Specialties

Pediatric Orthopaedics

Orthopaedics (Board certified since 2012)

At a Glance

  • 2009 Started practicing
  • 8 Years experience
  • 1 OFFICE LOCATION
  • 1 HOSPITAL AFFILIATION

About Dr. Fletcher

Dr. Fletcher joined Emory in 2010 and is a board certified orthopaedic surgeon specializing in care of pediatric orthopaedic conditions including: scoliosis and kyphosis(curved spines), hip disorders including dysplasia, fractures and broken bones, neuromuscular disorders such as cerebral palsy, leg length differences, foot conditions and angular deformities of the lower limbs. Care for children with spine and hip conditions are particular areas of expertise.

With respect to spinal disorders, Dr. Fletcher takes cares of all forms and severity of pediatric spinal problems including adolescent scoliosis, neuromuscular scoliosis, congenital scoliosis, early onset scoliosis, kyphosis, and spondylolisthesis. He is the co-director of the spine team at Children’s Healthcare of Atlanta (CHOA) where he heads the quality and outcomes initiative and seeks to maximize safety and quality for children cared for at CHOA. Dr. Fletcher offers a range of treatment options for children with scoliosis and kyphosis including non operative methods such as Mehta casting and bracing as well as posterior spinal fusion and even newer technologies such as magnetic expandable growing rods (MAGEC©) and VEPTR. He has spoken locally, nationally, and internationally on his research in scoliosis and is a member of the Scoliosis Research Society education committee, the Harms Study Group, and the Children’s Spine Study Group. His work on adolescent scoliosis has been presented as far away as Alaska and Japan and he has published multiple studies on early onset and adolescent scoliosis. He also received the 2010 T. Boone Pickens Award for Spinal Research for his research in Adolescent Idiopathic Scoliosis. His current work focuses on safe delivery of high quality post operative care following spinal surgery and also includes the development of spinal instrumentation and advancement of spinal technology.

Dr. Fletcher also specializes in pediatric and young adult hip conditions including hip dysplasia, femoroacetabular impingement (FAI), perthes disease, avascular necrosis, and slipped capital femoral epiphysis. He is one of only a handful of surgeons in the southeast with expertise in the Ganz or periacetabular osteotomy (PAO) for hip dysplasia and the modified Dunn osteotomy for slipped capital femoral epiphysis. He takes care of children of all ages, in addition to young adults, with conditions such as hip dysplasia and femoroacetabular impingement (FAI). Current research in this area focuses on the development of a minimally invasive approach to surgical hip reconstruction in patients with hip dysplasia and neuromuscular conditions.

Outside of patient care and research, Dr. Fletcher has a passion for orthopaedic education and teaching. Dr. Fletcher was awarded the George E. Wright Faculty Member of the Year award in 2015 by the chief residents. An assistant professor of orthopaedic surgery at Emory, Dr. Fletcher coordinates and oversees the pediatric orthopaedic education program at Emory, is director of the pediatric orthopaedic fellowship, and is a Discovery Mentor for Emory University medical school students. He is the founding physician member of the Emerging Leaders committee for Children's Healthcare of Atlanta where he also serves on the trauma improvement committee, spinal infection prevention committee, non-accidental trauma committee, and spinal surgery guiding committee. He serves on the evidenced-based medicine committee for the Pediatric Orthopaedic Society of North America and has been a part of the education committee for the Scoliosis Research Society.

Dr. Fletcher serves as director of the Luther and Susie Harrison Center for Pediatric Orthopaedic Research, which is dedicated to advancing the understanding of pediatric orthopaedic conditions. Emory is involved in single and multicenter clinical trials involving other physicians from around the world.

My Clinical Interests

  • cerebral palsy
  • herniated disc
  • kyphosis
  • lumbar fusion
  • neuromuscular
  • posterior lumbar interbody fus
  • scoliosis
  • spina bifida
  • spinal implants
  • spinal surgery
  • spondylolisthesis
  • spondylosis
  • thoracic fusion

Academic Profile

Training

MEDICAL SCHOOL

Vanderbilt University School of Medicine, Nashville, TN
2004

INTERNSHIP

Vanderbilt Medical Center, Nashville, TN
2005

RESIDENCY

Vanderbilt Medical Center, Nashville, TN
2009

FELLOWSHIP

Texas Children's Hospital, Houston, TX
2010

Professional Memberships

Assistant Residency Director 2011- present

Fellowship Director Emory Pediatric Orthopaedics 2012-present

Emerging Leaders Committee Childrens Healthcare of Atlanta 2011 – present

Scoliosis Research Society – Education Committee 2013-present

CHOA Trauma Guiding Committee Member 2011 - present

POSNA Evidence Based Medicine Committee Member 2011 – present

CHOA Scoliosis Infection Prevention Committee 2012-present

CHOA Non-Accidental Trauma Taskforce 2012-present

CHOA Fracture Guiding Committee 2012-present

Emory Discovery Research Mentor 2011-12

Emory Discovery Research Reviewer 2013

Emory PSAT Committee 2014

Honors & Awards

George E. Wright Faculty Member of the Year Award - 2015

T Boone Pickens Spine Research Award
2010

General Surgery Clerkship Award
2004

Orthopaedic Clerkship Award
2004

2003 Alpha Omega Alpha
Honor Medical Society

2000 Phi Beta Kappa
Vanderbilt University

Major Publications

Fletcher ND, Sirmon BJ, Mansour AS, Carpenter WE, Ward LA. Impact of insurance status on ability to return for outpatient management of pediatric supracondylar humerus fractures. J Child Ortho. 2016 Aug 25. [Epub ahead of print]

Fletcher ND, Glotzbecker MP, Marks MC, The Harms Study Group, Newton PO. Development of consensus-based best practice guidelines (BPG) for postoperative care following posterior spinal fusion for AIS. Spine. 2016 Aug 3. [Epub ahead of print]

Green BM, Stone JA, Fletcher ND. The use of a trans-olecranon pin in the treatment of pediatric flexion type supracondylar humerus fractures. J Ped Ortho 2016. In publication

Borden T, Bellaire LA, Fletcher ND. Improving Perioperative Care for Adolescent Idiopathic Scoliosis Patients: The Impact of a Multidisciplinary Care Approach. J Multidisc Healthcare. In publication

Barrett KK, Andras LA, Runner R, Bowman C, Goldstein R, Fletcher ND, Skaggs DL. Continued Delay in diagnosis of slipped capital femoral epiphysis. J Pediatr. 2016 Jul 25

Whitmore MJ, Hawkins CM, Prologo JD, Marshall KW, Fabregas JA, Yim DB, Monson D, Oskouei SV, Fletcher ND Williams RS. Cryoablation of Osteoid Osteoma in the Pediatric and Adolescent Population. J Vasc Intervent Radiol 2015 Dec 9. pii: S1051-0443(15)00971-9.

Fletcher ND, Andras LA, Lazarus DE, Owen RJ, Geddes BJ, Cao J, Skaggs DL, Osward TS, Bruce RW. Use of a novel pathway for early

discharge was associated with a 48% shorter length of stay after posterior spinal fusion following adolescent idiopathic scoliosis. J Ped Ortho 2015 Jul 24.

Lazarus DL, Patel N, Bruce RW, Fletcher ND. Children With Medicaid Requiring Spinal Fusion For Scoliosis Present With Larger Curves Than Patients With Private Insurance. Am J Orthop. 2015;44(11):E454-E457

Glotzbecker MP, Shore BJ, Fletcher ND, Larson AN, Hydorn CR, Sawyer JR; Early Career Experience of Pediatric Orthopaedic Fellows: What to Expect and Need for Their Services. J Ped Orthop. 2015 Mar 3. (E-Pub ahead of print)

Khudairy AA, Gauthier L, Heflin JA, Fletcher ND, Matz J, Soroceanu A, El-Hawaray A. Reliability of proximal junctional

kyphosis measurements for young children with scoliosis. J Spinal Deformity 2014 Nov; 2(6): 448-453

Fletcher ND, Shourbaji N, Mitchell P, Oswald TS, Devito D, Bruce RW Clinical and economic implications of early discharge following posterior spinal fusion for adolescent idiopathic scoliosis. J Child Ortho 2014 May;8(3):257-263.

Fletcher ND, Larson AN, Glotzbecker MP, Shore BJ, Hydorn CR. A critical appraisal of the first-year experience of 5 pediatric orthopaedic surgeons. J Ped Ortho 2014 Sep;34(6):655-9

Weller AL, Garg S, Larson AN, Fletcher ND, Schiller JR, Kwon M, Ho C, Copley L. Management of the Pulseless Supracondylar Humerus Fracture: Is Vascular Exploration Necessary? J Bone Joint Surg Am, 2013 Nov 06;95(21):1906-1912

Larson AN, Garg S, Weller A, Fletcher ND, Schiller J, Kwon M, Copley L, Ho C. Type 2 Supracondylar Fractures: Does Time to Surgery Matter? J Ped Ortho 2013 Nov 16.

Garg S, Weller A, Larson AN, Fletcher ND, Kwon M, Schiller J, Browne R, Copley L, Ho C, Clinical characteristics of severe supracondylar humerus fractures in children. J Ped Ortho 2013 Jun 26

Crosby S, Fletcher ND, Yap Er, Lee DH. Biomechanical study of distal locking screw configuration of distal volar locked plating. J Hand Surg AM 2013 Jun;38(6):1097-1105

Fletcher ND, Bruce RW. Early Onset Scoliosis: Current Concepts and Controversies. Curr Rev Musc Med. 2012 Jun;5(2):102-10.

Larson AN, Fletcher ND, Richards BS. Selective thoracic fusion for adolescent idiopathic scoliosis at minimum 20 year follow up. Spine (Phila Pa 1976). 2012 May 1;37(10):833-9.

Fletcher ND, Schiller JR, Garg S, Weller A, Larson AN, Kwon M, Copley L, Ho C. Increased severity of type III supracondylar humerus fractures in the pre-teen population. J Ped Orthop 2012 Sep;32(6):567-72.

Fletcher ND, McClung A, Johnston CE. Serial casting as a delay tactic in the management of moderate to severe early onset scoliosis. J Ped Orthop 2012 Oct-Nov;32(7):664-71

Fletcher ND, Hopkins J, McClung A, Browne R, Sucato DJ. Residual thoracic hypokyphosis following posterior spinal fusion for adolescent idiopathic scoliosis: Risk factors and clinical ramifications. Spine (Phila Pa 1976). 2012 Feb 1;37(3):200-6.

Fletcher ND, Larson AN, Richards BS, Johnston CE. Current Treatment Preferences for Early Onset Scoliosis: A Survey of POSNA Members. J Ped Orthop. 2011;31:326–330

Kim HWK, Larson AN, Fletcher ND, Winick N, Kim YJ. Childhood Femoral Head Osteonecrosis. Clin Rev Bone Metabolism. 2011; March 27. [Epub ahead of print]

Fletcher ND, Rathgen KE, Bush P, Ezaki MB. Asymmetrical arthrogryposis of the upper extremity associated with congenital spine anomalies. J Ped Orthop. 2010 Dec;30(8):936-41

Morris BA, Fletcher N, Davis RA, Mencio GA. Bacterial meningitis after traumatic thoracic fracture-dislocation: two case reports and review of the literature. J Orthop Trauma. 2010 May;24(5):e49-53

Fletcher N, Sofianos D, Berkes M, Obremskey WT. Current Concepts Review: Prevention of Perioperative Infection. J Bone Joint Surg (Am). 2007 July;89:1605-18

Locations & Appointments

1 Office Location(s)

1 Hospital Affiliation(s)

2

Emory University Hospital

1364 Clifton Rd NE
Atlanta, GA 30322
H

Academic Profile

Training

MEDICAL SCHOOL

Vanderbilt University School of Medicine, Nashville, TN
2004

INTERNSHIP

Vanderbilt Medical Center, Nashville, TN
2005

RESIDENCY

Vanderbilt Medical Center, Nashville, TN
2009

FELLOWSHIP

Texas Children's Hospital, Houston, TX
2010

Professional Memberships

Assistant Residency Director 2011- present

Fellowship Director Emory Pediatric Orthopaedics 2012-present

Emerging Leaders Committee Childrens Healthcare of Atlanta 2011 – present

Scoliosis Research Society – Education Committee 2013-present

CHOA Trauma Guiding Committee Member 2011 - present

POSNA Evidence Based Medicine Committee Member 2011 – present

CHOA Scoliosis Infection Prevention Committee 2012-present

CHOA Non-Accidental Trauma Taskforce 2012-present

CHOA Fracture Guiding Committee 2012-present

Emory Discovery Research Mentor 2011-12

Emory Discovery Research Reviewer 2013

Emory PSAT Committee 2014

Honors & Awards

George E. Wright Faculty Member of the Year Award - 2015

T Boone Pickens Spine Research Award
2010

General Surgery Clerkship Award
2004

Orthopaedic Clerkship Award
2004

2003 Alpha Omega Alpha
Honor Medical Society

2000 Phi Beta Kappa
Vanderbilt University

Major Publications

Fletcher ND, Sirmon BJ, Mansour AS, Carpenter WE, Ward LA. Impact of insurance status on ability to return for outpatient management of pediatric supracondylar humerus fractures. J Child Ortho. 2016 Aug 25. [Epub ahead of print]

Fletcher ND, Glotzbecker MP, Marks MC, The Harms Study Group, Newton PO. Development of consensus-based best practice guidelines (BPG) for postoperative care following posterior spinal fusion for AIS. Spine. 2016 Aug 3. [Epub ahead of print]

Green BM, Stone JA, Fletcher ND. The use of a trans-olecranon pin in the treatment of pediatric flexion type supracondylar humerus fractures. J Ped Ortho 2016. In publication

Borden T, Bellaire LA, Fletcher ND. Improving Perioperative Care for Adolescent Idiopathic Scoliosis Patients: The Impact of a Multidisciplinary Care Approach. J Multidisc Healthcare. In publication

Barrett KK, Andras LA, Runner R, Bowman C, Goldstein R, Fletcher ND, Skaggs DL. Continued Delay in diagnosis of slipped capital femoral epiphysis. J Pediatr. 2016 Jul 25

Whitmore MJ, Hawkins CM, Prologo JD, Marshall KW, Fabregas JA, Yim DB, Monson D, Oskouei SV, Fletcher ND Williams RS. Cryoablation of Osteoid Osteoma in the Pediatric and Adolescent Population. J Vasc Intervent Radiol 2015 Dec 9. pii: S1051-0443(15)00971-9.

Fletcher ND, Andras LA, Lazarus DE, Owen RJ, Geddes BJ, Cao J, Skaggs DL, Osward TS, Bruce RW. Use of a novel pathway for early

discharge was associated with a 48% shorter length of stay after posterior spinal fusion following adolescent idiopathic scoliosis. J Ped Ortho 2015 Jul 24.

Lazarus DL, Patel N, Bruce RW, Fletcher ND. Children With Medicaid Requiring Spinal Fusion For Scoliosis Present With Larger Curves Than Patients With Private Insurance. Am J Orthop. 2015;44(11):E454-E457

Glotzbecker MP, Shore BJ, Fletcher ND, Larson AN, Hydorn CR, Sawyer JR; Early Career Experience of Pediatric Orthopaedic Fellows: What to Expect and Need for Their Services. J Ped Orthop. 2015 Mar 3. (E-Pub ahead of print)

Khudairy AA, Gauthier L, Heflin JA, Fletcher ND, Matz J, Soroceanu A, El-Hawaray A. Reliability of proximal junctional

kyphosis measurements for young children with scoliosis. J Spinal Deformity 2014 Nov; 2(6): 448-453

Fletcher ND, Shourbaji N, Mitchell P, Oswald TS, Devito D, Bruce RW Clinical and economic implications of early discharge following posterior spinal fusion for adolescent idiopathic scoliosis. J Child Ortho 2014 May;8(3):257-263.

Fletcher ND, Larson AN, Glotzbecker MP, Shore BJ, Hydorn CR. A critical appraisal of the first-year experience of 5 pediatric orthopaedic surgeons. J Ped Ortho 2014 Sep;34(6):655-9

Weller AL, Garg S, Larson AN, Fletcher ND, Schiller JR, Kwon M, Ho C, Copley L. Management of the Pulseless Supracondylar Humerus Fracture: Is Vascular Exploration Necessary? J Bone Joint Surg Am, 2013 Nov 06;95(21):1906-1912

Larson AN, Garg S, Weller A, Fletcher ND, Schiller J, Kwon M, Copley L, Ho C. Type 2 Supracondylar Fractures: Does Time to Surgery Matter? J Ped Ortho 2013 Nov 16.

Garg S, Weller A, Larson AN, Fletcher ND, Kwon M, Schiller J, Browne R, Copley L, Ho C, Clinical characteristics of severe supracondylar humerus fractures in children. J Ped Ortho 2013 Jun 26

Crosby S, Fletcher ND, Yap Er, Lee DH. Biomechanical study of distal locking screw configuration of distal volar locked plating. J Hand Surg AM 2013 Jun;38(6):1097-1105

Fletcher ND, Bruce RW. Early Onset Scoliosis: Current Concepts and Controversies. Curr Rev Musc Med. 2012 Jun;5(2):102-10.

Larson AN, Fletcher ND, Richards BS. Selective thoracic fusion for adolescent idiopathic scoliosis at minimum 20 year follow up. Spine (Phila Pa 1976). 2012 May 1;37(10):833-9.

Fletcher ND, Schiller JR, Garg S, Weller A, Larson AN, Kwon M, Copley L, Ho C. Increased severity of type III supracondylar humerus fractures in the pre-teen population. J Ped Orthop 2012 Sep;32(6):567-72.

Fletcher ND, McClung A, Johnston CE. Serial casting as a delay tactic in the management of moderate to severe early onset scoliosis. J Ped Orthop 2012 Oct-Nov;32(7):664-71

Fletcher ND, Hopkins J, McClung A, Browne R, Sucato DJ. Residual thoracic hypokyphosis following posterior spinal fusion for adolescent idiopathic scoliosis: Risk factors and clinical ramifications. Spine (Phila Pa 1976). 2012 Feb 1;37(3):200-6.

Fletcher ND, Larson AN, Richards BS, Johnston CE. Current Treatment Preferences for Early Onset Scoliosis: A Survey of POSNA Members. J Ped Orthop. 2011;31:326–330

Kim HWK, Larson AN, Fletcher ND, Winick N, Kim YJ. Childhood Femoral Head Osteonecrosis. Clin Rev Bone Metabolism. 2011; March 27. [Epub ahead of print]

Fletcher ND, Rathgen KE, Bush P, Ezaki MB. Asymmetrical arthrogryposis of the upper extremity associated with congenital spine anomalies. J Ped Orthop. 2010 Dec;30(8):936-41

Morris BA, Fletcher N, Davis RA, Mencio GA. Bacterial meningitis after traumatic thoracic fracture-dislocation: two case reports and review of the literature. J Orthop Trauma. 2010 May;24(5):e49-53

Fletcher N, Sofianos D, Berkes M, Obremskey WT. Current Concepts Review: Prevention of Perioperative Infection. J Bone Joint Surg (Am). 2007 July;89:1605-18