Spinal Surgeons in Chennai Dr. C.S. Dhillon, M.S., DNB., D.Ortho Head of the Department The Department of Spine caters to all spine related ailments of neonate to geriatric patients. More than 600 surgeries are performed every year. All the regions of the Spine-Cervical, Dorsal and Lumbar can be approached from anterior or posterior. Our results for the correction of complex spinal deformities are astounding and unmatched by most elite centers of the world. Our proficient work has earned us appreciation from patients from middle-east countries like Oman, UAE, Sudan and also from Tanzania, Ruwanda, Bhutan, Sri Lanka, Argentina, Nepal etc and the ever-growing congregate of overseas patients is testimony to the immense popularity of this department. Surgeries Performed Microdiscectomy Posterio-Lateral Spinal fusion Posterior Lumbar interbody fusion Anterior interbody fusion Scoliosis corrective surgeries Spinal stabilization Spinal column reconstruction Spinal osteotomies Vertebral body resection ( Corpectomy ) and reconstruction Disc replacement Vertebralplasty Kyphoplasty Peadiatric Spinal Surgeries Surgery for spinal tumors

Dr. Sajan K. Hegde, Senior Consultant Spine Surgeon   

Medical Education  

1980 : Bachelor of Medicine & Bachelor of Surgery, Baroda Medical College, Maharaja Sayaji
          Rao University, Baroda 

Postgraduate Education

1985: Master of Surgery (Orthopaedics) Baroda Medical College, Maharaja Sayaji Rao University, Baroda 

Professional Positions 

1985 to 1988: Junior Consultant, P.D. Hinduja Sindhi Hospital, Bangalore 

1989 to 1994 : Consultant Orthopaedic Spine Surgeon, Madras Institute of Orthopaedics &                        Traumatology, Vijaya Hospitals, Chennai

 1994 till date:  Consultant Spine Surgeon Spine Service, Apollo Hospitals, Chennai

Spine Surgery Fellowships / Residencies / Visiting Fellowships 

1989 - Cotrel Spine Fellowship: Unit of Dr. D. Chopin Department of Spinal Surgery, Institut Calot, Berck-sur-mer, France (First Indian to receive the prestigious spine fellowship)

1989 - Resident in Spinal Surgery: Unit of Dr. D. Chopin, Department of Spinal Surgery,
Institute Calot, Berck-sur-mer, France

1991 - Visiting Surgeon: Unit of Dr. N. Passuti, Clinique Chirurgicale Orthopedique,
Centre Hospitalier Regional Et Universitaire de Nantes Hospital,
Saint – Jacques Nantes, France

1992 - A.O. Spine Fellowship : Unit of Prof. W. Dick, Orthopaeische Universitatsklinik, Felix-Platter-Spital Basel, Switzerland

1993 - Visiting Surgeon : Unit of Prof. Kim, Spine Center, Yongdong Severance Hospital, Seoul, South Korea

1995 - Harms Spine Fellowship : Unit of Prof. Harms, Spine Centre, Klinikum, Karlsbad – Langensteinbach, Karlsbad, Germany 

1995 - Visiting Surgeon : Unit of Dr. G. Tabasso, Clinica Orthopedica, University of Torino, Torino, Italy

1995 - Visiting Surgeon : Unit of Dr. Harry Shufflebarger, Chief Spine Surgeon, Division of Spinal Surgery, Department of Orthopaedics, 1150, Campa Sano Avenue, Suite 300, Coral Gables, Florida, Miami  33146 USA

1997 - Visiting Surgeon : Unit of Prof. Kaneda, Department of Orthopedic Surgery, Hokkaido University, School of Medicine, Sapporo, Japan 

1997 - Visiting Surgeon: Unit of Prof. Tomita, Department of Orthopedic Surgery, Kanazawa University, Kanazawa, Japan

1998 - Visiting Surgeon : Unit of Dr. Henry Halm, Spine Unit, Department of Orthopaedic, Surgery, Munster, Germany

1999 - Visiting Surgeon : Unit of Prof. Harms, Spine Centre Klinikum, Karlsbad – Langensteinbach, Karlsbad, Germany

Membership of Professional Bodies, Associations 

·Indian Orthopaedic Association (I.O.A)

·Association of Spine Surgeons of India (ASSI)

·Groupe Internationale COTREL DUBOUSSET (GICD)

·Spine trauma study group – USA

Fellowship of The National Board in Spine Surgery

– Examiner, 2004  

International Meets / Conferences 
 
* International Congress on Cotrel-dubousset Instrumentation – Monte Carlo, in June 1989 – Participant

* C.D. Basic Course 1989 in Institut Calot, Berck-sur-mer, France – Participant

* International congress on Cotrel Dubousset Instrumentation – Minneapolis, in May 1991
– Participant

* C.D. Advanced Course 1991 in Institut Calot, Berck-sur-mer, France – Participant

* AO / ASIF Course Seminar in Madras Nov 1992 – Faculty

* 1^st International Symposium on Hip & Spine, Indo-German Orthopaedic Foundation in Nov 1992 – Faculty Surgical management of spinal deformities

* Baroda Orthopaedic Association, April 1993 – Faculty
   - Spinal Stabilization Techniques
   - Cotrel Dubousset Instrumentation

* Tamil Nadu Ortopaedic Association in Jun 1993 – Faculty
   - Lumbosacral Instability

*International workshop on Stabilization of the Spine, Madras Oct 1993 – Faculty
  - Surgical Management of Scoliosis
  - Management of Lumbo Sacral Instabilities

* Techniques & Concept of Spinal Surgery – Phuket Island, Thailand in 1997 – Participant

* ASSICON – 97 Chennai, India – Organising Secretary. Conducted and organized with a faculty of reputed Spine/Neuro surgeon from around the world

* Muller Course on Surgery of Paediatric Spine in Nov 1997 – Faculty
* Surgical Management of the deformed Spine – An Indian Experience
* ASSICON – 98 Patna, India – Faculty
   - Surgical management of the deformed Spine
   - The tension band principle and it’s applications in Spine Surgery

* Work shop on Spinal Stabilization 1998 at NIMS Hyderabad
    - Performed a front-back live demonstration surgery for failed back surgery

Papers Presented

* Surgical Management of Spinal deformity

* Evolution of Spinal Instrumentation

* The Tension band principle & Its application in Spinal surgery

* “Down Under” with “Big Time Spine” – Coolum, Australia May 1999 - Faculty

* Surgical Management of the Deformed Spine – An Indian Experience

* Surgical Management of Tuberculosis of the Thoracic & Lumbar Spine

* The Royal London Hospital White Chapel, St. Bartholomews, London – Invited speaker

- Spinal deformity
- TB spine

* ASSICON – 1999 Hyderabad, India – Faculty 

- Surgical management of deformed spine
- The tension band principle: Its role and application in spine surgery
- Surgical management of Spinal Tuberculosis

* AFORT – 1999, Chennai, India – Faculty
   - Surgical management of severe spinal deformity
   - Surgical management of Koch’s Spine

* 9^th International conference on Lumbar Fusion & Stabilization – 1999 in Chesire, The
   United Kingdom – Participant

* Invited to talk at Khoula Hospital, Muscat and to perform surgeries  at the Military
   Hospital in 1999

* The 3rd Annual international course on “Global Spine” – Surgical principles and the
     latest techniques, Maui, Hawaii, 1999 – Participant

* ASSICON – 2000 Bombay, India – Faculty
   - Spinal Tuberculosis & Instrumentation

* IOACON – 2000 Hyderabad, India – Faculty
    - The surgical management of complex spinal deformity

* 7^th GCC Orthopaedic conference, Kuwait, Feb 2000 – Faculty
   - Surgical management of complex spinal deformity _
   - The tension band principle in Spine

* The 7^th Annual Meeting of the Japanese Society for the study of Surgical Techniques for
    Spine and Spinal Nerves, Japan, September 2000 - Faculty
   - Operative treatment for Tubercular Spondylitis

* International symposium on Minimally Invasive Spine Surgery, Bern, Switzerland,
   December 2000, Participant

* ASSICON – 2001, Delhi, India – Faculty
   - Role of Instrumentation in the surgical correction of the deformed spine

* The 1st Annual International course on “Current Spine” – Advances in Techniques and
    Technology, Langkawi, Malaysia, Feb 2001, Course Co Director & Faculty
   - Surgical Management of Spinal TB

* Visiting Surgeon to Armed Forces Hospital, Oman, June 2001

* The second annual international course on current spine (Advances in technique &
    technology Jan 30 – Feb 02, 2002 Kuala Lumpur, Malaysia - Course Co-director & Faculty    - Instrumentation in Spinal Tuberculosis

8 Global spine, July 12-14, 2002, Hawaii -  Faculty
    -High grade spondylolisthesis

* Spine trauma study group inaugural meeting, Los Angeles Nov 7-10, 2002

* Spine trauma study group, Miami - May 2003

* MAST Workshop, Bordeaux, France – May 2003

* Second interdisciplinary congress on spine care – World Spine II, Chicago, Illinois; 10-13
   August 2003
   - Instrumentation in spinal tuberculosis

* Spine trauma study group, Sonoma, California, Sept. 4-6, 2003

* GSACON 2003, 5^th Annual conference, Gujarat Spine Association, Ahmedabad – Oct.
   2003

- Faculty
- Congenital scoliosis
- Surgical management of spondylolisthesis
- Surgical management of severe spinal deformities

* Instructional lecture course of the Association of Spine Surgeons of India & European
   Spine society, Coimbator, India, Oct. 2003
  - Surgical management of the severely deformed spine

* WIROC, Mumbai, 29^th Nov 2003 - Faculty
   - Surgical Management of Dorso-lumbar Junctional lesions

* 48^th Annual Conference of Indian Orthopaedic Association - Dec. 2003, Chennai -
    Faculty
   - Implants in the surgical management of spinal tuberculosis

* Annual conference of the Association of spine surgeons of India (ASSICON), 23-25 Jan    2004, Pune, India – Faculty
   - Surgical management of multilevel disc degeneration
   - Live Surgical demonstration of TLIF (Kidney cage) and PLIF  (R-90) with instrumentation
     in 2 level disc degeneration

* Annual conference of Tamilnadu Orthopedic Association, 13-14 Feb 2004, Nagarkoil,
   Tamilnadu – Faculty

* The case for anterior surgery in multilevel cervical disc disease

* ISICON (International Spinal Injuries Conference), Delhi, 11th – 13th March 2004 –
   Faculty
  - Surgical Management of Severe Rigid Deformities
  - Complications of Spinal Surgery in Ankylosing Spondylitis)
  - Complications of Spinal Surgery in Children
  - Intervertebral Cages in Lumbar Spine – Biomechanics & Indications

* Spine Trauma Study Group, Denver, Colorado, 13-14 May 2004

* Workshop on the Sextant, Minimally Invasive Spinal Surgery at the MERI, Memphis 16^th 
   May 2004 

* BOA International Congress, Manchester- September 2004 
  - Surgical Management of High Grade Spondylolisthesis

* EFORT (European Federation of Orthopaedics and Traumatology) Amsterdam; Sept.
   2004 
   - Surgical Management of High Grade Spondylolisthesis

Course / Workshop Organised

* The First COTREL-DUBOUSSET basic course and workshop in India, with Dr. N. Passuti as
   co-course Director May 1991

* The First workshop on Moss – Miami / Moss / Titanium mesh system with Dr. Harry
   Shufflebarger and Prof. Harms in 1995

*  Under print: Instrumentation in spinal tuberculosis.
    This article (full version) has been officially accepted for publication in the Spine Journal
    (official journal of NASS)

Some comments on Dr. Hegde’s spine work 

* He has pioneered the use of many modern instrumentation systems, for Example, the
   Cotrel – Dubousset, the Moss Miami, The Ray cages (PLIF), the BAK cages and the
   Harms Mesh Systems in India

* His present repertoire of work covers almost the entire gamut of spinal disorders and
   includes deformity, low back, tumor, trauma, Infection & cervical spine surgery

* In deformity surgery, he has successfully managed a wide range of deformities from mild
   to the very severe using back, front back, multiple staged interventions. I am quite at
   home in the use of anterior as well as posterior instrumentation systems

* In the low back, he routinely tackle a variety of problems ranging from disk prolapse, to
   spondylolisthesis, failed back and salvage situations. I do complicated revision surgeries
   for instability and sagittal malalignment using back-front-back techniques in the same
   sitting. He is familiar with PLIF (BAK – cages), TLIF (Harms technique) and global fusion
   techniques

* He has tackled variety of tumors including benign (eg. Hemangioma) and malignant
   (primary, secondary). He is familiar with vertebrectomy techniques and reconstruction
   using cages, grafts, etc.

* He has tackled trauma using a wide variety of approaches concepts and implant systems,
   from the front and back

* He is frequently invited nationally as well as internationally to conduct workshops on
   modern spinal techniques and perform live demonstration surgeries.

Teaching responsibility

- Guide in the DNB teaching program
- Spine fellowships – training of aspiring spine surgeons from India and abroad

He is credited with introducing Arthroplastic reconstruction of the lumbar and cervical discs with artificial discs in India.  A first for an Indian spine surgeon:

He has designed in collaboration with Medtronic Sofamor Danek (MSD) a comprehensive spinal instrumentation system for anterior fixation in a variety of spinal problems including spinal deformities, tumors, infections and injuries. The system is awaiting FDA clearance and will be marketed internationally by MSD. It is called “The Pegasus”.