A Center of Excellence
In Spine Health & Wellness

We are Putting the Care 'Back' - Into HealthCare!
We Specialize In Taking Care Of You!

The Cleveland Spine Institute offers comprehensive operative and non-operative management of spinal diseases and disorders of the cervical, thoracic, and lumbar spines. We treat disc herniations, spinal stenosis, spondylolisthesis, scoliosis and other spinal deformities, fractures, infections, disc degeneration and arthritis. We also offer expertise in revision spinal surgery. Our philosophy is that we work for the patient, so we take care of one patient - one at a time! We will sit down with you and walk you through everything in detail, so you can understand in 'Plain English' what you're facing. Except for unique conditions, where operative therapy is still the standard of care as first-line treatment, nonoperative treatment pathways will always be explored along with other treatment pathways.

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Get A Second Opinion - We Recommend It!

"If you're considering any care, especially surgical care, you should always consider getting a
second opinion. "We Recommend it to all of our Patients - 'It's Good Medicine'". 

Everybody deserves 'The Best'. Don't be afraid to ask your doctor questions and be informed about what's going on with your spine health. Learn as much as you can about your Spine
Health issues and then educate yourself on the best lines of treatment available.
"The Best Way To Do That Is By Getting Second Opinions !" - You Owe It To Yourself !
Care needs to be individualized and tailored to each patients unique conditions and needs.
Nothing is more important than you getting 'The Best Care' possible.

The biggest cause of disability in the working population is attributed to spinal disorders.     Back pain is among the most common reason for a physician visit – in fact, approximately 80% of Americans will suffer from this condition at some point during their lives.     Recent studies show that the total financial cost of pain to society, which combines the health care cost estimates and the three productivity estimates, ranges from $560 to $635 billion.     Americans spend at least $50 billion each year on back pain.

How We Approach It

                 Maximize Your Non-Operative Care 'First'!                                   

Surgery may be an option and sometimes it is the first and best option. Most spine conditions however can be treated successfully and long term without resorting to surgical treatment at all. We prescribe this treatment pathway for many patients treated in our practice. We work closely with other healthcare professional, such as Physical and Occupational Therapists, Pain Management Physicians, Physical Medicine and Rehabilitation Doctors, Occupational Health Physicians, Chiropractic Physicians, and Acupuncture Specialists to maximize your  nonoperative care first. Our primary goal, in most cases, is to maximize nonoperative therapy before resorting to a surgical solutions. We want to help you achieve your goals and we will help walk you through the complex world of spine surgery. 

The spine contains over 120 muscles, 220 ligaments and over 100 joints.     Your discs start aging in your late 20's and early 30's when they lose their blood supply, become avascular. So they start drying out just like an apple picked from a tree does when it loses it's water supply. Eventually the discs can, but not always, shrivel up or shrink down like a picked apple. These are the gray hair and wrinkles on the inside. How fast this happens is influenced by smoking, heavy repetitive labor, long haul trucking, obesity, trauma and genetics. So you can control many of these variables. The one you can not control is genetics.     The spine is so flexible it can bend far enough to form two thirds of a circle.     The spine is extremely strong – it can bear the pressure of hundreds of kilograms.     Both giraffes and humans have seven vertebrae in their necks.

Jerold P. Gurley, MD, FACS

Board Certified

Orthopaedic Surgery

Fellowship Trained

Spine Surgery

Spine Surgery Fellowships:

The Cleveland Clinic Foundation

Adult Spine Surgery

The Twin Cities
Spine Center

Adult & Pediatric Spine Surgery

"Academic Challenge"

Here is a Little Trick or Mnemonic for Remembering
the Number of Bones in the Spine.
The spine is divided into 3 main parts - Upper, Middle & Lower:
'Cervical' or Neck    -   'Thoracic' or Chest    -   'Lumbar' or Low Back

QUESTION: How Many Bones Are There In Each Part of the Spine?
(There will be a Pop Quiz in the Office - Be Prepared)
*Click on Each Box Below For The Answer

                  7 - You Eat Breakfast @ 7

                  12 - You Eat Lunch @ 12

                  5 - You Eat Dinner @ 5


       Our Location & Contact Info

440 816-2225  /  440 816-BACK

Cleveland Spine Institute
7215 Old Oak Boulevard
Building A, Suite A421
Middleburg Heights, Ohio 44140 USA
(440) 816.BACK / (440) 816.2225

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The Cleveland Spine InstituteSM
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