The Woodlands, TX | 281-602-8160  

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Nilesh Kotecha MD

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Dr. Kotecha has a passion for making a difference in patients’ lives. In the summer of 2013 he moved back to the Houston area after having worked at the Great Lakes Brain and Spine Institute in Michigan since 2002. He completed his neurosurgery residency at Brown University – Rhode Island Hospital in Providence, RI. Subsequently he did an intensive fellowship in Complex & Reconstructive Spine Surgery at the University of South Florida under the supervision of a world renowned spine surgeon David Cahill. The results of his research have been published in several journals including The Journal of Neurosurgery. His continued passion for learning has led him to become one of the very few neurosurgeons in the country performing endoscopic laser spine surgery.


Dr. Kotecha specializes in Endoscopic Laser Spine Surgery. If you suffer from herniated, protruded, extruded, or degenerative discs you may qualify for a minimally invasive Selective Endoscopic Discectomy™ (SED™). This state of the art procedure allows Dr. Kotecha to use a "keyhole" sized incision to access the disc while avoiding cutting muscles and other tissues. Thus he is able to help relieve the leg and back pain with less pain, less tissue destruction, earlier rehabilitation, quicker recovery and even without general anesthesia. Patients who are otherwise destined for fusion may have a minimally invasive alternative for pain relief with an Endoscopic Laser Spine Surgery.

Nilesh Kotecha MD

While in Michigan he developed a 5-star spine program at his hospital which is amongst the top 100 in the country. He found it extremely rewarding to interact with patients from the greater mid-Michigan area, and has every intention of doing the same in the Houston area. When Dr. Kotecha has time away from work, He enjoys spending time with his wife and three children.

Mobi-C® Cervical Disc

The FIRST and ONLY Cervical Disc Replacement FDA Approved for Both One & Two Level Indications

Mobi-C – How it Works

Mobi-C contains patented mobile bearing technology that allows the polyethylene core to slide and rotate inside the disc for self-adjustment to the cervical spine movements. This means that Mobi-C can react to the normal motion in the cervical spine.


Mobi-C provides bone sparing fixation without chisel cuts into the small vertebral bodies of the cervical spine, making it bone sparing.

Mobi-C – Clinical Trial Results at 5-Years

In the one-level study, Mobi-C demonstrated non-inferiority to anterior cervical discectomy and fusion (ACDF) as reflected in the primary composite endpoint. In the two-level study Mobi-C demonstrated SUPERIORITY to ACDF in the primary composite endpoint.

Key results from the two-level study include:

  • Overall trial success was 62.8% for Mobi-C and 34.1% for fusion, which represents statistical superiority (p< 0.0001).

  • The rate of subsequent surgeries at the operated level for Mobi-C was 3.8% versus 16.2% for fusion.

  • The percentage of subjects who demonstrated adjacent segment degeneration (determined by x-ray) was:

            - 77.5% of Mobi-C patients compared to 44.9% of ACDF patients at the inferior adjacent level

            - 67.4% of Mobi-C patients compared to 29.2% of ACDF patients at the superior adjacent level

  • Mean return to work time was 20.9 days shorter for Mobi-C patients compared to fusion patients.

  • As with any surgery, complications may occur as a result of treatment. Potential complications following treatment with the Mobi-C include:

  • Pain in the neck, arm, back, shoulder, or head.

  • The feeling of pins and needles in the arms.

  • Difficulty swallowing.


for two-level disc replacement




Board Certified:

American Board of Neurological Surgery 2005

Spine Fellowship:

Fellowship in Neurological Surgery of the Spine, David Cahill, MD University of South Florida, Tampa General Hospital, Tampa, FL 2001


Brown University / Rhode Island Hospital, Providence, RI 1999

Medical School:

University of Texas Health Science Center, 1992


University of Houston, 1987

Nilesh Kotecha CV

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25440 I-45N Spring Texas 77386


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