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AO Spine Accredited Advanced Training

Complex and Minimally Invasive Spine Deformity Fellowship

A one-year AO Spine accredited fellowship providing comprehensive training in complex spine surgery, deformity correction, and minimally invasive techniques. Special emphasis on adult spinal deformity and complex reconstructive spine surgery.

Latest Information

For the most current and comprehensive information about the Complex and Minimally Invasive Spine Deformity Fellowship, please contact the program coordinator directly.

Program Coordinator: Melissa Lukehart | lukeml@upmc.edu

Program Overview

The Complex and Minimally Invasive Spine Deformity Fellowship at the University of Pittsburgh is designed to provide comprehensive training in all aspects of spine surgery, with particular emphasis on complex deformity correction and minimally invasive techniques. Our program is distinguished by faculty members who have unique dual training in both orthopedic and neurological surgery.

Key Program Features:

  • AO Spine Accredited fellowship program
  • 1 Year comprehensive training (July 1 - June 30)
  • Faculty with dual training in orthopedic and neurological surgery
  • Transition to practice experience
  • Autonomous procedural proficiency upon completion

Conditions Treated

Spinal Deformity

  • Congenital and adolescent idiopathic scoliosis
  • Adult degenerative kyphoscoliosis
  • Iatrogenic deformity
  • Complex cervical deformity
  • Reconstruction following oncologic resection

Spinal Disorders

  • Degenerative conditions
  • Tumors of the spine and spinal cord
  • Spinal infection
  • Congenital spinal disorders
  • Spinal trauma
  • Inflammatory disorders

Spinal Regions

  • Craniocervical junction
  • Cervical spine
  • Thoracic spine
  • Lumbar spine
  • Sacral spine

Academic Spine

The fellowship offers a unique opportunity for AO Spine accreditation. The AO Spine Fellowship Program provides:

  • Funded participation in Fellows Cadaver course
  • Complications course attendance
  • Banff Fellows Forum participation
  • Global Spine Diploma Program and examination
  • AO Spine Membership and access to North America academic opportunities
  • Funded conference presentations for accepted research

Fellows are encouraged to engage nationally with the academic spine community through annual conferences including:

  • AO Spine
  • Spine Summit
  • Scoliosis Research Society (SRS)
  • AANS, CNS, IMAST, CSRS, LSRS, ISASS, SMISS
  • North American Spine Society

Translational Research

Flexible research time allows fellows to pursue their academic interests:

  • Weekly fellow and resident spine working group conferences
  • Prospective spine registry access for research studies
  • Collaboration opportunities with University of Pittsburgh School of Medicine medical students and neurosurgery residents
  • High-level team science exposure
  • International Spine Study Group (ISSG) faculty membership
  • American Spine Registry collaboration opportunities

Research Support:

  • Young investigator grant opportunities through AO Spine, CSRS, LSRS, and Spine Summit
  • Internal department Walter Copeland Fund for strong research proposals
  • Preparation for independent studies and grant funding upon completion

Education Experience

Regular Educational Activities

  • Spine case conferences with complex case discussions
  • Didactic lectures for fellows and spine residents
  • Core curriculum didactic lectures
  • Preoperative conferences
  • Journal club participation
  • M&M conferences

Advanced Training Courses

  • Regular cadaver courses for advanced techniques:
    • Lateral and prone lateral access
    • Endoscopic surgery
    • Robotic surgery
    • Advanced deformity corrections
  • Neurosurgical cadaveric courses for additional education
  • National fellow-centered courses with funding support
  • External rotations or traveling fellowships with appropriate educational agendas

Teaching Responsibilities

Fellows are expected to participate in didactic training while teaching junior residents, fostering a collaborative learning environment.

Surgical Techniques

Deformity Correction

  • Open and MIS deformity correction
  • Freehand, navigation, and power screw placement
  • Lateral and prone lateral access (LLIF, OLIF, Lateral ALIF)
  • Kyphoplasty

Minimally Invasive Techniques

  • Endoscopic surgery
  • Minimally invasive percutaneous and tubular surgery
  • Robotics surgery
  • Augmented reality assisted surgery

Advanced Procedures

  • Stereotactic radiosurgery
  • Sacroiliac joint fixation (posterior and lateral approach)
  • Arthroplasty

Faculty & Leadership

Fellowship Directors

  • Nitin Agarwal, MD - Fellowship Director
  • D. Kojo Hamilton, MD - Fellowship Director

Fellowship Faculty

  • Nitin Agarwal, MD – Director, Minimally Invasive Spine and Robotics Surgery
  • Edward Andrews, MD – Minimally Invasive Spine, Augmented Reality
  • James Cushing Bayley, MD – Spinal Oncology, Peripheral Nerve
  • Robert Bailey, MD – Minimally Invasive Spine, Robotic Spine
  • Thomas J. Buell, MD – Complex Spine, Spinal Oncology
  • David Fernandez Cabral, MD – Spine Trauma
  • Peter C. Gerszten, MD – Spinal Stereotactic Radiosurgery
  • D. Kojo Hamilton, MD – Chief and Director, Neurological Surgery Spine Services
  • Kathryn Hoes, MD – Spine, Peripheral Nerve
  • David Kaufman, MD – Degenerative Spine
  • Vincent J. Miele, MD – Complex Spine, Sports Medicine
  • John J. Moossy, MD – Pain, Peripheral Nerve
  • David O. Okonkwo, MD, PhD – Director, Neurotrauma and Spinal Deformity
  • Martin Piaza, MD – Director, Pediatric Neurosurgery Spine

Fellowship Details

Program Information

  • Length: 1 Year
  • Dates: July 1 through June 30
  • Funding: Research Funding and Moonlighting Opportunities Available
  • Accreditation: AO Spine
  • Attending Privileges: Clinical instructor in University of Pittsburgh Department of Neurological Surgery

Training Institutions

  • UPMC Children’s Hospital of Pittsburgh
  • UPMC Presbyterian
  • UPMC Shadyside
  • UPMC Mercy
  • VA Pittsburgh Healthcare System

Special Features

  • AO Spine Accreditation
  • Faculty with AO Spine and Dual Orthopedic and Neurological Surgery Training
  • Faculty with Professional Sports Team Affiliations
  • Team Science Opportunities (ISSG, ASR)
  • Funded Research Opportunities
  • Funded Conferences and Presentations
  • Clinical Research Coordinators and Fellows
  • Transition to Practice Fellowship Paradigm

Current & Past Fellows

Current Fellow (2025-26)

  • Zeeshan Qazi

Past AO Spine Fellows

  • Ricardo Fernández-de Thomas – 2024-25
  • James Mooney – 2024-25
  • Gautam Nayar – 2024-25
  • Manan Shah – 2023-24
  • Roberta Sefcik – 2023-24

Past Spine Fellows

  • Daniel Hafez – 2021-22
  • Nima Alan – 2021-22
  • Alp Ozpinar – 2021-22
  • Daipaya Guha – 2020-21
  • Nitin Agarwal – 2018-20
  • Jason McGowan – 2018-19
  • David Salvetti – 2017-19
  • Luke Hnenny – 2017-18
  • Christian Ricks – 2017-18
  • Kourosh Tavanaiepour – 2016-17
  • Zachary Tempel – 2014-16
  • Hazem Mashaly – 2014-15
  • Brian Bolinger – 2013-14

Application Requirements

The fellow is given attending privileges as a clinical instructor in the University of Pittsburgh Department of Neurological Surgery. All fellows within Neurological Surgery must meet the following requirements:

Eligibility Requirements

  • Eligibility for work within the United States
  • Permanent Pennsylvania medical license
  • DEA license

Application Materials

  • Cover letter
  • Curriculum vitae
  • At least two reference letters

Application Timeline

  • Fellowship typically fills three years in advance
  • Interviews are held in April each year

Ready to Apply?

Join our prestigious Complex and Minimally Invasive Spine Deformity Fellowship program and advance your career in spine surgery with world-class training and mentorship.

Contact Information

The UPMC neurosurgery spine fellowship is accredited by AO Spine. Applications should be directed to Melissa Lukehart. Additional inquiries should be directed to Nitin Agarwal, MD.

Program Coordinator

Melissa Lukehart
Email: lukeml@upmc.edu

Additional Inquiries

Nitin Agarwal, MD

Program Mission

Train the next generation of spine surgeons in complex deformity correction and minimally invasive techniques while providing comprehensive exposure to all spinal pathologies including degenerative, deformity, oncology, and trauma.

Program Areas

Complex Spine Surgery

Comprehensive training in all spinal diseases with special emphasis on open and minimally invasive techniques for adult spinal deformity and complex reconstructive spine surgery.

AO Spine Accreditation

Unique AO Spine accredited program offering funded opportunities for Cadaver courses, Complications course, Banff Fellows Forum, and Global Spine Diploma Program.

Dual Training Faculty

Faculty members with dual training in orthopedic and neurological surgery, providing comprehensive exposure to the entire range of spinal disorders.

Academic Excellence

Transition to practice experience preparing fellows for careers in academic spine surgery with autonomous procedural proficiency.

Program Structure

One-year fellowship (July 1 through June 30) accredited by AO Spine. Fellows receive attending privileges as clinical instructors in the University of Pittsburgh Department of Neurological Surgery with comprehensive training across multiple UPMC facilities.

Program Activities

Complex Spine Procedures

Year-round

Open and MIS deformity correction, freehand and navigation-assisted screw placement, lateral and prone lateral access procedures.

Minimally Invasive Techniques

Year-round

Endoscopic surgery, percutaneous and tubular surgery, robotic surgery, and augmented reality assisted surgery.

Academic Conferences

Weekly

Weekly fellow and resident spine working group conferences, spine case conferences, and didactic lectures.

Research Opportunities

Flexible

Access to prospective spine registry, collaboration with medical students and residents, and participation in national conferences.

Program Staff

Nitin Agarwal, MD

Fellowship Director

Program Leadership

D. Kojo Hamilton, MD

Fellowship Director

Program Leadership

Melissa Lukehart

Program Coordinator

Program Administration

lukeml@upmc.edu

Faculty Mentors

Fellowship Faculty

Specialized Spine Surgeons

Minimally Invasive Spine, Complex Deformity, Spinal Oncology, Robotics, Augmented Reality, Stereotactic Radiosurgery

Clinical training and mentorship

Eligibility & Participation

Applicants must be eligible for work within the United States, hold a permanent Pennsylvania medical license and DEA license. Applications require a cover letter, curriculum vitae, and at least two reference letters. Fellowship typically fills three years in advance with interviews held in April each year.

Program Benefits

AO Spine accreditation, funded research opportunities, funded conference presentations, clinical research coordinators, transition to practice experience, and comprehensive training in complex spine surgery techniques.