Nicholas D. Fletcher, M.D.

Associate Professor of Orthopaedic Surgery

Emory University School of Medicine

Fellowship Director

Emory Pediatric Orthopaedics

Associate Residency Program Director

Department of Orthopaedic Surgery


Harrison Center for Pediatric Orthopaedic Research


Children's Healthare of Atlanta Spinal Deformity Program-Quality Outcomes

Phone: 404-778-3350

Additional Contact Information

Mailing Address:

Emory Orthopaedics & Spine Center

59 Executive Park South
Suite 2000

Atlanta, GA 30329

Additional Websites


  • Medical School, Vanderbiblt University, Nashville, TN, 2004
  • Internship, Vanderbilt University, Nashville, TN, 2005
  • Residency, Orthopedic Surgery, Vanderbilt University Medical Center, Nashville, TN, 2009
  • Fellowship, Pediatric Orthopaedics, Texas Scottish Rite Hospital for Children, Dallas, TX, 2010


Dr. Fletcher joined Emory in 2010 and is a board certified orthopaedic surgeon specializing in care of pediatric orthopaedic conditions including: scoliosis and kyphosis(curved spines), hip disorders including dysplasia, fractures and broken bones, neuromuscular disorders such as cerebral palsy, leg length differences, foot conditions and angular deformities of the lower limbs. Care for children with spine and hip conditions are particular areas of expertise.

With respect to spinal disorders, Dr. Fletcher takes cares of all forms and severity of pediatric spinal problems including adolescent scoliosis, neuromuscular scoliosis, congenital scoliosis, early onset scoliosis, kyphosis, and spondylolisthesis. He is the co-director of the spine team at Children’s Healthcare of Atlanta where he heads the quality and outcomes initiative and seeks to maximize safety and quality for children cared for at CHOA. Dr. Fletcher offers a range of treatment options for children with scoliosis and kyphosis including non operative methods such as Mehta casting and bracing as well as posterior spinal fusion and even newer technologies such as magnetic expandable growing rods (MAGEC©) and VEPTR. He has spoken locally, nationally, and internationally on his research in scoliosis and is a member of the Scoliosis Research Society education committee. His work on adolescent scoliosis has been presented as far away as Alaska and Japan and he has published multiple studies on early onset and adolescent scoliosis. He also received the 2010 T. Boone Pickens Award for Spinal Research for his research in Adolescent Idiopathic Scoliosis. His current work focuses on safe delivery of high quality post operative care following spinal surgery. Dr. Fletcher has presented this research at several national meetings and was recently nominated for best poster at the 2014 Scoliosis Research Society Annual Meeting for his work. His work also includes the development of spinal instrumentation and advancement of spinal technology.

Dr. Fletcher also specializes in pediatric and young adult hip conditions including hip dysplasia, femoroacetabular impingement (FAI), perthes disease, avascular necrosis, and slipped capital femoral epiphysis. He is one of only a handful of surgeons in the southeast with expertise in the Ganz or periacetabular osteotomy (PAO) for hip dysplasia and the modified Dunn osteotomy for slipped capital femoral epiphysis. He takes care of children of all ages, in addition to young adults, with conditions such as hip dysplasia and femoroacetabular impingement (FAI). Current research in this area focuses on the development of a minimally invasive approach to surgical hip reconstruction in patients with hip dysplasia and neuromuscular conditions. 

Outside of patient care and research, Dr. Fletcher has a passion for orthopaedic education and teaching. An assistant professor of orthopaedic surgery at Emory, Dr. Fletcher coordinates and oversees the pediatric orthopaedic education program at Emory, is director of the pediatric orthopaedic fellowship, and is a Discovery Mentor for Emory University medical school students. He is the founding physician member of the Emerging Leaders committee for Children's Healthcare of Atlanta where he also serves on the trauma improvement committee, spinal infection prevention committee, non-accidental trauma committee, and spinal surgery guiding committee. He serves on the evidenced-based medicine committee for the Pediatric Orthopaedic Society of North America and has been a part of the education committee for the Scoliosis Research Society. 

Dr. Fletcher serves as director of the Luther and Susie Harrison Center for Pediatric Orthopaedic Research, which is dedicated to advancing the understanding of pediatric orthopaedic conditions. Emory is involved in single and multicenter clinical trials involving other physicians from around the world.

Honors and Awards

  • Magna Cum Laude, Honors in Molecular Biology, 2000
  • Phi Beta Kappa, Vanderbilt University, 2000
  • Camby Robinson Scholarship for Research in Emergency Medicine, 2001
  • Alpha Omega Alpha Honor Medical Society, 2003
  • Vanderbilt Orthopaedic Surgery Clerkship Award, 2004
  • General Surgery Clerkship Award, 2004
  • T Boone Pickens Spine Research Award, 2010

Organization Memberships

  • Director of Spine – Quality and Outcomes for CHOA
  • Fellowship Director Emory Pediatric Orthopaedics 
  • Director of Luther and Susie Harrison Center for Pediatric Orthopaedic Research
  • Emerging Leaders Committee Childrens Healthcare of Atlanta – Founding member
  • Scoliosis Research Society – Education Committee 2013-14
  • CHOA Trauma Guiding Committee Member 2011 - present
  • POSNA Evidence Based Medicine Committee Member 2011 – present
  • CHOA Spinal Deformity Guiding Committee – 2013 - present
  • CHOA Scoliosis Infection Prevention Committee 2012-present
  • CHOA Non-Accidental Trauma Taskforce 2012-present
  • CHOA Fracture Guiding Committee 2012-present
  • Emory Discovery Research Mentor 2011/12 and 2013/14
  • Emory Discovery Research Reviewer 2013
  • Emory PSAT Committee 2014


Dr. Fletcher focuses his research on the management of all pediatric orthopaedic conditions. He is the director of the Arthur and Susan Harrison Center for Pediatric Orthopaedic Research at Emory.  Particular interests include scoliosis and sagittal spinal deformities, pediatric hip conditions and trauma. His work has been presented nationally and internationally at the Pediatric Orthopaedic Society of North America, American Academy of Orthopaedic Surgeons, and the Scoliosis Research Society annual meetings.