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About Seaside Spine Specialists

Welcome to Seaside Spine Specialists! We are a group of neurosurgeons using the latest spinal technologies available to provide state-of-the-art and minimally invasive surgical solutions. This includes using the latest spinal robotic technology as well as intraoperative CT scanning. Together, we will work closely to find a solution for your spinal pain problem. We can cover the most complex problems as well as simple pain conditions which may not even require surgery.


We operate at several different facilities, including Summerville Medical Center, East Cooper Medical Center, Trident Medical Center, as well as several Roper facilities. For same-day surgeries, we operate at the Center for Advanced Surgery, which is located on our medical campus directly across from our office.

At Seaside Spine Specialists, our treatment process always begins with the least invasive option. This often includes physical therapy and epidural steroid injections (ESI) . After that, and depending on what your MRI shows, we might offer you rhizotomy. Rhizotomy is also known as RFA (Radio Frequency Ablation). These two treatments, ESI and RFA, are delivered in an office setting using a needle under X-ray guidance. 


If those interventions are not helpful, then our seasoned practitioners at Seaside Spine Specialists will offer more sophisticated treatment options tailored to your unique pain condition. For Dr. DAgostino, it comes down to offering you the least invasive procedure that is most likely to provide the greatest likelihood of success. 


Dr. DAgostino has trained with the world premiere spine surgeons and can offer you the most advanced and minimally invasive spinal technologies available. Through his collaboration with the Center for Advanced Surgery, Charleston’s most modern surgery center , he can offer a growing number of same-day surgical procedures.


At Seaside Spine Specialists we take pride in offering the latest technologies. This allows us to custom fit our surgical recommendation to your unique situation. Dr. DAgostino and his team take many factors into consideration when offering you a treatment option. For example, if you have already had a prior fusion surgery with screws and rods, then we will need to consider how our surgery would integrate with your prior surgery. We have many options that will allow for integration without the need to significantly affect your surgical site. This results in a quicker, less painful, recovery. 


Dr. DAgostino and his team are also very proud of the fact that they performed the first robotic surgery to South Carolina. Other hospitals have followed our lead since we introduced the Globus ExcelsiusGPS robot back in 2018. Dr. DAgostino holds the local record for most robotic spine surgeries performed - well over 500 at this point!


Dr. DAgostino always reminds his patients that the spine is a complex structure. What is done in one part of the spine will affect other parts. This is why it is extremely important that you select a surgeon that is well versed in multiple different approaches to the spine. This is the only way you can be sure that all options are being considered. Our patients take comfort in knowing that we can perform a full spectrum of minimally invasive surgeries that may not be available to you at other practices. This is exactly what Dr. DAgostino and his team at Seaside Spine Specialists are most proud of - our ability to offer so many different options to treat your spinal condition.


Please explore our website to better understand the multiple different minimally invasive spinal solutions that we offer.

"Our mission, simply stated, is to identify the least invasive solution that is most likely to give you the greatest pain relief."

--Dr. DAgostino ("Dr. D")

Dr. Sabino DAgostino


Minimally Invasive Spine Specialist

Expert in Robotic Spine Surgery

Southeast Regional Physician Educator

4 Things to know about "Dr. D"



As a self-proclaimed technology nerd, Dr. D has always lived at the cutting edge of technology. Today's tools allow us to treat complex spinal problems with precision and accuracy that simply did not exist a couple of years ago. Smaller incisions and enhanced techniques will lead to superior outcomes and expedited recovery - who wouldn't want that!



When planning a surgery, Dr. D is always thinking about the problem that you have today and the problems that you might have in the future. This allows him to preserve future treatment options, ensuring you always have excellent options available for addressing any potential pain conditions that may arise.



It is in his DNA to help people, not just with spine surgery, but in any way he can. Nothing gives him greater satisfaction than thinking about the thousands of people that he has helped over the last 20+ years. He is always exploring new ways to help even more people. It is his honor to serve the Charleston community. 



After completing his residency at The Medical University of South Carolina (MUSC),  Dr. D spent two additional years training in Texas before returning to the Charleston Community. Today, surgeons fly in from all over the Southeast US just to learn from him. He has even flown to Italy to introduce the first spine robot used in that country. 

Amanda Crowley, NP

Nurse Practitioner

Spine Care Specialist

We are proud to introduce you to our exceptional Lead Nurse Practitioner, with over 15 years of nursing experience at renowned institutions such as Duke University, WakeMed Health, and MUSC. At Seaside Spine, we are dedicated to providing the highest level of care to our patients, and our team includes Amanda Crowley, a highly skilled and patient-focused healthcare professional.


As a nurse practitioner, Amanda Crowley brings a wealth of knowledge and expertise to our practice. With years of House Supervisor experience managing a staff of 30-40 employees in a 150-bed hospital, Amanda Crowley has honed her leadership and organizational skills to deliver seamless patient care.


With six years of experience caring for postoperative spine patients in the Charleston, South Carolina area, Amanda Crowley has developed a deep understanding of the unique needs of our patients. Her exceptional clinical skills and compassionate approach have helped countless individuals recover successfully after surgery.


Amanda Crowley has also been an instructor for a nurse residency program, demonstrating her dedication to educating and mentoring new healthcare professionals. Her commitment to ongoing learning and staying up to date with the latest medical advances ensures that our patients receive the most advanced and effective treatments available.


At Seaside Spine, we understand that every patient is unique, and we strive to provide personalized care that meets each individual's needs. With Amanda Crowley as part of our team, we are committed to delivering compassionate and patient-centered care that focuses on achieving the best possible outcomes for our patients.


If you need spine care, we invite you to choose our practice, where you will receive the highest level of care from a team led by Amanda Crowley, an exceptional healthcare professional with a passion for patient-focused care.


Dr. Mike Tyler

Neurosurgeon & Spine Specialist

Cranial Surgery Specialist

Decades of Experience in Charleston, SC

Dr. Mike Tyler is a board certified neurosurgeon who is specialized in both cranial and spinal procedures. Originally a native of Orangeburg, SC, he has been serving the Charleston community since 1988. Dr. Tyler is known for taking his time with each an every one of his patients. In clinic, he takes time to review your imaging and clinical condition. Every one of his patients is well informed as to their diagnosis and treatment options. In addition to being an astute clinician, Dr. Tyler also performs the most state of the art robotic spine surgeries using the Globus ExcelsiusGPS Robot.  

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