Orthopaedic and Spine Institute

San Antonio
Texas Center for Athletes
21 Spurs Lane, Suite 248
San Antonio, Texas 78240

136 Old San Antonio Rd.
Suite 201 & 202
Boerne, Texas 78006

Office: 210.487.7463
Toll Free: 1.888.402.2256
Fax: 210.487.7468


Dr. Nilsson

May 26, 2015 by Cedar Joiner

I had a great experience when I went to the Orthopaedic & Spine Institute.
I had an accident and broke my toe and they were able to get me into the clinic the same day to see Dr. Nilsson. As soon as I arrived, they took me back to get x-rays on my foot and then they took me back to a room to see Dr. Nilsson. Dr. Nilsson was great. He immediately knew what was wrong after reviewing my x-rays and what type of treatment I would need. He showed me the x-rays, gave me some options and then scheduled a follow-up appointment. I was very pleased Dr. Nilsson.
I would recommend Dr. Nilsson to all of my friends. He is an excellent doctor and the service at the clinic was outstanding.
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Jan 07, 2015 by Linda Reyna

Dr. Friedland gave me my life back. I could barely walk and had already had previous spinal surgery in which my first surgeon was not willing to help me after the pain returned and I got worse. I truly thought I would end up in a wheel chair for life and go be paralyzed. I cannot believe Dr. Friedland was able to help me~!I am just sad he is not with the group anymore.
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Dr Cyr

Sep 04, 2014 by Randi Fass

Dr Cyr did my lower spine fusion when he was still the Chief of Spinal Surgery of the USAF. When my neck fusion failed - done earlier by a surgeon in California - I tried to find someone to correct it. At that time Dr Cyr was in private practice but not yet in my network. Five San Antonio surgeons refused to "touch someone else's mistake". Dr Cyr said he would fix me and he did. My insurance finally agreed to pay him and his work set me free! My neck is perfect despite his having to fuse twice as much to repair the damage caused by an incorrect procedure. In 2008, he was a humble, God-fearing, talented surgeon. He is the same and more so now. He and his staff cared about every aspect of my care.
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Dr. Liu and Dr. Cyr

Apr 12, 2014 by Pat Phelix

I was in denial of my neck needing surgical intervention and very fearful. Dr. Liu was patient, understanding and caring. Explained my condition clearly and answered all my questions, also provided emotional support during the process. Dr. Liu and Dr. Cyr are not only gifted and exceptional surgeons in their field of expertise but they are compassionate and really care about their patients as a person. It is a comforting feeling to know I am in competent hands. My fear has been lifted.
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Professional Staff

Mar 25, 2014 by Matthew R.

There were so many nice & professionals staff members at the Orthopaedic & Spine Institute! Thanks for the outstanding care!
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Excellent Care

Mar 25, 2014 by Kyle M.

The care that I have received from the staff and doctors at the Ortho and Spine Institute has been excellent! Dr. Nilsson did an excellent job.
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Mar 18, 2014 by Sabine H.

Best care I have experienced in many years. Very compassionate and professional. Make me feel that my concerns matter and I am always treated like a very important person. Hats off to a great team!
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Angels Among Us

Mar 11, 2014 by Shirley D.

I come to this office in pain, not able to take care of my daughter the way I wanted or play with her. Working was impossible. They have improved my life so very much. They always treat me with respect and explain my care wonderfully!
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Excellent Care

Mar 05, 2014 by James A.

All of the staff are very professional.
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Best Experience in Pain Management

Feb 27, 2014 by Tammy H.

The first time I saw Dr. Duey I was experiencing a lot of pain in my shoulder. He diagnosed my problem, treated, and solved my pain issues. this was my best experience with pain because not only is the pain gone but the treatment I received from all the staff was excellent. Thank You!
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Best Visit Ever!

Feb 15, 2014 by Charnell G.

I had been seeing another doctor for about a year and no treatment or options were given. First appt with Sharon Ross, Nurse Practitioner was wonderful due to a physical of my problem (never done at other doctor) and options for correction right away! I will always come back!
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Highly Recommend

Feb 11, 2014 by Sylvia R.

I highly recommend OSI. The whole staff are very firendly. All lobby's, waiting rooms, and treatment rooms are very clean. Doctors take their time to explain and care about you. Sometimes Doctors take longer to see you but it's all well worth it.
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Best Doctors in the Area!

Feb 04, 2014 by Lisias D.

I have never met a doctor like Dr. Cyr. He is truly a doctor that take time with his patients and goes into detail of what needs to get done! But before you see him I had the ultimate pleasure of dealing with his P.A. Sharon Ross she is also great and both with a heart of gold!
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Jan 28, 2014 by Luis S.

We are so happy we choose Martin Yamzon. He addressed all our concerns. He's so gracious and kind. We will enjoy seeing him again we will recommend him to everyone. Thank you!
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Jan 23, 2014 by Leisl B.

They are very compassionate and professional. the staff is very nice! Inspite of Dr. Cyrs credentials he does not see anyone w/tricare. the clinic waiting room is amazing, my experience is good enough to want all my medications met at this clinic!
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Jan 21, 2014 by Michelle W.

Dr. Fieldland and his staff have been exceptional. I've been suffering since 2009 and after a long search and many doctors I'm finally on the mend. I used to take so many pain medicines but after my procedures I'm down to 1. The staff here really cares and always are professional no matter how many times I call.
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Very Nice & Professional Staff

Jan 14, 2014 by Matthew R.

I've never met so many nice & professional staff members in one locations! Keep up your medical professional attitude! Best staff by far!
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Friendly and Courteous Service

Jan 12, 2014 by Diana L.

Office staff was most courteous and friendly. I was treated with much patience and in a very professional manner.
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Great Service

Jan 09, 2014 by Laurie S

Excellent Service, Excellent staff, Excellent Doctors, and would definitely recommend this facility to everyone!
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Jan 09, 2014 by Sylvia P.

Great experience from start to finish. Everyone from office staff to doctor were very professional and I would definitely recommend.
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Neurosurgeons vs. Orthopaedic Surgeons

Orthopaedic surgeons are experts in bony healing, bone physiology, and examination of the extremities and the musculoskeletal system. Their background enables them to evaluate all conditions related to the musculoskeletal system with high levels of accuracy. During their residency,orthopaedic surgeons learn about all sub-specialties in the field including: sports injuries, trauma to the musculoskeletal system including the spine, foot and ankle, joints of the extremities, pediatric orthopaedics, hand and upper extremity, spine, and tumors involving the bones and soft tissue of the spine and musculoskeletal system. They specialize in fixation of broken bones and reconstruction of muscle, tendon, and ligament injuries. This training provides them with knowledge of implantation of plates, screws, and rods to fix deformities and injuries to the bone. They are truly bone experts.

Neurosurgeons spend their residency learning about the specifics of cranial and brain pathology (tumors, trauma, and vascular abnormalities). They also learn about the peripheral nerves and the spine. Both surgeons are generalists in their fields unless they pursue additional fellowship training in a specific field. Some fellowships combine the best of both approaches with professors that are both Neurosurgeons and Orthopedic surgeons. These fellowships are not common and typically very difficult to be selected to. Only the top medical students are able to gain acceptance into orthopedic and neurosurgical residencies.
Competitive fellowships may be even more difficult to obtain due to the small number of fellowships available. When combining the background of an orthopedic surgeon whose expertise is in understanding bony healing and the mechanics of bony fixation with the specialized fellowship training in spine (particularly in a combined neuro/ortho fellowship), an orthopedic spine surgeon is uniquely qualified to handle from the simplest to the most difficult of spinal conditions. Most problems in the spine arise from the disc, bone, and joints of the spine. Therefore, when a problem exists with the nerves or spinal cord from external pressure, it usually results from a problem outside the nerve. This requires the expertise of a surgeon skilled in addressing the soft tissue and bony pathology causing pressure to be placed on the nerves. Many patients suffering from Migraine headaches in fact have cervical (neck portion of the spine) pathology causing neck and headache pain. These patients are mistakenly diagnosed with migraine headaches when the true diagnosis is cervical instability or degenerative disc disease causing malalignment or compression of the nerves and/or spinal cord resulting in referred pain to the neck, base of the skull, and headache pain. Particularly in the case of instability or scoliosis/deformity of the spine, the biomechanics of the spine have to be well understood by the surgeon in order to provide the most accurate diagnosis and treatment. Additionally, many times a pinched nerve results in radiation of pain to the shoulder, hip, and/or knee. A surgeon adept at differentiating the location of the pain because they have expertise in examining the extremities to know the difference between a spine problem or an extremity problem is best able to locate the source of the pathology.

Therefore, orthopaedic surgeons with spine training who understand extremity diagnoses along with spinal diagnoses can help to accurately diagnose the problem. If the wrong surgery is selected or the wrong type of spinal implants issued, a surgery is likely to fail. The subtleties of the spine are typically best understood by surgeons who have fellowship training, particularly those trained at the nation’s leading institutions. Both neurosurgeons and orthopedic spine specialists treat conditions such as:

Herniated Discs,

Degenerative Disc Disease (arthritis of the spinal disc),
Spinal Stenosis (crowding of the nerves from arthritic changes),
Spine Trauma/Fractures,
Instability or slippage of the spine (spondylolisthesis),
Spine Tumors,
Pediatric Spine (Less than 15yo)
As Neurosurgeons and orthopaedic surgeons break down the barriers that once divided them, more advances are being made in the field of spine surgery. The collegiality forming enables each to share the strengths provided by their unique training to enhance the approach to spinal pathology and the techniques to treat it. As with all professions, quality varies from person to person and training program to training program. Therefore, it is important to do your research. Important questions to ask as a patient are “Where did my surgeon train?”; “Is he/she fellowship trained?”; and probably the most important question is, “How are his/her patient outcomes?”. Doing research on the patient outcomes of a particular surgeon will give you the best idea of the type of outcome to expect. The only reliable way to grade a surgeon is by the success of their surgeries-not by the time they have been in practice or how fancy their office looks or the titles they have been given. Success can best be defined by how happy the surgeon’s patients are after treatment. Ask patients in the waiting room about your surgeon. See how their surgery turned out. That is where the truth lies.

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Orthopaedic & Spine Institute
21 Spurs Lane San AntonioTX78240 USA 
 • 210-487-7463