Complex Spine Program

University Hospitals Spine Institute

Gabriel Smith, MD
Manish Kasliwal, MD
Alan Hoffer, MD

Please call Angela Foote, Patient Access Supervisor, at 440-227-6942, or Krista Walker, Medical Assistant, at 330-635-8498.
For hospital transfers, please call 216-844-1111.

Conditions Treated

  • Degenerative spinal disorders
  • Scoliosis
  • Spinal neuro-oncology disorders
  • Spinal vascular disorders


  • All options for spinal decompression and fusion available
  • Minimally invasive decompression and instrumentation (percutaneous screw placement)
  • Intraoperative navigation with CT capability (O-arm, Stealth)
  • Minimally invasive scoliosis correction
  • Pediatric scoliosis deformity correction, in partnership with University Hospitals Rainbow Babies & Children’s
  • Craniocervical fusion and decompression (occiput – C1 – C2)
  • Surgical and radiosurgical treatment of metastatic and primary spinal tumors (anterior, posterior approaches;Gamma Knife®, proton beam)
  • Surgical and endovascular treatment of spinal vascular malformation (AVM, AV fistula)

Distinguishing Features

  • Spinal neurosurgery expertise, with additional fellowship experience in neuro-oncology, spinal deformity correction and minimally invasive spinal surgery techniques
  • Multidisciplinary treatment of back pain and degenerative spinal disorders, with PM&R, neurology and neurosurgery
  • National training for complex craniovertebral junction pathologies (CVJ)