| Spine Program

Excellence in surgery and comprehensive spinal care, with international standards.

+1.5 k

Evidence-based clinical protocols

Interdisciplinary, human, and safe approach

successful surgeries

A comprehensive program for your musculoskeletal health

Hospital Metropolitano presents its Specialized Surgery Center // Spine Program, an integrated unit created to address musculoskeletal health needs with the highest quality standards.

Our purpose is to become the national and international reference in advanced orthopedics, offering high-complexity medical care with a safe, human, and patient-centered approach.

Leading medical team

The program is led by specialists with extensive national and international training and experience:

Dr. Andrés Angulo

Dr. Andrés Angulo

Orthopedic surgeon and spine specialist. Member of AOSpine International.

Over 1,500 k successful surgeries.
Dr. Luis Eugenio Brenes

Dr. Luis Eugenio Brenes

Orthopedic and trauma surgeon with experience in advanced orthopedic surgery.

Dr. Andrés Rocha

Dr. Andrés Rocha

Anesthesiologist and pain management specialist with extensive experience in postoperative pain control and interventional procedures.

Together with a multidisciplinary team of orthopedic surgeons, trauma specialists, physiatrists, psychologists, nurses, and rehabilitation experts, we ensure comprehensive care through every stage of orthopedic treatment.

What we treat and how we help?

We manage everything from mild injuries to complex conditions, prioritizing minimally invasive techniques and safe functional recovery processes.

Main procedures and treatments:

High-complexity and minimally invasive surgeries

Treatment of sports injuries and fractures

Comprehensive management of bone and joint deformities

Correction of scoliosis and lumbar stenosis

Joint replacement and reconstruction

Specialized rehabilitation for functional recovery

Our approach to your care

Specialized evaluation

Clinical diagnosis and advanced imaging studies.

Personalized treatment plan

Designed with our interdisciplinary team.

Surgical or conservative intervention

According to medical recommendation.

Pain management and personalized physiotherapy

Led by our specialists.

Functional rehabilitation

Safe and progressive return to daily activities.

Why choose us?

Comprehensive and interdisciplinary care

We integrate orthopedics, traumatology, physiatry, rehabilitation, nutrition, psychology, and advanced pain management to provide complete and coordinated care.

Operational efficiency

We apply Lean Six Sigma protocols and standardized processes that ensure efficiency and safety at every stage.

International quality

With standards comparable to Cleveland Clinic, Cedars-Sinai, and Charité Berlin, we guarantee optimal results and a personalized medical experience

Technology and infrastructure

We offer top-level facilities and equipment: • Specialized consultation offices at C3 Cariari and Lindora • Operating rooms with advanced technology for high-precision procedures • Physiotherapy and rehabilitation areas designed to support every stage of recovery.

Warning signs — when to seek medical care

  • Persistent lumbar or cervical pain
  • Numbness or tingling in arms or legs
  • Difficulty walking or loss of balance
  • Pain that interrupts sleep or daily activities
  • Schedule your evaluation
  • Request a second opinion
  • Write to us
Schedule your evaluation