Neurosurgeon
Neurosurgeon
From scoliosis and complex deformity to revision surgery and regenerative medicine. If your spine is the problem, this is the right place.
Dr. Enguidanos’s primary area of focus. Fellowship trained under the former president of the Scoliosis Research Society at the University of Colorado, he has spent thirty years treating complex curves and deformities that call for subspecialty training.
Spinal curvature that develops or worsens in adulthood, often causing back pain, leg pain, and difficulty standing upright. Dr. Enguidanos evaluates surgical and non-surgical correction options based on curve severity and patient goals.
The most common form of scoliosis, developing during growth spurts in children and adolescents. Early evaluation is critical. Dr. Enguidanos has treated pediatric curves ranging from observation-only to complex surgical correction.
Structural abnormalities present from birth, including hemivertebrae, fused vertebrae, and other congenital curves. These cases require a surgeon with deep deformity experience and a careful long-term approach.
Abnormal forward rounding of the upper back, ranging from postural kyphosis to Scheuermann’s kyphosis and post-traumatic kyphosis. Surgical correction restores sagittal balance and relieves pain.
Complex deformities involving multiple regions of the spine requiring comprehensive reconstruction. These are the cases Dr. Enguidanos was specifically trained for at the University of Colorado Spine Center.
Loss of the normal lumbar lordosis causing a forward-leaning posture, pain, and fatigue. Often a complication of prior spinal surgery. Dr. Enguidanos performs osteotomies to restore normal sagittal alignment.
The most common category of spine problems. Dr. Enguidanos treats the full spectrum from mild disc degeneration to severe stenosis with nerve compression — always starting with the least invasive option first.
Natural wear of spinal discs leading to pain, stiffness, and reduced function. Treatment ranges from physical therapy and injections to surgical intervention when conservative care has been exhausted.
A disc that has ruptured and is pressing on a nerve root or the spinal cord. Cervical herniation causes arm pain and numbness. Lumbar herniation causes sciatica. Most respond to non-surgical treatment first.
Narrowing of the spinal canal that compresses nerves, causing pain, weakness, and difficulty walking. Lumbar stenosis is one of the most common causes of leg pain in adults over 50.
A vertebra that has slipped forward over the one below it, causing instability, nerve compression, and pain. Ranges from mild (managed conservatively) to severe (requiring surgical stabilization).
Fractures of the vertebral body, most commonly caused by osteoporosis. Kyphoplasty and vertebroplasty restore vertebral height and eliminate pain with a minimally invasive procedure.
Nerve root compression causing radiating pain, numbness, or weakness along the path of the nerve. Cervical radiculopathy affects the arms. Lumbar radiculopathy (sciatica) affects the legs.
Minimally invasive treatment for painful osteoporotic vertebral compression fractures. Bone cement stabilizes the fractured vertebra. Kyphoplasty additionally restores vertebral height using a balloon before cement injection.
Persistent or worsening pain after spine surgery. Often caused by inadequate decompression, wrong-level surgery, adjacent segment disease, or hardware failure. A thorough evaluation can identify what went wrong.
Accelerated degeneration at the level above or below a prior fusion, a known complication of spinal fusion surgery. Extension of the fusion construct or motion-preserving revision options are evaluated case by case.
Broken, loosened, or misplaced spinal implants including rods, screws, and cages. Hardware failure causes pain, instability, and deformity progression. Revision surgery removes failed implants and restores stability.
A failed fusion where the intended bone graft did not heal, leaving a painful unstable non-union. Revision surgery with improved bone graft preparation and fixation can achieve the fusion the first surgery did not.
Deformity that develops as a consequence of prior spinal surgery, including flatback deformity, coronal imbalance, and sagittal malalignment. Correction requires osteotomy and comprehensive realignment.
Cases referred by other spine surgeons due to complexity, prior surgical history, or deformity severity. Dr. Enguidanos welcomes these referrals and provides an honest evaluation of what can and cannot be achieved.
Where the clinical indication allows, Dr. Enguidanos pursues the least invasive surgical path. Smaller incisions, less blood loss, faster recovery, and equivalent outcomes compared to open approaches.
Removal of the lamina — the back portion of the vertebra — to create space for compressed nerves. The most common surgical treatment for lumbar spinal stenosis. Often performed with minimal-access techniques.
Removal of the herniated portion of a spinal disc that is pressing on a nerve root. Microdiscectomy uses a small incision and microscope, allowing most patients to go home the same day with rapid recovery.
Replacement of a damaged disc with an artificial implant that preserves motion at the treated level. An alternative to fusion for appropriate candidates with cervical or lumbar disc disease.
Enlargement of the foramen — the opening through which nerve roots exit the spine — to relieve nerve compression. Performed for cervical or lumbar radiculopathy not responding to conservative care.
Spinal fusion performed through small incisions using tubular retractors and fluoroscopic guidance. Significantly less muscle disruption than open fusion, resulting in less post-operative pain and faster recovery.
Minimally invasive procedures that stabilize painful vertebral compression fractures using bone cement. Kyphoplasty additionally uses a balloon to restore vertebral height before cement injection.
For appropriate patients, regenerative medicine offers meaningful symptom relief and functional improvement without surgery. Dr. Enguidanos integrates these options into the care continuum as adjuncts to comprehensive spine care.
Biologic treatment using the patient’s own stem cells to promote healing and reduce inflammation in degenerative spinal conditions. Results vary by patient and are not a substitute for surgery in advanced structural disease.
Concentrated growth factors derived from the patient’s own blood, injected into damaged spinal tissues to promote healing. Used for facet joint arthritis, disc degeneration, and soft tissue injuries around the spine.
Targeted delivery of anti-inflammatory medication to the epidural space around compressed nerve roots. Effective for managing radicular pain from herniated discs or stenosis, often as a bridge to recovery or surgery.
When instability, deformity, or advanced degeneration requires surgical stabilization, Dr. Enguidanos performs the full range of fusion and fixation procedures — from single-level to multilevel complex constructs.
Removal of a damaged cervical disc and fusion of adjacent vertebrae through an anterior approach. The most common cervical spine surgical procedure, with high success rates for arm pain and myelopathy.
Spinal fusion performed through a posterior incision using pedicle screws, rods, and interbody cages to stabilize one or more lumbar levels. Indicated for spondylolisthesis, degenerative instability, and deformity.
A minimally disruptive approach to lumbar fusion accessing the disc space from the patient’s side. Allows placement of a large interbody cage with minimal posterior muscle disruption.
Placement of pedicle screws and connecting rods to provide rigid fixation during spinal fusion. The foundation of modern posterior spinal surgery, used in deformity correction, trauma, and degenerative fusion.
Extension of spinal fusion constructs to the pelvis using iliac screws or S2-alar-iliac screws. Required for long fusion constructs in adult deformity surgery to prevent failure at the lumbosacral junction.
Controlled bone cuts that allow realignment of the spine in cases of fixed deformity. Smith-Petersen, pedicle subtraction, and vertebral column resection osteotomies are used based on the degree of deformity correction required.
DR. STEPHEN T. ENGUIDANOS MD | SPINE SURGERY | NICEVILLE, FL
Your information is private and will never be shared.
DR. STEPHEN T. ENGUIDANOS MD | SPINE SURGERY | NICEVILLE, FL
Your information is private and will never be shared.