Expert Spine & Orthopedic Services in St. Louis and Throughout Missouri 

At ONYX Spine & Orthopedic Institute, we deliver comprehensive, individualized care for spine conditions and orthopedic injuries using a patient-first, evidence-based approach. Whether you're recovering from an accident, struggling with chronic joint pain, or managing a complex work-related injury, our board-certified spine and orthopedic specialists are here to help.

We treat patients of all ages and activity levels, including blue-collar workers, athletes, veterans, and weekend warriors, with the same goal: to get you back to your job, sport, or lifestyle safely and efficiently. When surgery is needed, procedures are performed at our in-house ambulatory surgery center. Afterward, we continue supporting your recovery through coordinated transitional care with trusted partners.

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What We Treat

Select a service area below to learn more about conditions, procedures, and treatments available for each joint or body region:

Spine Care 
Spine Care 

From neck and lower back pain and herniated discs to spinal stenosis and fusion surgery, our spine team uses advanced diagnostics and personalized treatment plans, including robotic-assisted procedures, to restore mobility and relieve pain.

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Hip Care
Hip Care

Whether you need injections or arthroscopy, ONYX offers accurate diagnosis and advanced treatment to reduce hip pain and improve quality of life.

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Ankle Care
Ankle Care

Our team treats everything from ankle sprains to fractures and torn ligaments. With early intervention and skilled surgical options, we help stabilize injuries and promote proper healing.

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Knee Care
Knee Care

We provide treatment for ACL tears, meniscus damage, arthritis, and other knee-related injuries using both conservative therapies and surgical reconstruction techniques. We tailor care based on your activity level and goals.

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Elbow Care
Elbow Care

We treat elbow pain and injuries caused by trauma, repetitive motion, or joint conditions. From therapy and injections to surgical repair, our team provides accurate diagnosis and effective treatment to restore function and reduce pain.

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Shoulder Care
Shoulder Care

We treat common and complex shoulder injuries with an emphasis on conservative care when possible, and advanced surgical repair when needed. From rotator cuff injuries to total shoulder replacement, we help patients regain strength and function. 

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Our Unique Advantage: Robotic-Assisted Spine Surgery

ONYX is one of only a few ambulatory surgery centers in the country that offers robotic-assisted spine surgery using the advanced Globus ExcelsiusGPS® system. This innovative technology enhances surgical precision, reduces tissue damage and blood loss, and helps patients recover faster with fewer complications.

When surgery is necessary, we prioritize minimally invasive techniques that shorten recovery times and lower risks, because better outcomes start with smarter tools and specialized care.

Outpatient Surgery at ONYX ASC

Our in-house ambulatory surgery center (ASC) provides patients with access to advanced surgical care in a modern, efficient setting. Designed by surgeons to reduce delays and lower costs, ONYX ASC offers same-day spine and orthopedic procedures using minimally invasive and robotic-assisted techniques.

Patients benefit from:

  • Shorter wait times and faster recovery
  • Lower out-of-pocket costs compared to hospital-based care
  • Streamlined check-in, discharge, and post-op instructions
  • A focused environment centered around surgical outcomes

The ONYX ASC is part of our full-service model, giving patients the high-quality care they need without the disruption or expense of a hospital stay.

EXPLORE OUR ASC SERVICES

Onyx Transitional Care Services

Recovery doesn’t end when you leave the surgery center. Through our Transitional Care model, ONYX connects patients with trusted rehabilitation and recovery providers to support the next phase of healing.

Whether you need physical therapy, short-term rehabilitation, or help returning to work, our team coordinates your recovery path so you’re never left navigating it alone.

We assist with:

  • Post-surgical rehab and strength building
  • Home health coordination when needed
  • Return-to-duty planning for injured workers
  • Communication with your referring provider or case manager

This coordinated approach ensures continuity of care, better outcomes, and a smoother transition from surgery back to daily life.

MORE ABOUT TRANSITIONAL CARE

What Our Patients Have To Say

At Onyx Spine & Orthopedic Institute, every patient’s experience matters. From expert care to compassionate support, hear how our team has helped individuals and families feel seen, heard, and truly cared for.

From the very first appointment, Dr. Minges was very honest and forthcoming and wasted no time. Considering I have previously had a lumbar fusion, which was very serious after deciding on treatment, and ultimately having another operation. He cleaned up everything from the first operation, fixed the new issue, and rebuilt the cage around my spine. Within 24 hours of being home from the hospital, I was off all medications, had zero side effects, and zero complications. I would 100% absolutely recommend Dr. Minges!

Satisfied Lumbar Fusion Patient

Had bulging disc in lower back. Pain rating was very high when it started. With Dr. Minges' help, I am back to doing what I was able to do prior to my injury with minimal to no pain. Really appreciate all that he has done to help me continue doing the things I love.

Satisfied Bulging Disc Patient

Dr. Minges was very straightforward and understanding.

Satisfied Patient with Dr. Minges

I'm walking again! Dr. Minges and his staff were great — very professional and took great care of me.

Satisfied Patient with Dr. Minges

Dr. Minges and his staff were very caring and listened to any information and concerns I had. Staff have always been super friendly and made sure all paperwork was in order. Dr. Minges listened to all of my concerns and gave a very solid treatment plan for my issues.

Satisfied Patient with Dr. Minges

Excellent care from both Dr. Minges and his team all the time - they listen, they’re thorough, always with wonderful bedside manner, even with my complicated case. They performed the big surgery I needed and did it well. Will always recommend.

Satisfied Surgical Patient with Dr. Minges

Contact Us

Onyx is accepting new referrals. Please fill out the form below or call us with your referral information. Patient inquiries can be directed to us by phone.