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Clinical Services

The neurosurgery program at Brenner is the region’s leading program for pediatric neurosurgery; our surgeons perform all types of neurosurgical procedures and are recognized experts in minimally invasive surgeries. Our goal is to help our pediatric patients heal and get better by using the latest in technology and clinical advancements.

Investigating the Best Possible Methods for Treatment

We work closely with each family through our patients’ entire period of care and thoroughly investigate the best possible method to treat our pediatric patients. Whenever possible, we look for minimally invasive procedures that require less time in surgery and have the fastest recovery time. This results in a shorter hospital stay and less pain for our surgical patients.

Family-Centered Care

At Brenner, we believe in the philosophy of family-centered care. We work closely with families to develop individualized and customized treatment plans for each child and are always available to answer any questions parents and other family members may have. Our pediatric surgical area is specially designed so that families can stay with their children up to the point of surgery and immediately afterwards. In addition, Brenner’s pediatric neurosurgeons work closely with our patients’ pediatricians to provide streamlined care throughout the treatment and healing process.

Pediatric Neurosurgery Services at Brenner Children’s Hospital’s Pediatric Neurosurgery Program

Minimally Invasive Surgery

Minimally invasive operations take less time, require less cutting, are less painful and speed the healing process so that our pediatric surgical patients get better faster, have a shorter hospital stay and have an improved quality of life. Minimally invasive surgeries are used for the diagnosis and treatment of many diseases and conditions, as well as for biopsies (the removal of cells or tissues to determine a diagnosis) and tumor removal.

Spasticity Clinic

Our dedicated Spasticity Clinic provides the latest in cutting-edge treatments for our pediatric patients, including rhizotomy. During this procedure, our specialists carefully select individual nerves to cut using electrical stimulation; this lets us know which nerves affect certain areas of the patient’s muscle. Once a nerve is cut, the related muscle becomes more relaxed and the patient’s range of motion increases.

Comprehensive Spinal Deformity Clinic

Brenner’s Pediatric Neurosurgery Program houses the only Spinal Deformity Clinic in western North Carolina. This clinic is made up of a multidisciplinary team of experts, including neurosurgeons, orthopaedic surgeons and physical therapists, who work together to create a seamless and successful treatment and follow-up plan for patients with spinal deformities. We treat a range of spinal deformity conditions, including all types of scoliosis and traumatic injury. In addition, our neurosurgeons and other health care professionals regularly perform spinal fusion, the connecting of two or more vertebrae to increase a patient’s stability, in our spinal deformity clinic.

Deep Brain Stimulation

Deep Brain Stimulation is a procedure in which wires are placed into specific areas inside the brain and on nerves throughout the body; a pulse generator (a pacemaker-like device) is also inserted and implanted around the collar bone or in the abdomen. Through the use of these devices, we are able to help regulate our patients’ movements. This procedure is typically performed in children with dystonia or other types of movement disorders.

Newborn Pediatric Neurosurgery

The pediatric neurosurgeons at Brenner use state-of-the-art technology to diagnose health conditions before a baby is born. This helps families prepare for the arrival of their baby and enables us to plan for the safest delivery and treatment once the baby is born. Expecting mothers and their families will have the opportunity to meet their Brenner surgical team and tour the hospital prior to the day of birth. Brenner’s neurosurgeons are the region’s leading experts in the treatment of many congenital birth defects, such as spina bifida and congenital scoliosis.

Oncology Care

Our multidisciplinary team of surgical specialists works closely with Brenner’s pediatric oncologists to treat a wide range of cancer-related problems in pediatric patients. We help with cancer diagnosis and treatment of brain and spinal column tumors and perform biopsies and remove tumors through minimally invasive surgeries.

Trauma Surgery

A pediatric neurosurgeon is always on call at Brenner’s emergency department to care for patients with trauma-related issues. We perform trauma-related operations for all types of conditions. Whether a child has an accident riding a bike or in a car, our dedicated group of neurosurgical experts is ready to assist and treat him or her.


A fully dedicated team of pediatric anesthesiologists, trained for many years in the specialties of pediatrics and anesthesia, work with all pediatric departments to ensure the best and safest anesthesia plan for our pediatric patients. We conduct all types of anesthesia, including local, regional and general anesthesia:

  • Local Anesthesia – the numbing of a certain area or part of the body.
  • Regional Anesthesia – a type of anesthesia in which the anesthesiologist injects a medicine to block pain signals traveling to the brain. This may involve the spine, an epidural or nerve blocks. This procedure will make a child feel sleepy before, during and after the procedure.
  • General Anesthesia – medicines are given to a child to make him or her sleep during surgery. During general anesthesia, the anesthesia team closely watches the child’s heartbeat, blood pressure, breathing and oxygen levels and may adjust the levels of medication as needed during the procedure.