A Center of Excellence
In Spine Health & Wellness



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, spinal deformities, spondylolysis, disc degenerations and arthritis. We also offer expertise in revision spinal surgery. Our philosophy is that, 'We Work For Our Patients', so we take care of one patient - one at a time! All patients are seen by our surgeon before, during and after treatment and we do not use physician or surgeon extenders. 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 surgical conditions, where operative therapy is still the standard of care as first-line treatment, nonoperative treatment pathways will always be explored along with all other treatments. 

  • Board Certified
  • Fellowship Trained

"We treat patients the way I would want myself
or my family members to be treated."

"We Deliver PatientCare"

Jerold P. Gurley, MD, FACS

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

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 therapy 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 Specialists, Physical Medicine and Rehabilitation Doctors and other Healtcare Professionals to maximize your nonoperative care first. Our primary goal, in most cases, is to maximize nonoperative therapy before resorting to a
surgical solution. We want to help you achieve your goals and we will help walk
you through the complex world of spine surgery.

In general, the goals of physical therapy are to decrease pain, increase function, and provide education on a maintenance program to prevent further recurrences. In most cases of symptomatic low back pain (LBP), one of the most effective treatments is Physical Therapy combined with Anti-inflammatory medications.

Massage is to work and act on the body with pressure. Massage techniques are commonly applied with hands, fingers, elbows, knees, forearm, feet, or a device. The purpose of massage is generally for the treatment of stress or pain.

Acupuncture is a technique in which practitioners stimulate specific points on the body - most often by inserting thin needles through the skin.  Results from a number of studies suggest that acupuncture may help ease types of pain that are often chronic such as low-back pain, neck pain, and osteoarthritis/knee pain.

Chiropractic is primarily used as a pain relief alternative for muscles, joints, bones, and connective tissue, such as cartilage, ligaments, and tendons and back pain.
It is often used in conjunction with other medical therapies.

Pain management uses a wide variety of techniques to address pain and painful disorders. Pain management is most often utilized when symptoms fail to
response to conventional treatment modalities . 

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 therapy at all. Save the Surgeon for 'Last'.

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 patient's unique conditions and needs. Nothing is more important
than you getting 'The Best Care' possible.

'Top 3' Orthopedics in
Cleveland, Ohio.

'First Class' - "How can we actually say this? Our 50-Point Inspection includes everything from checking reputation, history, complaints, reviews, satisfaction, trust and cost to the general excellence. You deserve only the best!"

- Three Best Rated - 


"An Academy Challenge"

Here's a little trick or Mnemonic for remembering the number of
bones in the spine. The Spine is Divided into 3 Main Parts.
Upper (Cervical) / Middle (Thoracic) / Lower (lumbar)
* There will be a Quiz in the Office.

(Look Closely - Answers Are Included)

QUESTION: How many bones are there in the ?

7 Bones - You Eat Breakfast @ 7

12 Bones - You Eat Lunch @ 12

5 Bones - You Eat Dinner @ 5


Our Location:

Office Hours: Mon-Fri  9 AM - 4 PM

7215 Old Oak Boulevard
Suite A421
Middleburg Hts, Ohio 44130

Phone: (440) 816-2225