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Stavya R&D Center

Research is a part of a growing institution. It involves multitude of steps right from maintaining the data to publication of a paper in national/international journal.

Only few institutes in practice maintain the day-to-day details about the patients visiting to the hospital.

Patients suffering from various spinal ailments are treated conservatively as well as surgically depending upon the symptomatology and findings on different radiological tests.

We at SSHRI record and store all the medical data pertaining to patients visiting to our centre. This medical data is stored in the computers in various sections. This is possible due to dedicated software developed and edited by Stavya consultants.

 

All the information stored in the computers is analysed by the spinal surgeons and research analysts working in our institute.

Research studies are proposed, planned and executed in a systematic manner. All the proposed research studies are initially planned and discussed among the spine surgeons in the institute. Few studies involve patients clinically, radiological studies which are non-invasive in nature.

Few studies involving newer drugs, newer surgical techniques, newer implants need utmost planning and critical work up before executing. Then in the next stage, Institutional Ethical Committee (IEC) approval is taken for the proposed study. We at SSHRI have an institutional ethical committee since 2009.

Research studies once approved by ethical committee are then executed in proposed ways. Patient consent is taken in all the studies. All the information collected is analysed and then statistically calculated deriving to results.

As a spine surgeon, operating patients is a skilled job, but writing a research paper is a tough job that takes a lot of patience, time and also thinking process.

Submission, Review and finally acceptance – results in a paper publication in reputed national/ international, ortho/ spine journal. We, at SSHRI, have published 16 papers in 2019.

For the benefit of patients, we have uploaded all the published journals of preceding years.

INSTITUTIONAL ETHICS COMMITTEE (SSHRI)

SSHRI has its own institutional ethics committee which supervises all in home funded/nonfunded research project.

Dr. Adarshjit Singh

Chair Person

Dr. Devanand Delgumadi

Clinician

Ms.Renuka Patel

Member

Ms.Jimita Raval

Social Scientist

Dr. Falguni Majmudar

Scientific Member

Dr. Shounak Dhudhiya

Clinician

Dr. Stuti Shah

Scientific Member

Ms. Jalpa Vyas

Lay Person

Dr. Bharat Dave

Clinician

Dr. Nandita Mehta

Basic Medical Scientist

Mr.Mahesh K. Vaghasia

Legal Expert

Ms. Rekha Trivedi

Legal Expert

Dr.Ajay Krishnan

Clinician

Dr.Birju K. Vyas

Member Secretary

Download File

Ethics Committee Registration Division

COMPLETED RESEARCH

  1. A randomized controlled comparative clinical trial to evaluate the efficacy of sciatic nerve mobilization in patient operated for lumbar ( L4-L5-S1) discectomy.
  2. Clinico-radiological correlation of various fusion techniques for single level lumbar spine disorder.
  3. Retrospective study of comparison of clinical outcome of TLIF and laminectomy in patients presenting with cauda equina syndrome with prospective study of clinical outcome of TLIF in patients with cauda equina syndrome.
  4. A comparison of the efficacy & tolerability of lornoxicam & diclofenac sodium in patient with acute post operative pain after spinal surgery.
  5. Role of contrast MRI in planning management of lumbar pid.
  6. Clinico radiological correlation with effectiveness of various treatments in patients with coccycodynia and comparison of radiological assessment of coccyx in normal healthy volunteers.
  7. A prospective , cross sectional study to find out correlation between supine lying lbp/leg pain and retrolisthesis in lumbar disc prolapse patient.
  8. To study the effect of neural manipulation on haemodynamic parameters during lumber spine surgery in prone position.
  9. A radiological study of pedicle dimensional variations in lytic listhesis in indian population.
  10. A prospective analysis of mri of fibrosis in Post operative TLIF patients : Conventional vs MISS.
  11. Clinico-radiological results of anterior surgery for multilevel cervical spondylotic myelopathy.
  12. Role of contrast MRI in assessment of natural history of lumbar disc prolapse.
  13. Evaluation of new-onset pain and neurological deficit in Post Op lumbar spine surgery.
  14. A retrospective analysis of clinical and radiological outcome in recurrent disc prolapse.
  15. Drain tip culture: would it help us predict and prevent surgical site infection after spinal surgery?
  16. Microbiological spectrum in post-procedural spondylodiscitis.
  17. An academic clinical study to assess the efficacy and safety of nandrolone decanoate and alendronate as compared to alendronate alone in patients with osteoporosis.
  18. A novel approch to diagnose osteoporosis on MRI using texture analysis .
  19. An observational retrospective & prospective analysis of use, advantages, disadvantages & significance of intraoperative neuromonitoring in spine surgeries.
  20. An investigator initiated study of redefining the entry point in insertion of cervical pedicle screw using o-arm and navigation – a prospective radiological study in indian subjects.
  21. Comparative morphometric analysis of bare window in oblique lumbar interbody fusion indegenerative lumbar scoliosis.
  22. A retrospective multicentric questionnaire-based evaluation of learning curve of first seven consecutive cases of OLIF of a surgeon/institute.
  23. A prospective clinical and radiological study of symptomatic upper lumbar disc herniation.
  24. Signs of transforaminal endoscopic end-point decompression: objective and subjective evaluation to prevent failures.
  25. Transpedicularvertebral biopsy: navigated biopsy technique improvisation with integrated operation theater spine suite (IOTSS).
  26. Retrospective long term follow-up analysis of anterior cervical corpectomy and fusion in cervical myelopathy at tertiary level spine center in india.
  27. Long term clinical and radiological outcomes ofcervical disc arthroplasty at a tertiary level spine center: a retrospective cohort analysis.
  28. Kinematic cervical MRI – an insight into indications and radiological findings – a retrospective radiological analysis.
  29. Comparative study on accuracy of intraoperative CT-navigation based screw placement with cutaneous vs bone fixed dynamic reference frame in MIS- TLIF.
  30. Importance of immediate post-operative MRI in cervical and dorsal myelopathy.
  31. Clinical trial phase iii study- a multicentric,randomised,openlabel,comparative,prospective clinical trial to investigate efficacy & safety of diclofenac sodium i.v.injection ( 75 mg/ 2 ml ) versus diclofenac sodium i.m. injection ( 75 mg / 3 ml ) ( voveranr (75mg/3ml))for patients with (a) acute postoperative pain and (b) acute renal colic.
  32. A Prospective , Randomised , double blind, comparative, parallel assignment, multicentric clinical trial to evaluate the efficacy and safety of Fixed Dose Combination of Diclofenac plus Paracetamol plus Serrratiopeptisade versus Fixed dose Combination of Diclofenac plus Paracetamol in patients of musculoskeletal pain associated with inflammation.
  33. Medication use patterns, treatment satisfaction, and inadequate control of Osteoporosis study [MUSIC-OS]: an Asia pacific study postmenopausal women treated for Osteoporosis in clinical practice.

ONGOING RESEARCH

  1. Study of spinal sagittal balance in Indian population along with social and economic perspective.
  2. An observational, retrospective & prospective study to evaluate the treatment outcomes of atlantoaxial osteoarthritis.
  3. An investigator initiated study of micro structural and DEXA analysis of trabecular architecture in lumbar vertebra – a comparative study in osteoporotic and normal vertebrae among Indian population.
  4. An investigator initiated study of o-arm guided single position OLIF with posterior percutaneous fixation in the same position for Indian patients.
  5. Surgical outcomes of upper lumbar disc herniation. – a prospective analysis.
  6. Retrospective analysis of clinical presentation and surgical outcomes of upper lumbar disc herniation.
  7. A retrospective analysis of demographic, clinical and postoperative data of all patients operated at a spine center- our experience of 18 years.
  8. A retrospective analysis of demographic, clinical and postoperative data of all cervical spine patients operated at a spine center – our experience of 18 years.
  9. Occipitocervical fusion using screw rod plate system in craniocervical pathologies: a prospective cohort analysis of long term functional and radiological outcome with minimum 2 years of follow-up.
  10. A retrospective study to find the diagnostic value of stress MRI in management of lumbar spine pathologies with clinical-radiological mismatch.
  11. Prospective analysis of immediate post operative MRI in patients with myelopathy.
  12. An analysis of reasons for delay in seeking treatment among patients with neurological deficits.
  13. The twenty – twenty view: a novel technique to assess accuracy of pedicle screw instru-mentation.
  14. A comparative study between vertical and horizontal miss (minimally invasive spine surgery) post-operative scar.
  15. Procrastinating drain removal : unconventional but effective management of cerebrospinal fluid leakage following anterior cervical spine surgery: a single center – single surgeon study.
  16. A Randomized, Double-Blind, Active-Controlled, Parallel Arm, Multicenter Study Comparing Pharmacokinetics, Pharmacodynamics, and Immunogenicity of Denosumab of Intas Pharmaceutical Limited (60 mg/ml) with Prolia® in Postmenopausal Women with Osteoporosis.
  17. An Open-label, Single-arm, Multicenter Phase 4 Study to Evaluate Safety and Tolerability of Romosozumab (EVENITY®) in Postmenopausal Women in India with Osteoporosis and a High Risk of Fracture .

LATEST PUBLICATIONS

European Spine Journal

  • Age- and sex-related changes in facet orientation and tropism in lower lumbar spine: an MRI study of 600 patients. Degulmadi D, Dave BR, Krishnan A. Eur Spine J. 2019 May; 28(5):961-966. DOI: 10.1007/s00586-019-05953-y.

  • Ultrasonic bone scalpel: utility in cervical corpectomy. A technical note. Dave BR, Degulmadi D, Dahibhate S, Krishnan A, Patel D. Eur Spine J. 2019 Feb;28(2):380-385. DOI: 10.1007/s00586-018-5536-x

Indian spine journal

  • A novel surgical technique for hydatid cyst involving cervico-thoracic anterior epidural space. Bharat R Dave, Degulmadi Devanand, Ganesh Deshmukh. Indian spine journal. 2019; vol 2(1), 99-101. DOI: 10.4103/isj.isj_17_18
  • A Rare Case of Giant Cell Tumor of Body of Axis: Surgical Management with Staged Posterior Occipito-cervical Fusion, Anterior Excision, and Reconstruction through Anterior Mandibulotomy. Bharat R. Dave, Gayadhar Behera, Ajay Krishnan, Devanand Degulmadi. Indian spine journal 2019;2: 179-83. DOI: 10.4103/isj.isj_21_19
  • An Unconventional and Novel Therapeutic Technique of Anterior Indirect Decompression in a Case of C6–C7 Synovial Cyst Associated with Radiculopathy. Bharat R. Dave, Gayadhar Behera, Yash Shah, Ajay Krishnan. Indian Spine J 2019;2:190-4. DOI: 10.4103/isj.isj_9_19
  • A Clinical and Radiological Study of Non-traumatic Coccygodynia in Indian Population. Bharat R. Dave, Paresh B. Bang, Devanand Degulmadi, Pushpak Samel, Deepak Shah, Ajay Krishnan. Indian Spine J 2019;2:128-33. DOI: 10.4103/isj.isj_15_18
  • Symptomatic Pneumocephalus Following Spine Surgery – an institutional experience and review of literature’. Bharat R. Dave, Amit Jain, Devanand Degulmadi, Ajay Kirshnan, Paresh Bang.
    Indian Spine J 2020
    DOI: 10.4103/isj.isj_4_19
  • A Rare Case of Spontaneous Pseudomeningocele with lytic Spondylolisthesis. Bharat R. Dave, Devanand Degulmadi, Ajay Kirshnan, Paresh Bang.
    Indian Spine J 2020
    DOI: 10.4103/isj.isj_20_19

Global Spine Journal

  • The Effectiveness and Safety of Ultrasonic Bone Scalpel Versus Conventional Method in Cervical Laminectomy: A Retrospective Study of 311 Patients Bharat R. Dave, MS, MCh1, Ajay Krishnan, MS1 , Ravi Ranjan Rai, MS1 , DevanandDegulmadi, MS1, ShivanandMayi, MS1, and MahendraGudhe, MS1 Global Spine Journal 1-7.

  • Transforaminal Thoracic Interbody Fusion for Thoracic Disc Prolapse: Surgico-radiological Analysis of 18 Cases. Ajay Krishnan, MS, D Devanand, MS, Shivanand Mayi, MS, Mahesh Kulkarni, MS, Chaitanya Reddy MS, Mreetunjay Singh, MS, Ravi Ranjan Rai, MS, Bharat R. Dave, MS. Global spine journal 1-9,2019. DOI:10.1177/2192568219870459

Asian Spine Journal

  • Does the Surgical Timing and Decompression Alone or Fusion Surgery in Lumbar Stenosis Influence Outcome in Cauda Equina Syndrome? Dave BR, Samal P, Sangvi R, Degulmadi D, Patel D, Krishnan A. Asian Spine J. 2019 Apr;13(2):198-209. DOI: 10.31616/asj.2018.0168

  • The Relationship of Facet Joint Orientation and Tropism with Lumbar Disc Herniation and Degenerative Spondylolisthesis in the Lower Lumbar Spine. Degulmadi D, Dave B, Krishnan A, Patel D. Asian Spine J. 2019 Feb;13(1):22-28. DOI: 10.31616/asj.2018.0116

  • Risk factors and surgical treatment for recurrent lumbar disc prolapse – a review of literature.Ajay Krishnan, Mahesh Kulkarni, Mreetaunjay Singh, Chaitanya Reddy, Shivanand Mayi, D. Devanand, Ravi Ranjan Rai, Bharat R. Dave. Asian spine journal 2019;asj.2018.0301., October 15, 2019

LATEST PUBLICATIONS

International Orthopaedics

  • Concomitant Noncontiguous Level (Thoracic & Lumbar) Spinal stenosis in International Orthopaedics-International Ortho.2009,Apr, 33(2):483-8

International journal of current research

  • Coexistence of tuberculosis and myeloma causing atlanto-axial instability. Dr. Bharat R Dave, Dr.PuspakSamal, Dr.Devanand. D, Dr Denish patel, Dr. Ankur Patel, Dr. Manish P Barot and Dr. Ajay Krishnan. International journal of current research. Vol. 9, issue, 09, pp.57670-57673, September, 2017

Asian spine journal

  • Two stage surgical management of multilevel symptomatic thoracic haemangioma using ethanol and iliac crest bone graft. Asian spine journal. 2014. Aug; 8(4): 502–505.

NCBI

  • Transpedicular percutaneous biopsy of vertebral body lesions: a series of 71 cases-NCBI- Spinal cord-2009-47,384-389.

Indian journal of endocrinology

  • An observational study to assess back pain in patients with severe osteoporosis treated with teriparatide versus antiresorptives: An Indian subpopulation analysis, Harvinder Chhabra,Rajesh Malhotra, Sunil Marwah,Bharat Dave,KyoungahSee,SimratSohal and SirelGurbuz, Indian J Endocrinol Metab. 2015 Jul-Aug; 19(4): 483–490.

European Spine Journal

  • Andersson lesion: are we misdiagnosing it? A retrospective study of clinico-radiological features and outcome of short segment fixation. Bharat R. Dave, Himanshu Ram, Ajay Krishnan. Eur Spine J (2011) 20:1503–1509. Doi 10.1007/s00586-011-1836-0.

  • Coexisting lumbar and cervical stenosis (tandem spinal stenosis): an infrequent presentation. Retrospective analysis of single-stage surgery (53 cases), Ajay Krishnan, Bharat R. Dave, Arun Kumar Kambar, and Himanshu Ram. Eur Spine J. 2014 Jan; 23(1): 64–73. Published online 2013 Jun 24. doi: 10.1007/s00586-013-2868-4

CHAPTER IN BOOKS

1. In ASSI texbook chapter written on the transpedicular biopsy techniques.

2. In Paediatric Bone and Joint Infection Chapter written on Spondylo discitis

3. Approach-Related Complications Following Anterior Cervical Spine Surgery: Dysphagia, Dysphonia, and Esophageal Perforations.

Authors: Bharat R. Dave & D. Devanand