Dr. Sajan K Hegde

Dr. Sajan K. HegdeDr. Sajan K Hegde
Spine Surgeon
Head, Spine Unit, Apollo Hospitals, Chennai

 

Mobile No. : +91-9884027510
E-mail: drsajanhegde@yahoo.co.in

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
  • The First COTREL-DUBOUSSET basic course and workshop in India, with Dr. N. Passuti as co-course Director May 1991
  • AO / ASIF Course Seminar in Madras Nov 1992 – Faculty
  • 1st 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

9th 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

7th GCC Orthopaedic conference, Kuwait, Feb 2000 – Faculty

  • Surgical management of complex spinal deformity
  • The tension band principle in Spine

The 7th 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

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, 29th 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 16th May 2004

BOA International Congress, Manchester- September 2004

  • Surgical Management of High Grade Spondylolisthesis

EFORT (European Federation of Orthopaedics and Traumatology) Amsterdam, Netherlands; September 2004 –Invited faculty

  • Surgical Management of High Grade Spondylolisthesis
  • Surgical Management of Tuberculosis of the Dorso-lumbar Spine

Combined Orthopedic Congress of English Speaking Countries, Sydney, Australia – October 2004

  • Instrumentation in Spinal Tuberculosis

ASSICON, Bangalore, India, Jan 2005 – Faculty

Surgical management of severely deformed spine

  • New horizons in spinal surgery – spinal arthroplasty

EFORT (European Federation of Orthopaedics and Traumatology), Lisbon, Portugal– June 2005

  • The high grade spondylolisthesis in children – surgical management

SRS – Asia pacific, Korea – Aug 2005

  • Anterior correction of adolescent idiopathic scoliosis using single solid rod.

Instructional Lecture Course of the Association of Spine Surgeons of India & European Spine Society, - Mumbai, Aug 2005

  • Right sided adolescent idiopathic thoracic scoliosis – Anterior or posterior?
  • Cervical disc Disease- Arthroplasty or fusion or no fusion

EuroSpine, Barcelona – Sept 2005

  • Iatrogenic instability in the treatment of DL tuberculosis

XIII Annual Conference of Delhi Orthopaedic Association, Delhi – Nov 2005

  • Lumbar disc replacement

IOACON, Mumbai – Dec 2005

  • Evolution of spinal instrumentation
  • 3rd generation instrumentation in spinal deformity

Spine trauma Study group – Vancouver, Canada. 13-14 Jan 2006

ASSICON, Chandigarh – Feb 2006

  • Artificial lumbar disc
  • Cervical disc arthroplasty
  • Complications with cages

ISSICON, New Delhi – March 2006

  • Spondylosisthesis in adults – controversies in surgical management
  • Cervical spondylotic myelopathy
  • Kyphosis in TB of the spine

Spine trauma study group, Boston, 22-23 June, 2006

  • Instructional Course in Spine Surgery,
    Hyderabad 4-6 Aug 2006 – Faculty
  • SRS, 41st Annual Meeting, Monterey, CA, USA.14-16 Sept. 2006
  • Current Concepts in Instability of Spine – Symposium and Live Demonstration Surgery – Organized by Dept. of Orthopaedics, St.John’s Medical College, Bangalore under the auspices of Karnataka Orthopaedic Association and Bangalore Orthopaedic Society, 2 Oct, 2006
  • IOACON 2006, at All India Institute of Medical Sciences (AIIMS), New Delhi – 12, 13 & 14 Nov, 2006 – Faculty
  • Treating Complex Spinal Pathologies - A case based approach organized by Musculoskeletal Education and Research Centre (MERC) – at Monterey, California, Nov, 2006 – Faculty
  • Spine Update, Lakeshore Hospital, Kochi, Dec, 2006 – Faculty
  • New horizons in spinal surgery – Spinal arthroplasty
  • Lecture – Indications for Surgery in Low Back Pain – Evidence based
  • Lecture – Type 5 Lenke AIS, Anterior is the way to go – Dr. Appaji Krishnan
  • Papers – Outcome of Surgical Management in patients with Anderson Lesion and Neuro deficit
  • Papers – Clinical & Radiological outcome after Anterior Corpectomy, Reconstruction and Stabilization for Compressive Spondylotic Myelopathy
  • Podium presentation on “Surgical Treatement of Non Tuberculous Spondylodiscitis in Lumbar Spine” Dr. Appaji Krishnan & Dr. Sajan Hegde
  • Conducted Preconference workshops on Motion preservation Implants
  • Presented a talk on “Motion Preservation”
  • Invited Faculty Member – Spoke on Anterior Deformity Correction.
  • Lecture – Complications in PLIF / TLIF
  • Lecture – Anterior Cervical Discectomy and Fusion
  • Lecture – Advanced Workshop – Cervical Disc Replacement
  • Faculty members included Prof. Edward Benzel, Dr. John Kostuik & Dr.Paul Mc. Afee, Dr. Kern Singh from the USA, Prof. Gilles Perrin from France, Dr. Hilali Noordeen, Dr. Colin Natali & Dr. Sivaraman Alagappan From the UK
  • Elected as the President of the India chapter of Spinal Arthroplasty Society.
  • Current Concepts in Spine Surgery, organized by Tamil Nadu Orthopedic Association (TNOA) & Musculoskeletal Education and Research Center (MERC) – at Taj Connemara, Chennai, 6 Jan, 2007 – Faculty / Course organizer
  • ASSICON 2007, XX Annual Conference of Association of Spine Surgeons of India – Nirma University , Ahmedabad, 26, 27, & 28 Jan, 2007 – Faculty
  • Current Concepts in Spine Surgery organized by Karnataka Orthopaedic Association & Bangalore Orthopaedic Society in association with Musculoskeletal Education and Research Center (MERC) – at Taj Residency, Bangalore, Feb 18, 2007 – Faculty / Course organizer
  • Current Concepts in Spine Surgery organized by Delhi Spine Club & Chandigarh spine Society in association with Musculoskeletal Education & Research Center (MERC) – at Taj Chandigarh, March 17 & 18, 2007 – Faculty
  • IOACON 2007, Seminar and Workshop – Spinal Surgery in Degenerative Disorders and Deformities – organized by West Bengal Orthopaedic Association (WBOA) – At Landmark Hotel, Kolkata, 7 July, 2007 – Faculty
  • ICS 2007: Instructional Course in Spine 2007 “Decision Making and Dilemmas in Clinical Practice” – Goa Marriott Resort, Panaji, Goa, 9-12 Aug, 2007 – Faculty
  • International Conference on Spinal Deformities – at Indian Spinal Injuries Centre, New Delhi, 5-7 Oct, 2007 – Faculty
  • The Annual Conference of Association of Spine Surgeons of India, Coimbatore, India January 17th to 20th 2008 – Faculty
  • BritSpine 2008, Belfast, UK, 30th April to 2nd May 2008
  • 15th International Meeting on Advanced Spinal Techniques, IMAST 2008, Hong Kong, July 8-11,
  • SRS Regional Meet – Deformity Course, New Delhi, India Oct 2nd – Oct 4th 2008 – Faculty
  • Consultant’s Summit in Globus Medical, Philadelphia, August 15th 2008.
  • Annual Conference of Indian Orthopaedic Association, Bangalore, December 5th – 7th 2008, Faculty
  • The Annual Conference of Association of Spine Surgeons of India, Chennai, India. 23rd to 25th Jan 2009 – Organizing Chairman of the conference
  • Ganga Operative Spine Course, Coimbatore, India April 30th to 3rd May
  • Faculty and invited for performing live surgery – Anterior Scoliosis correction for Adolescent Idiopathic Scoliosis
  • 9th Annual Symposium for the International Society for the Advance of Spine Surgery, London, April 28th to May 1st 2009, London
  • Under print: Instrumentation in spinal tuberculosis.
    This article (full version) has been officially accepted for publication in the Spine Journal (official journal of NASS)

Highlights of my spine career

  • I have 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
  • My 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, I have 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, I 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. I am familiar with PLIF (BAK – cages), TLIF (Harms technique) and global fusion techniques
  • Use of minimal Invasive techniques for decompressive procedures, spinal fixations as well as interbody reconstructions
  • I have tackled trauma using a wide variety of approaches concepts and implant systems, from the front and back
  • I’m 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
  • I am credited with introducing Arthroplastic reconstruction of the lumbar and cervical discs with artificial discs in India.
  • I have performed the first correction of deformity (infantile scoliosis) using shape Memory Alloy (SMA) staples in Asia. This technique has been used only in a few centers in Europe & US

A first for an Indian spine surgeon:

I have designed in collaboration with a international spine company, 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.

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