The Rothman Institute/Thomas Jefferson University Spine Fellowship Program is designed to train orthopaedic surgeons to become leaders in the academic spine surgical community through education, service, and mentorship. The aim of our attending staff is to foster an environment of graduated independence to allow the maturation of our fellows into excellent spine surgeons—clinically, technically, and academically.
Through a well-rounded and structured schedule, our program offers a balanced exposure to clinic, operating room, and research. Unique to our institution is the synergistic and integrated relationship between the orthopedic and neurosurgical spine surgeons, which allows exposure to the complete spectrum of spinal disorders including trauma, degenerative conditions, deformity, and tumors. Our fellows have ample opportunities to learn ‘bread and butter’ spine procedures as well as complex cases. Upon completion of the fellowship, graduates should be comfortable diagnosing and treating the complete spectrum of spinal problems from the occiput to the sacrum.
The Rothman Institute/Thomas Jefferson University Spine Fellowship accepts 4 fellows: 3 clinical and 1 research/clinical (two-year track).
In addition to a robust spine surgery experience, fellows enjoy 3-4 social events hosted by the attendings in their homes. Fellows are also invited to participate in the annual Jefferson Spine Surgery Fellowship Alumni Symposium held in July in Newport, RI.
|Rotation 1||Vaccaro OR (Jefferson)||Vaccaro Clinic (Center City)||Vaccaro OR (Jefferson)||Vaccaro OR
|Vaccaro Clinic (Center City)|
|Rotation 2||Hilibrand Clinic (Marlton)||Hilibrand OR (Jefferson)||Rihn/Kurd OR (Jefferson)||Hilibrand OR (Jefferson/ROSH)||Anderson OR (Jefferson)|
|Rotation 3||Kepler OR (Jefferson)||Hilibrand OR (Jefferson)||Kepler/Kurd OR (Jefferson)||Kepler Clinic
|Anderson OR (Jefferson)|
Case Breakdown (2014-2015 Fellows)
|Number of Cases|
|Total Cases per Year||450+|
Indications Conference “aka Bone Board”
At 6:45am each morning the orthopaedic and neurosurgery spine services have a combined conference to review the consults and trauma cases from the previous day. During this conference indications and treatment plans are discussed. Additionally, elective cases for that day are reviewed and postoperative films from the previous day are evaluated.
The orthopaedic and neurosurgery spine services work closely together to manage spine consults and trauma patients. The services alternate weeks of primary (vs. backup) spine call. Spine fellows are expected to take call and are the initial contact for the orthopaedic residents in managing these patients. The fellows coordinate the call schedule generally taking call a week at a time and dividing up primary call and backup call evenly.
The Rothman Institute Spine Service has a strong tradition of academic excellence. A recent publication in The Spine Journal1 found that the Rothman Faculty published more research (161 articles, 26.8 per faculty member) with a higher h-index (8.2) than any other academic institution from 2011-2014. Members of the faculty are members/leaders of national spine societies. Spine fellows are encouraged to become active members of the research team and are required to complete two original research projects. The Rothman Institute has a robust research department with several research assistants, statisticians, database managers, clinical trial and IRB managers and staff dedicated to assisting with research projects.
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Fischgrund JS, Mackay M, Herkowitz HN, Brower R, Montgomery DM, Kurz LT. 1997 Volvo Award winner in clinical studies. Degenerative lumbar spondylolisthesis with spinal stenosis: a prospective, randomized study comparing decompressive laminectomy and arthrodesis with and without spinal instrumentation. Spine. 1997 Dec 15;22(24):2807-12.
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Weinstein JN, Toseteson TD, Lurie J, Tosteson AN, Blodd E, Hanscom B, Herkowitz H, Cammisa F, Albert, T, Boden SD, Hilibrand A, Goldberg H, Berven S, An HS: Surgical versus nonsurgical therapy for lumbar spinal stenosis. N Eng J Med 358:794-810, 2008.
Weinstein, J. N.,Lurie, J. D.,Tosteson, T. D.,Hanscom, B.,Tosteson, A. N.,Blood, E. A., Birkmeyer, N. J.,Hilibrand, A. S.,Herkowitz, H.,Cammisa, F. P.,Albert, T. J.,Emery, S. E. Lenke, L. G.,Abdu, W. A.,Longley, M.,Errico, T. J.,Hu, S. S. Surgical versus nonsurgical treatment for lumbar degenerative spondylolisthesis. N Eng J Med 356:2257-70, 2007.
Weinstein, J. N., Tosteson, T. D.,Lurie, J. D.,Tosteson, A. N.,Hanscom, B.,Skinner, J. S. Abdu, W. A.,Hilibrand, A. S.,Boden, S. D.,Deyo, R. A.: Surgical vs nonoperative treatment for lumbar disk herniation: the Spine Patient Outcomes Research Trial (SPORT): a randomized trial. JAMA 296: 2441-50, 2006.
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For additional information or any questions, contact:
Resident, Fellowship and Medical Student Coordinator
925 Chestnut Street, 5th Floor
Philadelphia, PA 19107