Until now, many patients traveled to the United States for complex spine surgery. Advanced, US-based, fellowship-trained spine surgeons now travel to Cayman. Our teams rotate between their US and Cayman practices on a weekly basis, elevating the standard of care through practice synergies and clinical research.
Additionally, our spine practice offers motion solutions not available in the United States. Most US providers recommend spinal fusions, largely due to higher insurance reimbursement for the surgeon and hospital. However, the literature is increasingly negative on fusion outcomes, and many patients worldwide are searching for fusion alternatives. Our team is united by a practice philosophy that spinal fusion should be the last resort for the vast majority of patients. Instead, we focus on non-invasive interventions, minimally-invasive surgical decompressions, cervical disc replacement, and lumbar total joint replacement.
When fusion surgery is required, as in the case of certain deformities, gross instabilities, or traumas, we offer the same advance orthopaedic and neurosurgical spine expertise and equipment in our Cayman and US practices.
Why recover in a hotel room when world-class care is available in your home town?
- Evidence-based, non-operative treatment options for management of many spinal conditions.
- Endoscopic and MIS motion-preserving treatment options to relieve leg and back pain, while increasing mobility.
- Cervical disc replacement for arm and neck pain.
- Lumbar total joint replacement for leg and back pain.
- Deformity correction.
- Compression fractures and geriatric spine care.
- Core philosophy is that spinal fusion should be avoided at all cost.
Scott Hodges, DO
Orthopedic Spine Surgeon
Orthopedic Spine Surgeon
Dr. Hodges is a board-certified and fellowship-trained spine surgeon with more than 25 years of clinical experience. He has completed over 15,000 spine surgeries throughout his career, with a special interest
in spine motion preservation techniques. Dr. Hodges entered private practice in 1994 with the Center for Sports Medicine and Orthopaedics in Chattanooga, Tennessee, where he works alongside a team of medical professionals specializing in orthopedic surgery and sports medicine.
Dr. Hodges is a pioneer in joint replacement and also holds an interest in minimally invasive surgery (MIS)
for the spine. He was an early adopter of navigationally-assisted MI and has served as a faculty member and chairman of numerous educational programs for over two decades. Dr. Hodges’ current research focuses on spinal mobility before and after surgical intervention. He is an active innovator with over 50 patents for spine/orthopedic devices, and currently serves as chairman of the research committee for the American Osteopathic Academy of Orthopedics.
Dr. Hodges is a native of North Carolina. He received his undergraduate degree in biology from Southern Adventist University and graduated cum laude from the University of Health Sciences in Kansas City, Missouri. He also served in the United States Air Force achieving the rank of major.
Craig Humphreys, MD
Orthopedic Spine Surgeon
Orthopedic Spine Surgeon
Dr. Craig Humphreys is a board-certified, fellowship-trained orthopaedic surgeon who has been performing spine surgeries for more than 20 years. In 2011 he founded Kenai Spine, a regional spine center of excellence for the treatment of back and neck problems, with offices located in Soldotna and Anchorage, Alaska. It is the only spine center in the state of Alaska that appears on SpineCenterNetwork.com, the national listing of credentialed spine centers. Dr. Humphreys was elected president of the Alaska Medical Board in 2017.
Dr. Humphreys’ philosophy, and that of Kenai Spine, is to explore and exhaust all non-surgical options for patients in advance of spine surgery. For patients requiring surgical intervention, Dr. Humphreys has developed new devices and techniques, including motion preservation options to advance healthcare. Dr. Humphreys is volunteering and collaborating with CURE International in Kenya/Africa in its efforts to develop spine care in underserved areas of the world.
Dr. Humphreys grew up in Alaska. He received his undergraduate degree from the University of Notre Dame, and attended Loyola University Stritch School of Medicine and Loyola University Medical Center for his internship and residency program. He practiced at the Center For Sports Medicine and Orthopaedics in Chattanooga, Tennessee, prior to founding Kenai Spine.
Marcella Madera, MD
Dr. Madera is an expert in surgical treatment of conditions of the spine, including degenerative spine disease, spine tumors, and degenerative deformity. Fellowship trained under world-renowned spine surgeons at Johns Hopkins, Dr. Madera has expertise in all spinal approaches and techniques, including both open and minimally invasive surgery (MIS), endoscopic spine surgery, disc/joint replacement, and regenerative/stem cell procedures for spine disease. She is board certified by the American Board of Neurological Surgery, and currently practices at Austin Integrative Spine in Lakeway, Texas. Dr. Madera is also licensed in the Cayman Islands and practices at NovoClinic Cayman, with surgical privileges at CTMH Doctors Hospital.
Dr. Madera is passionate about reconstructive and regenerative spine care, and takes a holistic approach to treatment. She believes the body’s natural healing ability can be harnessed to treat spine disease in conjunction with advanced surgical instrumentation. Dr. Madera has traveled extensively throughout Europe and the US to learn progressive surgical techniques and regenerative medicine practices, and is one of the only spine surgeons in the country to offer cell-based treatments using a patient’s own harvested cells to promote healing.
Dedicated to advancing spine care, Dr. Madera is actively involved in a number of technology development and research projects. She serves as a mentor for students before and during medical school and is an Assistant Professor of Neurosurgery at the University of Texas Dell Medical School in Austin.
Nathan Schatzman, MD
Dr. Nathan Schatzman is a specialized cardiac anesthesiologist practicing in Chattanooga, Tennessee. Dr. Schatzman attended Harvard College in Boston, then went on to earn his medical degree at Baylor College of Medicine in Houston, Texas, where he graduated in 1989. Dr. Schatzman has 28 years of diverse experience across the field of anesthesiology. Dr. Schatzman is also fully licensed and insured to practice medicine in the Cayman Islands at NovoClinic Cayman, with surgical privileges at CTMH Doctors Hospital.
Marcus James, RN
Marcus James received his Bachelor’s degree in nursing from the University of West Georgia, after which he completed two additional surgical assistant programs, one in Chattanooga, TN, and one in Los Angeles. He has extensive surgical experience, having started his nursing career in an operating room about 20 years ago. He began by working on general orthopedics cases and some neurosurgical procedures; after about seven years he moved into spine surgery exclusively.
Marcus currently works as Dr. Scott Hodges’ first assist at Memorial Hospital in Chattanooga. He also works alongside Drs. Hodges and Humphreys on BalancedBack surgeries in the Cayman Islands. As the RN first assistant he facilitates every procedure, providing direct patient care during surgery as well as in the pre- and post-operative stages.
Don Duff, FNP, DC
Duff, FNP, DC
Dr. Don Duff has more than 35 years of healthcare experience. He began his spinal health career in private practice as a chiropractor in Chattanooga, Tennessee, in 1990. While working extensively with orthopedic spine surgeons, Dr. Duff utilized his expertise in conservative spine management to provide appropriate alternatives to surgery when indicated. He also developed postoperative rehabilitation protocols to help patients manage their surgical recoveries and optimize outcomes.
Dr. Duff graduated in 1984 with a Bachelor of Science in Nursing from Southern Adventist University, then completed his Doctor of Chiropractic training at Life University. He later completed graduate training at Southern Adventist, earning the Family Nurse Practitioner (FNP) credential. Dr. Duff currently has a dual practice as part of a group of spine care associates in Tennessee, and at NovoClinic in the Cayman Islands.
An advocate of a multidisciplinary approach to spinal care, Dr. Duff frequently presents at academic meetings and teaches across a variety of specialties, including co-development of a 12-hour CME course on the continuum of care for spinal health.
Marissa Koscielski graduated from the University of Notre Dame with an undergraduate degree in math and a concentration in neuroscience. She then attended the same university’s ESTEEM program, one of the world’s premier graduate programs in technology and entrepreneurship. Marissa’s theoretical math background combined with her interests in neuroscience, pathophysiology, and the different models of health care delivery led her to the medical space, where she now looks for new ways to innovate. Recently, Marissa played a key role in the conception, design, and development of two medical devices: a syringe stabilizer created to help administer self-injections, which is currently undergoing the FDA approval process, and new rehabilitation technology for lower limb amputees and stroke patients, a project that is in development.
In her clinical administrator role, Marissa works on everything from guiding patients through the surgical process to handling data collection and reporting related to BalancedBack. She also helps the company maintain regulatory compliance for clinical operations.
Brady Riesgraf graduated from the University of Notre Dame’s Engineering, Science, and Technology Entrepreneurial Masters (ESTEEM) program, after receiving his undergraduate degree in neurobiology. Brady’s graduate capstone thesis focused on medical device analysis—specifically, the study of neuromodulator spinal implants for the Feinstein Institute for Medical Research (FMIR) and their Center for Bioelectronic Medicine. Prior to attending to Notre Dame, he also worked with Mayo Clinic Ventures, integrating his background in clinical and biological research to enhance patient care through device development within the departments of pediatrics and neurology.
Following acceptance to medical school, Brady decided to pivot to the commercial sector, spending 18 months overseeing an innovation group with Booz Allen Hamilton before returning to medicine and joining the BalancedBack team.
In his role as a clinical associate, Brady touches on multiple parts of the BalancedBack operation, primarily focusing his efforts on patient qualification, as well as business development, data collection, and clinical trial refinement. In the latter, Brady’s experience with Mayo Clinic and FMIR will be especially important as we leverage his expertise with trials and grant writing for device approvals.
January 15, 2020
George Town, Grand Cayman
CTMH Doctors Hospital is pleased to announce the acquisition of a 7D Surgical System, the most advanced surgical assist system in the region.
Image guided surgery (IGS) uses images of a patient’s back to guide a surgeon’s placement of implants during surgery. Taken before and during the procedure, these images increase precision and safety over traditional surgery methods.
The 7D Surgical System builds upon the benefits of IGS by eliminating unecesssary intra-operative radiation from the process, instead, using visible light to guide and illuminate.
The use of an IGS system like 7D Surgical System, can improve accuracy and reduce the chances that revision surgeries will be required, providing peace of mind and decreasing time and costs associated with surgery.
Additionally, 7D Surgical’s streamlined workflow and ease of use allows surgeons to focus on the patient, not the equipment in the OR, further reducing the chances of error.