Nicholas D. Fletcher, MD

Nicholas D. Fletcher, MD Dr. Fletcher is a pediatric orthopaedic surgeon at Emory University in Atlanta, GA Dr. Fletcher is a an associate professor of Orthopedics and a board certified fellowship trained pediatric orthopaedic surgeon at Emory University Orthopaedic and Spine clinic in Atlanta, GA.

He takes care of children with a wide range of orthopaedic conditions including broken bones (fracture), scoliosis, kyphosis, all pediatric hip disorders including hip dysplasia, SCFE, perthes, and osteonecrosis. He also treats people for cerebral palsy, spina bifida, angular deformity and limb length differences. He is director of the Emory pediatric orthopaedic fellowship and assistant residency

He takes care of children with a wide range of orthopaedic conditions including broken bones (fracture), scoliosis, kyphosis, all pediatric hip disorders including hip dysplasia, SCFE, perthes, and osteonecrosis. He also treats people for cerebral palsy, spina bifida, angular deformity and limb length differences. He is director of the Emory pediatric orthopaedic fellowship and assistant residency

Operating as usual

An exciting month for our research team. A few years ago our scoliosis team at CHOA-Egleston with Dr. Bruce and myself b...
11/19/2020

An exciting month for our research team. A few years ago our scoliosis team at CHOA-Egleston with Dr. Bruce and myself began using a short course of steroids after spine surgery to try and decrease the amount of opioid medications that kids needed to recover from surgery. Steroids have been used in lots of other surgical areas with good results but never in spine surgery. After a tremendous amount of work from our team including our tireless NP Tracy Ruska and Ndeye Guisse who is a superstar medical student, we had our data published in the premier orthopaedic journal, Journal of Bone and Joint Surgery. Our results found that adding steroids decreased pain medication requirements by a whopping 40% and that kids walked quicker and got home earlier without any increase in complications. This is big news for all patients undergoing this kind of surgery because opioid use has its own well known problems. For more info, please see these links:
https://www.healio.com/news/orthopedics/20201105/steroids-after-posterior-spinal-fusion-may-decrease-opioid-use
and:
https://www.mdatl.com/2020/11/childrens-study-shows-steroids-reduce-opioid-use-following-posterior-spinal-fusion-surgery/
and:

https://twitter.com/childrensatl/status/1326969995826499584

An exciting month for our research team. A few years ago our scoliosis team at CHOA-Egleston with Dr. Bruce and myself began using a short course of steroids after spine surgery to try and decrease the amount of opioid medications that kids needed to recover from surgery. Steroids have been used in lots of other surgical areas with good results but never in spine surgery. After a tremendous amount of work from our team including our tireless NP Tracy Ruska and Ndeye Guisse who is a superstar medical student, we had our data published in the premier orthopaedic journal, Journal of Bone and Joint Surgery. Our results found that adding steroids decreased pain medication requirements by a whopping 40% and that kids walked quicker and got home earlier without any increase in complications. This is big news for all patients undergoing this kind of surgery because opioid use has its own well known problems. For more info, please see these links:
https://www.healio.com/news/orthopedics/20201105/steroids-after-posterior-spinal-fusion-may-decrease-opioid-use
and:
https://www.mdatl.com/2020/11/childrens-study-shows-steroids-reduce-opioid-use-following-posterior-spinal-fusion-surgery/
and:

https://twitter.com/childrensatl/status/1326969995826499584

Brand new episode of my podcast for POSNA "Interview with a Pedipod". This month's episode features two of my favorite p...
10/25/2020
Christine Ho and Amy McIntosh, Oct 2020

Brand new episode of my podcast for POSNA "Interview with a Pedipod". This month's episode features two of my favorite people and world class surgeons, Christine Ann Ho and Amy McIntosh . I didn't realize that this is actually Dr. Ho's SECOND podcast this week... Enjoy!
https://pedipodinterviews.podbean.com/e/christine-ho-and-amy-mcintosh-oct-2020/

Nick Fletcher speaks with Dr. McIntosh of TSRH and Dr. Ho of Children's Health in Dallas. They discuss their backgrounds, careers, balancing home life with work, being women in orthopedics, and more. Produced by Nick Fletcher and Carter Clement. Music by C...

A tremendous story of perseverance! Allie was diagnosed with scoliosis at age 13. Already a scratch golfer, she showed a...
08/03/2020

A tremendous story of perseverance! Allie was diagnosed with scoliosis at age 13. Already a scratch golfer, she showed a similar level of dedication to her treatment and has been crushing it ever since (she won the Rocket Tour Players Championship at the University of Georgia just before this photo was taken). As this newspaper article shows, she was incredibly dedicated to wearing her Rigo Cheneau brace whenever she wasn't playing and doing her PT with our amazing therapist Kristin Howell. This combination of treatments has shown incredible results as a nonsurgical method for certain types of scoliosis. Despite the fact that she did all the hard work, she was kind enough to go above and beyond by raising money for our scoliosis research at CHOA now that she has finished her own treatment. Thank you Allie!!!

07/01/2020

4 weeks after posterior spinal fusion! And you wouldn’t believe some of the things she was doing 17 days out 🤦🏻‍♂️🔥👍🏻

Apparently I botched the website. Again, this is a tool that quickly tells you the risk of having COVID-19 and can help ...
03/21/2020
Coronavirus Checker

Apparently I botched the website. Again, this is a tool that quickly tells you the risk of having COVID-19 and can help determine whether further care is needed. Please share as needed and stay safe!
https://c19check.com/start

Check your risk for COVID-19 based on best clinical practices, CDC guidelines, illness severity and risk factors like age and pre-existing conditions.

https://www.nytimes.com/reuters/2020/03/20/us/20reuters-health-coronavirus-screening.htmlThis is a website produced by m...
03/20/2020
U.S. CDC, Emory University Set Up Sites to Check Coronavirus Symptoms Online

https://www.nytimes.com/reuters/2020/03/20/us/20reuters-health-coronavirus-screening.html

This is a website produced by my brother’s company that can risk stratify based on your symptoms whether you are currently at risk for COVID-19. The website is www.mycovid19.com and it is quick and easy. Please share and stay safe!
#stayhome

Americans worried about their exposure to coronavirus can check their symptoms with new screening tools online.

Somebody is excited to stop wearing that brace all the time...
02/26/2020

Somebody is excited to stop wearing that brace all the time...

02/13/2020
feedback.facebook.com

I wanted to share something fun that we have been working on in the Pediatric Orthopaedic Society of North America (POSNA). This is a podcast called “Interview with a Pedipod” (short for pediatric orthopaedist). I am a big fan of podcasts and this specific podcast has been designed to allow us to learn from interesting and well-known people in my field about what makes them so successful and how they have built their careers. Take a listen if you are interested!

https://feedback.facebook.com/POSNA/photos/pb.117705181640529.-2207520000../2666168866794135/?type=3&eid=ARAYooll_DLFobxZA05q2BXTn9MPepf_I9gVTfAYV8su_TXYSvKN6-gQtFGb9p2f4j05DGD2tMiGUzsF

I mean come on... look at this kid. Love this little guy!
10/15/2019

I mean come on... look at this kid. Love this little guy!

02/17/2019

So after two weeks I am happy to say that things are going great with our transition. For those who haven’t seen it yet, the new clinic space at the Center for Advanced Pediatrics is unbelievable. New xrays are quicker and allow super low dose radiation with better images. The rooms are beautiful and the waiting area is really open with good views. We are still getting some wrinkles ironed out with scheduling as our new scheduler is getting up and running. I appreciate everyone’s patience and understanding as we make the transition and look forward to great times ahead taking care of our patients.

I am excited to show our new building, thanks to some help from my own little guys. As mentioned a few months back, Emor...
02/04/2019

I am excited to show our new building, thanks to some help from my own little guys. As mentioned a few months back, Emory Pediatric Orthopaedics (Dr. Bruce and myself, as well as our NP's Josh Myers, Tracy Ruska, and Denise Coultes-Beuret) merged with Children's Healthcare of Atlanta as part of the Children's Physician Group (CPG) Orthopaedics. We are now members of a large group of like-minded and forward thinking surgeons and providers who love taking care of kids with orthopaedic conditions. While the building is new and the office is really amazing (please come check it out), the practice philosophy is the same. Treat every kid as though they were our own.

The new office at the Center for Advanced Pediatrics is located at:
1400 Tullie Road NE Ste 210
Atlanta, GA 30329

For appointments: 404-255-1933
For surgery scheduling: 404-785-9362
For our nurse, Marcy Liberty: 404-785-6931

09/25/2018

Exciting news - For many years there have been three major pediatric orthopaedic groups in Atlanta. Now there will be two.

Dr. Bob Bruce and I (Emory) will be merging with former Children's Orthopaedics of Atlanta (COA) under one roof at Children's Healthcare of Atlanta to form a single group.

Our group will include a number of other amazing providers (Schmitz, Devito, Murphy, Flanagan, Fabregas, Axelrod, Perkins, Olszewski, Willimon, and Busch), countless practice locations around metro Atlanta, the research and educational power offered by a collaboration of two of the most prestigious orthopaedic institutes in the country (Emory and CHOA), and the facilities at one of the largest pediatric healthcare centers in the world. This is a great thing for our patients and community and we are looking forward to our go-live date in February to when we are one big happy family! Thanks for all of your support and for the assistance of the great leadership on the Emory and CHOA side for getting this thing done.

08/05/2018
S3P-2018-S4-Checklists-Make-Spine-OR-Better-Fletcher

This was my other talk from the Spine Safety Summit on how we use checklists in the operating room and around our hospital to increase safety in surgery and scoliosis care. This is truly the future of safe healthcare, especially on the surgeons side. The aviation industry has become our model as they have learned how to decrease variability which increases consistent safety. Thanks for watching!

https://vimeo.com/275683932?width=800&height=450

This is "S3P-2018-S4-Checklists-Make-Spine-OR-Better-Fletcher" by S3P: Safety in Spine Surgery on Vimeo, the home for high quality videos and the people…

08/05/2018
S3P-2018-S6-Free-Paper-1-Implementation-Fletcher

As a follow up to my last post from a few months back, this was the research that we have been working on showing a significant increase in excellent outcomes for patients with really complex scoliosis and cerebral palsy. This pathway has taken a tremendous amount of work from our excellent nurses, therapists, anesthesiologists, and surgeons to implement. Again, a huge thanks to Dr. Laura Bellaire for her dedication and work on this.

https://vimeo.com/275340880?width=800&height=450

This is "S3P-2018-S6-Free-Paper-1-Implementation-Fletcher" by S3P: Safety in Spine Surgery on Vimeo, the home for high quality videos and the people who…

A big congratulations to our entire team, especially Dr. Laura Bellaire who has put in so much effort into this project....
04/22/2018

A big congratulations to our entire team, especially Dr. Laura Bellaire who has put in so much effort into this project. The Safety in Spine Surgery Summit is a world class meeting focused entirely on delivering quality care to patients with spinal deformity, not just through safer surgical techniques but by developing better teams and systems. Was an honor for everybody at On the Emory Ortho team to receiver this recognition.

Although our name was not mentioned in the article by the Scoliosis Research Society, this work by our team at Emory and...
12/03/2017
Scoliosis Research Society

Although our name was not mentioned in the article by the Scoliosis Research Society, this work by our team at Emory and CHOA has helped dramatically reduce hospital stay so kids and families can get back to their normal lives sooner after spinal surgery without any increase in complications. The development of our post operative pathway has been used across the globe as a template at many other large scoliosis centers to create similar pathways. We have a big team who has been involved and are appreciative of all of you who have been kind enough to participate in our studies as we strive to improve care for all kids.

Back in the very early days of spine surgery, patients were on complete bed rest for 1 month or more. The latest in our #PatientNews is now online!

Wonderful story about Lainey Bug! Thanks so much to her mom for sharing and glad she is recovering for her surgery well.
10/07/2017

Wonderful story about Lainey Bug! Thanks so much to her mom for sharing and glad she is recovering for her surgery well.

So much to talk about💕💕💕 we knew from before Lainey was born that she would at some point need back surgery. It was a given but as long as she kept her lungs healthy we could wait just a little longer. Well last December when she had RSV and spent almost the entire month in the PICU we knew it had to be done. The challenge would be getting her healthy enough to have the surgery. We finally felt like it was time to see her Orthopedic surgeons but quickly learned at the appointment that he was no longer there. We were sent to someone else in the practice and surgery was scheduled. I spent the next few weeks researching every night as everyone slept and literally having panic attacks over the surgery. My gut kept telling me I needed to take her to another surgeon that I had heard so much about and had found so many incredible reviews online. I knew within the first 5 minutes of meeting him face to face that we were exactly where we needed to be. As he talked to me and threw out an idea that scared me to death I felt at ease. He was rubbing Lainey's feet as he talked and I knew he must not only be a surgeon but a dad too!! Our little girl means the world to us so finding the right match for surgery was everything for us!! We were scheduled to go in on the 11th of September and she was healthy and ready to go until that Friday before. We had pre op and an MRI with sedation that week so she must picked up a cold. We had to postpone the first procedure for a week and get her ready quickly. I was scared to death as we sent her back for the first procedure. We went with the surgeons recommendation for the Halo Traction and I am so thankful. I knew seeing her in it would be scary but we all quickly adjusted and so did she. She liked it and she could breath so much easier!! We actually were able to walk around the hospital!! She stayed in the traction from Tuesday until the day of surgery on Monday. On Friday they did an X-ray to see if there was enough change and she had actually gone from about a 90 degree curve to a 60. We were shocked! On Monday morning she went back for surgery and we impatiently waited with my parents. When they were finished we got the news that everything went great!! They were even able to monitor her nerves the entire time and that was a concern!! When we got to picu the pulmonologists came in to show us X-rays. Her lungs had significant improvement!! They told me they don't ever see this!! He even came back again before we were discharged to tell us that he really doesn't see improvement like this especially so soon!! This kid continues to amaze us and everyone she meets!! We are home now and she's recovering! Currently snoozing on me;)). I have to say that once again the nurses at Children's Healthcare of AtlantaCHOA Egleston are amazing!!! 4 East you exceeded our expectations! We were so spoiled by our nurses in the PICU that I wasn't sure we would feel the same but we did!! My sweet friends Katie DoItForHawk's mom and Barbara with RIDE to GIVE even surprised me!! Little did we know that Hawk would come back to visit his girlfriend the very next week! Thankfully we are all home now!!! Thank you for all the prayers!! They worked!! Thank you to Nicholas D. Fletcher, MD for giving our girl a new life!!! We couldn't began to even thank you enough!!!

Also forgot to add this one. POSNA 2017 in Barcelona was awesome although recent tragic events make us all reflect on th...
08/19/2017

Also forgot to add this one. POSNA 2017 in Barcelona was awesome although recent tragic events make us all reflect on the sorrow in such a beautiful city. This was from May of this year. Our group at Emory/CHOA came in as runner up for the Quality/Safety/Value award with our research showing that our postoperative pathway for kids undergoing spine surgery for neuromuscular (I.e. Cerebral palsy) related scoliosis decreased our complications by 50% and resulted in the shortest hospital stays in the country. Was an honor to present next to great icons in the field such as jack Flynn at CHOP shown here

One of my best buddies now almost 7 years from his huge hip reconstruction. All smiles when Gabriel comes back!
08/19/2017

One of my best buddies now almost 7 years from his huge hip reconstruction. All smiles when Gabriel comes back!

Oh to be 7 again. 1 year out from complex hip surgery. What's your excuse? I think I pulled a hammy just watching her.
01/15/2017

Oh to be 7 again. 1 year out from complex hip surgery. What's your excuse? I think I pulled a hammy just watching her.

This has been a great week seeing so many "old" friends. Grace has been through so much and her story is truly remarkabl...
08/06/2016

This has been a great week seeing so many "old" friends. Grace has been through so much and her story is truly remarkable. Loved catching up and can't believe she is in high school and looking to get on varsity tennis this year after such an injury with no hip pain. Unbelievable it has been 4 years!
https://www.choa.org/patients/patient-and-employee-stories/grace-taylor

And thanks to Blake's mom for sharing this picture of his first game back on the mound just 5 months after his spinal fu...
03/12/2016

And thanks to Blake's mom for sharing this picture of his first game back on the mound just 5 months after his spinal fusion for scoliosis. Surgery in October and opening day starter in February!

Great to see Bryce all ready for surgery. Who needs a surgical gown when you've got your own personalized white coat!
03/12/2016

Great to see Bryce all ready for surgery. Who needs a surgical gown when you've got your own personalized white coat!

Nicholas D. Fletcher, MD
11/19/2015

Nicholas D. Fletcher, MD

Untitled Album
11/19/2015

Untitled Album

Another great story! Thanks to Jack's mom for sharing the story and very impressive that he is back to his winning ways ...
09/09/2015
Decision to undergo surgery on spine eases Woods’ battle with scoliosis - To watch Allatoona’s...

Another great story! Thanks to Jack's mom for sharing the story and very impressive that he is back to his winning ways after only a year.
http://mdjonline.com/view/full_story_sports/26451071/article-Decision-to-undergo-surgery-on-spine-eases-Woods--battle-with-scoliosis?instance=prep_sports_news

To watch Allatoona’s Jack Woods complete is to see a wrestler who is very competitive and skilled on the mat.

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1400 Tullie Road NE Ste 210 Atlanta, GA 30329
Atlanta, GA
30329

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Dr Fletcher, HE DID IT!!!! Thank you for “straightening him out” and believing in him! True Grit and a little titanium ❤️😎 #bodybyfletch #cpkidkickingittothecurb #drpepperisourhero
I can’t thank our Dream Team from CHOA and Dr. Fletcher.. After 18 months of 21 hour , 7 days a week rocking his Rigo , our little guy gets his first brace break ..
Thanks for taking such great care of Guy yesterday!! He's recovering so well!