Rod J. Oskouian, MD

  • Spine Surgery
  • Neurological Surgery
Accepting New Patients
550 17th Ave.
James Tower, 5th Floor
Seattle, WA 98122
(206) 320-2800
(206) 320-5250

General Information

Dr. Oskouian is a neurosurgeon who specializes in the diagnosis and treatment of complex spinal disorders. As the Chair of the Complex Spine Department, his clinical practice located on the Swedish/Cherry Hill campus in Seattle focuses on scoliosis, spinal deformities, spine trauma, spine fractures, spinal surgery revisions, osteoporosis, spinal cord injury, degenerative disc disease, spine tumors, stereotactic spinal radiosurgery, spine infections, and minimally invasive spinal surgery. Dr. Oskouian received his medical degree from the University of California, Los Angeles. He completed his residency in neurosurgery at the University of Virginia under the late Dr. John Jane, Sr. Dr. Oskouian completed his neurosurgery fellowship at the New Zealand National Hospital in Auckland. Dr. Oskouian has published in numerous medical journals and textbooks, including Neuroscience, Neurosurgery, Neurosurgical Clinics of North America, the Journal of Neurosurgery, Neurosurgical Focus and Spine. His philosophy of care is to provide comprehensive, individualized medical care for his patients based on the most recent scientific advances. Dr. Oskouian also believes prevention, communication and education are a vital component of a patient’s long-term health and well-being.
  • Neurological Surgery
  • Spine Surgery
Education Background
Medical School: University of California, Los Angeles David Geffen School of Medicine
Residency: University of Virginia
Fellowship: New Zealand National Hospital
  • English
  • Persian
Professional Associations
Member: Christopher and Dana Reeve Paralysis Foundation, Neurofibromatosis Foundation, American Association of Neurological Surgeons, Congress of Neurological Surgeons, American Medical Association, North American Spine Association, Seattle Science Foundation Advisory Board, AOSpine; Board Member: One Spine, Puget Sound Spine Interest Group; Chairman: One Spine Annual Fellows Meeting



1.      Kelly DF, Oskouian RJ Jr, Fineman I.  Collagen sponge repair of small cerebrospinal fluid leaks obviates tissue grafts and cerebrospinal fluid diversion after pituitary surgery.  Neurosurgery.  2001;49(4):885-889.

2.      Oskouian RJ Jr, Johnson JP, Regan JJ.  Thoracoscopic microdiscectomy.  Operatíve Nuances Section: Neurosurgery.  2002;50(1):103-109.

3.      Oskouian RJ Jr, Johnson JP.  Vascular complications in anterior thoracolumbar spinal reconstruction. J Neurosurg. 2002;96(1):1-5.

4.      Oskouian RJ Jr, Jane JA Sr, Laurent JJ, Dumont AS, Levine PA.  Esthesioneuroblastoma: Clinical presentation, radiology, pathology, treatment, and review of the literature.  Neurosurg Focus.  2002;12(5)1-9.

5.      Oskouian RJ Jr, Martin NA, Lee JH, Glenn TC, Guthrie D, Gonzalez N, Afari A, Vinũela F.  Multimodal quantitation of endovascular therapy for vasospasm: TCD, CBF and arterial diameters. Neurosurgery.  2002;51(1):30-41.

6.      Dumont AS, Oskouian RJ Jr, Chow MM, Kassell NF.  Surgical management of unruptured basilar artery bifurcation aneurysms: Technical note.  Neurosurg Focus.  2002;13(3):e3.

7.      Dumont AS, Dumont RJ, Oskouian RJ Jr.  Will improved understanding of the pathophysiological mechanisms involved in acute spinal cord injury improve the potential for therapeutic intervention?  Curr Opin Neurol.  2002;(6):713-20.

8.      Oskouian RJ Jr, Samii A,  Whitehill R,  Shaffrey Me, Johnson R, Shaffrey CI.  The future of spinal arthroplasty: A biomaterial perspective.  Neurosurg Focus.  2004;17(3):E2.

9.      Laws ER, Sheehan JP, Sheehan JM, Jaganathan J, Jane JA Jr, Oskouian JR Jr.  Stereotactic radiosurgery for pituitary adenomas: a review of the literature.  Journal of Neuro-Oncology.  2004;69: 257–272.

10.    Oskouian RJ, Johnson PJ.  Endoscopic thoracic discectomy.  Neurosurg Focus.  2005;3(6):459-464.

11.    Kanter AS, Dumont AS, Asthagiri AR, Oskouian RJ Jr, Sansur C, Jane JA Jr, Laws ER Jr. The transsphenoidal approach: A historical perspective.  Neurosurg Focus. 2005;18(4):e6.

12.    Villavicencio AT, Oskouian RJ Jr, Roberson C, Stokes J, Park J, Shaffrey CI, Johnson JP. Thoracolumbar vertebral reconstruction of metastatic spinal tumors: Long-term outcomes.  Neurosurg Focus.  2005;19(3):E8.

13.    Johnson JP, Stokes JJ, Oskouian RJ Jr, Choi W.  Image-guided thoracoscopic spinal surgery: A merging of two technologies.  Spine 2005;30(19):E572-8.

14.    Kanter AS, Diallo AO, Jane JA Jr., Sheehan JP, Asthagiri AR, Oskouian RJ Jr, Okonkwo DO, Sansur CA, Vance ML, Rogol AD, Laws ER Jr.  Single-center experience with pediatric Cushing’s disease.  J Neurosurg.  2005;103(5):413-20.

15.    Jagannathan J, Dumont AS, Prevedello DM, Lopes B, Oskouian RJ Jr, Jane JA Jr, Laws ER Jr. Genetics of pituitary adenomas: Current theories and future implications.  Neurosurg Focus. 2005;19(5):E4.

16.    Oskouian RJ Jr, Johnson JP.  Endoscopic thoracic microdiscectomy.  J Neurosurg Spine.  2005;3(6):459-64.        

17.    Li Y, Oskouian RJ Jr, Day Y-J, Kewrn JA, Linden JM.  Evaluation of a compression-derived mouse spinal cord ischemia/reperfusion (SCIR) injury model.  J Neurosurg Spine. 2006;4(2):165-73.

18.    Pouratin N, Oskouian RJ Jr, Jensen ME, Kassell NF, Dumont AS.  Endovascular management of unruptured intracranial aneurysms.  J Neurol Neurosurg Psychiatry.  2006;77:572-578.

19.    Li Y, Oskouian RJ Jr, Day YJ, Rieger JM, Liu L, Kern JA, Linden J.  Mouse spinal cord compression injury is reduced by either activation of the adenosine a(2a) receptor on bone marrow-derived cells or deletion of the a(2a) receptor on non-bone marrow-derived cells. Neuroscience.  2006;141(4):2029-2039.

20.    Oskouian RJ Jr, Samii A, Laws ER.  The craniopharyngiomas. Pituitary surgery.  Front Horm Res. 2006;34:256-278.

21.    Li Y, Oskouian RJ, Day YJ, Ker Ja, Linden J.  Optimization of a mouse locomotor rating system to evaluate compression-induced spinal cord injury:  Correlation of locomotor and morphological injury indices.  J Neurosurg Spine.  2006;4(2):165-173.

22.    Oskouian RJ Jr, Kelly DF, Laws ER.  Vascular Injury and transsphenoidal surgery.  Pituitary surgery.  Front Horm Res.  2006;34:105-126.

23.    Li Y, Oskouian RJ, Shaffrey CI, Day Y-J, Bumpass DB, Roy RJ, Berr SS, Kern JA, Linden J.  Novel and reproducible murine spinal cord ischemia/reperfusion injury mode.  Top Spinal Cord Inj Rehabil.  2006;12(1):1-10.

24.    Oskouian RJ Jr, Shaffrey CI.  Degenerative lumbar scoliosis.  Neurosurg Clin N Am.  2006;17(3):299-315, vii. 

25.    Aslan H, Zilberman Y, Kandel L, Liebergall M, Oskouian RJ Jr, Gazit D, Gazit Z.  Osteogenic differentiation of noncultured immunoisolated bone marrow-derived CD105+ cells.  Stem Cells.  2006;24(7):1728-1737.

26.    Oskouian RJ Jr, Shaffrey CI, Whitehill R, Sansur CA, Pouratian N, Kanter AS, Asthagiri AR, Dumont AS, Sheehan JP, Elias WJ, Shaffrey ME.  Anterior stabilization of three-column thoracolumbar spinal trauma. J Neurosurg Spine.  2006;5(1):18-25.

27.    Li Y, Oskouian RJ Jr, Day YJ, Rieger JM, Liu L, Kern JA, Linden J.  Mouse spinal cord compression injury is reduced by either activation of the adenosine A2A receptor on bone marrow-derived cells or deletion of the A2A receptor on non-bone marrow-derived cells.  Neuroscience.  2006;141(4):2029-2039.

28.    Elias WJ, Pouratian N, Oskouian RJ, Schrimer B, Burns T.  Peroneal neuropathy following successful bariatric surgery.  Case report and review of the literature.  J Neurosurg.  2006;105(4):631-635.

29.    Oskouian RJ Jr, Sansur CA, Shaffrey CI.  Congenital abnormalities of the thoracic and lumbar spine.  Neurosurg Clin N Am.  2007;18(3):479-498.

30.    Sansur CA, Frysinger RC, Pouratian N, Fu K-M, Bittl M, Oskouian RJ, Laws ER, Elias JW. Incidence of symptomatic hemorrhage after stereotactic electrode placement.  J Neurosurg.  2007;107(5):998-1003.

31.    Jagannathan J, Oskouian RJ, Yeoh K, Dumont AS.  Molecular biology of unreresectable meningiomas: Implications for new treatments and review of literature.  Skull Base.  2008;18(3):173-187.

32.    Sheehan J, Ionescu A, Pouratian N, Hamilton K, Schelesinger D, Oskouian RJ Jr, Sansur C. Trans sodium crocetinate sensitizes glioblastoma multiforme tumors to radiation.  J Neurosurg.  2008;108(5):972-978.

33.    Jagannathan J, Oskouian RJ Jr, Dumont AS, Shaffrey CI, Jane JA Sr.  Radiographic and clinical outcomes following single level anterior cervical diskectomy and allograft fusion without plating or cervical collar.  J Neurosurg Spine.  2008;8(5):420-428.

34.    Hamilton DK, Jones-Quaidoo SM, Sansur C, Shaffrey CI, Oskouian R, Jane JA Sr.  Outcomes of bone morphogenetic protein-2 in mature adults: Posterolateral non-instrument-assisted lumbar decompression and fusion.  Surg Neurol.  2008;69(5):457-461.

35.    Furneaux CE, Marshall ES, Yeoh K, Monteith SJ, Mews PJ, Sansur CA, Oskouian RJ, Sharples KJ, Baguley BC.  Cell cycle times of short-term cultures of brain cancers as predictors of survival.  Br J Cancer J.  2008;99(10):1678-1683.

36.    Sansur CA, Fu KM, Oskouian RJ Jr, Jagannathan J, Kuntz C 4th, Shaffrey CI.  Surgical management of global sagittal deformity in ankylosing spondylitis.  Neurosurg Focus.  2008;24(1):E8.

37.    Jagannathan J, Sansur CA, Oskouian RJ Jr, Fu KM, Shaffrey CI.  Radiographic restoration of lumbar alignment after transforaminal lumbar interbody fusion.  Neurosurgery.  2009;64(5):955-963.

38.    Jagannathan J, Yen CP, Ray DK, Schlesinger D, Oskouian RJ Jr, Pouratian N, Shaffrey ME, Larner J, Sheehan JP.  Gamma Knife radiosurgery to the surgical cavity following resection of brain metastases.  J Neurosurg.  2009;111(3):431-438.

39.    Hussain NS, Hanscom D, Oskouian RJ Jr.  Chyloretroperitoneum following anterior spinal surgery. Report of 4 cases.  J Neurosurg Spine.  2012;17(5):415-421.

40.    Ahmadian A, Verma S, Mundis GM Jr, Oskouian RJ Jr, Smith DA, Uribe JS.  Minimally invasive lateral retroperitoneal transpsoas interbody fusion for L4-5 spondylolisthesis: clinical outcomes. J Neurosurg Spine. 2013 Sep;19(3):314-20.

41.    Oskouian RJ Jr, Uribe JS.  Introduction: Minimally Invasive Spine surgery: The Greatest Advance in Medicine?  Neurosurg Focus. 2013 Aug;35(2):Introduction.

42.    Chapman JR, Oskouian RJ Jr. Nonoperative care or noncore for thoracolumbar spine fractures?  Questioning the unthinkable.  Spine J.  2014;14(11):2557-64.

43.    Moisi MD, Page J, Oskouian RJ Jr.  Commentary on: Lumbar Intervertebral Discal Cyst: A Rare Cause of Low Back Pain and Radiculopathy. Case Report and Review of the Current Evidences on Diagnosis and Management.”  Evid Based Spine Care J. 2014.

44.    Oskouian, RJ Jr, Chapman, JR  Cervicothoracic Spine Fractures. AOSpine 2015 (6): 57-75.

45.    Hussain, NS, Perez-Cruet, MJ, Oskouian RJ Jr. Thoracolumnbar Osteoporosis. Spinal Instrumentation, 2nd Ed., Ch 49.

46.    Moisi M, Page J, Paulson D, Oskouian RJ.  Technical Note - Lateral Approach to the Lumbar Spine for the Removal of Interbody Cages. Cureus. 2015 May 11;7(5):e268. doi: 10.7759/cureus.268. eCollection 2015 May.

47.   Tubbs RS, Demerdash A, Rizk E, Chapman JR, Oskouian RJ. Complications of transoral and Transnasal odontoidectomy: a comprehensive review.  Childs Nerv Syst. 2015 Aug 7.

48.   Akobo S, Rizk E, Loukas M, Chapman JR, Oskouian RJ, Tubbs RS.  The Odontoid Process: A Comprehensive Review of Its Anatomu, Embryology and Variations. Childs Nerv Syst. 2015 Aug 8.

49.   Bernard S, Loukas M, Rizk E, Oskouian RJ, Delashaw J, Shane Tubbs R. The Human Orbital  Bone:   Review and Update of its Embryology and Molecular Development. Childs Nerv Syst. 2015 Aug 18.

50.  Youssef P, Loukas M, Chapman JR, Oskouian RJ, Tubbs RS. Comprehensive Anatomical and Immunohistochemical Review of the Innervation of the Human Spine and Joints with Application to an Improved Understanding of Back Pain.  Childs Nerv Syst. 2015 Aug 18.

51.  Aly I, Chapman JR, Oskouian RJ, Loukas M, Tubbs RS.  Lumbar Ribs: a Comprehensive Review.  Childs Nerv Syst. 2015 Sep 9.



Mesenchymal stem cell and regeneration of the nucleus pulposus and annulus

Degenerative disc disease mouse model

Tissue engineering with nanoscaffolds and stem cells

The role of adenosine agonist therapy in spinal cord injury

Minimally invasive neurosurgery

Minimally invasive surgical techniques in the management of degenerative, traumatic, and degenerative spinal disorders

Stereotactic radiosurgery for the spine

Co-founded a Biotechnology/Stem Cell Company, NanoSpine LLC


Cerebral vasospasm and endovascular therapy. Neil A. Martin M.D., Division of Neurosurgery, UCLA Iris Cantor School of Medicine Research Grant 1999.

Vascular complications and anterior spinal surgery. J. Patrick Johnson M.D., UCLA Spine Center, Edith and Carl Lasky Research Award, UCLA School of Medicine 2001.

Adenosine A2a agonist in the treatment of acute spinal cord injury: University of Virginia School of Medicine. Commonwealth Neurotrauma Initiative 2003-5. 

Adult Stem Cells Processing and Delivery Technology. NIH STTR grant #00069088, submitted for 2006-7.


Cyberknife for spine patients

January 20, 2014

Cyberknife is a type of radiosurgery used to deliver radiation to a specific part of the body.  This high-energy x-ray system utilizes a robotic arm to deliver focused beam radiation.  While the focused radiation can destroy tumor cells and halt tumor growth, the surrounding tissues have minimal exposure to the radiation, thus sparing them from damage.

When is it used?

CyberKnife is useful for both cancerous and noncancerous tumors.  While it has been used to treat tumors of the head, neck, breast, lung, pancreas, kidney, liver, and prostate, it can be extremely effective for the treatment of  spinal tumors.  

How does CyberKnife work?

Patients who undergo CyberKnife have a specialized treatment plan created for them by their neurosurgeon, radiation oncologist, and a medical physicist.  These personalized plans take into account the ...

Clinical Experience

  • Neurological Surgery
  • Spine Surgery
Clinical Interests
  • Ankylosing Spondylitis
  • Back Injuries
  • Back/Spine Injuries
  • Back/Spine Surgery
  • Cervical Fractures
  • Cervical Injury/Problems
  • Cervical Spine Problems/Proc.
  • Cervical/Lumbar Degen. Disorders
  • Chordoma
  • Congenital Deform. Extr/Spine
  • CyberKnife
  • Disc Problems
  • Discitis
  • Kyphosis
  • Minimally Invasive Procedures
  • Minimally Invasive Spine Surgery
  • Myelopathy
  • Neck Disorders
  • Neck Injuries
  • Neck Pain
  • Neurosurgery
  • Osteomyelitis
  • Radiculopathy
  • Sarcoma
  • Schwannoma
  • Sciatica
  • Scoliosis Surgery
  • Spinal Cord Injury
  • Spinal Disorders
  • Spinal Pain
  • Spinal Revision Surgery
  • Spinal Stenosis
  • Spine Deformity
  • Spine Fractures
  • Spine Infections
  • Spine Trauma
  • Spine Tumors
  • Stereotactic Radiosurgery
  • Thoracic Spine Trauma/Disease


Patient Ratings and Comments

The Patient Rating score is based on responses given during the CAHPS Patient Experience Survey. Responses are measured on a 10-point scale, with 10 being the best score. These scores are then translated to a 5-point scale in order to display results in a 5-star rating. Comments are also gathered from the same survey and displayed in their entirety with the exception of any language that may be considered slander, libel or contain private health information, which will be removed prior to publishing the comments.

4.4 out of 5 (71 Ratings, 17 Comments)


I am very confused. On [...], Dr. Oskouian had scheduled me for scoliosis surgery for [...], two surgeries. I agreed to this surgery because he read my x-rays which showed I now have a [...]-degree scoliotic curve. However, a week later, through myChart, I received the radiologist report showing that my curve is only [...]-degrees. Because of that and some other questions, I scheduled a pre-surgery follow-up meeting with Dr. Oskouian [...] to ask him a few questions. In the middle of answering my first question, he stated he wanted to cancel my surgeries. His reason is that my pain level (that day only) was a "2" whereas it's usually a "6". I explained to him that I had been taking days off work and had been resting for many days (no walking!) which is why. Dr Oskouian stated that I may never see any benefits of the scoliosis surgery, and I will lose a great deal of flexibility. Dr. Oskouian now wants to pursue a different surgery [...]. I'm very confused. [...]

Dr. Oskouian gave me my quality of life back. I will be forever grateful for the successful surgery and follow up care provided by Dr. Oskouian and his staff.

the Dr. spend a short amount of time with us as I am sure he was very busy. he was through and gave good advice but seemed a little distant.

The doctor was obviously very knowledgeable.

five years ago he was a new doctor and talk to his patients. Now he did not spend any time with me

[…] The. Dr. was in the room with me maybe 5-7 min told me what was wrong and stay in brace for 6wks. That's it. No explanation of CT, no overview of type of injury and its effect, what can happen, how it heals, why this kind of brace, what should I do about medicines, how I should sleep at night, etc. No concern about my personal situation about my job, home situation at it relates to my injury and how it may effect me. I want a new provider. […]

He was good. Time should be a little longer.

All good.

[...] He did not address my condition or concerns. He only looked at the images and had his mind made up before considering my medical history or seeing me. [...] He made assumptions about me without asking any questions. [...] This is very inconsiderate and unprofessional. I meticulously and honestly answered every question on my pre-registration paperwork. It was obvious that the nurses were the only people who read it. [...] My most limiting condition is the inability to travel because of the leg and foot pain. He gave that no consideration at all. [...] It appears to me that he had the idea in his head that I was asking for a rebuild of my thoracic spine surgery, because he repeated that surgically cutting through my thoracic back muscles would make me worse off. That is the farthest thing from what I am asking for. [...]

Dr. Rod Oskouian gave me my life back. I can't say enough "thank you's" other doctor where I live said I could not work again. God bless Dr. Oskouian anyone I no I would tell them to drive 250 miles west to go to Swedish Medical Center also to Dr. Rod Oskouian.

Doesn't break down condition exactly what I had. Patients like me go blank at the office so a doctor should voluntarily explain in detail what they did or want to do or what is going on.

Dr. Oskouian personally followed up. Very conscientious!

Excellent Doctor and Nurse Assistants

Very good.

[...] the staff at his office couldn't have been nicer, kind, and great sense of humor! You guys totally rock! Thank you thank you. I also was given a packet to bring home with me that has clear instructions for my surgery, and all phone numbers to call if I need help with anything.

After waiting 45 mins. over my appt. time, the doctor spent 1 min. with me. I felt very rushed.

The description of my medical problem was poor, I did not understand
550 17th Ave.
James Tower, 5th Floor
Seattle, WA 98122
(206) 320-5250
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