Nicholas D Fletcher, MD

Emory Clinic

Assistant Professor of Orthopaedic Surgery

Emory Healthcare Network Physician
Orthopaedic Surgery (Board certified since 2012)
Pediatric Surgery
Areas of Clinical Interest:
cerebral palsy
herniated disc
lumbar fusion
posterior lumbar interbody fus
spina bifida
spinal implants
spinal surgery
thoracic fusion
Office(s) Locations:
Emory Orthopaedics and Spine Center
59 Executive Pk S - Ste 2000
Atlanta, GA 30329
404 778-3350
Hospital Affiliation(s):
Emory University Hospital
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. Dr. Fletcher’s experience in spinal care ranges from non operative methods such as Mehta casting and bracing to 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. 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. Dr. Fletcher has presented this research at several national meetings and was recently nominated for best poster at the 2014 Scoliosis Research Society Annual Meeting for his work.

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. 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 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.

Year Started Practicing: 2009
Year Started Practicing at Emory: 2010
Organizational 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
Major or Recent Publications:

Fletcher ND, Larson AN, Glotzbecker MP, Shore BJ, Hydorn CR. Trials and tribulations – the first year in a pediatric orthopaedic practice: Results from the young surgeon study group. J Ped Ortho (Accepted for publication)

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

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 (In publication)

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 (In publication)

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

Hemphill RR, Santen SA, Spanier CM, Fletcher ND. Trauma: life in the ER--education or entertainment? The patient's perspective. South Med J. 2007 Mar;100(3):248-51.

Santen SA, Hemphill RR, McCloskey CB, Fletcher ND 'Sorry, it's my first time!' Will patients consent to medical students learning procedures? Med Educ. 2005 Apr;39(4):365-9. 

Fletcher ND, Wise PE, Sharp KS. Common bile duct papillary adenoma causing obstructive jaundice. Amer Surg. 70(5): 448-52, May 2004

2000 Phi Beta Kappa
Vanderbilt University

Camby Robinson Scholarship for research in Emergency Medicine

2003 Alpha Omega Alpha
Honor Medical Society

Orthopaedic Clerkship Award

General Surgery Clerkship Award

T Boone Pickens Spine Research Award
Medical School
Vanderbilt University School of Medicine, Nashville, TN 2004

Vanderbilt Medical Center, Nashville, TN 2005

Vanderbilt Medical Center, Nashville, TN 2009

Texas Children's Hospital, Houston, TX 2010