Alexander qualified from Glasgow University Medical School, and has spent all but one year of his working career around the London area. His Basic surgical training was in Central and North London, and he developed his interest in Spinal Surgery working at the National Hospital for Neurology and Neurosurgery, Queens Square, and at the Royal National Orthopaedic Hospital in Stanmore. He soon entered the University College Hospital London (UCLH) Specialist Registrar training program with placements all over London including Barts and the London Hospital, Great Ormond Street, UCLH, Barnet and Chase Farm Hospital, and North West London Hospital NHS Trust.
Spinal Fellowships and Training:
Alexander started his Spinal fellowship in the East Anglia region which included Spinal trauma, neurosurgery, degenerative, complex and deformity surgery in the lumbar, cervical and thoracic spines. He started at Addenbrookes Hospital in Cambridge, followed by Ipswich and the Norfolk and Norwich Hospitals. He gained experience here in the use of minimally invasive surgical techniques and surgery using a microscope. He also gained much experience in innovative multidisciplinary ways of managing spinal conditions in different centres around the country, and abroad. The emphasis is placed on personalised patient centred treatment plans based on the most up to date evidence.
After the year in East Anglia, Alexander went to New Zealand for 18 months on another Spinal Fellowship that involved spinal trauma plus degenerative and complex deformity surgery. He was trained to use various approaches and techniques (anterior, lateral, posterior). He also worked in a practice which treated top flight rugby players and other sportsmen.
Prior to his Spinal fellowships, Alexander worked as a registrar in Spinal Surgery at Great Ormond Street Hospital, and St Bartholomew's and the Royal London Hospital. He has also worked on the Spine team at the National Hospital for Neurology and Neurosurgery, Queens Square, and at the Royal National Orthopaedic Hospital in Stanmore as a junior doctor.
Current Consultant position:
Alexander is a Consultant Spinal and Orthopaedic Surgeon at St Bartholomew's and Royal London teaching hospital and he has set up the Spinal Orthopaedic Unit in the new Hospital. This has included developing new pathways for Spinal Management, as well as obtaining new theatre operating tables and equipment through business cases. He has set up various multidisciplinary weekly meetings with physiotherapists, Neurosurgeons, and the spinal pain service for elective surgery, as well as with the Trauma and Intensive Care service for the emergencies that come through this tertiary Level One Trauma Centre. The surgery Alexander performs at the hospital ranges from operations using microscopes and minimally invasive techniques to treat disc prolapses, to lumbar or cervical fusions and complex deformity cases. Work has already begun with colleagues at the Hospital and partners at Queen Mary University, to build a Spinal Research Unit with International collaborations and links.
Membership of Professional Associations:
Fellow of the Royal College of Surgeons of England
Member of the British Association of Spine Surgeons
Member of the North American Society of Spine Surgeons
Affiliate Member of American Academy of Orthopaedic Surgeon
Member of the British Medical Association
Research and presentations:
Factors governing outcomes in lumbar Posterior Lumbar interbody fusion surgery based on long term prospective outcomes. Accepted for presentation ' British association of Spine surgeons 2013.
Invited Guest speaker ' Washington State Spine meeting, Harborview medical centre, Seattle ' lumbar fusion surgery and State compensation systems.
Prospective long term follow up of functional outcomes in Lumbar fusions comparing local bone graft to iliac crest. Prize winner for best presentation International Society for the Study of the Lumbar Spine - Eurospine week, Amsterdam 2012
Compensation hinders recovery in lumbar spine fusions - Or does it' Comparing functional outcomes of compensation patients in Lumbar fusions to a No fault, Universal compensation system. Presented at the International Society for the Study of the Lumbar Spine - Eurospine week, Amsterdam 2012
Comparing Re-operation rates and return to work status in compensation patients following Lumbar fusion to those under a No fault, Universal compensation system. A systematic review of the Literature. Presented at the Australian Spine Society meeting Sydney, 2012.
Comparing Lumbar fusion surgery outcomes in the degenerative and injured spine. Australian association of spine surgeons 2012
A systematic review - Comparing outcomes for lumbar fusion between degenerative disease and that exacerbated by injury. A prospective cohort in New Zealand. Presented at the New Zealand Spine Society meeting, Queenstown 2011.
Review of 125 cases of Pelvic Fixation in Posterior Spinal Fusion at Great Ormond Street Hospital, London. A Retrospective Review. Presented at Growing Spine, Istanbul 2010
Idiopathic Scoliosis Surgery ' A study into patient perceptions and satisfaction pre and post surgery. Presented at British Scoliosis Society, Birmingham, November 2010.
Neuromuscular scoliosis ' pelvic fixation and complications. Presented at Toronto Spine Meeting 2010.
Prospective study of 120 Arthroscopic Rotator Cuff repairs. Venkat, Montgomery, Levy, Copeland. Presented at BESS, July 2006 (JBJS suppl).
Displacement of the Common Peroneal Nerve following Knee ligament Reconstruction, Montgomery, Birch, Malone; JBJS (Br)87-b,871 2005
Sciatic Neurostenalgia; Caused by Total Hip Arthroplasty, cured by late neurolysis. Montgomery, Birch, Malone ; JBJS Jan 2005