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Workshop: The dilemma of inappropriate surgeries for spine trauma: revision surgery or accepting poor stabilization.

Track 3
Wednesday, September 2, 2020
11:00 AM - 12:30 PM
Auditorium - Track 3


Agenda Item Image
Dr Harvinder Singh Chhabra
Chief Of Spine Service & Medical Director
Indian Spinal Injury Centre

The dilemma of inappropriate surgeries for Spine Trauma: Revision surgery or accepting a poor stabilization


1. Dr Hans Joseph Erli
2. Dr Rainer Abel
3. Dr S Katoh
4. Dr P Kluger
4. Dr H S Chhabra*

Learning Objectives:
1. To identify the causes of inappropriate surgeries for spine trauma.
2. To summarise strategies to reduce incidence of inappropriate surgeries for spine trauma
3. To understand if the supervised neglect for inappropriate stabilization for spine trauma is a suitable option and whether decision making differ between developed and emerging countries
4. To identify challenges faced during revision surgeries.

Participants: Any level is suitable.

Target audience:
Spine surgeons, Physiatrists, All rehabilitation disciplines (Physiotherapists, Occupational Therapists, Assistive technologists, Psychologists, Peer Counselor), Nurses, Policy makers, Hospital administrative, Researchers, Consumers

Technical requirements:
1 LCD projector capable of handling input from laptop computers will be needed.


Experts, whether involved in acute management or comprehensive rehabilitation management of person with Spinal Cord Injury, often come across patients with inappropriate stabilization. They then face the dilemma of whether to suggest revision surgery or supervised neglect accepting a poor stabilization. Going in for revision surgery interrupts and delays the comprehensive rehabilitation whereas accepting a poor stabilization carrier the inherent risks of a probable failed stabilization. If the team decides to go in for a revision surgery, the dilemma is again the timing of surgery, whether to go in for immediate surgery or wait till the patient is medically stable and well mobilized. The revision surgeries also pose a challenge and often require strategies which differ from primary surgeries.
The workshop will discuss the dilemma of revision surgery or supervised neglect accepting the poor stabilization, the timing of surgery (if required) and the challenges of revision surgeries.
The consumer perspective will also be discussed.

Workshop Schedule (90 minutes):
Topic Speaker
Introduction and Welcome to the workshop - H S Chhabra (2min)
Inappropriate stabilization of spine trauma : Definition and causes- Rainer Abel (10 min)
Supervised neglect for inappropriate stabilization of spine trauma :Is it acceptable? - S Katoh (10min)
Revision surgery: indications and challenges- Hans Joseph Erli (10min)
Dilemma of supervised neglect or revision surgery for inappropriate stabilization for spine trauma: Consumer’s perspective- H S Chhabra (10min)
Panel discussion -Inappropriate surgery for spine trauma : dilemmas and strategies to reduce incidence in developed as well as emerging countries scenario (45min)
Moderator-H S Chhabra
Panelists- Hans Joseph Erli, S Katoh, Rainer Abel, Patrick Kluger
Carry Home Message- H S Chhabra (3min)


Dr. Chhabra is Chief of Spine Service and Medical Director at ISIC, New Delhi, India. His expertise is grounded by more than 25 years of clinical and academic experience as an orthopedic surgeon. He is currently serving as President ISCoS and Association of Spine Surgeons of India (ASSI). As Chairperson of Prevention Committee ISCoS, he has taken various initiatives amongst which are SCI Day on 05th September and ISCoS SCI Database (IDAPP). He has brought up many research projects with significant impact in management of SCI. Recently, he helped the ISCoS in publishing textbook on ‘Comprehensive Management of SCI’ as Editor-in-Chief. He had also helped develop elearnSCI.org, an online learning web based portal for health professionals on Comprehensive Management of Spinal Cord Injuries as Chief Editor & Coordinator as well as Project Manager (Educational resource development) of the web resource. He is Peer reviewer at various journals including Spinal Cord, Journal of Translational Medicine, Journal of Neurosurgery, Indian Journal of Orthopaedics Journal of Orthopaedic Research, Journal of Rehabilitation Council of India, Locomotor & Associated Disabilities Section, Polish Journal of Rehabilitation Research, Indian Journal of Medical Research, Clinical Epidemiology, Journal of Clinical Orthopaedics and Trauma, Journal of Sports Sciences. He has total of 64 publications including papers & full-length chapters in the leading textbooks. Journal publications have been in various prestigious peer reviewed journals like Spinal Cord, Rheumatology, Engineering in Medicine and Biology Magazine and European Spine Journal. In the last 5 years, he has received 2 major awards. In 2013, XXIII National Excellency Award by TP Jhunjhunwala Foundation in the field of Medicine and ISCoS Society Medal Award for 2013. In addition, he has been honored with ASSI Research Awards for five consecutive years from 2013 to 2017.