For spine surgeons · Dallas–Fort Worth
Spinal access coverage for your next case.
Gerson O. Pineda, MD, FACS partners with orthopedic spine surgeons and neurosurgeons for anterior and lateral spinal exposure, continuous management of the access anatomy, and closure.
A focused surgical practice
A dedicated spinal access surgeon in Dallas–Fort Worth
Spinal access is the central focus of Dr. Pineda’s practice. He works alongside the spine surgeon to establish the operative corridor, mobilize and protect the surrounding anatomy, maintain the exposure during reconstruction, and close the approach.
Case planning considers the intended levels, previous abdominal or anterior spine surgery, vascular anatomy, and the planned implants. Difficult or revision exposures require an individualized review.
Dr. Pineda is a board-certified general surgeon and a Fellow of the American College of Surgeons. His advanced training at Dallas Surgical Specialists included 175 supervised spinal access cases before independent practice.
Read Dr. Pineda’s background and trainingCumulative experience
Experience across routine, multilevel, and revision exposure
Practice-reported lifetime experience through September 30, 2026. Case volume does not guarantee a particular result.
Approaches supported
Coverage tailored to the planned reconstruction
- Anterior lumbar interbody fusion
- Anterior exposure for lumbar discectomy and fusion, with ongoing protection of the mobilized vessels and surrounding structures. Learn about ALIF exposure.
- Lumbar artificial disc replacement
- Anterior access and maintenance of the operative corridor during disc preparation, trialing, and implant placement.
- Oblique and lateral lumbar exposure
- Access support for selected oblique or lateral approaches, according to the planned procedure and surgical team’s needs.
- Revision and multilevel anterior exposure
- Planning and exposure for selected cases involving prior surgery, scarred anatomy, implant removal, or multiple spinal levels.
Case coordination
Start with the procedure, facility, and date.
Contact the practice team to review the planned case and confirm coverage availability.
Call 214-269-5353Have these details available
- The spine surgeon and planned procedure
- The spinal levels and any prior anterior exposure
- The hospital or surgical facility
- The preferred operative date and time
- Relevant prior abdominal surgery or anatomy concerns
Coverage is confirmed directly with the practice team for the requested facility and date.
Common coordination questions
Working with the access team
What does Dr. Pineda do during the spine procedure?
His role extends beyond the initial exposure. He continues to manage the operative corridor and protect the vessels and surrounding structures while the spine surgeon performs the reconstruction, then closes the approach.
How do we request coverage for a revision case?
Call the practice team with the intended procedure, levels, facility, date, and previous anterior or abdominal surgery. The exposure plan depends on the patient’s anatomy and the proposed reconstruction.
Can visiting spine surgeons request an observation experience?
Visiting surgeons may ask about a focused educational experience. Participation depends on hospital approval, credentials, case availability, and patient consent. Read about surgeon education.
How is the access surgeon arranged for a patient?
The spine surgeon’s office generally coordinates the access surgeon as part of the operative plan. Patients can ask their surgical coordinator who will participate and how to contact each member of the team.