CM3 Program

The 3-step training program emphasizes equally theoretical and practical education. After participation in surgeries at selected training centers, the surgical techniques will be trained step-by-step in a hands-on workshop. Finally the surgeon can operate on his own patients supported by a  faculty. The CM3 program contains three steps: Visitation, Hands-on Workshop, First Surgery


CM3 Visitation

First interested surgeons get familiar with the surgical techniques and gain their first live-experience during an internship in one of the partner hospitals.

During this step the visiting surgeon will

  • be introduced to endoscopic methods and techniques and learn how to carry them out in a clinical environment
  • get to know endoscopic devices and instruments in routine clinical practice
  • gain first insight into clinical options and limitations of the method(s)
  • be made aware of the importance of team involvement

Step 2

CM3 Hands-On Workshop

All endoscopic methods and techniques are taught and trained in workshops combining theoretical and practical parts in a very efficient way. All workshops are conducted by a committed ESPINEA® team, consisting of training and application specialists and highly-experienced faculty members, who are specialized in orthopaedic or neurological surgery. Workshop contents are:

  • Transforaminal and interlaminar endoscopic access to the spinal canal for deherniation and decompression at the lumbar spine, treatment of migrated disc herniations, foraminal, recess stenosis, including navigated surgical access.
  • Pain therapy treatment of facet and sacroiliac joint syndroms at the lumbar spine, and interventional and intradiscal endoscopic nucleus therapy.
  • Treatment of facet joints as well as decompression at the cervical spine.
  • Transforaminal endoscopic stabilization with
    percutaneous screw-rod-sytem and implantation of cage with over-the-wire technique.
  • Complication management: complications can occur with all surgical methods and can be addressed with education. Excellent training assures the quality of the surgeon and best possible clinical outcome.

Hands-On Workshops

ESPINEA® hands-on workshops, powered by joimax®, are designed to deepen existing knowledge and expand further surgical techniques.

Participants will develop deep endoscopic knowledge by means of expert lectures and intense practical training.

Step 3

CM3 1st surgery

Supported by an experienced endoscopic spine surgeon and joimax® application specialist, the well-trained beginner performs a full-endoscopic surgery on his first patient.
The education modules enable the beginner to:

  • Acquire the skills to carry out endoscopic spine surgeries by themselves.
  • Gain experience to select appropriate cases matching the individual capability.
  • Gather knowledge on organization and conduction of endoscopic spine procedures within the individual hospital and OR settings, as well as with the respective team.

Endoscopic Spinal Surgery Level 1-2 workshops will provide the participants with a widest possible basis. The unique transforaminal access to the spinal canal and the spatial orientation through the endoscope can be challenging, especially for beginners. Level 3-4 workshops will deepen existing knowledge and further expand surgical techniques, e.g. cervical treatment options, as well as endoscopic fusion techniques. These are particularly suitable for experienced surgeons. Pain Therapy workshops address facet, sacroiliac joint and peripheral nerve treatment, as well as interventional nucleus therapy. All workshops touch electro-magnetic navigation with Intracs® em, the integrated Navigation Tracking & Control System from joimax®. Clinical background, challenges, pitfalls and complications of each technique are shared and discussed in faculty lectures. Practical demonstration and explanation on spine models and simulators support the understanding and lead to practical hands-on training on human specimens.


• Asklepios Klinik Lindau GmbH, Lindau, Germany
• Elisabeth Krankenhaus, Recklinghausen, Germany
• Klinik Rothenburg, Rothenburg, Germany
• Ligamenta Wirbelsäulenzentrum, Frankfurt, Germany
• Loretto Krankenhaus, Freiburg, Germany
• St. Christophorus-Krankenhaus, Werne, Germany
• RHÖN-KLINIKUM Campus Bad Neustadt,
Bad Neustadt a.d.Saale, Germany
• Sankt Elisabeth Hospital, Gütersloh, Germany
• Université de Lille, Lille, France
• Hospital Prive Jean Mermoz, Lyon, France
• Iprenburg Herniakliniek, Veenhuizen, The Netherlands
• AZ Delta, Roeselare, Belgium
• Clinica DFK, Madrid, Spain
• Ospedale di Cattinara Reparto Di Neurochirurgia,
Trieste, Italy
• Hospital das Forças Armadas, Porto, Portugal
• Euroclinic Athens, Athen, Greece
• Budolfi Private Hospital, Spine Center, Aalborg, Denmark
• Musgrove Park Hospital Somerset Spinal Surgery
Services, Taunton, UK
• Salford Royal Hospital, Manchester, Manchester, UK
• Razi Spine Clinic, Amman, Jordan

• University of Washington, Seattle, USA
• University of Utah, Salt Lake City, USA
• Houston Methodist, Houston, USA
• Fremont Surgery Center, Fremont USA
• Texas Back Institute, Dallas, USA
• University of Michigan, Michigan, USA
• University of Miami Hospital, Miami, USA
• Vanderbilt University, Brentwood, USA
• Weill Cornell/New York Presbyterian, New York, USA
• Brown University, Providence, USA
• Cape Cod Hospital, Hyannis, USA
• enVISION Spine Surgery, New York, USA
• Hospital Ángeles del Pedregal, Mexico City, Mexico
• Espalda Saludable/MK Spine Health, Tijuana, Mexico
• Hospital Star Medica – Queretaro, Queretaro, Mexico
• Hospital Medica Sur, Mexico City, Mexico

• Spine Center & Back Pain Clinic, Bangkok, Thailand
• Wooridul Spine Hospital, Seoul, South Korea
• National University of Singapore (NUS), Singapore,
• Tan Tock Seng Hospital Pte Ltd, Singapore, Singapore
• Xinqiao Hospital, Third Military Medical University,
Chongqing, China
• Tongren Hospital / Shanghai Jiao Tong University
School of Medicine, Shanghai, China
• Westmead Private Hospital, Westmead, Australia
• The Sydney Adventist Hospital, Sydney, Australia
• Xiamen Humanity Hospital, Fujian, China
• Rujing Hospital of Shanghai Jiaotong University
School of Medicine, Shanghai, China
• Southern Medical University Hospital, Guangzhou,
• Luoyang Orthopedic-Traumatological Hospital of
Henan Province, Henan, China
• Ramkhamhaeng Hospital, Bangkok, Thailand
• Chiang Mai University, Chiang Mai, Thailand
• National University of Singapore (NUS), Singapore,
• Show-Chwan Memorial Hospital, Changhua City,
• Tsu-Chi hospital, Taichung, Taiwan
• KPJ Ipoh Specialist Hospital, Perak, Malaysia
• Korea University Guro Hospital, Seoul, South Korea
• Norwest Private Hospital, Sydney, Australia
• Wakayama KOYO Hospital, Wakayama, Japan
• Union Hospital, Hong Kong, Hong Kong

Continuous Medical Education Means:
„Never Stop Learning“

After successful completion of the CM3 Program for a specific method or technique, you may want to start off again with the CM3 Program and another method, enlarging your surgical portfolio and thus increasing your number of treated patients. And even with all techniques acquired, there are always new, different or surprising aspects and approaches when talking with other surgeons during workshops, meetings or conferences.

Fellowship Program

Choose what you’d like to learn from our extensive subscription library.

Faculty Program

Get in touch with our esteemed faculty members and find out how to become a faculty by yourself.

User, Faculty & Expert Meetings

ESPINEA® together with joimax® see these meetings as a great opportunity for endoscopic spine experts to interact in an intimate environment.

Exchange Platform

ESPINEA® provides a platform for extensive exchange of knowledge and experience in a confidential framework

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