Board-Certified Neurosurgical & Orthopedic Spine Care · Lake Mary, FL
Total Spine Institute · Lake Mary, Florida

The ultimate spine specialist — most conditions treated without surgery.

Led by Pedro M. Ramírez, MD, FAANS — a board-certified neurosurgeon with fellowship-level spine training. We diagnose and treat the full spectrum of neck and back pain, including causes others overlook, and reserve surgery for when it is truly the best option.

Board-Certified · ABNS & FAANS

11yrs

In practice in Central Florida

500+

Spine procedures per year

9+

Peer-reviewed publications

2

Languages · English & Spanish

01
A different philosophy of spine care

Pedro M. Ramírez, MD, FAANS, FCNS

Board-certified neurosurgeon · Lake Mary, FL

“I do spine surgery — but I consider myself an ultimate spine specialist.”

Most of the conditions we treat are managed conservatively, without an operation. Just as important, we look for the causes of neck and back pain that other surgeons don’t consider — sacroiliac joint dysfunction, weakness and atrophy of the paraspinal muscles, and other non-surgical sources of pain.

02
What we treat
i.

Neck & Cervical Spine

Herniated discs, radiculopathy, stenosis, myelopathy, degenerative disc disease, whiplash and spondylosis.

ii.

Neck & Cervical Spine

Herniated discs, radiculopathy, stenosis, myelopathy, degenerative disc disease, whiplash and spondylosis.

iii.

Neck & Cervical Spine

Herniated discs, radiculopathy, stenosis, myelopathy, degenerative disc disease, whiplash and spondylosis.

iv.

Neck & Cervical Spine

Herniated discs, radiculopathy, stenosis, myelopathy, degenerative disc disease, whiplash and spondylosis.

v.

Neck & Cervical Spine

Herniated discs, radiculopathy, stenosis, myelopathy, degenerative disc disease, whiplash and spondylosis.

vi.

Neck & Cervical Spine

Herniated discs, radiculopathy, stenosis, myelopathy, degenerative disc disease, whiplash and spondylosis.

Surgery is a last resort — not a first answer.

The Total Spine Institute approach

When surgery is warranted, Dr. Ramírez brings dedicated neuro-orthopedic spine training and experience in minimally invasive and robotic-guided techniques — from posterior lumbar interbody fusion to sacroiliac joint fusion.

The goal is always the smallest, most durable intervention that resolves your pain and returns you to life.

03
From our patients

“He was the first doctor to actually find the source of my back pain. No one had mentioned my SI joint before.”

“Two surgeons told me I needed a fusion. Dr. Ramírez treated me without surgery and I’m pain-free.”

“Thorough, honest and takes the time to explain. Se habla español, which meant a lot to my family.”

Ready for answers about your neck or back pain?

Request an appointment or a no-pressure second opinion. Most spine conditions are treated without surgery — let’s find out what’s really causing your pain.