Robert Ayer MD, FAANS

Board Certified Neurosurgeon

Robert Ayer MD

Dr. Ayer is a board-certified neurosurgeon. He has published numerous articles on stroke, brain and spinal cord injuries. For his efforts, Loma Linda University elected him to Alpha Omega Alpha Medical Honor Society, recognizing excellence in scholarship and the highest ideals in the profession of medicine.  Since starting his practice, Dr. Ayer has been the recipient of multiple awards for the quality of his work and the care he provides his patients.

With a focus on minimally invasive procedures

Minimally Invasive Spinal Fusion

I have specialized training in minimally invasive fusion techniques such as TLIF, ALIF, OLIF, XLIF, DLIF, PLIF. Allowing patients who need spinal fusion to experience less pain and blood loss.

Spinal Deformity

Many people develop spinal deformity as a result of spinal degeneration such as scoliosis and saggital imbalance. Unfortunately, poorly performed spinal fusion also contributes to a larger portion of deformities. I know how to properly treat these problems.

Degenerative Spine Disease

I perform surgery of all kinds in order to address spinal degeneration, including discectomy, laminectomy, laminotomy. I treat all areas of spinal disease: cervical, thoracic, and lumbar.



I treat both brain and spinal tumors. I have expertise in surgical treatment for glioblastoma, mengiomas, and metastatic tumors of the brain and spine.

Motion Preservation Spinal Surgery

When applicable I look to preserve spinal motion through artificial disc replacements and dynamic stabilization.


I am an expert in the minimally invasive treatment of compression fractures using a technique called kyphoplasty. This procedure is also sometimes performed by other medical specialties, such as radiology. However, these other specialties are not properly trained in the comprehensive treatment of spinal fractures.