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Diagnosis, Prevention and Surgical Treatment


  • Trauma
  • Tumors
  • Vascular Disorder
  • Infections of the brain


We specialize in the diagnosis, prevention, and surgical treatment of disorders of the central & peripheral nervous system. Utilizing state of the art robotic techniques to ensure consistently positive outcomes for patient care. This level of training and contemporary treatment produces a track record of successful outcomes for neurosurgical candidates.

Congenital Anomalies

Congenital anomalies can be defined as structural or functional anomalies (for example, metabolic disorders) that occur during intrauterine life and can be identified prenatally, at birth, or sometimes may only be detected later in infancy, such as hearing defects.

Degenerative disease

Degenerative disease is the result of a continuous process based on degenerative cell changes, affecting tissues or organs, which will increasingly deteriorate over time. In neurodegenerative diseases cells of the central nervous system stop working or die via neurodegeneration.

Spinal Cord Stimulator

If you're a chronic pain sufferer and have tried other therapies that have failed, our Surgeons at Coastal may recommend a spinal cord stimulation.

Spinal Fusion

One particular form of spinal surgery that can bring up a lot of questions is called spinal fusion surgery which falls under Minimally Invasive.

Infections of the brain or spine

Inflammation of the meninges, the membranes that surround the brain and spinal cord, is called meningitis; inflammation of the brain itself is called encephalitis. Myelitis refers to inflammation of the spinal cord. When both the brain and the spinal cord are involved, the condition is called encephalomyelitis.

Vascular disorders

Vascular diseases outside the heart can “present” themselves anywhere. The most common vascular diseases are stroke, peripheral artery disease (PAD), abdominal aortic aneurysm (AAA), carotid artery disease (CAD), arteriovenous malformation (AVM), critical limb-threatening ischemia (CLTI).

Very Thankful for Dr Creek and Katie. Also Dr Wingo. You guys are amazing. All the staff at the hospital were amazing too. Top Notch. I have no hesitation recommending Dr Creek. Not only is he an amazing Dr and very caring too.


My Wife And I could not be happier with the way the staff treated us. Not only did Dr. Dekutoski take the extra time to explain the procedure - he showed on the films. His staff was both very professional and helpful. Sue arranged ALL of our scheduled appointments. Thank you to each and every member of Dr. Dekutoski's staff.



Timothy R. Monroe, MD, FAANS

Dr. Monroe is a board-certified neurosurgeon who focuses on treating spinal and intracranial conditions, injuries, and disorders utilizing the newest non-operative and operative treatments available today.

After receiving his undergraduate degree from the University of Notre Dame and his medical degree from Georgetown University, Dr. Monroe completed neurosurgery residency at the Medical University of South Carolina.