Comprehensive evaluation and management of adult patients with diseases and conditions of the spine in the cervical, thoracic and lumbar regions. This includes the treatment of less complex problems, such as those associated with disc herniations, spinal stenosis and spondylolisthesis, as well as the treatment of more complex problems involving fractures, tumors, adult scoliosis or previous surgery. Treatments, whether operative or non-operative, will be individualized and patient centered. Patient education, counseling and shared decision making will be employed to assure that the most appropriate treatment option is chosen. Evidence-based medicine will be used to guide treatments. If surgery is chosen as the best option, the most advanced, modern surgical treatments will be offered