Timothy Hresko MD

M. Timothy Hresko, MD

Orthopedic Surgeon

Associate Professor in Orthopedic Surgery, Harvard Medical School

"I enjoy working with children and young patients along with their parents to gain the patient’s full potential for growth, recreation, happiness and a bright future."

Medical Services


  • Complex Spine
  • Lordosis
  • Orthopedic Surgery
  • Orthopedics
  • Scoliosis
  • Spinal Deformity
  • Spondylosis
  • Trauma


  • Orthopedic Center
  • Orthopedic Surgery


  • English


  • General Orthopedic Program
  • Orthopedic Trauma Program
  • Spinal Program
To schedule an appointment: Call 617-355-6021 or Request an Appointment
Timothy Hresko MD

Philosophy of Care 

I entered the medical profession based on my strong interest in biology and health care. I enjoy working with children and young patients along with their parents to gain the patient’s full potential for growth, recreation, happiness and a bright future.

Experience and Education


Medical School

Columbia University, College of Physicians and Surgeons, 1981

New York, New York


New England Deaconess Hospital, 1981-1982

Boston, MA


New England Medical Center, 1984-1987

Boston, MA


Boston Children's Hospital, 1987-1988

Boston, MA


  • American Board of Orthopaedic Surgery

Professional History

  • Member of Scoliosis Research Society (SRS), Pediatric Orthopaedic Society of North America (POSNA), American Academy of Orthopaedic Surgeons (AAOS), and American Board of Orthopaedic Surgery.


Publications powered by Harvard Catalyst Profiles
  1. Murphy RF, Emans JB, Troy M, Miller PE, Hresko MT, Karlin LI, Hedequist DJ, Glotzbecker MP. Sagittal plane parameters in growing rod patients following final fusion. J Pediatr Orthop B. 2018 Mar; 27(2):168-175.
  2. Hresko MT, Schwend RM, Hostin RA. Early Detection of Scoliosis-What the USPSTF "I" Means for Us. JAMA Pediatr. 2018 Mar 01; 172(3):216-217.
  3. Livingston KS, Meehan WP, Hresko MT, Matheney TH, Shore BJ. Acute Exertional Compartment Syndrome in Young Athletes: A Descriptive Case Series and Review of the Literature. Pediatr Emerg Care. 2018 Feb; 34(2):76-80.
  4. Sieberg CB, Manganella J, Manalo G, Simons LE, Hresko MT. Predicting Postsurgical Satisfaction in Adolescents With Idiopathic Scoliosis: The Role of Presurgical Functioning and Expectations. J Pediatr Orthop. 2017 Dec; 37(8):e548-e551.
  5. Gomez JA, Grzywna A, Hanstein R, Emans JB, Hresko MT, Hedequist D, Karlin LI, Glotzbecker MP. Staged Growing Rods With Preimplantation of Spinal Anchors for Complex Early Onset Scoliosis. J Pediatr Orthop. 2017 Dec; 37(8):e606-e611.
  6. Tobert DG, Glotzbecker MP, Hresko MT, Karlin LI, Proctor MR, Emans JB, Miller PE, Hedequist DJ. Efficacy of Intraoperative Neurophysiologic Monitoring for Pediatric Cervical Spine Surgery. Spine (Phila Pa 1976). 2017 Jul 01; 42(13):974-978.
  7. Murphy RF, Glotzbecker MP, Hresko MT, Hedequist D. Allograft Bone Use in Pediatric Subaxial Cervical Spine Fusions. J Pediatr Orthop. 2017 Mar; 37(2):e140-e144.
  8. Sousa T, Skaggs DL, Chan P, Yamaguchi KT, Borgella J, Lee C, Sawyer J, Moisan A, Flynn JM, Gunderson M, Hresko MT, D'Hemecourt P, Andras LM. Benign Natural History of Spondylolysis in Adolescence With Midterm Follow-Up. Spine Deform. 2017 Mar; 5(2):134-138.
  9. Polly DW, Ledonio CG, Diamond B, Labelle H, Sucato DJ, Hresko MT, Emans JB, Vitale MG, Erickson MA, Larson AN. What are the Indications for Spinal Fusion Surgery in Scheuermann Kyphosis? J Pediatr Orthop. 2017 Jan 30.
  10. Grivas TB, de Mauroy JC, Wood G, Rigo M, Hresko MT, Kotwicki T, Negrini S. Brace Classification Study Group (BCSG): part one - definitions and atlas. Scoliosis Spinal Disord. 2016; 11:43.
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  12. Livingston K, Glotzbecker M, Miller PE, Hresko MT, Hedequist D, Shore BJ. Pediatric Nonfracture Acute Compartment Syndrome: A Review of 39 Cases. J Pediatr Orthop. 2016 Oct-Nov; 36(7):685-90.
  13. Hresko MT, Talwalkar V, Schwend R. Early Detection of Idiopathic Scoliosis in Adolescents. J Bone Joint Surg Am. 2016 Aug 17; 98(16):e67.
  14. Gomez JA, Hresko MT, Glotzbecker MP. Nonsurgical Management of Adolescent Idiopathic Scoliosis. J Am Acad Orthop Surg. 2016 Aug; 24(8):555-64.
  15. Marti CL, Glassman SD, Knott PT, Carreon LY, Hresko MT. Scoliosis Research Society members attitudes towards physical therapy and physiotherapeutic scoliosis specific exercises for adolescent idiopathic scoliosis. Scoliosis. 2015; 10:16.
  16. Upasani VV, Hedequist DJ, Hresko MT, Karlin LI, Emans JB, Glotzbecker MP. Spinal deformity progression after posterior segmental instrumentation and fusion for idiopathic scoliosis. J Child Orthop. 2015 Feb; 9(1):29-37.
  17. Spencer HT, Gold ME, Hresko MT. Abnormal rib count in scoliosis surgery: impact on the reporting of spinal fusion levels. J Child Orthop. 2014 Dec; 8(6):497-503.
  18. Glotzbecker MP, Wasser AM, Hresko MT, Karlin LI, Emans JB, Hedequist DJ. Efficacy of nonfusion treatment for subacute and chronic atlanto-axial rotatory fixation in children. J Pediatr Orthop. 2014 Jul-Aug; 34(5):490-5.
  19. Kramer DE, Mahan ST, Hresko MT. Displaced intra-articular fractures of the great toe in children: intervene with caution! J Pediatr Orthop. 2014 Mar; 34(2):144-9.
  20. Zaina F, De Mauroy JC, Grivas T, Hresko MT, Kotwizki T, Maruyama T, Price N, Rigo M, Stikeleather L, Wynne J, Negrini S. Bracing for scoliosis in 2014: state of the art. Eur J Phys Rehabil Med. 2014 Feb; 50(1):93-110.
  21. Spencer HT, Gold ME, Karlin LI, Hedequist DJ, Hresko MT. Gain in spinal height from surgical correction of idiopathic scoliosis. J Bone Joint Surg Am. 2014 Jan 01; 96(1):59-65.
  22. Sieberg CB, Simons LE, Edelstein MR, DeAngelis MR, Pielech M, Sethna N, Hresko MT. Pain prevalence and trajectories following pediatric spinal fusion surgery. J Pain. 2013 Dec; 14(12):1694-702.
  23. Montgomery RA, Hresko MT, Kalish LA, Gold M, Li Y, Haus B, Glotzbecker M, Berthonnaud E. Spondylolisthesis: Intra-rater and Inter-rater Reliabilities of Radiographic Sagittal Spinopelvic Parameters Using Standard Picture Archiving and Communication System Measurement Tools. Spine Deform. 2013 Nov; 1(6):412-418.
  24. Grivas TB, Hresko MT, Labelle H, Price N, Kotwicki T, Maruyama T. The pendulum swings back to scoliosis screening: screening policies for early detection and treatment of idiopathic scoliosis - current concepts and recommendations. Scoliosis. 2013 Oct 29; 8(1):16.
  25. Zimmerman RM, Kalish LA, Hresko MT, Waters PM, Bae DS. Surgical management of pediatric radial neck fractures. J Bone Joint Surg Am. 2013 Oct 16; 95(20):1825-32.
  26. Glotzbecker MP, Gold M, Puder M, Hresko MT. Scoliosis after chest wall resection. J Child Orthop. 2013 Oct; 7(4):301-7.
  27. May C, Yen YM, Nasreddine AY, Hedequist D, Hresko MT, Heyworth BE. Complications of plate fixation of femoral shaft fractures in children and adolescents. J Child Orthop. 2013 Jun; 7(3):235-43.
  28. Heyworth BE, Hedequist DJ, Nasreddine AY, Stamoulis C, Hresko MT, Yen YM. Distal femoral valgus deformity following plate fixation of pediatric femoral shaft fractures. J Bone Joint Surg Am. 2013 Mar 20; 95(6):526-33.
  29. Hresko MT. Clinical practice. Idiopathic scoliosis in adolescents. N Engl J Med. 2013 Feb 28; 368(9):834-41.
  30. Vernacchio L, Trudell EK, Hresko MT, Karlin LI, Risko W. A quality improvement program to reduce unnecessary referrals for adolescent scoliosis. Pediatrics. 2013 Mar; 131(3):e912-20.
  31. Mahan ST, Osborn E, Bae DS, Waters PM, Kasser JR, Kocher MS, Snyder BD, Hresko MT. Changing practice patterns: the impact of a randomized clinical trial on surgeons preference for treatment of type 3 supracondylar humerus fractures. J Pediatr Orthop. 2012 Jun; 32(4):340-5.
  32. d'Hemecourt PA, Hresko MT. Spinal deformity in young athletes. Clin Sports Med. 2012 Jul; 31(3):441-51.
  33. Li Y, Hresko MT. Lumbar spine surgery in athletes:: outcomes and return-to-play criteria. Clin Sports Med. 2012 Jul; 31(3):487-98.
  34. Li Y, Hresko MT. Radiographic analysis of spondylolisthesis and sagittal spinopelvic deformity. J Am Acad Orthop Surg. 2012 Apr; 20(4):194-205.
  35. Mac-Thiong JM, Duong L, Parent S, Hresko MT, Dimar JR, Weidenbaum M, Labelle H. Reliability of the Spinal Deformity Study Group classification of lumbosacral spondylolisthesis. Spine (Phila Pa 1976). 2012 Jan 15; 37(2):E95-102.
  36. DiFazio R, Vessey J, Zurakowski D, Hresko MT, Matheney T. Incidence of skin complications and associated charges in children treated with hip spica casts for femur fractures. J Pediatr Orthop. 2011 Jan-Feb; 31(1):17-22.
  37. Mahan ST, Mooney DP, Karlin LI, Hresko MT. Multiple level injuries in pediatric spinal trauma. J Trauma. 2009 Sep; 67(3):537-42.
  38. Hresko MT, Hirschfeld R, Buerk AA, Zurakowski D. The effect of reduction and instrumentation of spondylolisthesis on spinopelvic sagittal alignment. J Pediatr Orthop. 2009 Mar; 29(2):157-62.
  39. Hedequist D, Haugen A, Hresko T, Emans J. Failure of attempted implant retention in spinal deformity delayed surgical site infections. Spine (Phila Pa 1976). 2009 Jan 01; 34(1):60-4.
  40. Mac-Thiong JM, Labelle H, Parent S, Hresko MT, Deviren V, Weidenbaum M. Reliability and development of a new classification of lumbosacral spondylolisthesis. Scoliosis. 2008 Dec 10; 3:19.
  41. Hedequist D, Bishop J, Hresko T. Locking plate fixation for pediatric femur fractures. J Pediatr Orthop. 2008 Jan-Feb; 28(1):6-9.
  42. Hedequist D, Hresko MT . Locking Plate Fixation for Pediatric Femur fractures,. J Pediatr Orthop. 2008; 28(1):6-9.
  43. Hedequsit D Hresko MT Proctor M. Modern cervical spine instrumentation in children. Spine. 2008; 33(4):379-383.
  44. Labelle, H Roussouly P Berthonnaud E Chopin D OBrien M Hresko MT. Spino-pelvic alignment after surgical correction for developmental spondylolisthesis. European Spine Journal. 2008; 17:1170-6.
  45. Hresko MT, Labelle H, Roussouly P, Berthonnaud E. Classification of high-grade spondylolistheses based on pelvic version and spine balance: possible rationale for reduction. Spine (Phila Pa 1976). 2007 Sep 15; 32(20):2208-13.
  46. Kocher MS, Kasser JR, Waters PM, Bae D, Snyder BD, Hresko MT, Hedequist D, Karlin L, Kim YJ, Murray MM, Millis MB, Emans JB, Dichtel L, Matheney T, Lee BM. Lateral entry compared with medial and lateral entry pin fixation for completely displaced supracondylar humeral fractures in children. A randomized clinical trial. J Bone Joint Surg Am. 2007 Apr; 89(4):706-12.
  47. Hedequist D, Hresko MT, Emans J. Modern segmental cervical spine insrutmentation in children. 2007.
  48. Hedequist D, Hresko MT. Locking plate fixation for pediatric femur fractures. 2007.
  49. Hresko MT, Mesiha M, Richards K, Zurakowski D. A comparison of methods for measuring spinal motion in female patients with adolescent idiopathic scoliosis. J Pediatr Orthop. 2006 Nov-Dec; 26(6):758-63.
  50. Sink EL, Hedequist D, Morgan S, Hresko T. Results and technique of unstable pediatric femoral fractures treated with submuscular bridge plating. J Pediatr Orthop. 2006; 2:177-81.
  51. Labelle H, Hresko MT, Rousssouly P, Bertonnaud E. Low- grade Spondylisthesis: How pelvic tilt and sacral slope interact with spino-pelvic balance. 2006.
  52. Hresko MT, Mahan s, Mooney D, Karlin L. Pediatric Spine and Multiple Level Injuries, E-poster. 2006.
  53. Kim YJ, Kassab F, Berven SH, Zurakowski D, Hresko MT, Emans JB, Kasser JR. Serum levels of nickel and chromium after instrumented posterior spinal arthrodesis. Spine (Phila Pa 1976). 2005 Apr 15; 30(8):923-6.
  54. Kocher MS, Bishop JA, Hresko MT, Millis MB, Kim YJ, Kasser JR. Prophylactic pinning of the contralateral hip after unilateral slipped capital femoral epiphysis. J Bone Joint Surg Am. 2004 Dec; 86-A(12):2658-65.
  55. Diab M, Hresko MT, Millis MB. Intertrochanteric versus subcapital osteotomy in slipped capital femoral epiphysis. Clin Orthop Relat Res. 2004 Oct; (427):204-12.
  56. Labelle H, Roussouly P, Berthonnaud E, Transfeldt E, O'Brien M, Chopin D, Hresko T, Dimnet J. Spondylolisthesis, pelvic incidence, and spinopelvic balance: a correlation study. SPINE. 2004; 29(18):2049-2054.
  57. Zambrano E, Nosé V, Perez-Atayde AR, Gebhardt M, Hresko MT, Kleinman P, Richkind KE, Kozakewich HP. Distinct chromosomal rearrangements in subungual (Dupuytren) exostosis and bizarre parosteal osteochondromatous proliferation (Nora lesion). Am J Surg Pathol. 2004 Aug; 28(8):1033-9.
  58. Kocher MS, Bishop JA, Weed B, Hresko MT, Millis MB, Kim YJ, Kasser JR. Delay in diagnosis of slipped capital femoral epiphysis. Pediatrics. 2004 Apr; 113(4):e322-5.
  59. Iobst CA, Hresko MT, Karlin LI, Hall JE. Postoperative shoulder-spine spica cast for young children. J Pediatr Orthop. 2004 Mar-Apr; 24(2):227-30.
  60. Klingele KE, Kocher MS, Hresko MT, Gerbino P, Micheli LJ. Discoid lateral meniscus: prevalence of peripheral rim instability. J Pediatr Orthop. 2004 Jan-Feb; 24(1):79-82.
  61. Kocher MS, Micheli LJ, Gerbino P, Hresko MT. Tibial eminence fractures in children: prevalence of meniscal entrapment. Am J Sports Med. 2003 May-Jun; 31(3):404-7.
  62. Hresko MT. Spondylolysis and Spondylolisthesis in Children. Seminars in Spine Surgery. 2003; 15(2).
  63. Hresko MT, McDougall PA, Gorlin JB, Vamvakas EC, Kasser JR, Neufeld EJ. Prospective reevaluation of the association between thrombotic diathesis and legg-perthes disease. J Bone Joint Surg Am. 2002 Sep; 84-A(9):1613-8.
  64. Kim YJ, Otsuka NY, Flynn JM, Hall JE, Emans JB, Hresko MT. Surgical treatment of congenital kyphosis. Spine (Phila Pa 1976). 2001 Oct 15; 26(20):2251-7.
  65. Islam S, Hresko MT, Fishman SJ. Extrapleural thoracoscopic anterior spinal fusion: a modified video-assisted thoracoscopic surgery approach to the pediatric spine. JSLS. 2001 Apr-Jun; 5(2):187-9.
  66. Kennedy JG, Hresko MT, Kasser JR, Shrock KB, Zurakowski D, Waters PM, Millis MB. Osteonecrosis of the femoral head associated with slipped capital femoral epiphysis. J Pediatr Orthop. 2001 Mar-Apr; 21(2):189-93.
  67. Widmann RF, Hresko MT, Kasser JR, Millis MB. Wagner multiple K-wire osteosynthesis to correct coxa vara in the young child: experience with a versatile 'tailor-made' high angle blade plate equivalent. J Pediatr Orthop B. 2001 Jan; 10(1):43-50.
  68. Flynn JM, Hresko T, Reynolds RA, Blasier RD, Davidson R, Kasser J. Titanium elastic nails for pediatric femur fractures: a multicenter study of early results with analysis of complications. J Pediatr Orthop. 2001 Jan-Feb; 21(1):4-8.
  69. Albers HW, Hresko MT, Carlson J, Hall JE. Comparison of single- and dual-rod techniques for posterior spinal instrumentation in the treatment of adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2000 Aug 01; 25(15):1944-9.
  70. Rodgers WB, Coran DL, Emans JB, Hresko MT, Hall JE. Occipitocervical fusions in children. Retrospective analysis and technical considerations. Clin Orthop Relat Res. 1999 Jul; (364):125-33.
  71. Widmann RF, Hresko MT, Hall JE. Lumbosacral fusion in children and adolescents using the modified sacral bar technique. Clin Orthop Relat Res. 1999 Jul; (364):85-91.
  72. Hresko MT, Rosenberg BN, Pappas AM. Excision of the radial head in patients younger than 18 years. J Pediatr Orthop. 1999 Jan-Feb; 19(1):106-13.
  73. Re P, Hresko MT, Waters PM. T. dondylar dractures of the distal humerus in children and adolescents. J Pediatr Orthop. 1999 May-Jun;19(3):313-8. 1999; 19(3):313-318.
  74. Bervan S, Hresko MT. Video-Assisted Thoracoscopic Surgery (V.A.T.S.) in the treatment of pediatric spinal deformity. Harvard Orthopaedic Journal . 1999; 1:107-109.
  75. Hresko MT. Scoliosis and Kyphosis. Ambulatory Pediatrics Care,Dershowitz RA(editor),. 1999.
  76. Illgen R, Rodgers WB, Hresko MT, Waters PM, Zurakowski D, Kasser JR. Femur fractures in children: treatment with early sitting spica casting. J Pediatr Orthop. 1998 Jul-Aug; 18(4):481-7.
  77. Kim CW, Jaramillo D, Hresko MT. MRI demonstration of occult purely chondral fractures of the tibia: a potential mimic of meniscal tears. Pediatr Radiol. 1997 Sep; 27(9):765-6.
  78. Flynn JM, Otsuka NY, Emans JB, Hall JE, Hresko MT. Segmental spinal dysgenesis: early neurologic deterioration and treatment. J Pediatr Orthop. 1997 Jan-Feb; 17(1):100-4.
  79. Hresko MT: . book review Management of Pediatric Fractures by R.Meryn Letts (ed). Journal of Bone and Joint Surgery. 1996; 87A:630.
  80. Bates DG, Hresko MT, Jaramillo D. Patellar sleeve fracture: demonstration with MR imaging. Radiology. 1994 Dec; 193(3):825-7.
  81. Mick CA, Carl A, Sachs B, Hresko MT, Pfeifer BA. Burst fractures of the fifth lumbar vertebra. Spine (Phila Pa 1976). 1993 Oct 01; 18(13):1878-84.
  82. Hresko MT, McCarthy JC, Goldberg MJ. Hip disease in adults with Down syndrome. J Bone Joint Surg Br. 1993 Jul; 75(4):604-7.
  83. Hresko MT, Hall JE. Latent psoas abscess after anterior spinal fusion. Spine (Phila Pa 1976). 1992 May; 17(5):590-3.
  84. Hresko MT, Shelton YA. Orthopaedic Problems in the Pediatric Patient. Chapter 15 . Orthopedics in Primary Care, Steinberg GG, Akins CM, Baran DT, (eds). 1992.
  85. Hresko MT . Thoracic and Lumbosacral Spine. Chapter 5. Orthopaedics in Primary Care,Steinberg GG, Akins CM, Baran DT, (eds). 1992.
  86. Hresko MT, Micheli LM: . Disorders of the Lumbar Spine. Chapter 34 . Sports Medicine and the Lumbar Spine ` . 1990.
  87. Hresko MT, Kasser JR. Physeal arrest about the knee associated with non-physeal fractures in the lower extremity. J Bone Joint Surg Am. 1989 Jun; 71(5):698-703.
  88. Hresko MT, Miele JF, Goldberg MJ. Unicameral bone cyst in the scapula of an adolescent. Clin Orthop Relat Res. 1988 Nov; (236):141-4.
To schedule an appointment: Call 617-355-6021 or Request an Appointment


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