Direct Care
Surgeons, anesthesia, instruments, implants, hospital time, and recovery for children who otherwise would never reach specialized care.
Specialized spine surgery for children who face some of the steepest barriers to care in the Americas.
Next mission: Managua, October 18-25, 2026. See the mission details.

In Nicaragua, families travel across the country for pediatric spine care that is nearly impossible to access at home. Children with severe deformities wait on long lists while pain, stigma, and lost school years stack up. Without visiting specialist teams and local partners working as one program, many of these surgeries simply do not happen.
Nicaragua extends SpineHope’s reach to children who need complex spine surgery now. Led by Dr. Kenneth Illingworth (Cedars-Sinai), our missions partner with host spine surgeon Dr. Zeyra del Carmen Lopez Aguilar and the team at Dr. Fernando Vélez Paiz Hospital in Managua (including Medical Director Dr. Maria Virginia Garcia Almendarez, Dr. Evel Lopez, Dr. Eder Martinez, and Dr. Johana Lissette Galan Lopez), in collaboration with the Ministry of Health. Each visit delivers charity surgery and post-op care, and builds local skill so Nicaraguan clinicians can carry more of this work forward year after year.
Surgeons, anesthesia, instruments, implants, hospital time, and recovery for children who otherwise would never reach specialized care.
Exams, reconnection with prior patients, and the aftercare that protects every outcome.
Side-by-side teaching with Managua partners, and investments like equipment training, so the program deepens between missions.




Eleven spine surgeries and 36 patient examinations at Dr. Fernando Vélez Paiz Hospital, with SpineHope and local partners working as one team.
A parent who once feared their child would never stand tall watches them walk the hospital hallway again, proof that distance and income do not have to decide a child’s future.
Your gift covers the full cost of a child's surgical care, from the operating room to recovery. Every dollar fuels direct medical intervention in communities with no other option.
Three pillars of care working together: surgical missions, in-country treatment, and training the next generation.

Complex pediatric spine surgeries performed in U.S. partner hospitals

Training local surgeons to build lasting, independent care

Expert surgical teams serving children in Ecuador and Nicaragua