Nigerian Excellence in Medicine: Dr. Dennis Agbazue Makes History in South Africa with Groundbreaking Spine Surgery

By George O. Sylvester

On March 22, 2025, a new chapter was written in the annals of spinal surgery in South Africa. In what medical professionals are hailing as a major breakthrough in minimally invasive spine treatment, Nigerian-born orthopaedic and spinal surgeon, Dr. Dennis Agbazue, successfully performed Gauteng Province’s first fully endoscopic lumbar spinal decompression and fusion at Mediclinic Vereeniging. This landmark procedure has not only redefined the surgical possibilities within the province but has also elevated South Africa’s standing in the realm of advanced spinal care. More importantly, it represents the growing global footprint of Nigerian professionals who are transforming lives and industries in their host countries.

The patient, a 55-year-old male suffering from spondylolisthesis; a condition where one vertebra slips over another, often causing debilitating nerve compression and spinal stenosis underwent a complex yet precise surgical procedure executed entirely through two tiny incisions. Known as the bi-portal endoscopic technique, this method allows for bilateral laminectomy (removal of part of the vertebral bone), disc removal and spinal fusion all done with minimal disruption to muscle and tissue. This technique, relatively new in South Africa, reduces hospital stay, speeds up recovery and offers patients immediate relief from pain.

This is a monumental stride, not just for Mediclinic Vereeniging but for the entire province of Gauteng. Until now, endoscopic spinal surgeries, especially bi-portal decompression and fusion, were rarely performed in the region due to their high level of technical difficulty and the need for specialized training and equipment. Dr. Agbazue’s success now opens the door to a future where such procedures become commonplace, benefiting thousands of patients suffering from chronic spinal conditions.

A Surgeon of Many Firsts
Dr. Agbazue is not new to trailblazing. Since 2022, he has emerged as one of the few spinal surgeons in South Africa proficient in both uni-portal and bi-portal endoscopic spinal techniques. His journey into endoscopic spine surgery began with the uni-portal approach, a technique that involves a single incision for both visualization and surgical instruments. Since adopting it, he has successfully completed approximately 330 cases, earning him accolades from both peers and patients.

What sets him apart is not just his technical expertise, but his commitment to patient-centered care and surgical innovation. The transition to the bi-portal technique in 2024 allowed Dr. Agbazue to tackle more complex spinal conditions with enhanced surgical visibility and dexterity. Unlike open surgery, which often requires long incisions and extended recovery periods, the bi-portal method uses two small portals, one for a camera and another for surgical tools enabling more precision and less trauma to surrounding tissues.

“This technique represents the future of spine surgery,” Dr. Agbazue noted. “We are now able to offer patients the best of both worlds: surgical efficacy and a rapid return to normal life. It’s truly transformative.”

Building a Hub of Excellence in Vereeniging
Since leading the first endoscopic spinal surgery at Mediclinic Vereeniging on August 9, 2022, Dr. Agbazue has been instrumental in transforming the facility into a center of excellence for minimally invasive spine care. By March 2024, he had performed over 200 successful endoscopic spinal procedures, with outstanding outcomes and low complication rates.

His collaboration with Q Surgical, a medical instrumentation firm, has played a pivotal role in advancing the hospital’s capabilities. Together, they have introduced state-of-the-art endoscopic equipment and surgical tools, ensuring that local patients receive world-class care without the need to travel abroad.

As a result, Mediclinic Vereeniging has seen an influx of patients from across Gauteng, including metropolitan hubs like Johannesburg and Pretoria, seeking treatment under Dr. Agbazue’s expert care. For many, this represents not only hope but a second chance at life free from the chronic pain and disability associated with spinal disorders.

Representing Nigeria with Pride
At a time when negative narratives often dominate discussions about Nigeria and its citizens abroad, individuals like Dr. Dennis Agbazue offer a powerful counter-narrative. A proud Nigerian, Dr. Agbazue embodies the resilience, intellect and work ethic that define the best of the Nigerian spirit. His achievements are not isolated; rather, they are part of a broader wave of Nigerian professionals excelling globally in medicine, law, academia, technology and business.

From the corridors of Johns Hopkins and Mayo Clinic in the United States to the consulting rooms of top hospitals in the UK, Canada and Australia, Nigerian doctors have built a formidable reputation for excellence. According to a 2021 report by the UK’s General Medical Council, over 7,000 Nigerian-trained doctors were registered to practice in the UK, one of the largest contingents of foreign-trained doctors. In the United States, Nigerian-Americans are among the most highly educated immigrant groups, with medicine ranking among the top professions.

In South Africa, despite facing xenophobic challenges, Nigerians like Dr. Agbazue continue to distinguish themselves through competence and integrity. They fill critical gaps in healthcare and education and contribute to national development in quiet yet powerful ways.

The Global Shift Toward Minimally Invasive Surgery
Dr. Agbazue’s success must also be seen within the global context of medical innovation. The past two decades have seen a seismic shift from traditional open surgeries to minimally invasive procedures across all specialties. Spinal surgery, once known for long recovery periods and high complication risks, has now embraced technologies such as robotics, navigation systems and endoscopic tools.

In endoscopic spinal surgery, the benefits are indisputable. Studies published in peer-reviewed journals such as The Spine Journal and Journal of Neurosurgery: Spine have shown that endoscopic techniques result in less blood loss, shorter operative times, lower infection rates and faster functional recovery compared to open surgery. This approach is particularly beneficial for older patients or those with comorbidities who might not tolerate extensive surgery well.

Dr. Agbazue’s use of bi-portal endoscopy aligns South African spinal care with these international best practices, giving local patients access to treatment modalities previously reserved for developed countries.

A Call to Celebrate Nigerian Excellence
As Nigerians, we must learn to recognize, amplify and celebrate our own. In a world quick to highlight the failures and shortcomings of African professionals, stories like that of Dr. Dennis Agbazue remind us of our boundless potential. These are the narratives that must dominate our airwaves, newspapers and social platforms not only as a source of national pride but as an inspiration to young Nigerians at home and in the diaspora.

The future of Nigeria lies in the excellence of its people. Whether in medicine, innovation or public service, it is those who dare to push boundaries and defy odds that will shape our nation’s global identity. In Dr. Agbazue, we find one such individual a healer, a pioneer, and a worthy ambassador of the Nigerian dream.

Final note
The March 22 procedure at Mediclinic Vereeniging was more than a surgical first, it was a testament to the transformative power of skill, vision and perseverance. Dr. Dennis Agbazue’s achievement has not only raised the bar for spinal surgery in South Africa but has also positioned him as a beacon of excellence among Nigerian professionals abroad.

As we look to the future, may we continue to support and celebrate the likes of Dr. Agbazue, whose work reminds us that, regardless of where we come from, greatness knows no boundaries.