Sierra Spine Institute

What Sierra Spine Institute does

Sierra Spine Institute is a single-location, founder-led orthopedic and neurosurgical spine practice based in Roseville, California. Founded by Dr. Tyler Smith, the practice treats adult and adolescent patients with spinal conditions including herniated discs, spinal stenosis, degenerative disc disease, scoliosis, vertebral fractures, sacroiliac joint dysfunction, and failed back surgery syndrome. Its clinical offering spans seven core service lines — back surgery, neck surgery, disc replacement, SI joint fusion, outpatient spine surgery, revision spine surgery, and platelet-rich plasma injections — with a stated emphasis on minimally invasive techniques that enable outpatient recovery.

The practice differentiates through a 'High-Tech, High-Touch' model built on procured advanced technologies rather than proprietary platforms. Surgical capabilities are anchored by the Augmedics xvision augmented-reality navigation system, the Mobi-C cervical disc prosthesis, and the SI-BONE iFuse implant system, all of which are third-party devices deployed within the practice's own state-of-the-art surgical suite and at affiliated Sutter Health facilities (Sutter Roseville Medical Center, Sutter Surgical Hospital North Valley, and West Coast Joint and Spine). A second surgeon, Dr. Gowriharan Thaiyananthan, a Yale- and Cedars-Sinai-trained neurosurgeon, has been added to extend capacity into complex reconstruction and motion-preserving cases.

Commercially, Sierra Spine Institute operates as a traditional fee-for-service medical practice. Revenue is generated through surgical procedures and PRP injections reimbursed primarily via commercial insurance, with the practice accepting most major providers. Patient acquisition relies on referrals, regional brand reputation (regional 'Top 3 Orthopedics in Roseville 2023' and 'Top Orthopedic Surgeon 2020' recognitions), direct-to-patient channels (phone, online booking, walk-in), and an extensive library of patient testimonials. There is no disclosed pricing, no institutional investor involvement, no multi-location footprint, and no digital or AI-native product surface — the business remains a credentialed, physician-led specialty practice competing on surgical expertise and patient experience within the Northern California market.

Name

Sierra Spine Institute

Legal name

Sierra Spine Institute

Website

https://sierraspineinstitute.com

Company type

Private

Founded year

2015

Operating status

Operating

Headcount range

11–50 employees

Short description

Sierra Spine Institute is a Roseville, California-based medical practice offering minimally invasive spine surgery, disc replacement, SI joint fusion, and PRP injections. It serves adults and adolescents with spinal conditions, billing primarily through insurance reimbursement across a single clinical location.

Ownership category

akta.pro rank

Product category

Spine Surgery

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Orthopedic, Prosthetic & Surgical Appliances & Supplies (3842), Surgical & Medical Instruments & Apparatus (3841)

akta.pro industry

PRIMARYHLAKALAE

Spine (Orthopedic Spine)

Healthcare & Life Sciences/Specialist Medical Practice/Orthopedics & Sports Medicine

SECONDARYHLAFAIAG

Orthopedic & Spine Surgery Centers

Healthcare & Life Sciences/Healthcare Providers & Systems/Surgical Centers & Perioperative Care (ASCs)

SECONDARYHLAHAEAL

Surgical Navigation, Robotics & Patient-Matched Instrumentation (Ortho/Spine)

Healthcare & Life Sciences/Medical Devices & Diagnostics/Implants & Prosthetics (Orthopedic/Neuro/Spine/Dental)

SECONDARYHLAHAEAC

Spine Implants & Motion Preservation (Fusion/Disc/Interspinous)

Healthcare & Life Sciences/Medical Devices & Diagnostics/Implants & Prosthetics (Orthopedic/Neuro/Spine/Dental)

Keywords

• Minimally invasive spine surgery
• Orthopedic spine care
• Disc replacement surgery
• Sacroiliac joint fusion
• Spine surgery specialist

Headquarters

HQ city

Roseville

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure, Marketing or Sales

Revenue model

1. Spine Surgery Services: The practice generates revenue through surgical procedures including back surgery, neck surgery, disc replacement, SI joint fusion, outpatient spine surgery, revision spine surgery, and platelet rich plasma injections. Services are provided to patients with insurance coverage as they accept most insurance providers.

Go-to-market motion1 record

Distribution channels4 records

Marketing channels4 records

Core offering

Sierra Spine Institute is a private medical practice that delivers minimally invasive spine surgery and non-surgical regenerative treatments to adult and adolescent patients in Northern California. Core offerings include back surgery, neck surgery, disc replacement surgery, sacroiliac joint fusion, outpatient spine surgery, revision spine surgery, and platelet-rich plasma injections, performed in a state-of-the-art in-house surgical suite using augmented-reality navigation and advanced implant systems. The practice operates on a personalized, patient-education-first model and accepts most insurance providers.

Product overview

Sierra Spine Institute offers a comprehensive portfolio of spinal care services centered around a state-of-the-art surgical suite. The practice provides both surgical and non-surgical treatment options across seven core service areas: Back Surgery (including fusion, laminectomy, microdiscectomy, and kyphoplasty), Neck Surgery (disc replacement and discectomy with fusion), Disc Replacement Surgery using the Mobi-C Cervical Disc Prosthesis, SI Joint Fusion using the iFuse Implant System, Outpatient Spine Surgery utilizing Augmedics xvision Spine System augmented reality navigation, Revision Spine Surgery for failed back surgery correction, and Platelet Rich Plasma (PRP) Injections as a non-surgical regenerative treatment option. The practice specializes in minimally invasive surgical approaches and operates its own surgical facility for outpatient procedures.

Differentiator

Problem solved

Functional benefit

Products and services

• Back Surgery Minimally invasive surgical procedures treating back conditions including disc degeneration, herniated discs, bone spurs, spinal stenosis, scoliosis, and vertebral fractures via fusion surgery, lumbar laminectomy, microdiscectomy, and kyphoplasty. Delivered to adult and adolescent patients with chronic back conditions at the Roseville, California practice.
• Neck Surgery Minimally invasive cervical spine procedures including cervical disc replacement and discectomy with fusion, performed through small anterior incisions to preserve neck flexibility for patients with cervical spinal disorders.
• Disc Replacement Surgery Surgical removal of damaged or worn intervertebral discs and replacement with artificial discs using the Mobi-C Cervical Disc Prosthesis to restore pain-free neck movement and spine flexibility for patients with cervical disc disease.
• SI Joint Fusion Minimally invasive sacroiliac joint fusion using the SI-BONE iFuse Implant System, with triangular-shaped titanium implants to stabilize the SI joint and provide long-term fusion for patients with lower back, hip, and leg pain caused by SI joint dysfunction.
• Outpatient Spine Surgery Minimally invasive spine surgery performed in the practice's state-of-the-art outpatient surgical suite using Augmedics xvision augmented-reality navigation, enabling same-day procedures including ACDF, laminectomy, microdiscectomy, and various fusion approaches.
• Revision Spine Surgery Surgical correction of failed prior back surgery outcomes, addressing herniated disc recurrence, pseudoarthrosis, loose hardware, adjacent level disease, and incorrect surgical site treatment using minimally invasive approaches for patients needing revision procedures.
• Platelet Rich Plasma (PRP) Injections Non-surgical regenerative treatment using the patient's own platelet-rich blood plasma, prepared via centrifuge separation and injected at sites of damaged cartilage, cells, and tissue to facilitate natural healing in the practice's outpatient operating suite.

Quantifiable outcome

• Nearly all procedures are minimally invasive resulting in smaller incisions, less muscle and tissue disruption, faster recovery, and better outcomes
• +1 more outcomes

Segments1 record

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

Two partnerships are on record, tiered core.

• Sutter HealthcoreOthersSierra Spine Institute has a medical affiliation with Sutter Health, one of the major healthcare systems in Northern California. The practice performs surgical procedures at Sutter Roseville Medical Center, Sutter Surgical Hospital North Valley, and West Coast Joint and Spine.
• SI-BONEcoreTechnology or IntegrationSI-BONE manufactures the iFuse Implant System used by Sierra Spine Institute for SI joint fusion procedures. This is a core technology partnership for their sacroiliac joint treatment services.

Scale indicators3 records

Recent moves6 records

Expansion highlights4 records

Direct peers

• Texas Back Institute: Large multi-physician spine specialty practice offering both surgical and non-surgical spine care with an emphasis on minimally invasive techniques. Highly comparable to Sierra Spine Institute in service mix and specialist-only model, though operating at significantly greater scale across multiple Texas locations.
• Virginia Spine Institute: Specialist spine practice combining orthopedic spine surgeons and physical medicine physicians with a research and education focus. Comparable to Sierra Spine Institute in its specialist-only spine positioning, MIS emphasis, and in-house rehabilitation infrastructure.
• Sonospine: Single-specialty minimally invasive spine surgery practice deploying advanced intraoperative technology including surgical navigation and robotic assistance. Closely matches Sierra Spine Institute's MIS-first, technology-forward positioning and single-specialty focus.
• Princeton Brain, Spine & Orthopedics: Multi-specialty neurosurgical and orthopedic spine group delivering outpatient and inpatient spine care with fellowship-trained surgeons. Comparable in offering comprehensive spine and neurosurgical services under one practice brand, though larger and multi-site.
• DISC Sports & Spine Center: Multi-location outpatient spine and sports medicine center emphasizing minimally invasive surgery, motion preservation, and integrated rehabilitation. Highly comparable in MIS positioning and outpatient surgical model, though operating at significantly larger scale in Southern California.
• Atlantic Brain and Spine: Independent neurosurgical and spine practice offering minimally invasive spine surgery, disc replacement, and revision procedures. Directly comparable in surgeon-driven specialist model and procedural service mix.
• Spine Institute of North America: Specialty spine surgery practice with fellowship-trained surgeons performing minimally invasive procedures, disc replacement, and SI joint fusion. Closely aligned with Sierra Spine Institute's technology-enabled MIS approach and specialist-only focus.

Broad incumbents

• Hoag Orthopedic Institute: Specialty orthopedic hospital and ambulatory network in Southern California with a dedicated spine service line. Comparable spine surgical capabilities but operates as a much larger, hospital-affiliated orthopedic platform rather than an independent specialist practice.

Others

• SI-BONE: Medical device manufacturer of the iFuse Implant System used by Sierra Spine Institute for sacroiliac joint fusion. Not a competitor but a core enabling partner whose commercial strategy, surgeon training programs, and clinical evidence directly support Sierra Spine's SI joint service line.
• Augmedics: Developer of the xvision augmented reality surgical navigation system used by Sierra Spine Institute for spine procedures. Not a competitor but a key technology supplier whose adoption and clinical data influence Sierra Spine's MIS positioning and case acquisition.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat3 records

Key risks5 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/sierra-spine-institute

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Sierra Spine Institute