Global Spine Diploma Exam

The Global Spine Diploma (GSD) Exam was offered from 2020–2024.

It was a formal assessment of competencies required to manage patients with spinal disorders. Based on the AO Spine Curriculum, it was a two-part online exam consisting of 60 multiple-choice questions and an oral exam covering six clinical case scenarios.

Candidates were evaluated on clinical evaluation, imaging, diagnosis, classification, treatment, and outcome and complications in trauma, deformity, tumor, infection, and degeneration. The Exam was conducted in English.

Its target audience was experienced spine surgeons who wanted to certify their knowledge and demonstrate that they have attained a level of knowledge expected of a specialist spine surgeon after 5 years of practical experience. It accredited theoretical knowledge in spine surgery at an international level.

In 2025 the AO Spine Education Commission approved removing the 5-year validity period of the Global Spine Diploma. The Global Spine Diploma certificates are valid without restrictions from the date of examination or date of Program completion. The decision applies retroactively.