Spine Surgery Second Opinion · Georgia Patients · Naples & Fort Myers FL
Emory and Wellstar
are excellent. They don’t offer
what we offer.
TOPS motion-preserving surgery. Lumbar disc replacement. Barricaid annular closure. Minimally invasive SI joint fusion. Corus MIS posterior fixation. PRP and BMAC biologics. No residents, no fellows — every surgery performed personally by Dr. Katsevman. Hundreds of five-star reviews. None of this is routinely available at Emory, Wellstar, Piedmont, or Northside. And Naples is closer than you think — 90 minutes by air, or a straight shot down I-75.
"Emory Healthcare is one of the finest academic medical systems in the Southeast. Wellstar, Piedmont, and Northside serve Atlanta and Georgia well. What none of them offer is TOPS, lumbar disc replacement, Barricaid, MIS multilevel laminectomy, or intraoperative PRP and BMAC biologics — and every surgery at their academic programs involves residents and fellows. Naples is 90 minutes from Atlanta by air, or a straight drive down I-75. Hundreds of my five-star patients came from Georgia. Most say they wish they had called sooner."
Dr. G. Katsevman, MD · Neurosurgeon & Spine SurgeonGetting to Naples from Georgia
Drive or fly —
Georgia is the closest feeder state to Naples
No other state on this list has two practical options for getting to Naples. Most Midwest patients fly. Georgia patients can do both — and many choose to drive, especially if they are already planning a Florida trip, have family in Southwest Florida, or are recovering and prefer not to fly post-surgery.
Atlanta to Naples: approximately 7.5–8 hours One interstate, no real navigation required. I-75 South from Atlanta takes you through Macon, Valdosta, and across the Florida state line into Tampa, then south to Naples. Many Georgia patients drive down for the pre-op consultation and fly home after recovery, or simply drive both ways with a family member. Same-day discharge means you can be in a Naples hotel the night of surgery.
Atlanta Hartsfield-Jackson (ATL) to RSW Fort Myers: approximately 90 minutes direct on Delta, American, and Southwest — the most frequent ATL-Florida route, with departures throughout the day. RSW is 30 minutes from both offices. The telemedicine second opinion happens from Atlanta. The pre-op visit is the morning of surgery or the day before. Most procedures are same-day discharge. Telemedicine follow-up from Atlanta.
Patient reviews
Hundreds of five-star reviews —
from patients who were told fusion was their only option
Across Google, Healthgrades, and WebMD — three independent review platforms — Dr. Katsevman holds a consistently five-star rating with hundreds of verified patient reviews from across the US and internationally. Many came after being recommended fusion at Emory, Wellstar, or Piedmont and discovered all their options for the first time in Naples.
The most important step before spine surgery
A spine surgery second opinion
from a surgeon who offers what Georgia doesn’t
A second opinion is most valuable when the second surgeon can offer something the first cannot. Getting a second opinion within Georgia — Emory, Wellstar, Piedmont, Northside, or Grady — produces the same recommendation for the same reason: none of those surgeons are certified for TOPS or lumbar disc replacement, and none offer intraoperative PRP or BMAC biologics. Naples is 90 minutes away. The conversation here is different.
with Dr. Katsevman covers
Before your appointment, upload your MRI, X-rays, CT scans, and any operative reports from prior procedures. Dr. Katsevman reviews all imaging personally — not a coordinator, not a PA, the surgeon himself. The consultation addresses six specific questions that no Georgia academic program can currently answer for most patients:
Is the diagnosis correct?Many fusion recommendations follow accurate imaging but incomplete clinical correlation. A fresh review identifies whether the structural finding on MRI actually explains the symptoms — or whether something else, including SI joint dysfunction, is the real pain generator.
Are you a TOPS candidate?Grade I spondylolisthesis with stenosis — the most common diagnosis leading to a fusion recommendation — is exactly the indication for TOPS. 77% clinical success vs. 24% for fusion in the FDA RCT. Not offered at Emory, Wellstar, Piedmont, or Northside.
Are you a disc replacement candidate?Cervical disc replacement: 5× lower reoperation rate vs. ACDF. Lumbar disc replacement (ProDisc-L®): more than 3× less adjacent degeneration vs. fusion. Neither is routinely offered at Georgia academic programs.
Does Barricaid apply to your discectomy?Barricaid closes the annular defect at surgery — reducing reherniation risk by 81%. Not standard at any Georgia academic program.
Is your laminectomy being approached optimally?Up to three levels of lumbar decompression through a single ~3 cm incision. Many Georgia academic programs still perform multilevel laminectomy open — often by residents in training.
Is posterior fixation being planned with MIS options?Patients recommended a “360-degree” cervical fusion may be candidates for Corus MIS posterior fixation instead — same stabilization through incisions roughly a quarter the size. Especially important for high-risk patients: osteoporosis, smokers, nicotine users.
The honest comparison
What Georgia spine programs offer —
and what they don’t
Emory Healthcare is consistently ranked among the top academic medical programs in the Southeast. Wellstar, Piedmont, and Northside are strong community and regional systems. The gap is certification-based — not a reflection of quality, but of which technologies each program has chosen to pursue.
Emory Healthcare · Wellstar
Piedmont · Northside · Grady
Strong standard spine surgeryEmory produces solid outcomes for standard ACDF, lumbar fusion, discectomy, and laminectomy and is the best academic option available in Georgia. Wellstar, Piedmont, and Northside are competent regional programs. The quality of care is not the issue.
TOPS not availableThe FDA Breakthrough Device for Grade I spondylolisthesis with stenosis — 77% vs. 24% over fusion in the FDA RCT — is not offered at Emory, Wellstar, Piedmont, or Northside. Certification not pursued. Every spondylolisthesis patient is offered fusion.
Lumbar disc replacement not offeredProDisc-L® — more than 3× less adjacent degeneration vs. fusion — is not available at Georgia academic programs. Fusion is the default recommendation for lumbar disc disease statewide.
Barricaid not standard81% fewer reherniations after discectomy — not practiced at Georgia academic centers. The annular defect is left open after surgery.
PRP and BMAC biologics not offeredIntraoperative platelet-rich plasma and bone marrow aspirate concentrate are not available at Georgia academic spine programs as optional biological enhancements. Not part of the protocol.
Multilevel laminectomy often performed open — by residentsMany Georgia academic centers still perform multilevel lumbar laminectomy through a large open midline incision. In teaching hospitals, residents perform significant portions of this surgery.
SI joint dysfunction — often missed or not treated surgicallyMany Georgia spine programs do not routinely diagnose or treat SI joint dysfunction surgically. Patients are misdiagnosed with lumbar disc disease and offered fusion for the wrong pain generator.
Open posterior fixation — no MIS alternativeWhen multilevel cervical fusion requires posterior stabilization, Georgia academic centers use traditional open posterior fixation. Corus MIS posterior fixation is not routinely offered.
Residents and fellows in every surgeryEmory and Grady are teaching hospitals. Residents and fellows perform portions of surgeries at both. This is how surgeons are trained — but not what most patients assume when choosing an academic medical center.
This practice in Naples — what’s different
TOPS — official surgeon locator, one of few in the US77% vs. 24% over fusion in FDA RCT. Motion preserved. No cage, no bone graft. Same-day discharge. Not available at any Georgia academic center.
Lumbar AND cervical disc replacement — all three devicesSimplify®, ProDisc-C®, ProDisc-L®. Cervical: 5× lower reoperation rate. Lumbar: more than 3× less adjacent degeneration. Lumbar disc replacement is particularly rare at academic programs. Certified for all three.
Barricaid on every eligible discectomy81% fewer reherniations. Annular defect closed at surgery — standard here, not practiced at Georgia academic centers.
PRP and BMAC biologics — optional cash-pay, intraoperativePlatelet-rich plasma and bone marrow aspirate concentrate harvested during surgery and applied to the operative site. Optional cash-pay enhancements added on top of your insured surgery. Not offered at Georgia academic programs.
MIS multilevel laminectomy — up to 3 levels, ~3 cm incisionUp to three levels of lumbar decompression through a single small incision using the METRx tubular retractor. Muscles spread, not cut. Same-day discharge. Not the standard Georgia academic approach.
Minimally invasive SI joint fusion — accurately diagnosed and treatedSI joint dysfunction is frequently missed across Georgia. Dr. Katsevman accurately diagnoses it and treats it with percutaneous MIS fusion when conservative care fails. Same-day discharge.
Corus™ MIS posterior fixation — alternative to open rods and screwsQuarter-size incisions vs. open posterior surgery. Level I FUSE study evidence. Especially important for high-risk patients: osteoporosis, smokers, nicotine users. Not routinely offered at Georgia academic centers.
Dr. Katsevman performs every case personally — no residents, no fellowsNo exceptions. The surgeon who reviewed your imaging operates from first incision to closure.
Hundreds of five-star reviews — Google, Healthgrades, WebMDVerified, independent patient reviews across three platforms. Read them at floridaspinesurgeon.org/reviews.
The technology and biologics difference
What’s available here
that is not routinely offered at Georgia academic programs
77% vs 24% over fusion in FDA RCT. Grade I spondylolisthesis with stenosis. Stabilizes the slip. Preserves motion. No cage, no bone graft. Same-day discharge. Official TOPS surgeon locator — one of few certified surgeons in the US.
77% vs 24% · FDA RCTSimplify®, ProDisc-C®, ProDisc-L®. Cervical: 5× lower reoperation rate vs. ACDF. Lumbar: more than 3× less adjacent degeneration vs. fusion. Lumbar disc replacement is particularly rare — not available at Georgia academic programs.
5× lower reoperation · FDA IDEAnnular closure device seals the disc defect at discectomy. 81% fewer reherniations in eligible patients. Recurrence is the most common reason for a second discectomy. Barricaid prevents it — not offered at Georgia academic centers.
81% fewer reherniationsDrawn from the patient’s own blood during surgery. Applied to the disc space, epidural space, or incision at the time of the procedure. Optional cash-pay biological enhancement — not available at Georgia academic spine programs. Surgery itself is billed through insurance.
Cash pay · autologousConcentrated bone marrow aspirate harvested during surgery and packed into the fusion cage. Optional cash-pay biological enhancement to support bone healing. Not available at Georgia academic spine programs. Surgery itself is billed through insurance.
Cash pay · autologousAt many Georgia academic centers, multilevel lumbar laminectomy is still performed through a large open midline incision — often by residents. Dr. Katsevman performs up to three-level lumbar decompression through a single ~3 cm incision using the METRx tubular retractor. Muscles spread, not cut. Same-day discharge.
Sacroiliac joint dysfunction is one of the most commonly missed diagnoses in spine care. Many Georgia academic programs do not recognize it as a surgical diagnosis. Patients are misdiagnosed with lumbar disc disease and offered fusion for the wrong pain generator. Percutaneous MIS fusion when appropriate. Same-day discharge.
Patients recommended “360-degree” cervical fusion may be candidates for Corus instead. Same stabilization through incisions roughly a quarter of the size. Far less muscle stripping. Especially valuable for high-risk patients: osteoporosis, smokers, nicotine users. Level I FUSE study evidence, published in Spine.
Level I · FUSE study · SpineRobotic guidance and intraoperative CT confirmation of every screw before closure. Continuous SSEP, MEP, and EMG neuromonitoring on every cervical, thoracic, and lumbar fusion — not universal even at major academic centers. EOS full-spine standing imaging for alignment planning under load. aprevo® custom 3D-printed interbody cages.
How it works for Georgia patients
Telemedicine second opinion —
then surgery if it makes sense
Upload your MRI, X-rays, and any prior specialist reports before the appointment. Dr. Katsevman reviews all imaging personally. The consultation covers your diagnosis and — specifically — whether TOPS, disc replacement, Barricaid, MIS laminectomy, MIS SI fusion, Corus, or PRP/BMAC biologics apply to your case. No travel required for this step.
Surgery is billed through your insurance in the standard way. Pre-operative requirements are coordinated — most completable in Georgia before you travel. If you choose to add PRP or BMAC biologics, those are priced separately as cash-pay additions and disclosed fully upfront. Surgery scheduled when it works for you.
Flying: ATL to RSW approximately 90 minutes direct on Delta, American, and Southwest — the busiest ATL-Florida corridor. RSW is 30 minutes from both offices. Driving: Atlanta to Naples approximately 7.5–8 hours on I-75 South — single interstate, no navigation required. Many Georgia patients drive down with a family member, do the pre-op the next morning, and have surgery same day. Most procedures: same-day discharge.
Post-operative follow-up by telemedicine from Georgia. Your Georgia physician receives a full operative report. Most same-day discharge procedures allow return travel within a day or two. If you have a Florida address or are staying in Naples, recovery happens there. Many Georgia patients time surgery around a Florida visit already planned.
Questions from Georgia patients
What Georgia patients ask
before requesting a second opinion
Emory recommended fusion for my spondylolisthesis. Is TOPS a real option? +
Yes — for Grade I spondylolisthesis with stenosis, which is the diagnosis that generates most spondylolisthesis fusion recommendations. TOPS stabilizes the vertebral slip while preserving controlled segmental motion. The FDA randomized controlled trial showed 77% overall clinical success with TOPS versus 24% for fusion at 2 years. Emory is one of the finest academic medical systems in the Southeast. TOPS is not offered there because the certification has not been pursued — not because the technology is experimental. A telemedicine second opinion determines whether your anatomy is a TOPS candidate before you commit to fusion that permanently eliminates motion at that level.
Wellstar or Piedmont recommended ACDF for my neck. Should I consider disc replacement? +
For single or two-level cervical disc disease without significant instability — which describes most ACDF candidates — disc replacement is often the superior long-term option. The ProDisc-C FDA IDE trial demonstrated a 5-fold lower reoperation rate at 5 years versus ACDF (2.9% vs. 14.5%). Wellstar and Piedmont spine surgeons are not certified for Simplify® or ProDisc-C®. A second opinion from a surgeon certified for both — who will recommend whichever is better for your specific anatomy — is the right step before committing to ACDF.
Can I really just drive to Naples from Atlanta? +
Yes — and many Georgia patients do exactly that. Atlanta to Naples is approximately 7.5–8 hours on I-75 South: one interstate, through Macon, Valdosta, and across the Florida state line into Tampa, then south. Many patients drive down the day before surgery with a family member, do the pre-op visit with Dr. Katsevman the next morning, and have surgery same day. Most procedures are same-day discharge — you can be in a Naples hotel that evening. Return travel (driving or flying) is typically possible within a day or two. For patients who prefer not to fly, driving is a genuinely practical option that no other Midwest or Northeast feeder state offers.
Does my Georgia insurance cover surgery in Florida? +
Yes — most major Georgia insurance plans cover out-of-state surgery, including Anthem BCBS of Georgia, Cigna, Aetna, UnitedHealthcare, and Humana. The surgery itself is billed to your insurance in the standard way. The practice provides full documentation for out-of-state claims. PRP and BMAC biologics are the only cash-pay elements — optional add-ons priced and disclosed upfront.
If I get a second opinion at Northside or Grady instead of Emory, won’t I hear the same thing? +
Almost certainly yes. Emory, Wellstar, Piedmont, Northside, and Grady all share the same structural limitation: their surgeons are not certified for TOPS or ProDisc-L®, and none offer intraoperative PRP or BMAC. The gap is not institution-specific — it is a feature of the Georgia academic and regional spine landscape. The conversation changes when the second surgeon can offer what the first one could not.
What’s the actual drive like from Atlanta? +
Atlanta to Naples via I-75 South is approximately 480 miles and 7.5–8 hours depending on traffic. You exit Atlanta on I-75 South and stay on it through Macon, Cordele, Valdosta, and across the Georgia-Florida state line. In Florida you pass through the Lake City area, then Gainesville, Ocala, and Tampa, where I-75 turns south toward Fort Myers and Naples. No navigation required — it is one road. The drive is straightforward and passes through beautiful stretches of Georgia and Florida. Many Georgia patients make a weekend of it. If you prefer to fly, ATL to RSW is 90 minutes direct with multiple daily departures on Delta, American, and Southwest.
"Georgia patients have something no one else on this list has: the option to drive. Atlanta to Naples is a straight shot down I-75 — one road, no connections. Many of my Georgia patients drive down with a family member, have surgery, and are recovered in Southwest Florida. Emory is excellent. The technology gap is not about their quality. It is about certification. That is what this consultation addresses."
Gennadiy (Gene) A. Katsevman, MD
Neurosurgeon & Minimally Invasive Spine Surgeon · Naples & Fort Myers FL
★★★★★ Hundreds of five-star reviews — Google, Healthgrades, WebMD
Naples Top Doctor — Neurosurgery 2024, 2025, 2026
Official surgeon locator: TOPS™, Simplify®, ProDisc-C®, ProDisc-L®
Barricaid® on every eligible discectomy · 81% fewer reherniations
PRP & BMAC biologics — optional cash-pay, intraoperative, autologous
MIS multilevel laminectomy · MIS SI joint fusion · Corus™ MIS posterior fixation
aprevo® 3D-printed cages · EOS alignment · Robotic navigation · Intraoperative CT
Neuromonitoring on every cervical, thoracic, and lumbar fusion
No residents · No fellows · Dr. Katsevman performs every case personally
Fellowship — Barrow Neurological Institute under Dr. Juan Uribe
30+ peer-reviewed publications
Naples: 6101 Pine Ridge Road #101 · (239) 649-1662
Fort Myers: 8380 Riverwalk Park Blvd #320 · (239) 437-1121
Georgia Patients · Telemedicine Second Opinion · Drive I-75 or Fly ATL→RSW · Naples FL
Before you commit to fusion
in Georgia — hear all the options.
Upload your MRI before the telemedicine appointment. Dr. Katsevman reviews everything personally. You will know whether TOPS, disc replacement, Barricaid, MIS laminectomy, SI joint fusion, Corus posterior fixation, or PRP and BMAC biologics apply to your case — and whether the 90-minute flight or the drive down I-75 is worth making. Hundreds of five-star patients made that call. Most say they wish they had made it sooner.
6101 Pine Ridge Road #101, Naples, FL 34119
Fort Myers, FL 33919
or anywhere in Georgia