ACDF
Cervical Laminoplasty
Fractures
Interspinous Device
Kyphoplasty
Vertebroplasty
Dr. Chinmay Nath is a fellowship trained spine surgeon, now working as Consultant Spine Surgeon, Apollo Gleneagles Hospitals, Kolkata, West Bengal, India
 
Case Study
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Patient - G. P.

G.P, a 69 years retired male school teacher was suffering from back and neck pain along with gradual weakness in all the 4 limbs. He also suffered from clumsiness, giddiness at hands. He had difficulties in walking and walked with the help of a stick. Even with that, he could hardly walk few meters. He was not able to feed himself in a proper way. He was diagnosed as a case of the cervical myelopathy with serious compression of the spinal cord at C4 to C6 level and spinal canal stenosis at L2 to S1. He consulted several surgeons, in both Kolkata and outside. Ultimately, Dr. Chinmay Nath had operated on his back and neck in the month of October during the year 2010. After the treatment, he got a relief from pain. Gradually, he regained power in all limbs. Now, he can walk without taking any help of the stick and do his daily activities without much difficulty.

 
C Spine MR C Spine MR 1 C Spine MR 2
C Spine MR C Spine MR 1 C Spine MR 2
C Spine MR 3 C Spine MR 4 Incision mark at C-spine
C Spine MR 3 C Spine MR 4 Incision mark at C-spine
Incision mark at LS spine XR before operation Post OP XR
Incision mark at LS spine XR before operation Post OP XR
LS Spine MR 1 LS Spine MR 2 LS Spine MR 3
LS Spine MR 1 LS Spine MR 2 LS Spine MR 3
 
Video
 
 
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Patiet before OT

Patient - H. I.

H. I., a 15 yr old boy had fallen from a height in the year 2007 with total paralysis of 4 limbs because of fracture in 6th cervical vertebra. Dr Chinmay Nath had functioned on his neck on the coming day. The condition of the patient improved from paralysis and now has got back to normal work within a period of 6 months. Now, he is fit and fine and working as a security guard.

 
MR before OT MRI before OT XR after 1 yr XR after 1year
       
Video
   
 
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Patient - I. A.

I.A., a young lady of 15 yrs studying in class XI, visited the clinic of Dr Chinmay Nath. She was suffering from painful kyphosis with overhanging implants (screws) from the back because of a failed operation for TB spine. She was told to have anti TB medicines. Dr. Chinmay Nath did spine surgery then detached all the broken screws, corrected her abnormality and fixed the spine again in an improved way. More than a year after surgery, patient is now normal, without any deformity or pain. Her tuberculosis is now cured and now continuing her study.

 
Follow up photo XR before operation XR after operation
 
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Patient - J. M.

J. M., a pathologist of 47 years old was suffering from pins and needles’, sensation and legs numbness. He faced difficulty in walking from home to his bus stop. Sciatica, Low back pain, ‘Clinical tests, x-ray and MRI showed he had Spondylolisthesis of L5-S1 vertebra along with nerve root density. Dr Chinmay Nath operated his lumbar spine (TLIF) during the month of November in the year 2011. He became totally fit after the surgery and resumed his job.

 
10 months 10 months MRI before operation
XR Before Operation XR After Operation CT at 8 months
CT after 8 months CT after 8 months CT after 8 months
 
Video
 
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Patient - M. B.

M.B. 60 yr old lady, presented to Dr Nath’s clinic with Tuberculosis of Spine involving D9-D10 vertebra with spinal cord compression causing complete paralysis with urine retention. Dr Nath had operated on her spine in September 2011 through her chest, removed the tubercular pus and fixed the spine and bone grafted. Patient was up on her feet after 3 months. now she can walk without any help.

 
CT before OP MR before operation MRI before operation
XR Before OT XR Before Operation XR After Operation
XR After Operation 7 months after OT 1yr after OT
     
  Video  
 
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Patient - M. K.

M K a 19 yr old girl, suffering from an adolescent idiopathic scoliosis along with back pain visited the clinic of Dr Nath. She suffered from stiff thoraco –lumbar primary curve of 500. Dr Chinmay Nath operated spine with anterior release as well as anterior correction, all by the thoraco abdominal loom. Patient did not have any problem at the time of or after surgery and had considerable cosmetic enhancement. Her back pain was totally cured.

 
XR before operation XR after operation Opertive pic After correction
 
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Patient - B. K.

B. K. a 45 year old man who is also a marketing expert by profession, suffering from low back pain and pain at the left leg which had begun suddenly after bracing heavy weight. He too had weakness in the left leg and was not able to walk properly. He had miscro-discetomy with a vital-hole incision during the month of March in the year 2011.  All the symptoms were reassured instantly after that and he resumed his job after one month.

 
MRI MRI
 
Video
 
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Patient - A. P.

A. P., a 60 year old lady suffered from laminectomy L5S1 and L4L5 locally somewhere in small hospital during the month of October in the year 2012. After that she was not able to stand or walk because of excruciating the back pain. She was not able to run properly. She did it through retroperitoneal approach, mobilized aorta, and iliac veins and arteries removed infected tissue and at the same time removed all the infected tissues and filled empty space with the titanium plate and bone graft.

 
MRI contrast- confirms infection MRI T1- shows infection Operative picture, fixation with titaneum plate
Patient Walking on 3rd day after operation Post- op X-ray Retroperitoneal approach-with special retractor system
 
Video
 
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Patient - A. L.

AL, a ten year old boy was suffering from severe neck pain in December 2011 and stiffness with total loss of neck movements for fifteen days. He was not able to move his neck but there was no involvement of nerves and paralysis. His father was suffering from tuberculosis. The X-ray spine was normal but the MRI scan shows TB at the C2C3 area with formation of pus. Blood reports, CT guided the FNAC confirmed the diagnosis. He was treated with the help of Anti-TB medicine, total bed rest and brace.

 
Lt lateral bending Lt lateral rotation Neck extension Neck flexion
Patient at 15 months follow up Rt lateral rotaion Rt leteral bending X-ray C-spine Dec 2011
MRI (Plain) Dec 2011 MRI (with contrast) Dec 2011 MRI- Jan 2013
 
Video
 
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Micro-endoscopic discectomy
Back movement -
normal after operation
Back movment -
full after operation
Length of scar- only 2 cm Working with microscope
and endoscopic system
 
Video
 
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Patient - P. G.

Dr. PG an urologist, 73 years old works in NHS, UK came to Kolkata and suffered from an acute attack of pain in the neck during late November in the year 2012. He also had suffered from excruciating pain at the upper back, radiating pain at the right arm, weakness and numbness of right hand.  He consulted various doctors in various hospitals in Kolkata since one month. Some of them say it is cervical spondylosis, some gave suggestions about physiotherapy but he did not get any relief. Then, he came to Dr. Chinmay Nath where he suggested an MRI which shows a large extruded disc from the D1D2 disc space that was the spinal cord’s compression.

 
CT scan Extruded disc comp-
ressing spinal cord
MRI showing disc
prolapse at D1D2
X-ray
Operative scar 1fter 1 month Patient at home Patient
 
Video
 
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Patient - A. C.

A.C., 69 yrs male, came to the clinic of Dr Nath in February 2013 with low back pain for 3 months and leg pain with numbness, paraesthesia and heaviness of both legs. He had neurogenic claudication pain with significant difficulty in walking. He also had heart diseases and a undergone a bypass surgery in 1999. He had an injury to his back due to road accident in January 2011. MRI and X-ray showed spondylolisthesis at L5S1 (fracture like gap in L5 vertebra which causes slip of L5 vertebra from sacrum and pressure on his nerves at back) and spinal canal stenosis L4L5 and L5S1. Dr Nath has operated on his spine, relieved the pressure on his nerves, fixed the vertebra  with screws and rods. Patient started normal activity (for his age) except sitting on floor and lifting weight in 1 month. His is relieved of pain and other symptoms.

 
Extension at 1 month Flexion after 1 month MRI axial MRI sagital
 
Operation Scar Post- OP XR Pre-OP XR  
 
Video
 
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Patient - U.G.

U.G. (20 yrs, girl) had back pain with pain and heaviness of chest for 4 months with fever, weight loss and generalized weakness. She was diagnosed of having Pulmonary TB and anti -TB medicines were started by her family physician. Later on, she developed weakness and numbness of legs and could not walk for 15 days. MRI scan on spine and CT scan of chest were done which showed she had TB spine at L2L3 with compression of cauda equina (equivalent of spinal cord at lumbar spine) and huge fluid in her Rt chest. She had fever, anemia (Hb- 8.5 gm%)  and her body weight was 33 kg only. After 1 week of medical treatment, Dr Chinmay Nath had operated on her spine in September 2010. She could be on her feet with help of brace after 3 months. After 8 months, she joined her college and in April 2012 she become completely normal with body weight has become 47 kg.

 
Chest XR after 1 yr Chest XR before OT CT scan chest shows large amount of fluid
Follow up XR after 1 yr MRI Spine T1 MRI Spine T2
   
  Post OP XR