Roger Smith is specialty trained in Neurosurgery with fellowship training in diagnostic neuroradiology and interventional spine radiology. To date, he has performed in excess of 1500 vertebral augmentation procedures, 96% for metastatic cancer. In addition, he performs image-guided needle procedures for pain. He has successfully integrated new techniques in managing complex sacral and vertebral fractures in cancer and osteoporosis.
He was instrumental in developing the Kyphoplasty / vertebral augmentation program with Cancer Care Ontario which is now MOH-funded province-wide under the supervision of the CCO Interventional Radiology Steering Committee on which he is a member. He is a technical innovator and has the expertise and experience needed to successfully support an interventional spinal therapy program that bridges a gap between diagnostic evaluation and image-guided procedures. His current project is the formation of the Multidisciplinary Metastatic Spine Clinic at UHN. It is a collaborative practice with Oncology, Spine Surgery and Interventional Neuroradiology providing integrated rapid care for patients with painful unstable metastatic spine disease and fractures. It is accessible to inpatient and outpatient referrals in a tertiary care environment.
In addition he is actively involved in collaborative clinical research within the field of metastatic spine disease.