Kshitij Chaudhary is a fellowship-trained spine surgeon working at PD Hinduja Hospital, Mahim, Mumbai, India. He has been trained in the USA at Harvard University's Beth Israel Medical Center, Boston and Twin Cities Spine Center, Minneapolis.
Special Interests:
Scoliosis and spinal deformity surgery Craniovertebral surgery Minimally invasive spine surgery Spinal trauma, tumor, and infections Degenerative spine disorders
Sir, What is the success rate of the surgery of atlantoaxial dislocation? Is there any risk to the life of the patient? Can patient live his normal life after surgery? Please help sir.
It’s risky surgery but it has to be done I would say it’s successful surgery in 95% But complications can happen and it’s manageable Just trust god and it will be fine
Good teaching How did u keep strut graft I mean u kept the cutting sides (anterior and posterior sides ) or free sides i.e medial and lateral sides of iliac crest in apposition with vertebrae ?
Can’t remove contralateral pedicle because it is not visible. It is beyond the dura. This is lateral position. And it is not necessary to remove contralateral pedicle as it is not causing dural compression.
Nice presentation dr, but why exactly is the use of thoracoplasty for rib hump correction back in the harrington rod and luque wires era a problem. Even to this date we know that thoracoplasty is superior compared to the most up to date direct vertebral derotation methods for rib hump correction.
I have not done a thoracoplasty for a typical AIS ever. It is not necessary with modern instrumentation. Also thoracoplasty will compromise pulmonary function.
i understand but sometimes this is what it takes to get substantial and even total elimnation of the rib hump for those with stiff rib cages and large thoracic curves. Does the pulmonary function compromise outweigh the cosmetic advantages, and does the pulmonary function loss permanent or just temporary and returns back to normal pre operative levels for the patient?@@DrKshitijChaudhary
Well done … any advice about femoral traction and tong head traction before we start the surgery? What are the common weights that we can apply? Very nice and informative presentation in a very short time . Excellent
Sir can c1 c2 fusion surgery be helpful for a down syndrome boy with the following report:- *rotatory antero posterior atlanto axial dislocation. anterior displacement noted about 7.0 mm. *unfused anterior arch of c1 noted. *posterior displacement of odontoid process causing bony canal stenosis. Please sir guide me