About us
The field of spine surgery has advanced rapidly over the past 2 decades. With new technologies and new procedures, the breadth and scope of the practice of a spine surgeon have become so broad that it can no longer be covered adequately during fellowship training.

Sub-specialization fellowships have and continue to play an important role in ensuring that surgeons obtain the highest quality of training so that they may in turn provide exceptional patient care within a specific area of surgery. After graduating from a fellowship, the expectation is that a surgeon will be competent in performing a variety of elective procedures, as well as to manage a multitude of surgical emergencies and complications. However, fellowships are not uniform.

Many spine surgery fellowships function on a preceptorship basis, where mentors may have a particular interest in fields such as MIS, endoscopic, deformity, trauma, or degenerative disease. This does not necessarily reflect a more general spine practice that fellows may encounter upon entry into independent practice.

Spine Africa Academy offers a state-of-the-art service using nationally- and internationally recognized, system-based approaches to tertiary and complex spine surgery specializing in techniques of Minimally Invasive Surgery and Endoscopic Surgery.

In alignment with the Academy to create a comprehensive multi-disciplinary team focused on quality 21-century surgical techniques, expert education, and innovation, and to provide a Spine Fellowship Program in MIS and Endoscopic techniques to train spinal surgeons in the skills at performing these procedures safely and effectively, and an appreciation of the humanistic and ethical aspects of medicine.

The systems approach to achieving safe outcomes and reducing complications are front and centre of these approaches. The spine fellow will be immersed in these principles throughout the fellowship, leading to a deepened understanding of the broader healthcare context and how lean methodology can be applied in future practice settings.
Membership to Spine Africa Academy

It offers continuing medical education programs to improve physicians and other spine care providers competency and further to enhance performance through a comprehensive range of topics. Therefore, it offers a unique training opportunity for a newly qualified orthopaedic or neurosurgeon wanting to pursue a career in spinal surgery with advance techniques in MIS and Endoscopy spinal surgery.
The programs will be run by local and international spinal surgeons with years of clinical practice and experience in spinal surgery.

Membership to the Academy will offer CME’s, Webinar’s, Spinal literature, Ask the Expert dialog and apply for opportunity to do a Fellowship at the Academy.
Fellowship program
The goal of the fellowship is to teach requisite cognitive and technical aspects of complex spine surgery, including: understanding relevant disease processes, their presentation and management; analysis and interpretation of radiographic data; understanding the indications and contraindications for procedures; pre- and post-procedure care of the patient; surgical skills in MIS and endoscopic approaches for degenerative (and spinal deformity correction) Furthermore it offers recognition and management of complications; appropriate documentation and reporting; appropriate communication with the patient and the multidisciplinary team; partake in research, presentation and possible publications. In addition, the Spine Fellowship will provide the fellow with tools and skills to understand the broader industry context in which s/he works with specific emphasis on making contributions that improve safety, appropriateness and cost effectiveness of complex spinal surgery.

The Spine Fellowship provides a tertiary spine experience. The fellow will spend the majority of his/her time caring for patients before, during, and after spinal procedures, fully participating in the algorithm of surgery with the multidisciplinary care team in the evaluation and management of spine cases. Initially, the fellow will observe Dr Nel performing spine procedures, then transition to hands-on training. Hands-on experience will increase commensurate with the level of fellow skill and comfort level Dr L Nel.

The fellow may spend time on system processes to improve patient safety. The fellow will also participate in weekly discussions and present cases during the training period. The fellow’s time is divided into three key areas:
- Operative Care 80%
- Non-Operative Care 15%
- Research/Publication 15%
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