Referral & Imaging Review Hub

Streamlined referral process with rapid access and comprehensive communication for your patients.

Referral & Access

Efficient referral process designed for busy practices

48-hour new-patient access (at opening)

Same-day consult note back to you

Conservative first, surgery when indicated

Clear criteria for referral & imaging

Pre-Launch Note

Direct line & SLA badges go live at opening.

Testimonials from Referring Physicians

Professional feedback from our referring colleagues

Professional testimonials will appear here as we receive consent.

Clear Criteria for Referral

Evidence-based guidelines for spine surgery consultation

Appropriate Referrals

Failed 6–12 weeks conservative care
Progressive neurological deficits
Severe stenosis with functional impairment
Spinal instability
Cauda equina syndrome (urgent)
Failed previous spine surgery
Cervical myelopathy

Conservative Care Considerations

Physical therapy (6+ weeks)
Anti-inflammatory medications
Epidural steroid injections
Activity modification
Pain management consultation

Imaging Checklist

Optimal imaging protocols for spine surgery evaluation

Primary Imaging

MRI without contrast (with contrast if concern for infection, tumor or revision)

Preferred for soft tissue evaluation

CT myelogram

If MRI contraindicated

Standing X-rays

AP and lateral views

Specialized Studies

Flexion/extension X-rays

For suspected instability

Standing scoliosis films

36" cassette for deformity

DEXA scan

Osteoporosis assessment

Imaging Timing Guidelines

MRI Sequences
  • • T1 and T2 sagittal
  • • T2 axial through affected levels
  • • STIR if infection suspected
Standing Films
  • • Weight-bearing when applicable
  • • Include sacrum for lumbar studies
  • • Lateral view in neutral position

Surgical Specialties

Advanced minimally invasive and motion-preserving techniques

Robotic Surgery

  • • Robotic TLIF/PLIF
  • • Navigation-assisted fusion
  • • Precision screw placement
  • • Reduced radiation exposure

Motion Preservation

  • • Cervical disc replacement
  • • Lumbar disc replacement
  • • Dynamic stabilization
  • • Fusion-sparing techniques

Endoscopic Surgery

  • • Endoscopic discectomy
  • • Endoscopic decompression
  • • Ultra-minimal access
  • • Same-day procedures

Contact Information

Referral Coordination

Referral Line: (260) 484-1234
referrals@greenbergspine.com
Fax: (260) 484-1235

Urgent Consultations

Urgent Line: (260) 484-1234

For cauda equina syndrome or progressive neurological deficits

Partner with Us for Better Patient Outcomes

Streamlined referrals, rapid access, and comprehensive communication for your spine surgery patients.