When facing a complex neurological condition, having the right neurosurgery team by your side makes all the difference. At Neurosciences & Spine Center, our board-certified neurosurgeons provide expert care for a wide range of ailments. Whether you need minimally invasive treatment or advanced brain surgery, we are committed to delivering precision, innovation, and compassionate care while prioritizing patient safety and recovery.

Comprehensive Neurosurgery Services

Our providers offer innovative solutions to restore function and improve quality of life. We specialize in:

Comprehensive Neurosurgery Services

Our providers offer innovative solutions to restore function and improve quality of life. We specialize in:

Chiari Malformations

Chiari Malformations

Our surgical procedures relieve pressure on the brainstem and spinal cord, restoring proper cerebrospinal fluid flow and alleviating symptoms.

man with Trigeminal Neuralgia facial pain

Trigeminal Neuralgia

We provide both minimally invasive and surgical options to relieve the severe, electric-shock-like facial pain caused by this debilitating nerve disorder.

Advanced Neurological Diagnostics

Accurate diagnosis is the first step toward effective treatment. Neurosciences & Spine Center uses state-of-the-art imaging and testing to evaluate neurological conditions and develop targeted treatment plans. Our diagnostic services include the following:

  • MRI scans provide detailed images of the brain and spinal cord to detect tumors, structural abnormalities, and nerve disorders.
  • CT scans create cross-sectional images to quickly identify bleeding, fractures, and other urgent neurological conditions.
  • EMG testing measures electrical activity in muscles and nerves to diagnose nerve injuries and neuromuscular disorders.
  • Cerebral angiography uses contrast dye and X-ray imaging to evaluate blood flow and detect aneurysms, vascular malformations, or blockages.
  • Myelograms use contrast dye and X-ray imaging to assess the spinal cord and detect conditions like hydrocephalus and spinal abnormalities.
  • Lumbar punctures collect cerebrospinal fluid for analysis to help diagnose infections, bleeding, and pressure-related neurological conditions.

What Sets Our Neurosurgeons Apart

At Neurosciences & Spine Center, we believe that exceptional care goes beyond surgery. Our highly trained specialists have extensive experience in treating complex neurological conditions, using the latest advancements in brain surgery to ensure precision and safety.

We take a patient-centered approach, providing compassionate, individualized treatment plans designed to fit your unique needs. By working closely with neurologists, rehabilitation specialists, pain management specialists, and other medical professionals within the UNC REX and UNC network, we create a seamless, multidisciplinary care experience. Our commitment to innovation, collaboration, and excellence makes us a trusted leader in neurosurgery services in North Carolina.

Frequently Asked Questions About Neurosurgery

What are the risks of neurosurgery, and how are they managed?

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Like any surgical procedure, neurosurgery carries risks, but these are minimized with modern surgical techniques and careful planning. Our team uses the latest technology and thorough preoperative assessments to ensure the safest possible outcomes.

Does a neurosurgeon only operate on the brain?

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No, neurosurgeons treat conditions affecting the entire nervous system, including the brain, spine, and peripheral nerves. Many neurosurgical procedures focus on spinal disorders, nerve pain, and traumatic injuries, in addition to brain-related conditions.

Take the First Step Toward Expert Care

If you or a loved one has been diagnosed with a neurological condition and requires North Carolina-based neurosurgery, you don’t have to face it alone. Our expert team is here to provide answers, guidance, and procedures tailored to your needs. Contact Neurosciences & Spine Center today to schedule a consultation.

Next-Day Appointments Available

The surgeons at Neurosciences & Spine Center can help you decide on the treatment that’s best for you. They specialize in minimally invasive spine surgery and are experienced in diagnosing and treating disc disorders and disease, using the newest techniques for relieving pain and returning you to an active lifestyle. To make an appointment at Neurosciences & Spine Center call 919-784-7550.

Life After Spinal Fusion: 5 Myths About Your Future Mobility

Life After Spinal Fusion: 5 Myths About Your Future Mobility

If you've been told you need spinal fusion, it's natural to wonder what life will look like afterward. Many people worry that they'll lose their independence or have to give up the activities they enjoy most. The reality is that modern spinal fusion is designed to...

Patient Testimonials

Nat Lambeth
I am a former patient of Dr Koolevelt, hate he retired am of the opinion he is a great doctor. I had a very good result from my surgery last April. I have encountered a new problem. I called and got an appoint ment to see Daniel Ingram he to is great. He listen to my complaint(s), then examined me. He sent me for xrays, and gave me a recomended treatment plan. Within hours of having my xrays he called me back with the preliminary results. He said he would get me seen for an injection to rule out possible other issues. He is a warm friendly professional. Great bedside manner. You don't find medical professionals of his quality in every practice. UNCRex Neuroscience is lucky to have him.
Dennis Hlad
Everyone was pleasant & efficient. Daniel Ingram, PA went over the previous MRI showing me where the problem is. Then we discussed the options. He suggested if the symptoms changed to contact him.
Jill Schade
I have known Dr Koeleveld and his team over 19 years and due to the nature of my back history L5/S1. There is NO one else I would trust but Dr K, Dan, Judy and his wonderful team. I should have written this sooner as I am 2 years post fusion and doing wonderful. Their expertise, care and compassion is second to none.
Katy TwoJsMom
Amazing. Mom needed nerve ablation on the back. She has a pacemaker and these folks were wonderful.
Kristian Brock
Best experience I had even Surgery went great, Dr.Lacin knew exactly what needed to be done.
Catherine Raspet
When I had stenosis quite a while ago, he performed surgery,and I woke up with no pain. What an extreme relief.
Raymond Baule
Great job Dr. Buttram!
Whitney Moore
John A. Engler, MD was amazing! I've been having back pain for years (had surgery in 2011) and was good for awhile. However I started going to a pain management clinic 3 years ago when it started up again. After an incident that cause me to go the the ER I was referred to Dr. Engler. He was extremely nice and informative. He took the time to explain everything to me. Extremely satisfied with the care I received will update after everything is said and done.
Mary Roby
I am now pain free and well on my way to a full recovery thanks to Dr. Lacin. Both he and his staff are knowledgeable, compassionate, caring and professional. Dr. Lacin performed back surgery on me as well as my mom and we will both be forever grateful.
Jeff Wiblitzhouser
Dr. Lacin's skill and dedication gave me a new lease on life. As a designer and builder of custom homes and remodels, I depend on my ability to get in and out of houses, tight spaces, etc., and my back had gotten to the point where the pain was intolerable. I didn't hire Dr. Lacin to tell me what I wanted to hear, I hired him to help me regain functionality. Thank You Dr. Lacin and your staff!!
Joann
My primary care doctor referred me to Dr Engler for a second opinion. First, I would like to say I would highly recommend seeing Dr Engler. He was patient, very thorough, and really took the time listening to me when I explained the pain I been experiencing. I was so relieved when he immediately pinpointed the cause of my pain. Dr Engler not only told me my options, but he explained them in-dept to me, and answered all my questions. I was truly satisfied with my visit. I Couldn't have asked for a better doctor.
Sharon Greene
Superb care from Dr Lacin and staff. Dr Lacin repaired my cervical disc, and with each visit I felt as if my care was most important to him and he Treated me like I was his only patient. Great bedside manner and Excellent surgeon. Highly recommended!!!
Brooke Weisner
Dr. Buttram was amazing, he helped me recover from a severely herniated disc, which ultimately had to have surgery on. his staff is super sweet and friendly, I would recommend him to anyone who is having back pain.