​Instituto Nacional de Traumatologia e Ortopedia—Rio de Janeiro, Brazil

Instituto Nacional de Traumatologia e Ortopedia
Avenida Brasil 500, São Cristovão
Rio de Janeiro
CP: 20940070

Tel: +55 21 2134 5000 

Spine Center Director: Dr. Luis Eduardo do Carelli Texeira da Silva

Team Members:
Dr. Marcel Nascimento
Dr. Rodrigo José da Costa
Dr. Alderico Girão Campos de Barros
Dr. Gustavo Borges Laurindo Azevedo
Dr. Antônio Eulálio Araújo Pedrosa Junior
Dr. Renato Henriques Tavares
Dr. Luis Antônio Medeiros Moliterno
Dr. Renato João Muniz Texeira
Dr. Guilherme Rezende
Dr. Alexandre Peixoto de Melo
Dr. Ricardo Meirelles

Center description:

Our Philosophy is analyse all measures that will be made to provide the best possible treatment to the patient and reach the surgical goals determinied by discussions in clinical rounds.

Most frequent pathologies:

Degenerative, Deformity


480 per year

  • Degenerative: 200 per year
  • Deformity: 200 per year
  • Trauma: 40 per year
  • Infection: 20 per year
  • Tumor: 20 per year

Fellowship types:

Observership, Short-term, Associate Fellow

Language requirements


Vacancies per year

Observership: 10 per year
Short Term: 6 per year
Associate fellow: 2 per year

Fellowship Start

Observership: Anytime
Short Term: Anytime
Associate: March/April

Special requirements

Certificate of Graduation in Medicine translated into Portuguese.

Program characteristic:


Analize all measures that will be made to provide the best possible treatment to the patient and reach the surgical goals, all lead by the program director. Decisions are always based in the best outcome for the patient, based on case discussions and clinical rounds.

Fellows Activities

1. Fellows are required to participate in all spine center activities. All activities are supervisioned by at least one member of spine staff;
2. Assisting surgeries;
3. Attending outpatients clinics;
4. Following up pre and postoperative patients within their stay in hospital;
5. Every week one of the fellows present all cases operated on the week before and are responsible for one article discussion;
6. To finish the program: fellow need to prepare an article (clinical or experimental).

Research/Academic Activities

All research conducted at the Institute is first evaluated by the research committee and the ethics committee of the Institute. We have tissue bank, biomechanical lab, cell-terapy lab and animal research lab available for our projects. 
fellows Project´s participation must be informed to AOSLA office as a part of their mandatories activities.

Scientific Program

The meetings happen once in the week, starting in March and following the subjects bellow:

• Spine Anatomy
• Spine Column Biomechanic
• Spine Access
• Spine Semiology
• Rachimedular Trauma
• High Cervical Fractures
• Fracture – lower cervical luxation
• Fracture of the cervical thoracic transition
• Thoracolumbar fracture
• Sacral and lower lumbar fracture
• Congenital deformities
• Thoracic insufficiency syndrome
• Infant and juvenile idiopathic scoliosis
• Non-fusion techniques for scoliosis treatment
• Adolescent idiopathic scoliosis
• Scheuermann's disease
• Syndromics and exotics scoliosis
• Neuromuscular scoliosis
• Degenerative scoliosis
• Anterior approach techniques for the treatment of scoliosis
• Posterior approach techniques for the treatment of scoliosis
• Spine osteotomies (VCR, PSO e Ponte)
• Spondylolisthesis
• Surgical treatment of high-grade listhesis
• Sagittal balance
• Spinal infections (diagnosis and treatment)
• Benign bone tumors of the spine
• Primary malignant tumors of the spine
• Vertebral metastases (stage, diagnosis and treatment)
• Intra spinal tumors (intra and extra medullary)
• Block resection of spine tumors
• Cervical myelopathy
• Treatment throw posterior of cervical myelopathy (laminoplasty / laminectomy)
• Treatment throw anterior of cervical myelopathy
• Cervical disc disease
• Cervical arthroplasty
• Basilar invagination and Chiari malformation
• Indications and techniques for transoral approach
• Instrumentation techniques the high cervical spine
• Facet distraction C1-C2 by the Goel technique
• Thoracic disc hernia
• Lumbar disc herniation
• Microdiscectomy and endoscopic resection
• Discal degenerative disease
• Spinal canal stenosis
• Degenerative olisthesis
• Anterior lumbar arthrodesis
• Lateral Lumbar arthrodesis
• Posterior lumbar arthrodesis
• Minimally invasive techniques
• Lumbar spine surgery complications