Hospital Universitário Cajuru—Curitiba, Brazil

Hospital Universitário Cajuru
Avenida São José 
300- Cristo Rei 
CP: 80050350

Tel: +55 41 223 7860 

Spine Center Director:
Dr. Emiliano Vialle

Team members:
Dr. Luiz Roberto Vialle
Dr. Ubirajara Bley Filho
Dr. Luiz Gustavo Rocha
Dr. Ricardo Munhoz da Rocha
Dra. Joana Guasque

Center description

The Catholic University of Parana medical complex is formed by:

  1. Hospital Universitário Cajuru, Catholic University of Parana, is the main hospital of the system. This is one of the main emergencies hospital of a 3.000.000 people area, and Trauma cases are mainly treated at this unit.
  2. Hospital Marcelino Champagnat, a state of the art building for private and medical insurance medical care.
  3. Hospital Nossa Senhora da Luz, ambulatory center for patient care.
  4. Curitiba Spine Center. This is a modern outpatient facility, for conservative and non-invasive therapies, as well as some injections, Discographies and Nucleoplasties. A library and broadband internet helps fellows to keep updated.

Most frequent pathologies

All spine pathologies


  • Cervical deformity 
    Adult cervical reconstruction
    Ankylosing spondylitis osteotomy

approx. 1 per month 
approx. 1 per semester

  • Cervical trauma 
    Cervical stabilisation

approx. 1 per week
  • Degenerative cervical spine 
    Anterior foraminotomy 
    Cervical stabilisation 
    Microsurgical disc surgery 
    Total disc replacement

approx. 1 per week 
approx. 1 per week 
approx. 2 per month 
approx. 1 per week
approx. 3 per semester

  • Degenerative lumbar spine 
    Microsurgical disc surgery 
    Microsurgical spinal stenosis 
    Open stabilisation 
    Lateral approaches  to the spine

approx. 1 per week 
approx. 3 per week 
approx. 3 per week 
approx. 3 per week 
approx. 4 per month

  • Osteoporotic spine 

approx. 2 per month

  • Rheumatoid cervical spine 
    Ankylosing spondylitis osteotomy 
    C1/C2 stabilisation 
    Craniocervical stabilisation

approx. 1 per semester 
approx. 1 per month 
approx. 2 per semester

  • Special procedures 

    Anterior cervical foraminotomy  
    Cervical laminoplasty 
    Closing wedge osteotomies for ankylosing spondylitis  
    Congenital deformities 
    High grade spondylolisthesis/spondyloptosis


approx. 1 per month 
approx. 1 per month 
approx. 1 per month

approx. 1 per month 
approx. 1 per month


  • Thoracic & lumbar trauma 
    Anterior thoracic and lumbar reconstruction
    Paediatric spine trauma
    Thoracic & lumbar stabilisation 

approx. 1 per month 
approx. 1 per month 
approx. 1 per week

  • Thoracic & lumbar tumor
    Anterior thoracic and lumbar reconstruction

approx. 1 per month

  • Thoracolumbar deformity 
    Ankylosing spondylits osteotomies
    Congenital deformities
    Kyphotic deformities 
    Neuromuscular deformities 
    Scoliotic deformities 

approx. 1 per fortnight 
approx. 1 per month 
approx. 1 per month 
approx. 1 per month 
approx. 1 per week 
approx. 1 per week

Fellowship types

Observership (1 month)

Short-term (3 months) = aimed at spine surgeons who need to update their knowledge/skills on specific pathologies

Long-term (1 year for foreign fellows – 2 years for Brazilian fellows)

Language requirements

English, Portuguese, Spanish

Vacancies per year:

Short Term: 3 per period/year
Long Term: 2 per year

Fellowship Start

Long Term:  in March / July
Short Term: from March until November

Program Characteristic:


To train an orthopedic surgeon in the whole management of the spine pathology.

The fellowship will give to the sub-specialist theoretic concepts and practical skills in the diagnosis and treatment of the spine pathology, with a solid knowledge of basic sciences related to the spine.


1.   Clinical practice

  • Daily round to hospitalized patients with residents and medical students of the spine unit.
  • Clinics with the surgeon-in-charge of the fellowship, twice a week.
  • Weekly round with the whole spine unit (5 ortho-spine surgeons)
  • Weekly spine unit meeting, where the group reviews the cases done the week before, discusses complex cases and plans the surgery for coming week.
  • Programmed surgery: the fellow will participate as assistant in the surgeries of the spine group. Depending on his or her skills and some legal subjects, he or she could also operate some patients, always assisted by the surgeon-in-charge of the fellowship or one of staff spine surgeons.
  • Emergency surgery: the fellow will have a cell phone to be call at any time when a case that requires emergency surgery is admitted in the hospital. The fellow will participate in the evaluation of the patient as well as in the surgery, the same as in programmed surgery as assistant or surgeon.

2.   Research

The fellow will participate in the clinical research of the Spine Unit.  The research field at our department is mainly about spinal cord injuries and recovery, at a special laboratory.  At the end of the fellowship, at least two papers in which he or she has been participating must be submitted to publication.

3.   Academic

The fellow must prepare at least two revision monographs during his or her fellowship. Those monographs will be programmed to be presented orally in the weekly orthopedic department meeting. They will also be considered for a Master’s degree at the medical school.

4.   Other activities

  • For 8 weeks, during the Friday afternoon (1), from 2:00 PM to 6:00 PM the fellow will do a rotation in the MRI unit.
  • For 8 weeks, during the Friday afternoon (2) from 2:00 PM to 6:00 PM the fellow will do a rotation with the EMG-specialist of the spine group.

5.   Evaluation

The fellow will be evaluated by spine surgeon-in-charge together with the staff surgeons of the spinal unit, at 6 months and again at the end of the year of the fellowship.


Full-time regime Monday to Friday from 7:00 AM to 19:00 PM
Saturday from 9:00 AM to 12:00 PM

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