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 GorioACHIEVEMENT 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 spineRESEARCH PRESENTATIONS: Presented more than 20 papers at various national and international conferencesINTERNATIONAL PUBLICATIONS: SANGHVI AV, Chhabra HS, Nigam V, Tandon V, Mascarenhas AA. Permanent cardiac

pacemaker for cardiac arrest following cervico-dorsal spinal injury. European Spine Journal. 2009 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).

Dr Amish SanghviMS(Ortho), DNB fellow (Spine), FMISS(Germany), FSCT(Italy)

Consultant Spine surgeon and Rehabilitation specialistamishsanghvi@rediffmail.com, M-9998043393

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.

Correction and anterior+posterior fusionPreoperative MRI and x rays showing 65 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