Terrence Piper, MD

Saint Charles, Missouri

General Specialty

Orthopedic Surgery
Spine Care
Spine Surgery

Specialty Focus

Cauda Equina Syndromes
Cervical Spine
Degenerative Disc Disease
Disability Ratings
Expert Defendant Testimony
Expert Plaintiff Testimony
General Orthopedics
Lumbar Spine
Spinal Deformities
Spinal Stenosis
Spinal Trauma
Spinal Tumors
Thoracic Spine
Work Comp

I completed my residency/fellowship at Washington University/Barnes Hospital in St. Louis, MO . I am an assistant clinical professor at the Washington University Department of Orthopedic Surgery. I also trained with many prominent doctors, both nationally and internationally. These include: Dr. Arthur Steffee in Cleveland, Ohio; Dr Daniel Riew in St. Louis, Missouri; Dr Rudy Bertognoli in Munich, Germany; Dr. Luis Pimenta in San Paolo, Brazil; Dr. Jack O’Brien in London, England; Dr.John Webb in Nottingham, England; and Dr Henry Bohlman, at the Cleveland Clinic, to name a few. I am a former faculty member of AO Spine International Society and have given many lectures and seminars for them. I was director of the spine symposium “Complex surgery for Degenerative Conditions of the Lumbar Spine” at St. Louis University for a ten-year period. I also am a past president of the St. Louis Spine Society. All these positions were comprised of orthopedic and neurologic spine surgeons. I am board certified by the American Academy of Orthopedic Surgeons and the American Board of Spine Surgery.

I have forty-three years of clinical surgical experience and over twenty-nine years of experience reviewing medical malpractice cases, as well as performing IMEs, Workman’s compensation evaluations and disability ratings. However, most of my practice has always been surgical. I have testified both in depositions and the courtroom for both defendant and plaintiff. I will provide expert, unbiased, balanced, fact-based, impartial testimony on cases, suits, and ratings. I will always allow the facts of the case to decide my opinions.



  • Bachelor, Saint Louis University
  • MD, Saint Louis University
  • Residency Washington University. 1980



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