Knee and Spine Chandigarh

Knee and Spine Chandigarh Leading Knee and Spine surgeon in Chandigarh and Tricity. Every Wednesday Patiala OPD at Manipal Hosp

🧠 Dynamic Cervical MRI – The Power of Motion in DiagnosisSometimes, a static MRI doesn’t tell the full story.A Dynamic M...
18/10/2025

🧠 Dynamic Cervical MRI – The Power of Motion in Diagnosis

Sometimes, a static MRI doesn’t tell the full story.
A Dynamic MRI (Flexion–Extension) helps reveal spinal cord compression or instability that appears only during neck movement — crucial for accurate diagnosis and surgical planning.

🔹 Left: Flexion view
🔹 Right: Extension view

This helps spine surgeons identify conditions like cervical myelopathy, instability, or ligament laxity that may otherwise be missed.

📍 Dr. Gaurav Sharma
Surgeon | Knee & Spine Chandigarh

🌟 Patient Review | Restoring Lives through Spine SurgeryGrateful for this heartfelt feedback from the family of a patien...
17/10/2025

🌟 Patient Review | Restoring Lives through Spine Surgery

Grateful for this heartfelt feedback from the family of a patient who had been suffering from a spinal fracture for months. After several consultations elsewhere, she finally found relief through minimally invasive spine surgery at Manipal Hospital, Patiala by Dr Gaurav Sharma.

It’s deeply fulfilling to see patients regain mobility, confidence, and a pain-free life.
Every successful recovery reaffirms why we do what we do — combining precise surgical planning, advanced techniques, and patient-centric care.

Thank you, Ankur Sood, for trusting us with your mother’s treatment and sharing your experience.
Transpedicular bone grafting and Minimally Invasive Fixation

🌍 World Spine Day & Diwali Blessings ✨On this World Spine Day, I’m reminded of why spine health truly matters — helping ...
16/10/2025

🌍 World Spine Day & Diwali Blessings ✨
On this World Spine Day, I’m reminded of why spine health truly matters — helping people stand tall, walk free, and live without pain.

Today, one of my spine surgery patients visited, walking pain-free and full of gratitude, to share Diwali wishes and sweets. Moments like these are the true reward for every surgeon. 🙏

Let’s celebrate this Diwali by caring for our spine — the pillar that supports our every movement.
🩺💪 Keep your spine strong, stay active, and maintain good posture!

10/10/2025

🌿 Minimally Invasive TLIF for Severe Lumbar Stenosis

72-year-old lady had been struggling for years with severe back and leg pain due to L5–S1 central and foraminal lumbar stenosis.
She underwent Minimally Invasive TLIF Surgery, allowing early mobilization and rapid recovery.

We’re happy to share that she’s now pain-free and walking comfortably, with significant reduction in pain soon after surgery.
Wishing her a speedy and complete recovery! 🙏

10/10/2025

Minimally Invasive Solution for Kümmell’s Disease (D12)

A 70-year-old lady presented with severe back pain for 3 months due to a D12 osteoporotic compression fracture with intravertebral cleft (Kümmell’s disease).
CT and dynamic X-rays revealed a mobile cleft with a clear vacuum sign.

She was treated with Transpedicular Bone Grafting and Minimally Invasive Pedicle Screw Fixation.

🔹 Approach: Midline incision, but screws inserted through fascial windows without muscle dissection, ensuring minimal soft tissue trauma.
🔹 Intraoperative finding: The cleft opened up on positioning, confirming instability.
🔹 Technique: The void was filled with bone graft to allow biological healing and avoid cement-related complications such as leakage or embolism.
🔹 Implants: Dual-threaded screws provided secure purchase in osteoporotic bone.
🔹 Outcome: Early mobilization and complete pain relief within 2 weeks.

This case highlights the value of biological reconstruction over cement augmentation in selected osteoporotic non-union fractures, offering stability with natural healing potential.

🔍 Vertebroplasty vs Transpedicular Bone Grafting in Osteoporotic Non-union FracturesIn non-union osteoporotic vertebral ...
25/09/2025

🔍 Vertebroplasty vs Transpedicular Bone Grafting in Osteoporotic Non-union Fractures

In non-union osteoporotic vertebral fractures, surgeons often face a choice between cement augmentation (vertebroplasty/kyphoplasty) and biological bone grafting.

💉 Cement (Vertebroplasty/Kyphoplasty):
While cement can quickly stabilize the fracture, it carries certain risks:

Cement migration into the spinal canal 🧠

Pulmonary cement embolization 🫁

Higher chance of adjacent level fractures due to stiffness

🌱 Bone Grafting (Transpedicular technique):
Filling the void with bone graft provides a biological scaffold. Advantages include:

Avoidance of cement-related complications

Promotion of natural bone healing and union

Restoration of stability in a more physiological manner

✨ In carefully selected patients, transpedicular bone grafting can be a safer, more natural alternative to cement, aiming not just for pain relief but for true healing.

24/09/2025

✨ Transpedicular Bone Grafting for Kummell’s Disease (D12 Fracture Non-union) ✨

Sharing a short surgical clip demonstrating transpedicular bone grafting plus MIS fixation in a case of Kummell’s disease (non-union of D12 fracture).
This minimally invasive technique helps restore spinal stability and promotes healing where traditional fracture union has failed.

🔹 Direct visualization of the technique
🔹 Use of bone graft to fill the void
🔹 Aim: pain relief and improved biomechanics

👉 This video is for educational purposes only.
📌 Patients should consult their spine specialist for individual treatment options.

13/09/2025

📸 How to Take Clear MRI & X-Ray Photos at Home
In this video, Dr. Gaurav Sharma explains a simple method to capture clear and readable images of your MRI and X-Ray films using just your phone and a white screen background (TV, desktop, or laptop).

This step-by-step guide will help patients:
✅ Avoid glare and shadows
✅ Get sharp, focused images
✅ Send accurate reports to your doctor for better medical advice

👉 Just open YouTube, type “White Screen”, and use it as a bright background while taking the photo.

💡 Why this is important:
Blurry or unclear images make it difficult for doctors to assess your reports. With this trick, you can easily share your medical images without needing a scanner.

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📍 For appointments & consultations:
📞 +91-98107 8543
🌐 kneeandspinechandigarh.com

The axial sections at L3-L4 and L5-S1 show white CSF and nerve roots well visualised, while at L4-L5 level the axial sec...
07/09/2025

The axial sections at L3-L4 and L5-S1 show white CSF and nerve roots well visualised, while at L4-L5 level the axial section shows no white CSF or nerve roots separately showing severe Spinal stenosis at L4-L5

This patient had to keep his legs bent all the time because of severe back and leg pain.
👉 He simply couldn’t straighten them due to severe nerve compression at the L4–L5 level.

💡 Why does this happen?
When the spinal canal becomes narrow (spinal stenosis), nerves get compressed. Patients often get relief by bending their spine forward or keeping their legs flexed, because this posture temporarily opens the canal.

✅ With timely diagnosis and the right treatment, even patients with such advanced conditions can get back to normal life.

This patient was operated upon with Minimally Invasive Spine Surgery.
📍 Dr. Gaurav Sharma
Spine Surgeon | Knee & Spine Clinic Chandigarh
☎️ 098107 58543
🌐 kneeandspinechandigarh.com

✨ Relief with Spine Surgery ✨The MRI on the left (Before) shows severe compression of the spinal nerves at the L4-L5 lev...
31/08/2025

✨ Relief with Spine Surgery ✨

The MRI on the left (Before) shows severe compression of the spinal nerves at the L4-L5 level – the space for the nerves was almost blocked, causing pain and difficulty in walking.

The MRI on the right (After) shows how surgery relieved the pressure at L4-L5 – the nerves are now free, with the spinal canal wide open. ✅

👉 Timely treatment and advanced minimally invasive spine surgery can restore mobility, reduce pain, and give patients their life back.

💙 Your spine health matters. Don’t ignore persistent back or leg pain.

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✨ रीढ़ की हड्डी के ऑपरेशन से मिला नया जीवन ✨

बाएँ MRI (Before) में L4-L5 लेवल पर नसों पर बहुत दबाव दिख रहा है – नसों की जगह लगभग बंद हो चुकी थी, जिससे दर्द और चलने में दिक़्क़त हो रही थी।

दाएँ MRI (After) में दिख रहा है कि ऑपरेशन के बाद L4-L5 लेवल पर दबाव पूरी तरह हट गया है और नसें अब आज़ाद हैं। ✅

👉 समय पर इलाज और आधुनिक मिनिमली इनवेसिव स्पाइन सर्जरी से चलना-फिरना आसान हो जाता है और दर्द से राहत मिलती है।

27/08/2025

In this short video, Dr. Gaurav Sharma demonstrates how an antibiotic knee spacer mould is prepared for use in infected total knee replacement cases. This technique helps control infection while maintaining joint space and mobility.

इस छोटे वीडियो में डॉ. गौरव शर्मा दिखा रहे हैं कि घुटने के इन्फेक्शन (कृत्रिम घुटना बदलने के बाद) में एंटीबायोटिक स्पेसर कैसे तैयार किया जाता है। यह तकनीक इन्फेक्शन को कंट्रोल करने और जोड़ की जगह बनाए रखने में मदद करती है।



🦵 Advantages of Articulating Knee Spacer

When treating infection after knee replacement, an articulating spacer is often preferred because it:
✅ Maintains knee movement (flexion & extension)
✅ Prevents stiffness & contractures
✅ Preserves muscle strength
✅ Allows walking with support
✅ Makes second surgery easier
✅ Controls infection effectively

📌 In simple words:
It not only fights infection but also helps you stay mobile and keeps your muscles active until the final knee implant is done.

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🦵 आर्टिकुलेटिंग नी स्पेसर के फायदे

घुटने की सर्जरी के बाद इन्फेक्शन होने पर आर्टिकुलेटिंग स्पेसर लगाने से:
✅ घुटने की मूवमेंट बनी रहती है
✅ जॉइंट जाम नहीं होता (स्टिफनेस कम होती है)
✅ मांसपेशियों की ताकत बनी रहती है
✅ सहारे से चलना संभव
✅ दूसरी सर्जरी आसान होती है
✅ इन्फेक्शन भी कंट्रोल रहता है

📌 आसान भाषा में:
ये स्पेसर इन्फेक्शन भी रोकता है और आपको चलने-फिरने में मदद भी करता है।

“Decompression alone at levels with sagittally oriented facets → risk of instability & reoperation” 🔹 Why decompression ...
27/08/2025

“Decompression alone at levels with sagittally oriented facets → risk of instability & reoperation”

🔹 Why decompression alone may fail

Sagittal facet orientation → provides less resistance to anterior translation (compared to coronally oriented facets).

After wide decompression (laminectomy/medial facetectomy), these already unstable facets cannot resist shear forces.

This predisposes to iatrogenic instability, progressive listhesis, and recurrent symptoms.

🔹 Risk of Reoperation

Several studies have shown higher reoperation rates in such patients when decompression alone is done.

Causes include:

Progression of slip

Recurrent stenosis

Mechanical back pain due to instability

🔹 Practical Takeaway

Fusion (MIS TLIF / PLIF / OLIF depending on case) is generally recommended along with decompression if:

Facets are sagittally oriented (>50°)

Listhesis is present or likely to progress

There is preserved disc height and vacuum changes (instability markers)

Decompression alone may still be considered in selected elderly/low-demand patients with significant comorbidities where surgical morbidity of fusion is a concern—but with clear counseling about the risk of instability and possible need for reoperation.

Address

Chandigarh

Opening Hours

Monday 11am - 12:30pm
Tuesday 11am - 12:30pm
Wednesday 11am - 12:30pm
Thursday 11am - 12:30pm
Friday 11am - 12:30pm
Saturday 11am - 12:30pm

Telephone

+919810758543

Website

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