Specialty Clinics

Black Hills Orthopedic& Spine Center

Call for an appointment: (605) 341-1414



Who We Are

Founded in 1976 by orthopedic surgeon David W. Boyer, MD, Black Hills Orthopedic & Spine Center has remained the premier orthopedic practice in the region for over 40 years.

Today, from Rapid City to Gillette, our team of orthopedic surgeons and doctors includes over 18 board-certified and fellowship-trained specialists who provide the highest level of specialty healthcare in orthopedic surgery and advanced nonsurgical methods to keep our Black Hills community strong. That’s why we are proud to be the most preferred practice in the region.

Mission Statement

The collective mission of The Spine Center is to provide quality, comprehensive treatment of neurological and spinal disorders. Our practice is dedicated to fulfilling this goal by offering state-of-the-art procedures and techniques combined with innovative surgical skills. Our staff of compassionate physicians and employees is committed to providing responsive care for each patient.


The Spine Center is a regional center specializing in back and neck problems. Some of the most complex cases of back and neck pain from across a 5-state region. The Spine Center is able to care for any type of back or neck problem, from the simple back or neck strain all the way to the most complex spine surgery.

Our orthopedic surgeons and medical experts are proud to offer the deepest level of specialization for your musculoskeletal needs. This includes having exceptionally experienced orthopedic surgeons for all subspecialties in orthopedics as well as podiatry and wound care. Our specialties include trauma orthopedicsfoot and anklebackneck, and spinehand and wristhip and knee; and shoulder and elbow. Our doctors also offer specialization in orthopedics for pediatric patientsjoint replacement, and sports medicine.


Dr. Emmett McEleney

Fellowship-trained orthopedic surgeon Dr. Emmett McEleney joined Black Hills Orthopedic & Spine Center in January of 2015. He specializes in joint replacement and orthopedic trauma as well as comprehensive care for the knee and shoulder.

After completing his bachelor’s degree in economics at UCLA in Los Angeles, California, Dr. McEleney went on to earn his Doctor of Medicine degree from UCLA’s prestigious David Geffen School of Medicine. Following medical school, Dr. McEleney studied as an intern at Harbor-UCLA Medical Center in Torrance, California.

He completed residency training in orthopedic surgery at the University of Connecticut Health Center in Farmington, Connecticut, prior to undergoing advanced fellowship training in AO/ASIF trauma in Innsbruck, Austria.

Dr. McEleney is board-certified by the American Board of Orthopaedic Surgery. He is also a member of the American Academy of Orthopaedic Surgeons and the International Society for Orthopaedic Surgery and Traumatology in addition to numerous other affiliations.

Dr. Emmett McEleney is a board-certified orthopedic surgeon who is available to see patients in Rapid City, South DakotaGillette, Wyoming; and Bowman, North Dakota.

When he is not seeing his patients, Dr. McEleney enjoys volunteer work, travel, motorsports, and photography.

Dr. Troy Gust

Dr. Troy Gust is a board-certified neurosurgeon who specializes in a wide array of back, neck, and spine conditions. He is an expert in performing back and neck microdiscectomies, decompressions, and fusions. As a native of South Dakota, Dr. Gust began working with Black Hills Orthopedic & Spine Center in April of 2022. 

Dr. Gust earned his Bachelor of Science degree in biology and Master of Arts degree in neurobiology from the University of South Dakota in Vermillion. He then pursued his Doctor of Medicine degree at the University of South Dakota Sanford School of Medicine. After moving to Kansas City, he completed a general surgery internship at The University of Kansas Medical Center. Following this, Dr. Gust remained at the university to undergo a neurosurgery residency. 

Certified by The American Board of Neurological Surgery, Dr. Gust is a member of the American Association of Neurological Surgeons and the American Medical Association. He is passionate about seeing his patients receive the expert back, neck, and spine care they deserve to help them return to a healthy, active lifestyle. He is available to see patients at The Spine Center in Rapid City, South Dakota, in Mitchell, South Dakota, and in Williston, North Dakota.

When he is not seeing patients, Dr. Gust enjoys spending time outside with his family, hunting, and fishing.