Spine Surgery / Neurosurgery

Coastal Spine Institute (CSI) provides personalized and highly specialized spine care for the patients of Brunswick County NC, Horry County SC, and surrounding coastal communities.  CSI offers minimally invasive, outpatient, and complex spine surgical services by fellowship-trained spinal neurosurgeons.

CSI is the only surgical practice 100% dedicated to the care of patients with spinal disorders in the region.  Doctor Kevin Cahill and Doctor Durga Sure, are board-certified neurosurgeons with fellowship training in spine surgery. Dr. Sure is a specialist in complex and revision spine surgery including scoliosis surgery and spinal deformity surgery. He completed his fellowship in spinal deformity surgery at UVA. He then served as Chairman of the Department of Neurosurgery at Essentia Health Minnesota prior to joining CSI in 2021. Dr. Cahill is a Harvard-trained spinal neurosurgeon and the founder of CSI.  He specializes in minimally invasive spine surgery and outpatient spine surgery.  Drs. Sure and Cahill are the only fellowship-trained spinal neurosurgeons in the region.

Drs. Cahill and Sure have a passion for helping patients with spinal problems and are committed to delivering world-class surgical care locally. Minimally invasive spine procedures and outpatient surgical options are available to help speed recovery after surgery.  If you are contemplating spine surgery, contact us today to learn about the latest treatment options.

Dr. Durga Sure
Dr. Kevin Cahill

Medical Device Development / Incubator

The medical device incubator at CSI is dedicated to assisting startup companies develop and commercialize innovative medical devices for spine surgery.  The most recent startup company was Power T Handle, LLC.  Follow the link to learn more about this award-wining medical device that has made surgery more efficient for surgeons and patients.


Spine Clinical Studies + Research

The Coastal Spine Institute is dedicated to making spine surgery better.  The field of spine surgery continues to evolve and is rich with innovation in surgical techniques and medical devices.  Through the development and evaluation of novel surgical techniques and medical devices, CSI is committed to improving spine surgery outcomes.  CSI also participates in clinical trials for spine surgery allowing patients access to the latest technologies in the field.


Our Mission

The providers and staff at Coastal Spine Institute are committed to delivering the highest quality spine care.  We believe that many patients will improve with non-surgical options and consider spine surgery often a last resort treatment option.  By developing personalized treatment plans that utilize the latest techniques and technologies we aim to give you the best possible outcome following surgery.  Furthermore, improving surgical care is an integral part of our mission.  We are actively involved in the development and evaluation of novel treatments and medical devices with the goal of improving spine surgery and patient outcomes.




    • Cervical disc herniation
    • Cervical stenosis
    • Cervical myelopathy
    • Cervical deformity (Chin-on-chest)
    • Failed fusion
    • Adjacent segment disease
    • Spinal fracture
    • Cervical instability
    • Spinal cord injury
    • OPLL 


    • Disc herniation
    • Stenosis
    • Synovial cyst
    • Degenerative disc disease
    • Spondylolisthesis
    • Flat-back
    • Pseudoarthrosis
    • Adjacent segment disease
    • Lumbar deformity / scoliosis
    • Sciatica


    • Spinal stenosis
    • Disc herniation
    • Scoliosis / Kyphosis
    • Spinal tumor
    • Spine fracture


Minimally Invasive Spine Surgery

Complex Spine Surgery

Outpatient Spine Surgery

    • ACDF (Anterior Cervical Discectomy and Fusion)
    • Cervical discectomy
    • Cervical fusion
    • Cervical corpectomy
    • Cervical laminectomy
    • Cervical foraminotomy
    • Deformity correction
    • Cervical fracture stabilization
    • Lumbar discectomy
    • Lumbar laminectomy
    • Lumbar cyst removal
    • Lumbar fusion
    • TLIF (Transforaminal lumbar interbody fusion)
    • ALIF (Anterior lumbar interbody fusion)
    • XLIF / LLIF (Lateral lumbar interbody fusion)
    • Flat-back correction
    • Scoliosis correction
    • Thoracic discectomy
    • Thoracic laminectomy
    • Fracture reduction and stabilization
    • Tumor removal and stabilization
    • Scoliosis correction
    • Kyphosis correction
CSI Little River
CSI Little River

Contact Coastal Spine Institute Today

We are dedicated to clinical excellence in the delivery of spine care with a strong commitment to innovation.  Contact CSI today to learn more about our mission and to schedule an evaluation or second opinion.