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SPINE SURGERY at its BEST!
                                                             MEDICAL QUALIFICATIONS:
                                                                     MBBS-M P Shah Medical college, Jamnagar, Saurashtra University
                                                                     MS(Orthopedics)-M P Shah Medical college, Jamnagar, Saurashtra University
                                                                     DNB fellowship in Spine Surgery from Asia’s largest spine institute, Indian Spinal Injuries
                                                                      center, New Delhi under guidance of Dr H S Chhabra
                                                                     Fellowship in Minimally Invasive Spine Surgery and Disc Arthroplasty from Magdeburg
                                                                      University, Germany under guidance of Dr Jorg Frenke
                                                                     Fellowship in Stem cell research from Milan University, Italy under guidance of professor Dr
                                                                      Alfredo Gorio
                                                             ACHIEVEMENT AND AWARDS:
                                                                     National Gold Medalist in final examination of DNB fellowship in Spine Surgery for getting first
                                                                      rank among all India candidates.
                                                                     Dr Patrick Kluger award for Best published paper for the year 2011 in the field of Spine
                                                                      Surgery for his research paper tiltled ‘Thoracic myelopathy due to ossification of ligamentum
                                                                      flavum: a retrospective analysis of predictors of surgical outcome and preoperative neurological
                                                                      status’,Feb 2011,European Spine Journal, 20(2), 205-15
                                                             AREAS OF EXPERTISE:
                                                                     Endoscopic Spine Surgery for Degenerative spinal disorders like Disc prolapse, Lumbar canal
                                                                      stenosis
                                                                     Minimally Invasive Spine Surgery for many spinal diseases including spinal fractures
                                                                     Pediatric and Adult Spinal Deformity correction and spinal osteotomies for like Kyphosis,
                                                                      Scoliosis and Spondylolisthesis
                                                                     Total Disc Replacemet(TDR) of cervical and lumbar spine for degenerative disc problems
                                                                     Complex reconstructive spinal surgeries for Spinal Tumours and Spinal Tuberculosis
                                                                     Kyphoplasty /Vertebroplasty for Osteoporotic and pathological spinal fractures
                                                                     Anterior and posterior cervical surgeries for cervical disc prolapse and cervical myelopathy
                                                                     Occipito-cervical junction surgeries for upper cervical injuries and instabilities
                                                                     Anterior and posterior spinal fixations of cervical, thoracic and lumbar spine
                                                             RESEARCH PRESENTATIONS:
                    Dr Amish Sanghvi                                 Presented more than 20 papers at various national and international conferences
MS(Ortho), DNB fellow (Spine), FMISS(Germany), FSCT(Italy)   INTERNATIONAL PUBLICATIONS:
                                                                     SANGHVI AV, Chhabra HS, Nigam V, Tandon V, Mascarenhas AA. Permanent cardiac
  Consultant Spine surgeon and Rehabilitation specialist              pacemaker for cardiac arrest following cervico-dorsal spinal injury. European Spine Journal. 2009
      amishsanghvi@rediffmail.com, M-9998043393                       July;18 Suppl 2:254-7.
                                                                     SANGHVI AV, Chhabra HS, Mascarenhas AA, Mittal VK, Sangondimath GM. Thoracic myelopathy
                                                                      due to ossification of ligamentum flavum – A retrospective analysis of predictors of surgical
                                                                      outcome and factors affecting preoperative neurological status, European Spine Journal, Feb-
                                                                      2011, 20(2),205-15.
                                                                     SANGHVI AV, Chhabra HS, Mascarenhas AA, Tandon V, Nanda A, Mittal VK, Sangondimath GM.
                                                                      Thoracolumbar spinal cord injury without radiological abnormality in an adult, In:Journal of Bone
                                                                      and Joint Surgery (American volume)(under publication).
Spinal tumour – Early diagnosis and timely
            surgery is the key to success
     29 year woman with incidently diagnosed asymptomatic benign
        osteoblastoma in D7 lamina when she got MRI for neck pain. Dr Amish
        Sanghvi explained them the risks of future progression of tumour which
        can lead to spinal cord compression and paraplegia. Surgery for removal
        of tumour was therefore necessary but the surgery also carries a high risk
        of paraplegia if not done properly at D7 level. The tumour was removed
        successfully en-bloc (in one piece) and D6-D8 pedicle screw stabilization
        was done. The woman was walking next day of surgery and is at present
        completely symptom free doing her all activities of daily living.




Preoperative MRI and CT of D7 Osteoblastoma   Postoperative x-rays after excision and fixation
Cervical fracture fixation – High cervical anterior
                 approaches are now possible

     35 year old woman with Hangman’s fracture type-3
       (traumatic spondylolisthesis of C2) with intact
       neurology . Dr Sanghvi did C2-C3 anterior
       cervical fusion and plating to achieve stability.




Preoperative CT showing Traumatic spondylolisthesis of C2   Postop C2-3 Anterior ACDF+plating
Spinal Tuberculosis and deformity correction in 3 year child
               – Future risk of paraplegia avoided
    The problem of childhood kyphosis and scoliosis need an early intervention to prevent
       future problems and this 3 year girl had 65 degrees of kyphosis due to complete
       destruction of D12-L1 bodies due to active tuberculosis. The girl was crying in pain
       and was unable to stand and walk due to severe pain and kyphosis. The medical
       management of Tubeculosis will eradicate the bacilli but not kyphosis. Such high
       degree kyphosis if not corrected can lead to paraparesis due to cord compression as
       the child will continue to collapse forward with growth. Hence the surgery was carried
       out to correct and stabilize the kyphosis with posterior pedicle screw fixation and
       transpedicular corpectomy and anterior bone grafting from posterior approach. AKT
       was continued then to achieve eradication of disease. The girl is currently running
       and playing without any problems.




Preoperative MRI and x rays showing 65               Correction and anterior+posterior fusion
degrees kyphosis
Paraplegia due to spinal fracture is not the end of the world – Its time
                               that we wake up!
•     We all know that spinal fracture carries a high risk of permanent paralysis. Many times it does not recover
      completely. Most of the surgeons after operating these patients forget the main aspect of treatment and that is
      REHABILITATION. Such patients who remain permanently paraplegic/quadriplegic due to massive spinal cord
      injury loose their profession and independence in the society. The develop a massive psychological depression
      and live a miserable life. How many times do we really think that with current advances in spinal surgery
      and rehabilitation they can be made completely independent in the society? They just need a structured
      plan of rehabilitation which includes,
•     Bladder/Bowel care, wheel-chair designing, Transfers and mobility training, self-care, assistive
      techniques, home-modifications, vocational counseling, sports and outdoor training, sexual and fertility
      training and above all self-earning and self-confidence.
•     Vigorous efforts with latest methods of rehabilitation will not only make them independent but also gain self-
      confidence. Dr Amish Sanghvi is not only a qualified spine surgeon but he has taken a specialized training in
      Rehabilitation at Indian Spinal Injuries center who has the largest Rehabilitation Department of ASIA. We
      therefore request all of you to refer these unaware paraplegica/quadriplegics to Dr Amish Sanghvi and his
      rehabilitation team to make them live an independent and happy life in the society.




                 From Bed to                                                      Active life

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Dr amish spine newzletter

  • 1. SPINE SURGERY at its BEST! MEDICAL QUALIFICATIONS:  MBBS-M P Shah Medical college, Jamnagar, Saurashtra University  MS(Orthopedics)-M P Shah Medical college, Jamnagar, Saurashtra University  DNB fellowship in Spine Surgery from Asia’s largest spine institute, Indian Spinal Injuries center, New Delhi under guidance of Dr H S Chhabra  Fellowship in Minimally Invasive Spine Surgery and Disc Arthroplasty from Magdeburg University, Germany under guidance of Dr Jorg Frenke  Fellowship in Stem cell research from Milan University, Italy under guidance of professor Dr Alfredo Gorio ACHIEVEMENT AND AWARDS:  National Gold Medalist in final examination of DNB fellowship in Spine Surgery for getting first rank among all India candidates.  Dr Patrick Kluger award for Best published paper for the year 2011 in the field of Spine Surgery for his research paper tiltled ‘Thoracic myelopathy due to ossification of ligamentum flavum: a retrospective analysis of predictors of surgical outcome and preoperative neurological status’,Feb 2011,European Spine Journal, 20(2), 205-15 AREAS OF EXPERTISE:  Endoscopic Spine Surgery for Degenerative spinal disorders like Disc prolapse, Lumbar canal stenosis  Minimally Invasive Spine Surgery for many spinal diseases including spinal fractures  Pediatric and Adult Spinal Deformity correction and spinal osteotomies for like Kyphosis, Scoliosis and Spondylolisthesis  Total Disc Replacemet(TDR) of cervical and lumbar spine for degenerative disc problems  Complex reconstructive spinal surgeries for Spinal Tumours and Spinal Tuberculosis  Kyphoplasty /Vertebroplasty for Osteoporotic and pathological spinal fractures  Anterior and posterior cervical surgeries for cervical disc prolapse and cervical myelopathy  Occipito-cervical junction surgeries for upper cervical injuries and instabilities  Anterior and posterior spinal fixations of cervical, thoracic and lumbar spine RESEARCH PRESENTATIONS: Dr Amish Sanghvi  Presented more than 20 papers at various national and international conferences MS(Ortho), DNB fellow (Spine), FMISS(Germany), FSCT(Italy) INTERNATIONAL PUBLICATIONS:  SANGHVI AV, Chhabra HS, Nigam V, Tandon V, Mascarenhas AA. Permanent cardiac Consultant Spine surgeon and Rehabilitation specialist pacemaker for cardiac arrest following cervico-dorsal spinal injury. European Spine Journal. 2009 amishsanghvi@rediffmail.com, M-9998043393 July;18 Suppl 2:254-7.  SANGHVI AV, Chhabra HS, Mascarenhas AA, Mittal VK, Sangondimath GM. Thoracic myelopathy due to ossification of ligamentum flavum – A retrospective analysis of predictors of surgical outcome and factors affecting preoperative neurological status, European Spine Journal, Feb- 2011, 20(2),205-15.  SANGHVI AV, Chhabra HS, Mascarenhas AA, Tandon V, Nanda A, Mittal VK, Sangondimath GM. Thoracolumbar spinal cord injury without radiological abnormality in an adult, In:Journal of Bone and Joint Surgery (American volume)(under publication).
  • 2. Spinal tumour – Early diagnosis and timely surgery is the key to success 29 year woman with incidently diagnosed asymptomatic benign osteoblastoma in D7 lamina when she got MRI for neck pain. Dr Amish Sanghvi explained them the risks of future progression of tumour which can lead to spinal cord compression and paraplegia. Surgery for removal of tumour was therefore necessary but the surgery also carries a high risk of paraplegia if not done properly at D7 level. The tumour was removed successfully en-bloc (in one piece) and D6-D8 pedicle screw stabilization was done. The woman was walking next day of surgery and is at present completely symptom free doing her all activities of daily living. Preoperative MRI and CT of D7 Osteoblastoma Postoperative x-rays after excision and fixation
  • 3. Cervical fracture fixation – High cervical anterior approaches are now possible 35 year old woman with Hangman’s fracture type-3 (traumatic spondylolisthesis of C2) with intact neurology . Dr Sanghvi did C2-C3 anterior cervical fusion and plating to achieve stability. Preoperative CT showing Traumatic spondylolisthesis of C2 Postop C2-3 Anterior ACDF+plating
  • 4. Spinal Tuberculosis and deformity correction in 3 year child – Future risk of paraplegia avoided The problem of childhood kyphosis and scoliosis need an early intervention to prevent future problems and this 3 year girl had 65 degrees of kyphosis due to complete destruction of D12-L1 bodies due to active tuberculosis. The girl was crying in pain and was unable to stand and walk due to severe pain and kyphosis. The medical management of Tubeculosis will eradicate the bacilli but not kyphosis. Such high degree kyphosis if not corrected can lead to paraparesis due to cord compression as the child will continue to collapse forward with growth. Hence the surgery was carried out to correct and stabilize the kyphosis with posterior pedicle screw fixation and transpedicular corpectomy and anterior bone grafting from posterior approach. AKT was continued then to achieve eradication of disease. The girl is currently running and playing without any problems. Preoperative MRI and x rays showing 65 Correction and anterior+posterior fusion degrees kyphosis
  • 5. Paraplegia due to spinal fracture is not the end of the world – Its time that we wake up! • We all know that spinal fracture carries a high risk of permanent paralysis. Many times it does not recover completely. Most of the surgeons after operating these patients forget the main aspect of treatment and that is REHABILITATION. Such patients who remain permanently paraplegic/quadriplegic due to massive spinal cord injury loose their profession and independence in the society. The develop a massive psychological depression and live a miserable life. How many times do we really think that with current advances in spinal surgery and rehabilitation they can be made completely independent in the society? They just need a structured plan of rehabilitation which includes, • Bladder/Bowel care, wheel-chair designing, Transfers and mobility training, self-care, assistive techniques, home-modifications, vocational counseling, sports and outdoor training, sexual and fertility training and above all self-earning and self-confidence. • Vigorous efforts with latest methods of rehabilitation will not only make them independent but also gain self- confidence. Dr Amish Sanghvi is not only a qualified spine surgeon but he has taken a specialized training in Rehabilitation at Indian Spinal Injuries center who has the largest Rehabilitation Department of ASIA. We therefore request all of you to refer these unaware paraplegica/quadriplegics to Dr Amish Sanghvi and his rehabilitation team to make them live an independent and happy life in the society. From Bed to Active life