Nicholas D Fletcher, MD

Orthopaedic Surgeon





Dr. Fletcher is a board-certified Orthopedic Surgeon who specializes in pediatric orthopedics. He is an Associate Professor of orthopedic surgery at Emory University School of Medicine and serves as Medical Director of Spine Quality and Outcomes at Children’s Healthcare of Atlanta.

Dr. Fletcher’s areas of clinical expertise include spine and hip conditions. For children with scoliosis, kyphosis and spondylolisthesis, he offers a range of nonsurgical and surgical options, including Mehta casting, bracing and posterior spinal fusion, as well as magnetic expandable growing rods (MAGEC) and VEPTR. Dr. Fletcher is also 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.

Dr. Fletcher has extensive experience in pediatric orthopedic research, where he has focused on spinal deformity, traumatic injuries and hip conditions, including minimally invasive pelvic osteotomies for neuromuscular hip dysplasia and slipped capital femoral epiphysis. He has led the Emory Orthopaedic Harrison Foundation Center for Pediatric Orthopaedic Research since 2011 and has authored more than 35 peer-reviewed studies. Dr. Fletcher’s research has received multiple awards, most recently at the Safety in Spine Summit, where his work on using a coordinated care pathway following spinal fusion for children with cerebral palsy received a first place award.

Dr. Fletcher is also very involved with several orthopedic organizations. He serves the Pediatric Orthopaedic Society of North America (POSNA) as the incoming chair of the Quality/Safety/Value Spine Committee, and has held numerous positions within the Scoliosis Research Society (SRS). He is a current member of the Harms Study Group, which focuses on scoliosis care, as well as the Children’s Spine Study Group and CORTICES Pediatric Trauma Study Group. Dr. Fletcher is also a regular speaker at the SRS, POSNA and the International Pediatric Orthopaedic Symposium annual meetings, and has given numerous national and international presentations.

Outside of patient care and research, Dr. Fletcher has a passion for orthopedic education and teaching. He currently serves as the assistant director of the Orthopaedic Residency Program at Emory and was previously the Emory Pediatric Orthopaedic Fellowship Director. In 2015, he was awarded the George E. Wright Faculty Member of the Year for the Emory Department of Orthopaedics.

In his spare time, Dr. Fletcher enjoys tennis, hockey, lacrosse and spending time with his wife and their children.


Childrens Physician Group - Orthopaedics and Sports Medicine

Center for Advanced Pediatrics, 1400 Tullie Road NE 2nd Flr
Atlanta, GA 30329
Get Directions 404-255-1933

Childrens Medical Services - GA Public Health North

440 Prior Street SE
Gainesville, GA 30501
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Focus of Practice

  • Spinal care, including scoliosis, kyphosis, spondylolisthesis and disc herniaitons
  • Complex hip problems and hip dysplasia
  • Neuromuscular disease, such as cerebral palsy or spina bifida

Areas of Interest

  • Spinal disorders, including scoliosis, kyphosis, spina bifida, spondylosis and spondylolisthesis
  • Complex hip problems and hip dysplasia
  • Neuromuscular disorders, such as cerebral palsy
  • Limb lengthening and reconstruction
  • Fractures, traumatic injuries and foot disorders, including clubfoot, flat foot and high arched (cavus) foot

Professional Affiliations

  • American Academy of Orthopaedic Surgeons
  • Georgia Orthopaedic Society
  • Pediatric Orthopaedic Society of North America
  • Scoliosis Research Society

Research Interests

Safe delivery of high-quality, postoperative care following spinal surgery, development of spinal instrumentation and advancement of spinal technology, development of a minimally invasive approach to surgical hip reconstruction in children with hip dysplasia and neuromuscular conditions, blood loss management during spinal surgery, postoperative recovery following spinal surgery, growth arrest following distal femoral fractures


Nicholas D. Fletcher, MD, explains the importance of backpack safety and how to avoid injury

Nicholas D. Fletcher, MD, a Pediatric Orthopedic Surgeon at Children’s Healthcare of Atlanta, highlights the importance of backpack safety and provides parents with advice on how to help their child select, load and wear a backpack to avoid pain or injury.