About Spine Neurosurgery

Many people suffer with back and neck-related issues and have given up finding a solution. Our spine neurosurgeons are specialists who treat the full range of spine disorders, with the latest techniques, and they are focused on helping their patients achieve the best possible outcome to get them back to their busy lives as quickly as possible. We treat all diseases of the cervical, thoracic and lumbar spine, including:

  • Disc disease (disc herniation)
  • Stenosis (spinal stenosis)
  • Lumbar claudication
  • Spondylolisthesis (spinal instability)
  • Myelopathy (spinal cord compression)
  • Radiculopathy
  • Vertebral fractures
  • Flat back syndrome
  • Adult scoliosis and spinal deformity
  • Spinal infections, trauma and tumors
  • Post-laminectomy syndrome
  • Basilar invagination and Chiari malformation


We take pride in carefully evaluating our patients and helping them determine whether surgery is their best option. We also have the experience to know when surgery may not be the best option and have access to pain medicine physicians, physiatrists, therapists, and other healthcare specialists who may provide alternative treatments. In many cases, we recommend avoiding surgery and pursuing conservative measures such as physical therapy, therapeutic injections, and other non-surgical treatments.

We offer extensive surgical options, especially striving to utilize minimally invasive techniques when possible. Our treatment options and techniques include:

  • Laminectomy
  • Microdiscectomy
  • Foraminotomy
  • Fusion
  • Laminoplasty
  • Artificial disc replacement
  • Deformity correction
  • Minimally invasive surgery
  • Vertebroplasty and kyphoplasty

Meet Our Team

We provide spine neurosurgery at three locations: Texas Medical Center, Sugar Land and The Woodlands.

Gareth Adams, M.D.

Dr. Adams trained in neurosurgery at Baylor College of Medicine and completed a combined neurosurgery and orthopedic spinal surgery fellowship at the University of Washington. After practicing in Washington for several years, he returned to Houston and has based his practice in The Woodlands and the Texas Medical Center.

Alexander Ropper, M.D.

Dr. Ropper trained in neurosurgery at Brigham and Women’s Hospital, Harvard Medical and then completed a fellowship in in complex spine surgery at the Barrow Neurological Institute in Phoenix. He sees patients with all spinal disorders, including back and neck pain, and has a special interest in minimally invasive surgical techniques for the treatment of degenerative and traumatic spinal conditions. Dr. Ropper treats patients in our Texas Medical Center clinic location and at Baylor St. Luke's Medical Center.