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-roundOpen and MIS deformity correction, freehand and navigation-assisted screw placement, lateral and prone lateral access procedures.
Minimally Invasive Techniques
Year-roundEndoscopic surgery, percutaneous and tubular surgery, robotic surgery, and augmented reality assisted surgery.
Academic Conferences
WeeklyWeekly fellow and resident spine working group conferences, spine case conferences, and didactic lectures.
Research Opportunities
FlexibleAccess 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
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.