Spinal Fellowships

Post CCT Advanced Spinal Fellow in Complex Spinal Surgery

The spinal surgery unit at Leeds has an international reputation as a centre of excellence for the treatment of spinal pathologies. It is home to one of two National Spine Fellowships set up by Professor Robert Dickson and Mr Gerry Towns in the 1990s to provide ‘interface’ training in spinal surgery that encompassed both Orthopaedic and Neurosurgical disciplines. I am an accomplished Spinal Fellow with a strong track record at Leeds Teaching Hospitals. My experience includes the management of both paediatric and adult spinal conditions on both an elective and acute setting.

I have clinical experience in a range of paediatric spinal conditions including the management of paediatric spinal deformity. This includes early onset scoliosis, adolescent idiopathic, neuromuscular and syndromic scoliosis. My surgical experience in management includes the use of casting techniques, graduation surgery, and definitive fusion surgery.

In adult spinal surgery my experience includes the management of degenerative conditions including spinal stenosis, myelopathy, spondylolisthesis, degenerative spinal deformity, spinal infections, metastatic spinal tumours and trauma from occiput to pelvis.

My dedication extends to medical education, with contributions in teaching, research, and audit projects. I hold an educational contract with Stryker and instruct on an international complex spine course. I've gained extensive experience through collaboration with both neurosurgeons and orthopaedic spinal surgeons during my fellowship. My background, expertise, and commitment position me well for a consultant role, where I can apply my extensive clinical experience and contribute to spinal services.

Post CCT Spinal Disorders Fellowship - Current

My experience in Alder Hey encompassed the management of a wide array of paediatric spinal conditions including the clinical and surgical management of paediatric deformity to include early and late onset scoliosis. This experience includes the management of neuromuscular, syndromic, idiopathic and congenital scoliosis. The fellowship allowed for consolidation of surgical skills in performing posterior spinal fusion with supplementation of enabling technologies including O-arm and navigation.

At the Robert Jones and Agnes Hunt Orthopaedic Hospitals I will gain further exposure to Adult Spinal Disorders with focus on Complex adult spine deformity and Spinal Endoscopy as one of the leading centers in spinal endoscopy in the United Kingdom.

Research Career Summary

Masters of Research (MRes) The University of Manchester, Heart and Lung Transplant Centre

I have a strong background in academic research. My MRes degree provided a strong foundation and a solid understanding of Good Clinical Practice (GCP) and its role in protecting patients and ensuring the validity of trial data.

I am familiar with research governance and the Human Tissue Act, I can handle patient and public engagement in research. My MRes included experience in the interpretation of information from clinical trials and in statistical analysis techniques.

My clinical research includes work published in peer reviewed journals and work presented at national meeting. Notably I have experience in both laboratory research and clinical research. My contributions include a high impact Randomised Control Trial in the cardiothoracic unit in Manchester as a part of my MRes which was later published on the use of drains in endoscopic surgery.

Qualifications & Certifications

Certificate of Completion of Specialist Training (CCT)

Fellow of the Royal College of Surgeon - FRCS (Tr&Orth)

Membership of the Royal College of Surgeon - MRCS

MRes Medical Sciences (Master of Research)

MBChB (Bachelor of Medicine, Bachelor of Surgery)

GMC Registration (Specialist Register Trauma & Orthopaedics)

Educational Contracts

Stryker - 2023

Facultymember & Teaching

AlderHey FRCS CourseAlderHey Childrens Hospital| 2023

Stryker Complex 300Stryker Head Office Newbury| 2023

HARROGATE FRCS VICA (Faculty)YORKSHIRE AND HUMBER DEANERY| 2023

WRIGHTINGTON BASIC SCIENCE AND LOWER LIMBS FRCS VICA COURSE (Faculty),Wrightington, Wigan & Leigh NHS Trust| 2022

BASIC PRINCIPELS OF FRACTURE MANAGEMENT DRY BONE WORKSHOP (Faculty),Wythenshaw Hospital| 2017

NORTH WEST CASTING TECHNIQUES COURSE (Faculty),Teaching Hospitals| 2020

SCALPEL MANCHESYER SURGICAL SOCIETY ORTHOPAEWDIC EXAMNATION COURSE (Faculty),Manchester Royal Infirmary / The University of Manchester |2019

Professional Affiliations

British Association of Spinal Surgeons (BASS)

British Scoliosis Society (BSS)

Medical Defense Union (MDU)

British Medical Association (BMA)

General Medical Council (GMC) – Specialist Register

Peer Review Journal Publications

Management of injuries to the triangular fibrocartilage complex and distal radioulnar joint.Mohammed Shoaib Arshad, Mohammed Madi, Simon J.Roche. Orthopedics and Trauma. August 2021

Cubital Tunnel Decompression: Equivqlent outcome scores when procedure performed with local anaesthetic vs General anaesthesia.S H Ajawni, R Unsworth, M Tseng, M Madi. A Berg, J G Warner, P R Wykes. Journal of Hand and Microsurgery. Oct 2018

Closed suction drainage improves clinical outcome in patients undergoing endoscopic vein harvesting for coronary artery bypass grafting.Krishnamoorthy B, Madi MI, Najam O, Waterworth PD, Fildes JE, Yonan N. Ann Thorac Surg. 2012 Apr;93(4):1201-5.

Metastasising pleomorphic salivary gland adenoma presenting as synchronous pulmonary and hepatic metastases.Abou-Foul AK, Madi M, Bury D, Merritt A.BMJ Case Rep. 2014

Presentations (Oral)

Does plate fixation prevent cage subsidence when using 3D printed titanium cages for anterior cervical discectomy and fusion (ACDF)?BritSpine Glasgow| April 2023 (Scheduled)

Retrospective analysis of the usefulness of the laboratory risk indicator for necrotising fasciitis (LRINEC score) for detecting a culture positive diagnosis of necrotising fasciitis.British Trauma Society (BTS), Nottingham | 2019

Impact Of The Trampoline Park Phenomenon: A Retrosepctive Cohort Study On The Associated Injuries And Financial Impact On Adjacent Hospital.ORAL, European Federation of National Associations of Orthopaedics and Traumatology (EFORT)| 2020

Ulnar nerve decompression at the cubital tunnel and the effect upon outcome scores in patients that undergo the procedure under local and general anaesthesia.ORAL, British Society for Surgery of the Hand (BSSH)| 2017

Antimicrobial suture wound closure for coronary artery bypass graft surgery – a prospective, double blinded, randomised controlled trial.ORAL, 2nd National Oxford Symposium, Oxford| 2013

Closed suction drainage improves clinical outcome in patients undergoing vein harvesting for coronary artery bypass grafting. a prospective, double blinded, randomised controlled trial.The Royal College of Surgeons Edinburgh. The second national surgical conference| 2014

Presentations (Poster)

Metastasising pleomorphic adenoma presenting as a synchronous pulmonary and hepatic metastasis. The Royal College of Surgeons Edinburgh. The second national surgical conference| 2014

Fish oils induce apoptosis in myeloid leukemia cell line K562 ORAL, 2nd National Oxford Symposium, Oxford| 2013

Courses & Continuing Professional Development

• SI Joint Fusion Course SI Bone | 2024
• Present with Impact STRYKER | 2024
• SCOLIOSIS TECHNIQUES MEETING STRYKER | 2023
• MERC – FUSION VS NON FUSION TECHNIQUES FOR SCOLIOSIS GLOBUS | 2023</li>
• THE GREAT DEBATE STRYKER | 2023
• PRESENT WITH IMPACT STRYKER | 2023
• JOIMAX SPINAL ENDOSCOPY INSTRUCTIONAL COURSE BASS | 2023
• BRITSPINE 2023 BASS | 2023
• COMPLEX SPINESYMPOSIUM 2023 NuVaisive | 2023
• LEEDS ADVANCED APPROACHES | Stryker | 2022
• NUVAISIVE XLIF INSTRUCTIONAL COURSE NuVaisive | 2022
• COMPLEX SPINESYMPOSIUM 2022 NuVaisive | 2022
• ADVANCED LIFE SUPPORT (ATLS) Royal College of Surgeon | 2022
• AO SPINE – THORACOLUMBAR FRACTURE MANAGEMENT AO Foundation | 2021
• MEDICAL LEADERSHIP AND MANAGEMENT Oxford Medical | 2022
• INTRODUCTION TO GOOD CLINICAL PRACTISE GCP NIHR | 2022
• TRAINING THE TRAINERS COURSE Oxford Medical | 2022
• HERAEUS BASIC SCIENCE COURSE | Leeds | 2019
• MEDTRONIC MIDASREX HANDS COURSE Keele University | 2022
• HERAEUS ARTHROPLASTY COURSE | Leeds | 2019
• OPEN FRACTURE MANAGEMENT University of Liverpool / Liverpool Limb Recon Unit | 2017
• CADAVERIC ORTHOPAEDIC SURGICAL APPROACHES Robert Jones & Agnes Hunt Orthopaedic Hospital | 2017
• AO – PRINCIPLES OF FRACTURE MANAGEMENT AO Foundcation | 2015
• ADVANCED LIFE SUPPORT (ALS) Resuscitation Council | 2013
• ADVANCED PLATERING TECHNIQUES Royal College of Surgeon | 2015
• CARE OF THE CRITICALLY ILL SURGICAL PATIENT (CCrISP) Royal College of Surgeon | 2015
• ADVANCED LIFE SUPPORT (ATLS) Royal College of Surgeon | 2022

Audit & Quality Improvement Projects

• Management of Acute Dislocated Total Hip Replacement [AUDIT & RE-AUDIT] The Royal Oldham Hospital | May 2020 - June 2022
• Nutritional Assessment for Hip Fracture Patients, an Audit of the NHFD [AUDIT & RE-AUDIT] The Royal Oldham Hospital | March 2019 - Feb 2022
• VTE prophylaxis for elective Hip and Knee arthroplasty [AUDIT] East Lancashire Teaching Hospitals NHS Trust | 2018
• Bone Cement Implantation Syndrome Guidelines for Fracture Neck of Femur. [AUDIT] East Lancashire Teaching Hospitals NHS Trust | 2018
• Delays to Theatre for Fracture Neck of Femur NWOTA Audit. [AUDIT] Tameside and Glossop Integrated Care NHS Foundation Trust | 2017
• Tip Apex Distance in Dynamic Hip Screw Fixation of Intertrochanteric Fractures Salford Royal Hospital | 2016
• Emergency department referral to Fracture Clinic [AUDIT] The Royal Bolton Hospital | 2015
• Venothromboembolism prophylaxis in patients with lower limb immobilisation from fracture clinic [AUDIT] The Royal Bolton Hospital | 2015
• Abbreviated Mental Tests (AMTS in Fracture neck of Femur (Re-Audit 2014): Re-Audit Checking the use correct and timely use of AMTS mental scores to help satisfy NHS Best Tariff guidelines for Fracture Neck of femur management. [AUDIT & RE-AUDIT] East Lancashire Teaching Hospitals NHS Trust | 2013 – 2014
• The role of monitoring physiological derangement in managing lower limb arthroplasty patients [AUDIT] Salford Royal Hospital | 2016