Activities of Operation Straight Spine Dec 2007
Arrival of U K Debnath in Kolkata on 2nd Dec 2007
At RamaKrishan Mission Seva Pratisthan, Kolkata
1st Clinic: 6th Dec 2007
Patients consulted at the OPD:
Low back pain: 8 patients
1 pt (17yr/M) with Gr 1 S’listhesis
2 pts (51/F, 52/M) with Gr 2 S’listhesis
2 pt (48/F, 68/F) with Gr 3 S’listhesis
1 pt (49/M) with chronic Cauda equina lesion (7weeks)
2 pts with discogenic back pain
(68Y/M from Bangalore – requiring Decompression +fusion)
Scoliosis: 4 patients (2 idiopathic, 2 congenital)
TB Spine: 2 patients (35/F with paraplegia of three years duration, 60/F with
acute onset 3 weeks paraplegia D8/9 lesion)
Follow-Up: 2 post operative patients from 2006 with TLIFs +PLFs –
reduced Back pain with no leg pain
Arrival of team from USA on 9th Dec 2007
Dr Jeffrey R McConnell, MD – Spine Surgeon
Ms Holly Tavianini, – Neurosurgical Nurse Specialist
Ms Andrea McAloose, – Theatre Scrub Specialist Nurse
Dr Laboni Choudhury, MD – Anaesthetist
Ms Hilary Le Clair – Neural Monitor Tehnician
From UK the team consisted of
Dr Kinnari Mehta, FRACA – Anaesthetist
Mr Hemang Mehta, FRCS, MS (Orth) – Orthopaedic Surgeon
10th Dec 2007
Following meeting with Swami Sarvalokanandaji, Secretary of RKMSP we went round the admitted patients who were booked for surgery
1. 68Y/M (from Bangalore): Degenerative disc disease at L4/5 and L5S1 with foraminal disc compressing Right L5 nerve root causing severe radiculopathy.
2. 52/M: Low Back pain and bilateral neurogenic claudication due to Isthmic Spondylolisthesis Grade 2 at L5/S1
3. 51/F: Low back Pain and right sided leg pain with neurogenic claudication due to Isthmic Spondylolisthesis Grade 2 at L5/S1
4. 49/F: Low back Pain and bilateral leg pain due to Isthmic Spondylolisthesis Grade 3 at L5/S1
5. 60/F: Acute onset paraplegia (3 weeks) D8/9 Tuberculosis with bladder and bowel involvement
6. 13/F: Adolescent Idiopathic Scoliosis with large rib hump and 80degrees major thoracic curve.
OPD Clinic on 10th Dec 2007
Further screening of patients was done at the OPD clinic.
Surgery on 11th Dec 2007
The anaesthetic machine at the RKMSP was used
1. 52/M: Low Back pain and bilateral neurogenic claudication due to Isthmic Spondylolisthesis Grade 2 at L5/S1
Operation: Decompression + TLIF + L5S1 fusion (BMP +Vitoss)
1. 68Y/M (from Bangalore): Degenerative disc disease at L4/5 and L5S1 with foraminal disc compressing Right L5 nerve root causing severe radiculopathy.
Operation: Discectomy + decompression + L5S1 fusion (PLF)
Ward round in the evening
Draeger Anaesthetic machine was delivered at 9PM from the customs at Kolkata Airport and was fixed by the representative
Surgery on 12th Dec 2007
1. 51/F: Low back Pain and right sided leg pain with neurogenic claudication due to Isthmic Spondylolisthesis Grade 2 at L5/S1
Operation: ALIF with Peek Cage + BMP + Vitoss + PLF
1. 49/F: Low back Pain and bilateral leg pain due to Isthmic Spondylolisthesis Grade 3 at L5/S1
Operation: TLIF + PLF (BMP +Vitoss)
Ward round in the evening
Surgery on 13th Dec 2007
1. 60/F: Acute onset paraplegia (3 weeks) D8/9 Tuberculosis with bladder and
bowel dysfunction
Operation: Left sided thoracotomy + corpectomy & debridement + cage fusion
at D8/9 + Posterior Fusion T5-T11
Ward round in the evening
Workshop and Symposium on 14th Dec 2007 at 11AM
Surgery with Live demonstration
1. 13/F: Adolescent Idiopathic Scoliosis with large rib hump and 80degrees major thoracic curve with Lumbar decompensation
Operation: Posterior approach, Pedicle screws serially introduced under neural monitoring,
Intra-operative complication: at apex and concave side when introducing the D8 pedicle screw we lost the monitoring and did not return, Wake up test concluded evidence of spinal cord injury at that level, decided to remove the screws + fuse the spine in situ with Vitoss and local bone graft
Post operative ward rounds at 9AM
Concluding meeting with Swami Sarvalokananda, Dr T Chakraburtti and Dr B Pal @10AM on 15th Dec 2007
Departure at 5:30PM Kolkata to Jabalpur
Activities report in Jabalpur 2007
Arrival in Jabalpur at 3:30AM of 16th Dec 2007
Flight reached Nagpur at 8PM
We were transported to Jabalpur by 3 cars
Had dinner at 11:30PM half way through (Seoni,MP)
16th Dec 2007
Warm welcome at Spinal Injuries Centre, Medical College Campus, Jabalpur
Symposium commenced with Spinal Surgeons who came from Delhi (Dr HS Chabbra), Mumbai (Dr Abhay Nene) and Hyedrabad (Dr Ragav Dutt M and Dr Suryaprakash Rao) in India.
We had a warm welcomg by the local medical school PG residents
We had seen 15 patients in the morning session. We saw another 10 patienst in the afternoon. Symposium finished at 4Pm.
We selected few cases for surgery
3 Thoracolumbar fracture with neurological deficit (1.L1#7days old paraplegia, 2.T12#one month old paraplegia and 3. T8# with paraplegia)
1 neglected scoliosis in 22 year old man
1 L4 TB spondylosis in 14 year old girl
1 Thoracic decompression at T10/11 and L1/2 for disc disease
17-19th Dec operated from morning till evening in the MahaKaushal Hospital
We had meetings with the local Collector Mr S Dubey on 16th Dec 2007
We had meetings with the Health Minister Mr Ajoy Vishnoi on the 20th Dec 2007
We departed via Nagpur on the 20th Dec 2007.
Jabalpur Seminar
OPERATION STRAIGHT SPINE
Dear Colleague,
Operation Straight Spine is the first ever charitable project of its kind in India and consists of outpatient clinics, major spine surgery interventions, ward rounds and teaching seminars for local support staff and physicians. The organization successfully completed a pilot project along with the Ramkrishna Mission Seva Pratisthan in Kolkata in November 2006 when eight patients who were from little to no income families received surgical intervention free of charge.
Establishing a charitable mission project to provide treatment of spinal disease and deformity for the poor and underserved in India was a dream shared by two orthopaedic spine surgeons – Dr. J.R. McConnell. MD from Allentown, USA and Dr. Ujjwal K. Debnath, FRCS, from Cardiff, UK. Dr. Debnath is a native of Kolkata and worked with the Ramakrishna Mission to help implement this project.
For 2007 our goal is to continue this mission. Together with Professor H.K.T. Raza, who is also the head of the Orthopaedics Department and the current president of the Indian Orthopaedic Association, and other colleagues at the Spinal Injuries Centre in NSC Bose Medical College we are organizing the Spinal Surgical Camp. This event will be chaired by Mr. Sanjay Dubey, who is the Collector of Jabalpur, MP and will take place December 16th-20th, 2007.
Globus Medical, Inc a Philadelphia, USA based spinal implant company has donated implants for the surgeries and has organized the seminar and hands-on workshop “Spine Reconstruction in Deformities”, which will take place on December 16, 2007 in Jabalpur. This course will be followed by live demonstration of common deformity surgery.
This meeting is designed to be informal, and interactive discussion and case study presentations are encouraged. The faculty will consist of respected spine surgeons from India who are interested and willing to share their knowledge and experiences with spinal deformity.
Please note that the timing on the agenda may change slightly the day of the course due to incorporating a live surgery, but all topics will be adequately covered. We will wrap up the session with a group dinner that evening.
We all look forward to meeting you at this upcoming interesting and interactive course in the city of Jabalpur, MP.
Prof H K T Raza, Ujjwal K Debnath, Dr Jeffrey R McConnell
WELCOME TO JABALPUR
SPINAL RECONSTRUCTION IN DEFORMITIES
Symposium & Workshop on 16th Dec 2007 at Spinal Injuries Centre, NSB Medical College, Jabalpur, MP, India followed by Live surgeries on 17th-19th Dec 2007
Moderator : Prof (Dr) H K T Raza
8:30 AM: Registration & Coffee
9:00 AM: Growing Spinal Problems in India : an insight into solution :
Dr H K T Raza, Jabalpur
9:20 AM: New Approach & Principles of Deformity Correction:
Dr J R McConnell, USA
9:40 AM: Determining levels of instrumentation and fusion in
Adolescent Idiopathic Scoliosis: Dr U K Debnath, UK
10:00 AM Correction of Kyphotic deformity:
Assessment and Treatment: Dr H S Chhabra, New Delhi
10:20 AM Role of SMEPs in Monitoing spinal cord during deformity
surgery : Vijay Tambi, USA
10:40 Coffee/ Tea
11:00 AM Introduction and opening by Maj Ahulwalia, Chairman ISSIC,
New Delhi
11:20 AM Principles of treatment and instrumentation in congenital scoliosis:
Dr Surya P Rao, Hyderabad
11:40 AM Role of instrumentation in Traumatic spinal deformities :
Dr Ram Chaddha, Mumbai
12:00 noon Deformity correction in infections of spine: Dr Abhay Nene, Mumbai
12:20 Spinal reconstruction in neuromuscular deformities:
Dr Raghava Dutt Mulukutla, Hyderabad
12:40 Adult Spinal Deformity: When & How? : Mr K N Subramaniun, UK
1:00- 2:00PM Lunch
2:00 PM Workshop 1: Video and live demonstration on models
Pedicle Screw Constructs for Deformity Correction Techniques?
3:00 PM Case discussion
4:00 PM Coffee/Tea
4:15 Workshop 2: with video and live demonstration on models
Dynamic stabilization of spine in Trauma
4:45 PM Closing by Mr Sanjay Dubey – Collector, Jabalpur
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