to toe, our team collaborates on simple and complex orthopaedic problems.
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Awards
Becker's Hospital Review
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Top 100 Hospitals with Great Orthopaedic Programs
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Official health care provider for Virginia Tech
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Best Regional Hospital Southwestern Virginia
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Top Orthopaedic Team
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High volume
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Perform approximately 400 minimally invasive spine operations annually
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Spine School
100% of patients attend pre-surgical joint school educational class
Virginia
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Regional resource for adult and pediatric complex spine surgeries.
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Patient Education
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Spinal Surgery
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What you need to know
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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.
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Spine education class
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We invite you and a caregiver to attend our education spine class. You will learn what to expect before, during and after surgery.
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Clinic
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After surgery, your mobility will be limited.
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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.
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What you need to know before and after
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Preparing for the surgery
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We're here to help.
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Are you ready to schedule an appointment with one of our providers? Do you need more information?
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Leadership and Practice
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Proud of our
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Jonathan J. Carmouche, M.D.
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Jonathan J. Carmouche, M.D.
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Section Chief, Orthopaedic Spine
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Carilion Orthopaedic Surgery Series
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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.
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Jonathan J. Carmouche, M.D.
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Seeing You Safely
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Don't put your health on hold—see us safely. Dr. Carmouche shares an inside view of what we are doing to maintain our high level of care with proper protections in place for our patients and employees.
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Cutting-Edge Treatments
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Cutting-Edge Treatments
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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.
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Scoliosis and deformity
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Scoliosis and deformity
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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.
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MAGEC Growing Rods
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MAGEC Growing Rods
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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.
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Spine
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Disc Replacement
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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.

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Minimally Invasive Spine Surgery
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Minimally Invasive Spine Surgery
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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.
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Institute for Orthopaedics and Neurosciences (ION)
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The Institute for Orthopaedics and Neurosciences (ION) is an innovative convergence of leading medical practitioners who provide expert care to patients. ION serves as a model for medical students, research fellows and residents—the next generation of providers. ION provides a shared vision of collaboration and a team-based approach to healing.

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Research & Education
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Your care is elevated by innovative
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Research and Education
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Research
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Collaboration in Research
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Collaboration in Research
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The Musculoskeletal Education Research Center (MERC) facilitates and fosters musculoskeletal research for students with faculty mentors.
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Education
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VTCSOM Virtual Tour
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VTCSOM
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We are proud to have nationally and internationally recognized faculty committed to educating the next generation of students at VTCSOM.
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Graduate Medical Education
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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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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 providers 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.

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  • The Predictive Value of Postoperative Anemia on Length of Stay for Patients Undergoing Minimally Invasive (MIS) Lumbar Fusion

  • The Ability of Visual Evoked Potentials (VEPs) Obtained During Spine Surgery to Predict Postoperative Visual Changes

  • Improved Diagnosis and Classification of Cervical Myelopathy Via Quantitative Magnetization Transfer MRI

  • Biomechanical Evaluation of a novel technique for bone grafting in Anterior Cervical Discectomy with Fusion Surgery

  • Evaluation of the Thrombosis Risk of TXA Administration in Spine Surgery

  • The Efficacy of Computed Tomography in Detecting Cervical Spine Fractures in Padded Football Players: A Cadaveric Study

  • The Contribution of Postoperative Anemia to Length of Stay for Patients Undergoing Minimally Invasive Lumbar Interbody Fusion

  • CT is Insufficient for the Emergent Imaging of Cervical Spine Injuries Without Removal of Football Equipment 

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  • Anterior Cervical Discectomy and Fusion (ACDF) Surgery Using a Local Source for Cancellous Autograft: A Prospective Study
  • Comparison of Osteogenic Potential of Autogenous bone Grafts from the Cervical Spine and Iliac Crest in Vitro
  • Assessing the Clinical Value of Tranexamic Acid in Fusion Surgery for Lumbar Spinal Stenosis
  • Predicting Hospital Length of Stay for Patients Undergoing MIS Lumbar Fusion Based on Occupational Therapy (OT) and Physical Therapy (PT) Evaluations of Postoperative Mobility
  • Rates of osteoporosis screening and treatment following fracture and development of bone health systems and fracture liaison services

  • Impact of direct lateral interbody fusion on functional performance: a clinical and bio mechanical study

  • Improved diagnosis and classification of cervical myelopathy using quantitative magnetization transfer MRI analysis

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Meet Our Spine Surgery and Scoliosis Team
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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.
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