Andrew J. Fabiano, MD, MBA, FAANS

Specialty: Neurosurgery
Director, Neuro-Oncology Program
Director, Spinal Oncology Center
Chair, Department of Neurosurgery

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Locations

Roswell Park Main Campus
1-800-ROSWELL (1-800-767-9355)

Dr. Fabiano is a Buffalo Spree Top Doctor! Top Doctors 2025 See all of our physicians who made this year's list.

Cancers Treated:

Specializing In:

  • Brain Tumors
  • Spinal Tumors
  • Gamma Knife Radiosurgery
  • Complex Spinal Surgery
  • Radiation Necrosis
  • Meningiomas
  • Computer-Assisted Surgery
  • Gliomas
  • Chordomas
  • Spinal Chondrosarcomas

Research Interests:

  • Spinal Metastatic Disease
  • Cerebral Edema
  • Management of Brain Tumors in Eloquent Cortex
  • Spinal Neuronavigation

Biography

Andrew J. Fabiano, MD, MBA, FAANS is Chair of the Department of Neurosurgery, Director of the Neuro-Oncology Program, and the Director of Spinal Oncology at Roswell Park Comprehensive Cancer Center (Roswell Park). He is a Professor of Neurosurgery and Oncology at Roswell Park and a Clinical Professor of Neurosurgery at SUNY at Buffalo. His practice is based at Roswell Park and focuses on the treatment of tumors of the brain and spine.

Dr. Fabiano is a recognized national expert on the operative management of brain and spine tumors. Dr. Fabiano has been the lead Neurosurgeon on more than 2000 surgeries specifically for the treatment of brain or spine tumors. He is Board Certified by the American Board of Neurological Surgery (ABNS) and was selected to serve as an ABNS board examiner. Additionally, he was selected to the National Comprehensive Cancer Network (NCCN) Central Nervous System Guidelines Panel.

A major component of Dr. Fabiano’s practice is the treatment of benign and malignant brain tumors. He has a special interest in minimally invasive techniques for the treatment of brain tumors including Gamma Knife Radiosurgery, Intracranial Endoscopy, and Endoscopic Skull Base Surgery. He specializes in the removal of challenging brain tumors in difficult locations for resection. He has served as expert faculty for the Congress of Neurological Surgeons and the American Association of Neurological Surgeons on the surgical management of brain tumors.

Dr. Fabiano is the Director of the Spinal Oncology Center at Roswell Park and has special expertise in spinal tumor removal and complex spinal reconstruction. He utilizes intraoperative neuroimaging and spinal neuronavigation to enhance patient safety and surgical outcomes. He has lectured extensively on the surgical management of spinal tumors and was selected for the North American Spine Society’s Spinal Oncology and Robotics & Navigation Leadership Committees.

Dr. Fabiano is a native of Buffalo, NY. He was inspired to enter the field of Neurosurgery by a relative with a neurologic disorder and a desire to help patients with similar conditions. First accepted into medical school at age 17, he graduated from the University of Illinois at Chicago in five semesters with Highest Departmental Distinction and from SUNY at Buffalo School of Medicine and Biomedical Sciences with Thesis Honors. He completed a neurosurgical training program with the SUNY at Buffalo Department of Neurosurgery. During his training, he was awarded an Alpha Omega Alpha Research Fellowship and a Thomas F. Frawley Research Award. Dr. Fabiano completed an MBA in Healthcare Leadership at Creighton University Heider College of Business. Dr. Fabiano has previously served as an Unaffiliated Neurotrauma Consultant for the National Football League.

In his own words, Dr. Fabiano says, "I feel fortunate to be able to use my abilities to help other people. The treatments I recommend and provide to my patients are the treatments I would want for my family members. I focus intensely on each patient I meet to provide them with the best care. I'm proud to be from Buffalo and to contribute to my home community."
 

Positions

Roswell Park Comprehensive Cancer Center

  • Professor of Neurosurgery and Oncology
  • Director, Neuro-Oncology Program
  • Director, Spinal Oncology Center
  • Chair – Department of Neurosurgery

Jacobs School of Medicine and Biomedical Sciences, University at Buffalo

  • Clinical Professor of Neurosurgery

Background

Education and Training

  • BS – University of Illinois at Chicago, Chicago, IL
  • MD – SUNY at Buffalo School of Medicine and Biomedical Sciences, Buffalo, NY
  • MBA - Creighton University Heider College of Business, Omaha, NE

Residency

  • SUNY at Buffalo Department of Neurosurgery, Buffalo, NY

Board Certification

  • Neurological Surgery, American Board of Neurological Surgery

Professional Memberships

  • American Association of Neurological Surgeons
  • Congress of Neurological Surgeons
  • Society of Neuro-Oncology
  • North American Spine Society
  • National Comprehensive Cancer Network
  • AANS/CNS Section on Tumors
  • AANS/CNS Section on Disorders of the Spine and Peripheral Nerves
  • Spine Therapy Society
  • Space Surgery Association

Honors & Awards

  • 2019, 2021, 2023 - American Board of Neurological Surgery Guest Examiner
  • 2019-2025 - Buffalo Spree Top Doctor
  • 2020 - Top Neurological Surgeon
  • 2019 - North American Spine Society (NASS) 20 Under 40 Spine Surgeon
  • 2016 - Buffalo Business First 40 Under 40
  • 2017, 2018 - America's Top Surgeons

Featured on CancerTalk

Publications

  Full Publications list on PubMed

1. Ledford A, Rodriguez A, Lipinski L, Abad A, Fenstermaker R, Edenfield J, Kanos C, Redjal N, Mansouri A, Zacharia B, Butowski N, Liu J, Han SJ, Ziu M, Cohen AL, Fabiano AJ, et al. Functional prediction of response to therapy prior to therapeutic intervention is associated with improved survival in patients with high-grade glioma. Scientific Reports 29;14(1):19474, 2024.

2. Okai BK, Lipinski LJ, Ghannam MM and Fabiano AJ. Expected motor function change following decompressive surgery for spinal metastatic disease. North American Spine Society Journal 15:100240, 2023.

3. Horbinski C, Nabors LB, Portnow J, Ahluwalia M, Baehring J, Bhatia A, Bloch O, Brem S, Butowski N, Cannon DM, Chao S, Chheda MG, Fabiano AJ, et al. NCCN guidelines insights: central nervous system cancers, version 2.2022: featured updates to the NCCN guidelines. Journal of the National Comprehensive Cancer Network 21(1):12-20, 2023.

4. Fabiano AJ, Prasad D and Qiu J. Adverse radiation effect in the brain during cancer radiotherapy. Journal of Radiation and Cancer Research 8(3):135-40, 2017.

5. Miller JA and Fabiano AJ. Comparison of operative time with conventional fluoroscopy versus spinal neuronavigation in instrumented spinal tumor surgery. World Neurosurgery 105:412-9, 2017.