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Though sometimes referred to as “brain surgeons,” neurosurgeons also treat a broad range of conditions involving the back, neck, and spine. In fact, back and neck pain are two of the leading reasons people miss work or collect disability, and they top the list of ailments addressed by our neurosurgeon at United Regional Physician Group.

To make an appointment please call 940-764-5400.

Louis Provenza, MD


Bonnie Steen, PA-C

Physician Assistant

Advanced Technology

Expert diagnostic evaluation

Back and neck pain can be caused by a number of problems, from a simple muscle strain to underlying conditions requiring surgical intervention such as disk herniation or a spinal tumor.

Dr. Louis Provenza, uses advanced diagnostic testing to identify the cause of your back or neck pain, often ruling out surgery as the best treatment option. He uses several diagnostic tools to pinpoint your problem:

  • X-ray, MRI, CT, Myelography, Discography, Nerve Conduction Study (NCS), Electromyography (EMG)

Spine Robotic Guidance System

Robotics technology has been clinically validated to ensure 1.5mm accuracy for increased patient safety compared to freehand spine surgery.

Neurosurgeons use advanced 3D planning software before surgery to create a unique surgical blueprint. During surgery, the neurosurgeon does the actual work but the neurosurgeon’s tools are guided, according to the surgical blueprint, to place the implants safely and with the highest level of accuracy in the exact preplanned locations.

Zeiss OPMI Pentero Microscope

In delicate brain surgery, surgeons rely on advanced magnification and visual clarity to enhance their skill. The Zeiss OPMI Pentero neurosurgical microscope, provides surgeons clearer and more powerful magnification, as well as inter-operative diagnostics and support of fluorescence-based procedures such as tumor removal and resections. With these capabilities, neurosurgeons can easily distinguish between the cancerous tumor and healthy tissue.

Minimally Invasive

Significant advances in surgical instruments, technology, techniques, image-guided devices, implants, and high-powered microscopes have made minimally invasive surgery effective in surgical spine care for the treatment of a wide variety of conditions. Less invasive techniques offer many benefits to patients such as shorter length of stays, less scarring and faster recovery times.


There are many neurological conditions that do not require surgery to help alleviate pain and improve functioning. Sometimes non-operative procedures, medication and injections may greatly help your condition. And, when you’re hurting you want to be treated as soon as possible.

Glossary of neurosurgical conditions and procedures.