Expert spine surgeons in Reston
When you have back pain from spinal stenosis or another condition, you want a team of specialists working together to pinpoint the cause and recommend safe and effective treatment. Reston Hospital Center's spine surgeons offer Northern Virginia's most innovative spine care program—including minimally invasive surgery.
For more information about our spine care program, call (877) 689-3627 to speak to a nurse 24/7.
Our spine care team includes specialists from orthopedic care, neurological care and pain management, as well as physiatrists, anesthesiologists and family practitioners who work together to provide whole-patient care. We also have a spine specialist dedicated to scoliosis treatment.
Reston Hospital Center has received the National Gold Seal of Approval from the Joint Commission.
Reston Hospital Center has been recognized as a 2019 Five-Star recipient for Spinal Fusion Surgery.
Comprehensive back and neck care
In addition to our comprehensive, patient-centered care, patients choose our spine program for:
- Continuous recognition for excellence and quality: Healthgrades™, a leader in making hospital and physician information more accessible and transparent, gives our spinal fusion surgery and patient safety a five-star rating for excellent outcomes year after year.
- Advanced diagnostic imaging tools: Our advanced imaging tools include the only 3.0 Tesla MRI (magnetic resonance imaging) in Northern Virginia, an open MRI machine and a large-opening CT (computed tomography) scanner with tumor localization, which allow for more precise diagnosis and treatment.
- Care in a full-service hospital: If you need spine surgery, you are at a hospital with all the services and amenities you need for a comfortable recovery. Our renovated, state-of-the-art operating suites and private patient rooms mean you receive the best possible care.
Health Risk Assessments
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Robotic spine surgery
The renowned spine surgeons at Reston Hospital lead the way regionally and nationally in advanced spine surgery. We are developing new and improved bioresorbable spinal implants (short-term, corrective frames that gently dissolve) using spinal tissue regeneration to treat complex cervical (neck) and lumbar (lower back) spine disorders.
As the first hospital in Virginia—and only the fourteenth in the nation—to use the Mazor X™ Renaissance™ Surgical Guidance System for minimally invasive robotic spine surgery, we are the most experienced spine center in the area. Additionally, Reston Hospital was first in the nation to acquire a second Mazor X™ system.
Minimally invasive surgery means less trauma to muscles and tissues, resulting in shorter operations, less pain after surgery and a faster recovery. Many patients go home within a day or two.
Personalized care before and after spine surgery
At Reston Hospital, you receive personalized care throughout your spine care journey. We are here every step of the way with nurse navigation, case management and care coordination customized to your needs.
Rehabilitation for back and neck conditions
Our on-site physical therapy and rehabilitation facility, Reston Therapy & Fitness Center, offers inpatient and outpatient rehabilitation services. Our spine care and rehabilitation teams create a therapy regimen catered to your health and condition to aid in your recovery.
After surgery, your rehabilitation may begin the same day as surgery, and after you leave the hospital, you can continue to receive outpatient therapy with us to enhance your recovery.
Your doctor may also prescribe physical therapy as a noninvasive treatment for your back pain before suggesting surgery.
Center for Scoliosis and Spinal Deformities
The Center for Scoliosis and Spinal Deformities at Reston Hospital Center specializes in the care and treatment of the most complex scoliosis and spinal deformity conditions. Bringing together nationally recognized doctors, innovative technology and break-through treatment options, we offer accessible, individualized care in one location.
Our team approach provides seamlessly coordinated care by top specialists and support services for patients with lifelong or evolving deformities.
As a leader in robotic surgery, Reston Hospital offers one of only five Visiting Clinician Programs (VCP) in the country. A VCP is a comprehensive surgical training program led by a highly experienced surgeon to demonstrate best practices, excellent surgical outcomes and innovation in research to an elite group of spine surgeons from across the globe.
To schedule an evaluation with one of our spine surgeons, call (877) 689-3627.
Scoliosis refers to an abnormal curvature of the spine. In patients with scoliosis, the spine curves to the right or left side and involves a twisting or rotation of the bones of the spine. This can cause a change in the appearance of the patient's back and can lead to back or nerve pain, and, in severe cases, alter heart and lung function.
Many patients with scoliosis do not have specific symptoms. Scoliosis symptoms vary based upon the curve severity and may include back pain, nerve pain or spinal stiffness. The abnormal curvature may cause uneven hips, an abnormal gait or a leg length discrepancy.
Most scoliosis patients don't need to have surgery. A number of options are available to help treat pain and maximize function. Physical therapy, spinal mobilization techniques or chiropractic treatment can be beneficial for treating symptoms. While these treatments can reduce pain and improve mobility, none of these treatments have been shown to effectively reduce curvature. Patients can also take medications or receive spinal injections for pain or nerve irritation.
If nonsurgical treatment options do not relieve pain or symptoms, surgery can be performed. Generally, surgical reconstruction is recommended for curves greater than 45° or curves with severe degenerative changes. Surgery involves some correction of the curvature, allowing for pain relief and preventing the curvature from worsening in the future.
Flat back syndrome
Flat back syndrome is an abnormal condition where the spine loses its natural, low-back curve to become flat. This causes the spine to become imbalanced, forcing the patient to lean forward. Patients with flat back syndrome typically have trouble standing upright or have ongoing back or leg pain. The severity of symptoms usually depends on the amount of curvature present.
Flat back syndrome can occur as a result of any condition that shortens the front portion of the spine, such as degenerative disc disease, lumbar post-laminectomy syndrome, compression fractures and ankylosing spondylitis.
Diagnosis for flat back syndrome is made based on the patient's history and spinal X-rays. It is important to determine if flat back syndrome is the result of a stable spinal structural abnormality or spinal instability. It is also important to determine if there is continued pressure on nerves where spinal stenosis is present.
Initial treatment for flat back syndrome includes an appropriate exercise routine to include aerobic fitness, weight bearing exercise and core muscle strengthening. Based on a patient's symptoms, physical therapy and spinal manipulation may also be beneficial. For patients with arthritis or pinched nerves, spinal injections can also provide relief.
Kyphosis is a rounding of the back that can occur at any age, causing back pain and an abnormally curved spine. Normal spinal kyphosis ranges from 20° to 40° when viewed from the side. If the curvature grows larger than that, a kyphosis is present.
Kyphosis can be caused from consistent poor posture, abnormal bone growth and development of other conditions, like osteoporosis.
Diagnosis for kyphosis is based on physical examination and X-ray evaluation. Treatment depends on the patient's age, the size of the curve, the symptoms experienced and the underlying cause. Physical therapy and exercise programs improve posture and help strengthen spine muscles.
For curves that progress, or in initially severe cases, a brace may be used to help straighten the spine and try to prevent further progression during growing years. Brace treatment for kyphosis is only used for patients who are still growing and is not an effective treatment for adult patients.
Spine surgery for kyphosis is recommended for patients whose curvatures continue to progress or cause symptoms despite nonsurgical treatment. Corrective surgery is usually recommended when the curves are greater than 80° to 90° when measured on X-rays. Surgery is also an option for patients with disabling back pain or when kyphosis leads to compression of the spinal cord or nerves.
Spine program navigator
Ashly Malliarakis is an experienced registered nurse (RN) and serves as the spine program navigator for Reston Hospital Center. In this role, Ashly works in very close contact with patients and our spine surgeons. Ashly helps maintain the connection and communication between patients, nursing and medical staff. She is both an advocate and a resource to help our patients navigate a successful spine surgery journey.
Ashly is instrumental in helping educate our patients on what to expect before, during and after surgery. Further, she helps lead the education of nursing staff and internal team members on spine-specific care. She is also responsible for tracking and trending quality and surgical performance data and partnering with our care team to implement continuous process improvement initiatives to ensure that we offer the best care to our patients and referring physician community.