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Panorama Orthopedics & Spine Center has been a trusted provider of orthopedic care in metro Denver for more than 70 years. With more than 30 orthopedic surgeons, we are one of the largest and most specialized orthopedic groups in the United States and are known as a leader in orthopedic care. We offer highly trained surgeons and
specialists in sports medicine, spine, joint replacement, orthopedic trauma, foot and ankle, hand and wrist and non-operative pain management. We are committed to excellence in everything we do. That’s why patients of all ages — from children to seniors — trust Panorama Orthopedics to help them get them back to doing the things they love.
Have Questions? Contact Our Office Today! (303) 233-1223


Golden Office

660 Golden Ridge Rd., Suite 250

Golden, CO 80401

Phone: (303) 233-1223

Westminster Office

8510 N Bryant St. #120

Westminster, CO 80031

Phone: (303) 233-1223

Highlands Ranch Office

1060 Plaza Drive

Highlands Ranch, CO 80129​

Phone: (303) 233-1223

Westminster St Anthony North Office

500 West 144th Avenue, Suite 120

Westminster, CO 80023

Phone: (303) 233-1223

Castle Rock Office

4350 Limelight Ave. Suite 100

Castle Rock, CO 80109

Phone: (303) 233-1223


265 Tanglewood Lane. Suite  E-1

Silverthorne, CO 80498

Phone: (970) 262-7400

With the extent of my spinal problems, I presented an immense challenge that Panorama not only met, but rose far above.

James Ross
Patient of Dr. Loutzenhiser

Spine care

At Panorama Orthopedics & Spine Center, our comprehensive approach to spine care means patients receive world-class, individualized treatment from a team of providers who are committed to delivering the highest-quality care. Whether it’s a pulled muscle, a herniated disk or a complex deformity, we understand spinal conditions can be extremely debilitating. Panorama is committed to reducing pain and improving function so patients can get back to doing what they love — whether that’s work or play.

Our spine care team includes orthopedic spine surgeons, a neurosurgeon, pain management doctors (known as physiatrists) who specialize in non-surgical care; and spine-specific physical therapists.

Together we offer a range of treatments, and the vast majority of patients receive relief from such non-surgical options as activity modification, anti-inflammatory medications, physical therapy, or steroid injections.

Same Day and Next Day Appointments for Back Pain. If Your Back Hurts, Call Us Today – 303-233-1223

Back pain can get you down and it can bring life to a screeching halt.  If you have injured your back – call us.  Our team will fit you in for an evaluation that day or the following day and help you get on the path to feeling better.  Your initial evaluation will include an assessment of your back pain and a recommended treatment plan to help you feel better again.

Fewer than 10% of all spine patients seen at Panorama Orthopedics and Spine Center needed back surgery

Minimally Invasive Spine Surgery

However, if conservative treatments fail, our highly experienced team is able to offer the most advanced surgical treatments, including microscope-assisted surgery and surgical navigation for improved precision. We are also able to offer minimally invasive spine surgery, which is a popular option for patients facing back surgery because it uses smaller incisions than traditional, “or open,” surgery. For the patient, this means less pain, shorter hospital stays and less scarring. There is also less disruption to surrounding muscle and tissue and a smaller risk of infection.

Dr. Lonnie Loutzenhiser talks about Minimally Invasive Spine Surgery

Despite its benefits, minimally invasive spine surgery is not performed by all spine surgeons. Doctors who perform this type of surgery must undergo additional training on the procedure. Dr. Lonnie Loutzenhiser at Panorama Orthopedics & Spine Center is specially trained in minimally invasive (microscopic) surgical techniques. He uses these techniques to treat patients with herniated disks, pinched nerves, spondylolisthesis, scoliosis and traumatic instability of the spine. Back surgery can now be done through incisions that are measured in millimeters.

Although minimally invasive spine surgery has many advantages for patients, there are some back and neck conditions that cannot yet be treated through this approach. Together we will find the best solution to treat your back pain.

Patients sometimes ask about laser spine surgery, with the impression that it offers the most up-to-date technology. Though there has been a large marketing push behind the procedure – you may have seen the TV ads – the clinical benefits are questionable. At Panorama, we remain committed to using the latest proven techniques and technologies.

Most of our surgeries are performed at OrthoColorado Hospital, the only orthopedic specialty hospital in the region. Like Panorama, OrthoColorado only treats orthopedic patients, and that focus means higher satisfaction and shorter hospital stays for patients. The average length of stay for spine fusions at OrthoColorado is 2.4 days, compared to a national average of 3.2 days. Working in conjunction with Flight for Life and St Anthony Hospital, Panorama serves Colorado and the Rocky Mountain region as the state’s premier spine, trauma and complex deformity referral center.

The Mike Shaw Story - Paralyzed to Skiing Again

Jack's Story of Minimally Invasive Spine Surgery

Linda's Story about Scoliosis Surgery with Dr Agarwala

Learning About Low Back and SI Pain with Dr. Desai

Up to 85% of Americans experience low back pain at some point in their lives. There are many causes of lower back pain that range from injury to deformity. There is, however, a commonly overlooked cause that is responsible for chronic low back pain in 15-30% of the cases – SI joint dysfunction, also known as sacroiliac joint pain, and sacral pain. The sacroiliac joint or SI joint, as it is more commonly known, is the link between the upper and lower body, it is the joint between the sacrum (bottom of spine) and the iliac (pelvis). The SI joint is actually has two joints, on either side of the spine that hold the weight of your body as it shifts when you walk.

Si joint pian can be caused by trauma or injury to the low back, childbearing, degeneration from arthritis or may develop in individuals who had undergone a previous lumber fusion. When your pain is caused by the SI joint, it can appear in many different places from the low back to the pelvis, hips, glutes and even radiate down to your calves. Sometimes the pain is a dull, aching pain and other times it can be a sharp, stabbing pain. It is estimated that up to 30% of this kind of pain is caused by SI Joint dysfunction. Unfortunately, these symptoms mimic many other problems of the spine, legs, and hips therefore it is really important to find a proper diagnosis for your pain.

The first step in diagnosis is a physical exam, your doctor may also uses diagnostic imaging and diagnostic injections to help determine the source of your pain and determine if it may be caused by your SI joint.

There are many treatments available today to help stabilize the joint and eliminate the pain caused from SI joint dysfunction. Therapies can range from over-the-counter medication, injections, physical therapy to SI joint fusion, which is a minimally invasive procedure. If you suffer from low back pain, visit a specialist who can determine what is the root cause may be and help you get back to living an active, healthy, pain-free life.

The Panorama Difference - Our surgeons are committed to quality and constant improvement.

That’s why education, research and training are hallmarks of our spine specialists, who are known as experts in their field both nationally and internationally. Twice a month our surgeons meet to review major cases with the entire spine team to determine the best course of treatment for individual patients. This peer review enables us to maintain the highest standard of care for all our patients. Patients can rest assured they have a whole team of doctors working to find the best treatment plan for them.

Dr Drewek Reviews the Most Common Causes of Back Pain

Learning About Back Pain

Knowledge is power.  Watch these videos to learn more about how to keep your back healthy and strong – watch a demo on how to lift properly to keep from straining your back, and find out why exercise is an important ingredient in keeping your back healthy.



Find out what you can do, at home, if you are unexpectedly hit by back pain – should you use heat or ice, what’s the best way to get up from lying down and learn simple stretches you can do to help calm the pain and stretch the back muscles.



Dr. Agarwala

Dr Drewek

Dr. Horner

Dr. Knight

Dr. Loutzenhiser

Dr. Puschak

Dr VanderHeiden

Dr. Wong

Lindsey Henninger, PA

Katie Spight, PA

Nathan Youmell, PA

Kathleen Rouzier, PA

Hannah Strauss, PA

Burton Elrod, PA