Spinal

  • Addenbrookes Hospital

This fellowship provides an excellent training opportunity for post CCT neurosurgical or orthopaedic trainees with an interest in spinal surgery. The fellow will work closely with a team of 8 spinal consultants (6 neurosurgical, 2 orthopaedic), and will gain exposure to a wide range of spinal pathologies and procedures, including cervical, thoracic and lumbar stenosis, trauma, tumour, including intradural and MSCC, and paediatric deformity. The unit has a strong tradition of utilising minimally invasive techniques and navigation. Fellows are encouraged to participate in audit and research activities, with the expectation being that at least one clinical paper will have been prepared and submitted by the end of the year-long fellowship.

Contact: Rikin Trivedi 

  • GOSH

Paediatric Spine

Posts per year: 1, start date usually summer but flexible

This fellowship is open to orthopaedic and neurosurgical trainees and is based predominantly in the orthopaedic spinal department. The majority of exposure is to deformity correction surgery but there are joint neurosurgical cases for complex dysraphism and syndromic patients (e.g. Morquio, achondroplasia etc), as well as cranio-cervical junction disease. This may be of interest to a select group of neurosurgical trainees who wish to undertake complex spinal surgery in children.

Contact: Dominic Thompson

  • Department of Spinal Surgery (Orthopaedic & Neurological spinal surgery)Swansea Bay University Healthboard, South Wales

The Spinal Unit and Trauma and Orthopaedic Department is based at Morriston Hospital.  It consists of a 98-bedded Unit including a ring fenced clean ward for elective work. A separate unspecialised spinal unit in Neath Port Talbot is also being established.

6 Consultant Spinal Surgeons

Mr N Verghese, Clinical Lead Spinal Surgery

Mr R Kett-White, Consultant Neurosurgeon

Miss I Collins, Consultant Spinal Surgeon

Mr B Boreham, Consultant Spinal Surgeon

Mr. Sivasamy, Associate Specialist Neurosurgery

Mr. Michael O’Malley, Consultant Spinal Surgeon

The team comprises of 1 senior clinical fellow (this post), 1 research MOSS fellow, 1 HST, 1 SHO, 5 spinal nurse practitioners, 2 Physician associates and 1 spinal surgical care practitioner attached to the spinal unit. There are a further 8 higher surgical trainees, 4 Senior Clinical Fellows, 2 FP2’s, 3 existing Clinical Fellows and 6 Deanery trainees attached to the Trauma and Orthopaedic department. The on call Trauma and Orthopaedic tiers cover unscheduled/ emergency spinal referrals and admissions. The senior spinal fellow does not participate in the Trauma and Orthopaedic on call rota.  If required, spinal admissions are referred onwards to the on call spinal surgical consultant.

The Spinal Service in Morriston Hospital cover all aspects of elective adult spinal surgery for the treatment of degenerative conditions and adult deformity. The unit also manages spinal trauma, tumour (intradural and MSCC) and infection. A wide range of open and contemporary minimally invasive procedures are performed from occiput to sacrum via posterior, lateral and anterior approaches. The unit has commissioned the first Spinal 3D navigation system in South Wales and one of only a few within the NHS. The successful candidate will therefore have excellent exposure to a wide range of spinal pathology, management strategies and surgical procedures/ techniques. 

The senior clinical fellow will be trained appropriate to their level of experience but it is expected that the fellow will be at an ST3+ equivalent level. The fellowship would be appropriate for peri-CCT trainees in the final 1-2 years of training prior to Consultant appointment.

As the senior clinical fellow you will be expected to contribute significantly to the running of the department including leading the daily spinal ward round attended by the Spinal nurse practitioners, Physician Associates and junior doctors. You will also be expected to participate in the research projects led by the MOSS fellow and lead on audit projects of the department.

You will have daily theatre access and therefore achieve unparalleled operative experience. The department is unique in that it has full integration of orthopaedic spinal fellowship and neurosurgically trained consultants working together hence with a variety of skill sets

  • Sheffield 

A conservative and evidence based spinal team made up of seven orthopaedic surgeons and one neurosurgeon; five of the adult consultants also job-share with the paediatric spine service. This offers the fellow a 40:60 ratio of time spent doing paediatric vs adult work.

As a major trauma centre with helicopter landing bay outside the Emergency Department we receive a large number of traumatic spinal injuries. There is a steady oncological workload (50-100 cases per annum), multi-disciplinary spinal infection service, adult scoliosis service, along with the usual adult degenerative practice. The fellow will usually operate 2-3 days per week, attend the MDT and 2 half day clinics. This leaves 0.5-1 day for admin / research each week. The spinal team have quarterly research meetings to support the fellow and others within the department to progress. 

The paediatric unit has a very active scoliosis centre, with full neurophysiology service. 2-3 scoliosis cases occur each week (1-2 during COVID-19) and these are shared with a paediatric spine fellow who is on the on-call rota. This is a true fellowship with real mentorship and supervision.

Contact: Contact: Neil chiverton