Cascade Orthopaedics Spine Center

Cascade Orthopaedics prides itself in providing patients one of the most comprehensive, and technologically advanced spine centers around greater Seattle. Evidence-based medicine has shown that a multi-disciplinary team approach is the most effective treatment for neck and back pain. At the Cascade Spine Center, we believe in a step-wise approach to spine care attempting conservative treatments first before considering more invasive, and often unnecessary surgical options. With our team approach to care, patients do not have to deal with what is called “fragmented care.” This is an unfortunate phenomenon in the U.S. medical system where patients are left with the confusing challenge of directing their own care, while shuffling from one provider to the next, with no one seemingly capable or interested in providing the more thorough, inter-disciplinary care they need. Our comprehensive spine center combines state-of-the-art MRI imaging and digital radiographs with an unparalleled team of surgical and non-surgical spine physicians, nurses, technicians, physician assistants, physical therapists, and occupational therapists all under one roof.
Our doctors believe that successful treatment of spinal injuries require active involvement and communication between the patient, the primary care giver, and the subspecialist. Complete and thorough evaluation is needed prior to any intervention.

Dr. Alan Chen is a non-surgical spine specialist and is double Board Certified in Pain Management and Physical Medicine & Rehabilitation. He is also accredited in Medical Acupuncture.
View Dr. Chen's Interventional Spine Presentation.

Interventional Diagnostic & Therapeutic Procedures:

  • Electrodiagnostic Studies
  • Fluoroscopically guided epidural steroid injections
  • Fluoroscopically guided facet joint injections
  • Fluoroscopically guided Sacroiliac or hip joint injections
  • Radiofrequency ablation
  • Sympathetic nerve blocks
  • Selective Nerve Root Injections
  • Intercostal Nerve Blocks
  • Discography
  • Spinal Cord Stimulator - Trial placement
  • Trigger point injections
  • Botox injections

Dr. Andelle Teng is a Fellowship Trained, Board Certified Orthopaedic Spine Surgeon specializing in the treatment of degenerative, arthritic, and traumatic disorders of the spine. He is experienced in traditional spine surgery techniques as well as the most recent and innovative advances in minimally invasive, microscopic, and motion preserving techniques for the cervical, thoracic, and lumbar spine.
Dr. Teng is the Director of Cascade Spine Center.

Surgical Conditions & Procedures:

  • Cervical / Thoracic / Lumbar Spine Surgery
  • Complex Spine Problems
  • Degenerative Disc Disease
  • Disc Herniations
  • Radiculopathy
  • Sciatica
  • Spinal Infections
  • Spinal Instability
  • Spinal Stenosis
  • Spinal Tumors
  • Trauma / Fractures / Neck & Back Injuries
  • Cervical and Lumbar Disc Replacement/Arthroplasty
  • Decompression / Foraminotomy / Laminectomy / Laminotomy / Laminoplasty
  • Discectomy, Vertebral Corpectomy
  • Fusion / Hardware Instrumentation
  • Interbody Fusions (ALIF / PLIF / TLIF / XLIF / DLIF)
  • Kyphoplasty / Vertebroplasty
  • Microscope Assisted Surgery
  • Minimally Invasive Surgery
  • Motion Sparing Surgery
  • Spinal Cord Stimulator - Permanent placement
  • Transforaminal Epidural Steroid Injection / Selective Nerve Root Block
  • Interspinous Spacer (X-stop, ILIF)