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chevron leftHoag Spine Institute

Second Opinion Program

1 Hoag Dr, Newport Beach, CA 92663

(949) 764-1494

  • About
  • Meet the Team
  • Treatments
  • Diagnostics
  • FAQ

When you need a second opinion, choose personalized care at the Hoag Spine Institute. Your second opinion starts today with our fellowship-trained spine experts. Have confidence in your decision. Choose the spine experts at Hoag.

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The Second Opinion You Can Trust

From pain management to neurosurgery, Hoag Spine Institute's team of spine experts are each uniquely qualified within their subspecialty to understand what new treatment options and advanced technological approaches are available today. Our multidisciplinary approach to second opinions offer a thorough review of your medical records ensuring all of your questions are answered. Most insurance plans are accepted and Hoag also offers a cash pay option.
Meet the Team
Doctor consulting with patient seated on bed

Why it’s Important to be Educated Before Committing to Spine Surgery

When it comes to reviewing your spine condition and treatment options, making an informed decision is critical. Getting a second opinion is critical in making a decision about spine surgery.
Learn More
Doctor smiling while talking to patient

Innovative Spine Diagnostic Technologies and Interventions

Common Questions

We will match you with a spine care navigator who will help you collect your medical records and guide you through the second opinion process at Hoag Spine Institute.

After your medical records have been collected, we will connect you with a spine subspecialist who is an expert in your condition for a thorough review of your medical history and recommend a course of treatment.

After submitting a request for a second opinion, one of our spine care navigators will respond within 1-2 business days. Our navigators can answer all of your questions and will guide you through the process for a second opinion.

Your spine care navigator will give you all of the guidance you need, including what type of previously obtained health records and/or imaging you may need to provide for an effective second opinion by one of our subspecialized spine experts.

Your spine care navigator will guide you through the submission process after you’ve obtained your records. You will have several options for submitting your records in a private and secure way.

Yes, Hoag Spine Institute offers secure virtual appointment capabilities. Your spine care navigator will help you schedule your virtual appointment once all of your records have been obtained and our multidisciplinary team has reviewed them.

Hoag Spine Institute accepts most insurance plans. Click here to view accepted insurance plans at Hoag. We also offer a cash pay option. Cash pay rates are available upon request through your spine care navigator.

A second opinion from the spine experts at Hoag is easy and your right next step. Get started today by connecting with one of our spine care navigators by either calling 949-764-1494 or clicking the "Inquire Now" button above.

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Meet Our Team

The Spine Institute at Hoag brings together a range of nationally renowned specialists who provide the latest in holistic and inclusive care management options to treat a range of spinal conditions including low back pain, spinal stenosis, spinal deformities, spinal tumors, as well as scoliosis in children and adults.

The multidisciplinary team includes pain management and acute rehabilitation specialists, physical and occupational therapists, dieticians, an intensive care unit and pre-eminent, board-certified neurosurgeons who share a treatment philosophy focused on a conservative, preventative approach.

At the Hoag Spine Institute, experts coordinate and support the patient journey, freeing the patient from navigating the unknown on their own. To learn more about those listed below, select the tile to read their individual profile.

Spine Institute Care Team

Burak M. Ozgur, MD

Burak M. Ozgur, MDChevron right small icon

Medical Director, Hoag Spine Institute

Aaron J. Przybysz, MD, PhD

Aaron J. Przybysz, MD, PhDChevron right small icon

Chief of Pain Medicine

Adam S. Kanter, MD

Adam S. Kanter, MDChevron right small icon

Ron & Sandi Simon Executive Medical Director Endowed Chair, Chief of Neurosurgery, Pickup Family Neurosciences Institute

Kunal Sinha, MD

Kunal Sinha, MDChevron right small icon

Pain Management, Center for Pain Management

Karim Fahmy, DO

Karim Fahmy, DOChevron right small icon

Pain Management, Center for Pain Management

Keyvan Esmaeili, MD

Keyvan Esmaeili, MDChevron right small icon

<p>Dr. Esmaeili is the Medical Director at the Fudge Family Acute Rehabilitation Center. He started his health care journey as an ER Tech, then a Registered Nurse and later a Board Certified Physical Medicine and Rehabilitation physician. From 2002 -2018 he served as Medical Director of the Rehabilitation Institute at Palomar Health in San Diego county, CA. His decision to specialize in Physical Medicine &amp; Rehabilitation is a result of his medical rotation on a Spinal Cord Injury unit. Dr. Esmaeili grew up admiring Albert Schweitzer who was a missionary physician, humanitarian, theologian and Noble Peace Prize winner. One of Albert Schweitzer’s quotes reflects Dr. Esmaeili thinking: “Success is not the key to happiness, happiness is the key to success. If you love what you are doing, you will be successful.”</p> <p>An important aspect of Dr. Esmaeili’s leadership is the understanding of the team, and supporting nursing, therapy, social work and support staff to achieve quality patient care. He understands the challenges and contributions of every discipline in a rehabilitation team. He works with staff members to influence and enhance their skills and knowledge, supporting them to work at their full potential.</p> <p>Dr. Esmaeili believes every patient has the potential to improve and move closer to functional and cognitive independence.</p>

Matthew J. Reed, MD

Matthew J. Reed, MDChevron right small icon

Dr. Reed serves as Chief of Inpatient Pain and Outpatient Addiction Services at Hoag, as well as Director of Consultation and Liaison Psychiatry, and Medical Director of the SolMar Residential Program. He is triple board certified in psychiatry, pain medicine and internal medicine. Dr. Reed received his doctorate of medicine (MD) and masters of science in public health (MSPH) from the University of Utah. Following medical school, he completed a five-year combined internal medicine and psychiatry residency at the University of California, Davis. He subsequently completed an additional one-year fellowship in pain medicine through the Department of Anesthesia and Pain Medicine at UC Davis. Prior to joining Hoag, Dr. Reed served in various capacities at the University of California, Irvine, including Assistant Dean for Student Affairs, Director of Consultation and Liaison Psychiatry, Associate Psychiatry Residency Training Director, and Director of Education for the Train New Trainers Primary Care Psychiatry Fellowship. An expert in the treatment of medically complex patients with intersecting addiction, psychiatric and pain conditions, Dr. Reed remains an educator at heart and enjoys his roles educating, training and collaborating with staff at all levels – counselors, therapists, security personnel, nurses, nurse practitioners and physicians – as he helps direct the expansion and integration of Hoag’s programs in neurobehavioral health.

Gina Duel, MSPA-C, MHA

Gina Duel, MSPA-C, MHAChevron right small icon

Physician Assistant, Neurosurgery, Spine

Janneinne Le, PA-C

Janneinne Le, PA-CChevron right small icon

Physician Assistant, Neurosurgery, Spine

Erin E. Wood, MMS, PA-C

Erin E. Wood, MMS, PA-CChevron right small icon

Physician Assistant, Neurosurgery, Spine

Tammy Chen, NP-C

Tammy Chen, NP-CChevron right small icon

Nurse Practioner, Center for Pain Management

Sarah Vargas, PA-C

Sarah Vargas, PA-CChevron right small icon

Physician Assistant, Center for Pain Management

Mitchell Fallon, PA-C

Mitchell Fallon, PA-CChevron right small icon

Physician Assistant Center for Pain Management

Tawnia Knapp

Tawnia KnappChevron right small icon

Outpatient Care Coordinator

Grace Chung, BSN, RN

Grace Chung, BSN, RNChevron right small icon

Spine Care Navigator, Neurosurgery, Spine

Learn More About Spine Surgery Options

Minimally Invasive Spine Surgery

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Endoscopic Spine Surgery

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Experience You Can Trust

Hoag Spine Institute is committed to accurate diagnosis combined with progressive therapeutic treatment options for our patients. We want to make it easy for patients and the physicians who refer them to access Hoag’s world class spinal care. Visit our Get Started page for everything you need to begin your journey to spine wellness.

Expert Diagnosis

Accurate diagnosis is the foundation of successful spine care. At Hoag Spine Institute, our multidisciplinary team uses advanced tools like MRI, CT, and the EOSedge system to pinpoint the cause of pain. EOSedge provides full-body 2D/3D images with lower radiation, showing how spinal alignment affects the whole body. With precise insights, we create personalized treatment plans—often starting with non-surgical options—to reduce pain, restore mobility, and improve quality of life.
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EOSedge is a precise, low dose imaging system that delivers full body, high-quality images covering the full set of musculoskeletal and orthopedic exams

Conservative, Non-surgical Management

We are committed to identifying the root cause of your pain and creating a care plan tailored to your needs. Our interventional pain management team works alongside specialists in physical medicine, rehabilitation, acupuncture, and chiropractic care to explore the most effective non-surgical options first. By focusing on relieving pain, restoring mobility, and improving quality of life, we help patients regain function and return to the activities that matter most—often without the need for surgery.
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Man's back pain

Minimally Invasive Surgery Options with Advanced Technology

When surgery is the best option, patients at Hoag Spine Institute can feel confident knowing their care team uses the safest, most effective techniques available. Our surgeons specialize in making procedures as minimally invasive as possible, which often means less pain, shorter recovery times, and a quicker return to everyday life. Hoag was also the first hospital on the West Coast to introduce 7D Surgical Flash, a next-generation robotic navigation system that enhances precision in spine surgery. This technology, combined with our team’s expertise, helps ensure patients receive advanced surgical care with a strong focus on safety and long-term results.
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Robot Assisted Surgery

Pioneering Augmented Reality (AR) for Spine

Together with Hoag’s Pickup Family Neurosciences Institute, our neurosurgeons helped co-develop the SyncAR surgical navigator in partnership with Surgical Theater, a leader in medical visualization technology. SyncAR for Spine uses advanced 3D reconstructions of CT and MRI images to create detailed, lifelike views of the spine and surrounding structures. This allows surgeons to carefully plan procedures with millimeter-level precision and receive real-time 3D feedback during surgery. By enhancing visualization and accuracy, SyncAR supports safer procedures, more efficient surgical planning, and reduced exposure to X-rays. As pioneers in surgical innovation, Hoag’s fellowship-trained neurosurgeons leverage this technology to deliver precise, effective care, always with a focus on improving outcomes and recovery for our patients.
Dr. Ozgur using AR technology in OR

Advanced Robotic Surgery Technology

Our complex surgical techniques are made as minimally invasive as possible in our operating suite using some of the most advanced technology available today. Hoag was the first adult hospital in Orange County to offer the Mazor X Stealth™, which combines 3D pre-operative planning tools and analytics with intra-operative trajectory precision to provide surgeons with comprehensive information about the best approach and visualization of the target before the surgery starts. This technology allows surgeons to operate with precision and efficiency, reducing need for x-rays, and minimizes pain and recovery time after surgery.
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newest robotic navigation platform for spine surgery arrives

Surgical Navigation System Without Radiation

Hoag was the first hospital on the West Coast to offer the 7D Surgical Flash Navigation System, an advanced, minimally invasive, robotic navigation platform for spine surgery. As a rapid, radiation-free alternative to traditional image-guided surgery, the 7D surgical system uses special cameras to analyze surface anatomy in just seconds using only visible light without radiation. This creates a full-color 3D image reconstruction consisting of hundreds of thousands of data points used for surgical navigation, guiding our surgeons’ accuracy.
7D Surgical Flash Navigation System, an advanced, minimally invasive, robotic navigation platform for spine surgery.

Complex Deformity and Scoliosis Specialists

Our exceptional expertise includes treating even the most complex spine deformities, whether they are present from birth (congenital) or develop over time due to wear and tear (degenerative). These conditions can significantly impact posture, mobility, and overall quality of life. At Hoag, our fellowship-trained spine surgeons work closely with physical therapists and a multidisciplinary team to create comprehensive treatment plans tailored to each patient’s needs. Our goals extend beyond pain relief—we focus on restoring spinal alignment, improving function, and preventing further deterioration or neurological complications. By combining advanced surgical techniques with rehabilitation and ongoing support, we help patients return to their daily lives with greater comfort, stability, and confidence in their long-term spinal health.
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Qualified spine surgeons in Orange County

Acute Rehabilitation Hospital Services and Team

How do you get back to living your best possible life after spine surgery? Should you need rehabilitation services after surgery, the Fudge Family Acute Rehabilitation Center provides comprehensive care and individualized programs with 24/7 nursing, a team of certified therapy experts and full-time medical director – all with one goal in mind, getting you back to living your best possible life.

Our acute rehabilitation care team features physicians, occupational therapists, physical therapists, speech language pathologists, recreational therapists and social workers.

Research & Development Team

Clinical trials are research studies that evaluate the safety and effectiveness of new ways to diagnose, treat and prevent diseases or conditions. They follow strict scientific standards to protect patients and help produce reliable results that can lead to new advances in medical care.

Expert Diagnosis is Key

Comprehensive evaluation with accurate diagnosis is the foundation for achieving highly successful outcomes. That’s why it’s important to seek care from Hoag’s Spine Institute providing a multidisciplinary, specialized team of spine care experts experienced in the accurate diagnosis of back pain and other spine-related conditions.

Our best-practice care pathways include patient evaluations by primary care physicians, physical therapy, occupational therapy, pain management specialists, neurologists, neuroradiologists, and neurosurgical consultations when appropriate. Hoag also offers a dedicated nurse navigator to guide you through your spine care journey.

Beginning with a thorough evaluation that includes a comprehensive physical exam, personal medical history review and state-of-the-art diagnostic workup, our team carefully evaluates and pinpoints the source of neck and back pain so the most appropriate and conservative treatment options can be employed.

Hoag’s state-of-the-art diagnostic technologies provide our team with the latest modalities in the accurate diagnosis of spine-related injuries, diseases and other disorders. Some of the progressive imaging studies that may be utilized include MRI, CT and Digital X-Ray.

EOSedge System – Better Diagnostics with Lower Radiation

Hoag was the first adult hospital in Orange County to offer the EOSedge System, the most advanced technology available today. This innovative technology is the next step of connecting imaging to care, improving patient safety and treatment outcomes.

EOSedge is a precise, low dose imaging system that delivers seamless full body, high-quality images covering the full set of musculoskeletal and orthopedic exams. This next generation solution captures fully functional 2D/3D biplanar images in seconds, using a high-resolution photon-counting detector for outstanding image quality for a broad range of patients. Its innovative design minimizes radiation exposure following an ALADA* principle.

This state-of-the-art system offers significant value in showing the impact of spine issues on the rest of the body. Since spine issues can result in shoulder, hip and knee discomfort, being able to see the entire skeleton and the pain points created by the spinal alignment will not only enhance patient education of their current state, but also help physicians diagnosis the reason for those discomforts in a more timely fashion.

Hoag’s world-class neurosurgeons can more effectively, and with less radiation impact on the patient, make well-informed clinical decisions at each point of patient care.

Exceptional Clinical Value

EOSedge is powered by a high-resolution photon-counting detector to optimize image quality. This system captures 1:1 images in a calibrated environment with no stitching or magnification, supporting well-informed clinical decisions at all stages of care.

Reduced Radiation Exposure

EOSedge uses new Flex Dose™ technology to modulate radiation throughout scans using body morphology. Flex Dose delivers up to an 80% overall radiation reduction compared to the same acquisition without Flex Dose5.

Patient-Centered Design

EOSedge’s open cabin design allows medical teams to capture full body images safely, quickly, and comfortably for a wide range of patients. Its large acquisition zone and accessible design enables easy entry and positioning for children, elders, and other patients.

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Experience You Can Trust

Hoag Spine Institute is committed to accurate diagnosis, combined with progressive therapeutic options.To schedule a comprehensive diagnostic evaluation, or a second-opinion consultation with a Hoag spine care specialist, please call 949-764-1411.

Spine Institute FAQ

We treat a comprehensive range of spine and nerve-related conditions, including:

  • Neck pain
  • Low back pain
  • Radiating pain or limb numbness
  • Weakness in arms or legs
  • Chronic back or neck pain
  • Spinal stenosis
  • Herniated or degenerative discs
  • Nerve impingement
  • Spinal tumors
  • Spine trauma
  • Complex or revision spine surgeries

Our surgical offerings include minimally invasive and advanced procedures such as Anterior Cervical Discectomy & Fusion (ACDF), Posterior Cervical Laminectomy, Lumbar Lateral Interbody Fusion (LLIF), Anterior and Posterior Lumbar Interbody Fusion (ALIF/PLIF), Microdiscectomy, and Lumbar Decompression.

If you’re experiencing chronic or radiating back or neck pain, contact our nurse navigator to schedule a consultation with a specialist and start your path to recovery.

Our multidisciplinary care team includes:

  • Board-certified neurosurgeons specializing in spine surgery
  • Pain management physicians
  • Physical and occupational therapists
  • Acute-rehabilitation experts
  • Registered dietitians

Together, we follow a conservative and preventive care philosophy. With access to cutting-edge technology, an intensive care unit, and a rehabilitation center, we provide seamless support throughout your healing journey—from diagnosis to recovery.

Hoag Spine Institute is a trusted leader in Orange County healthcare. We are known for exceptional patient care, world-class outcomes, and a personalized approach. Our board-certified neurosurgeons specialize in minimally invasive techniques, while our pain management team prioritizes evidence-based, non-opioid therapies when possible.

At Hoag, we are committed to clinical excellence, compassionate care, and helping you regain your quality of life.

Not necessarily. Every patient undergoes a thorough evaluation to identify the root cause of their symptoms. Our care team prioritizes the least invasive treatments—exploring non-surgical therapies first. If surgery becomes the best option, our specialists use the most advanced, minimally invasive techniques available, resulting in faster recovery, lower risk of complications, and less trauma to healthy tissue.

Our team will create a personalized care plan that may include:

  • Physical therapy
  • Over-the-counter or prescription medications
  • Injections or ablations
  • Surgical consultation if necessary

We’ll work closely with you to find the safest, most effective treatment for your symptoms.

This depends on your specific procedure and your surgeon’s recommendations. However, many of our patients are up and walking without the need for a brace shortly after surgery.

No. Our goal is to restore your natural movement and quality of life. While some temporary soreness is expected, physical therapy and rehabilitation will help you regain mobility and return to your usual activities as safely and quickly as possible.

We offer a full spectrum of advanced surgical options, including:

  • Anterior Cervical Discectomy & Fusion (ACDF)
  • Posterior Cervical Laminectomy
  • Lumbar Lateral Interbody Fusion (LLIF)
  • Anterior & Posterior Lumbar Interbody Fusion (ALIF/PLIF)
  • Microdiscectomy
  • Lumbar Decompression

Our team is trained in the latest techniques to ensure optimal outcomes and minimized recovery times.