Spine

Back pain affects individuals of many ages and is one of the most common orthopaedic problems.
Atlantic Orthopaedic group provides patients comprehensive education and exceptional care through the combined expertise and extensive experience of our specialty-trained spine surgeon.
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Specialty-trained surgeons specialize in the Spine

If you are living with persistent discomfort from a herniated disc, spinal stenosis, sciatica, bone spurs, scoliosis, kyphosis, degenerative disc disease or another spinal problem, you are not alone.

Paul M. Keller, MD

Specializing in Spine Treatment
Our Mission
Atlantic Orthopaedics Group includes fellowship-trained, board-certified orthopaedic spine surgeo who practices the latest advances in minimally invasive surgical care to provide outstanding results to our patients.
Physician Assistants
David Ferguson, PA-C
Michael Teepe, PA-C
Contact info
Fax Number
321-953-1894
Phone
321-768-9914
Professional Affiliations
American Academy of Orthopedic Surgeons
North American Spine Society
Florida Orthopedic Society
Scoliosis Research Society
Florida Medical Assn
Brevard County Medical Society

Learn more about our Doctors

Spine Conditions & Treatments

Laminectomy
Laminectomy surgery, also known as spinal decompression, may be a viable treatment option for adults who have severe or persistent back pain that does not improve with conservative therapies, such as physical therapy and medication.
Sciatica (Lumbar Radiculopathy)
Sciatica is not a condition but a distinct group of symptoms that can occur when the sciatic nerve – the longest and largest nerve in the body – becomes compressed as a result of degenerative disc disease, disc injuries, spinal stenosis, bone spurs, and other common ailments.
Spinal Stenosis
Spinal stenosis is a degenerative condition characterized by the narrowing of the spinal canal. This narrowing may cause nerve compression that can lead to uncomfortable symptoms, like tingling, numbness, and shooting pain.
Spinal Fusion (Lumbar)
Spinal fusion surgery is performed to stop harmful motion in a damaged area of the spine. During the procedure, a bone graft is used to fuse two vertebral segments together and limit twisting motions that can exacerbate injuries and subsequent pain.
Anterior Cervical Discectomy
ACDF is used to treat serious pain from a nerve root that has become inflamed.
Compression Fracture
Vertebral compression fractures (VCFs) occur when the bony block or vertebral body in the spine collapses, which can lead to severe pain, deformity, and loss of height.
Degenerative Disc
Degenerative disc disease is an age-related condition that happens when one or more of the discs between the vertebrae of the spinal column deteriorates or breaks down, leading to pain. There may be weakness, numbness, and pain that radiates down the leg.
Herniated Disc
A herniated disc occurs when one of the cushioning discs that sit between each vertebra becomes damaged, allowing the disc’s soft, gel-like center to rupture and irritate nearby components of the spine.
Kyphosis
Kyphosis is a spinal disorder in which an excessive outward curve of the spine results in an abnormal rounding of the upper back.
Spondylolisthesis
Spondylolisthesis is a spinal condition that affects the lower vertebrae (spinal bones). This disease causes one of the lower vertebrae to slip forward onto the bone directly beneath it. It's a painful condition but treatable in most cases.
XLIF (Lateral Lumbar Interbody Fusion)
The XLIF (eXtreme Lateral Interbody Fusion) is an approach to spinal fusion in which the surgeon accesses the intervertebral disc space and fuses the lumbar spine (low back) using a surgical approach from the side (lateral) rather than from the front (anterior) or the back (posterior).

Laminectomy

Laminectomy surgery, also known as spinal decompression, may be a viable treatment option for adults who have severe or persistent back pain that does not improve with conservative therapies, such as physical therapy and medication.

A laminectomy is performed to increase space in a portion of the spinal canal, thereby relieving one or more pinched nerve roots and the uncomfortable symptoms that nerve compression may trigger. During the procedure, one or both laminae – the bony segments that form the arched back of each vertebra – are removed.
Conditions that may lead to the need for laminectomy surgery
• Sciatic nerve compression
• Spinal stenosis
• Osteoarthritis
• Herniated disc
• Degenerative disc disease
• Ankylosing spondylitis
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Sciatica (Lumbar Radiculopathy)

Sciatica is not a condition but a distinct group of symptoms that can occur when the sciatic nerve – the longest and largest nerve in the body – becomes compressed as a result of degenerative disc disease, disc injuries, spinal stenosis, bone spurs, and other common ailments.

Sciatica treatment at Atlantic Orthopaedic Group is tailored to the individual needs of each patient. Depending on the extent of the compression and the patient’s lifestyle, a number of conservative approaches may be recommended, including pain medication, physical therapy and corticosteroid injections. Surgery to remove the structure that is pressing on the sciatic nerve may be recommended in the most severe cases. Whatever type of sciatica treatment is appropriate for your case, rest assured your AOG doctor will provide personalized, compassionate care from diagnosis through recovery.

Symptoms may include:

  • Localized pain or pain that travels the length of the nerve (from the base of the spine down one or both legs, although only one side is usually affected)
  • Numbness and tingling sensations in the lower body
  • Muscle weakness in the lower body


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Spinal Fusion (Lumbar)

Spinal fusion surgery is a viable treatment option for adults with debilitating back pain that does not respond to conservative therapies. At Atlantic Orthopaedic Group, our team includes a fellowship-trained, board-certified orthopaedic spine surgeon who practices the latest advances in minimally invasive surgical care to provide outstanding results to our patients.

Spinal fusion surgery is performed to stop harmful motion in a damaged area of the spine. During the procedure, a bone graft is used to fuse two vertebral segments together and limit twisting motions that can exacerbate injuries and subsequent pain. Potential candidates for this surgery include patients with degenerative disc disease, spondylolisthesis, scoliosis, or spinal instability resulting from a fracture or infection.
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Spinal Stenosis

Most people will experience back or neck pain at least once during their lifetime. Dr. Keller is specialty trained to treat spinal stenosis. AOG healthcare providers work together with you to provide one-on-one diagnosis and treatment options for all spinal conditions.

Spinal stenosis is a degenerative condition characterized by the narrowing of the spinal canal. This narrowing may cause nerve compression that can lead to uncomfortable symptoms, like tingling, numbness, and shooting pain. At AOG, we take a conservative approach to spinal stenosis treatment that focuses on relieving symptoms and improving mobility through non-surgical methods, including:

  • Physical therapy to increase mobility and strengthen the muscles that support the spine.
  • Prescription medications to provide relief from pain and inflammation.
  • Steroid injections to reduce inflammation around compressed nerves.

Surgery is considered to be a last resort. However, certain patients with more disabling symptoms may not respond to conservative treatment methods. In these cases, Dr. Keller will carefully review the patient’s surgical options and address any questions they may have. We offer the latest advances in traditional and minimally invasive spinal stenosis procedures to achieve optimal results while posing as little risk to the patient as possible.
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Treatments tailored around your needs

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