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Get your
life back
Spine surgery doesn't have to be the "last stop"
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High Tech, High Touch
Alleviating pain through advanced technology and a personalized approach
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Expert Medical Care
We understand. We care. We can help.

Welcome to Sierra Spine Institute

Spine Surgery Specialist located in Roseville, CA


High Tech
High-Tech
At Sierra Spine Institute, we use the most advanced technology and practices to help relieve our patients' pain.
High Touch
High-Touch
At the same time, we approach every patient as an individual, with individual concerns and circumstances.
Conversation
Conversation
We know the path to pain relief starts with conversation so the first thing we do is sit down with patients and talk about what problems they’re having.
Education
Education

We believe informed patients have better outcomes and empower our patients with the knowledge they need to make good decisions.

Provider pointing out something on the spine
Our Mission
Our mission is to provide you with personalized, high-quality care. We are dedicated to improving and maintaining your spinal health with a comprehensive understanding of your condition and leading edge innovations in treatment. Experienced Medical Professionals We offer broad array of surgical services geared to address today's most common non-emergency conditions of the neck and back. We know there is no such thing as one-size-fits-all cure, so we never use a one-size-fits-all approach to your diagnosis and care. A Personal Approach Our goal is to improve and maintain your overall health and to empower you with an understanding of your condition and wellness plan. You get the benefit of our experienced and dedicated team getting you back in the game of life!
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Minimally Invasive for Maximum Healing
Spine Surgery Doesn’t Have to be the “Last Stop”
Patients undergoing spine surgery at Sierra Spine Institute will be happy to know that nearly all procedures we perform are minimally invasive – meaning smaller incisions, less muscle and tissue disruption, faster recovery, and better outcomes. Image: older adult jogging or being active
Surgeons in the operating room
We Understand.
And We Can Help.
A Team Like No Other
At Sierra Spine Institute, we are a team of people with the sole mission of alleviating your pain through personalized, high-quality care. Our goal is to get our patients back to living their lives as quickly as possible.

Meet Our Provider

Tyler  Smith, MD

Tyler G Smith, MD

Orthopedic Spine Surgeon

Dr. Tyler Smith, MD, is a Fellowship-Trained and Board-Certified Orthopedic Spine Surgeon, Spine Surgery Specialist, and the Founder of Sierra Spine Institute. Dr. Smith takes pride in providing the people of Roseville, California, and surrounding communities with the highest quality surgical and conservative care.

Dr. Smith focuses his practice exclusively on evaluating and treating conditions of the spine in adults and adolescents. He is widely regarded as an innovative thought leader in the field of minimally invasive spine surgery, and has published extensively in peer reviewed literature. His leadership in the field of lateral lumbar surgery has led to many advanced techniques, including the development of prone lateral surgery. He has traveled the world teaching surgeons and lecturing on this groundbreaking technique. As a practiced Orthopedic Spine Surgeon, Spine Surgery Specialist, and health care professional, Dr. Smith feels he and his team have a clear obligation to provide patients with as much information about their care as possible. 

“Informed patients simply make better decisions about treatment options and enjoy better outcomes,” he says. 

Dr. Smith also has a healthy respect for surgery and believes it should be avoided (if possible). However, if your condition requires an operation, it should be done in a way that preserves uninvolved tissue as much as possible, otherwise known as minimally invasive.

Dr. Smith always takes a respectful and responsive approach. His sole mission is to alleviate your pain through personalized, high-quality care, and his goal is to get patients back to living their lives as quickly as possible.

Gowriharan “Ty” Thaiyananthan, MD, FAANS
Medical Affiliations:
Solas
SSVMS
NASS
ISASS
SMISS
AAOS
COA
Medical
Awards:
2015 Best of the Best
Top Orthopedic Surgeon 2020
2023 Top 3 Orthopedics in Roseville
Insurances We Accept
We accept most insurance providers. If you have specific questions regarding your coverage, please contact us for additional information.
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