DR AJAY KOTHARI SPINE SPECIALIST PUNE INDIA

DR AJAY KOTHARI SPINE SPECIALIST PUNE INDIA

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3 days ago | [YT] | 3

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DR AJAY KOTHARI SPINE SPECIALIST PUNE INDIA

Endoscopic spine surgery is an ultra–minimally invasive technique that uses a working cannula and endoscope through a small (usually <1 cm) incision to address spinal pathologies such as disc herniation and stenosis while minimizing muscle and bony disruption. It aims to achieve adequate neural decompression with less blood loss, reduced postoperative pain, shorter hospital stay, and faster return to function compared with conventional open procedures.[1][2][3]

## Concept and Principles
- Endoscopic spine surgery uses a high-definition endoscope with continuous irrigation and specialized micro‑instruments to reach the target via natural tissue corridors, often under fluoroscopic guidance.[2][5]
- Core **principles** are complete neural decompression and, where indicated, stabilization while preserving normal anatomy as much as possible.[3][1]

## Indications
- Common indications include lumbar disc herniation, foraminal or lateral recess stenosis, and selected cases of central stenosis or recurrent disc herniation.[5][3]
- Cervical and thoracic applications, including foraminal decompressions and soft disc herniations, are expanding as optics, instruments, and surgeon expertise advance.[3]

## Technique Overview
- A guidewire and dilator are positioned to the target disc or foramen under imaging, followed by insertion of a working cannula and endoscope through a keyhole incision.[2][5]
- Herniated disc fragments, hypertrophic ligament, or osteophytes are removed using punches, burrs, RF, or laser to decompress the nerve root while continuously visualizing neural structures.[5][2]

## Advantages
- Potential benefits include smaller incision, less muscle trauma, reduced blood loss, shorter hospital stay (often day-care or overnight), and quicker mobilization.[1][5]
- Reduced soft‑tissue disruption may translate into lower postoperative pain, decreased infection risk, and fewer long-term biomechanical changes compared with open surgery.

3 days ago | [YT] | 17

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DR AJAY KOTHARI SPINE SPECIALIST PUNE INDIA

Minimally Invasive Spine Surgery in Degenerative Scoliosis — A Case Insight
As a Spine Surgeon, I continue to focus on safer, evidence-based solutions for elderly patients with complex spinal pathology.
Recently, I managed an 84-year-old patient with degenerative lumbar scoliosis and severe L4–L5 stenosis, where traditional long-segment stabilization would have required a high-risk surgery due to multiple comorbidities.

To avoid the morbidity of an extensive fusion, we opted for a Navigation-Guided Unilateral Biportal Endoscopic (UBE) Decompression assisted by O-arm 3D navigation. This approach enabled:
✅ Precise localization despite scoliotic distortion
✅ Targeted bilateral decompression through two small portals
✅ Preservation of stabilizing structures—preventing the need for long-segment instrumentation
✅ Minimal blood loss and reduced surgical stress

The results were encouraging:
• Significant pain reduction immediately after surgery
• The patient was discharged on Post-Operative Day 2
• Functional recovery began early, with preserved spinal alignment on follow-up

This case highlights an important takeaway:

For carefully selected high-risk patients, minimally invasive, navigation-assisted endoscopic decompression can provide effective relief while avoiding the risks of long-segment fusion surgery.
I remain committed to advancing patient-centric, minimally invasive spine care and contributing to ongoing progress in UBE techniques.

3 weeks ago | [YT] | 6

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DR AJAY KOTHARI SPINE SPECIALIST PUNE INDIA

Honoured to visit the prestigious IIM Ahmedabad—an institution that continues to shape some of the finest leaders and innovators of our nation.

I had the privilege of being part of an enriching 2-day workshop on entrepreneurship, leadership, hospital management, and the transformative role of AI in modern healthcare.
The discussions were deeply insightful, especially around how technology and innovation can be seamlessly integrated into our day-to-day practice to help patients recover faster and enhance overall clinical outcomes.

Interacting with dynamic thinkers, exchanging perspectives on building sustainable systems, and exploring new-age leadership in healthcare reaffirmed a timeless truth: true leadership is rooted in learning, evolving, and empowering others.

Grateful for the meaningful conversations, the warm hospitality, and the opportunity to engage with an ecosystem where ideas flourish and future leaders are shaped.

Here’s to continuous growth, innovation, and creating impact—one step at a time.

#IIMA #Leadership #Entrepreneurship #Innovation #HospitalManagement #AIinHealthcare #AjayKothari #ContinuousLearning #GrowthMindset

1 month ago | [YT] | 6

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DR AJAY KOTHARI SPINE SPECIALIST PUNE INDIA

Attended the ASSI Operative Course 2025 in Mumbai as faculty — a great opportunity to share our work on navigated spinal complex and kyphoscoliosis deformity surgeries, advanced techniques, and treatment protocols.
Also presented our approach to complex dorsal fracture management, which sparked insightful discussions during the session.
It was a well-attended event with national and international delegates contributing immensely to the academic exchange.
Grateful to Dr. Sameer Dalvi, Dr. Dheeraj Sonavne, and Dr. Tushar Rathore for the kind invite and for curating such a valuable learning platform. 🙏
#ASSI2025 #SpineSurgery #Navigation #Kyphoscoliosis #AcademicExchange #OperativeCourse #SpineDeformity #SpineFaculty #sanchetihospital

2 months ago | [YT] | 9

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DR AJAY KOTHARI SPINE SPECIALIST PUNE INDIA

Honored to have attended SRS 2025 as part of the Executive Council of the Awards and Scholarships Committee, representing our global spine community. Conference was in Charlotte North Carolina USA .It was an incredible experience with immense learning in both adult and pediatric deformities, gaining insights into the latest techniques and innovations that will shape the future of spine care.
Equally enriching was the opportunity to connect with colleagues and friends from across the globe—sharing knowledge, exchanging ideas, and building collaborations that go beyond borders.
Grateful for this platform and looking forward to contributing further to the mission of advancing spine surgery and education worldwide.

Scoliosis Research Society Gregory Mundis Jr Suken Shah Robert Eastlack Munish C. Gupta MD, MBA, FAAOS, FAOA Lawrence G. Lenke, MD Raj Sakhrekar GUNA PRATHEEP Amit Jain, MD MBA Steven Glassman Prof. Ahmet Alanay, MD Laurel Blakemore Brad Carlson, MD, MBA Virginie Lafage Theresa Pazionis Zeeshan Sardar

#spine #scoliosis #drajaykothari #spinesurgeonpune #sanchetihospital #kyphosis

Dr Ajay Kothari
consultant Spine, Scoliosis, Endoscopic Spine Surgeon
Spine Unit head
Sancheti Hospital
Pune
India

www.spinesurgeonpune.co.in
+91-7887569569

3 months ago | [YT] | 23

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DR AJAY KOTHARI SPINE SPECIALIST PUNE INDIA

Excited to share that I will be travelling to Charolette North Carolina, USA to attend the SRS (Scoliosis Research Society) Conference.
It is a proud moment for me to be selected as part of the Education and Scholarships Committee, where I will have the opportunity to contribute, learn, and collaborate with global experts in the field.
Honored to be representing India on such a prestigious platform and looking forward to meaningful discussions, knowledge exchange, and advancing the cause of education and research in spine care.

Scoliosis Research Society

#sanchetihospital #spinesurgeonpune #drajaykothari

3 months ago | [YT] | 3

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DR AJAY KOTHARI SPINE SPECIALIST PUNE INDIA

🌿 PRP Injection for Spine Pain Relief 🌿

Living with constant back / Neck pain? 💢
PRP (Platelet-Rich Plasma) injection is a modern, minimally invasive treatment that uses your own blood’s healing power 🩸✨ to reduce inflammation, repair tissues, and provide lasting relief.

✅ Promotes natural healing
✅ Minimally invasive
✅ Reduces pain & improves mobility
✅ Helps avoid surgery in many cases
✅ Day care procedure (optional )

What Is PRP Spine Injection?
Platelet-Rich Plasma (PRP) therapy involves drawing a small amount of blood, concentrating the platelets and healing factors, and injecting them into injured areas of the spine. The entire procedure is minimally invasive and typically takes about 30 minutes.
Benefits of PRP for Spine
• Reduces pain and inflammation naturally and supports tissue repair.
• Promotes regeneration of cartilage, ligaments, and tendons around the spine.
• Offers a safer, low-risk alternative to steroid injections with minimal side effects.
• Can improve range of motion, decrease swelling, and accelerate return to activity.

Who Can Benefit?
PRP spine injections can help those with:
• Chronic back pain
• Disc injuries
• Facet joint pain
• Arthritis or degenerative spine changes.

Quick Facts
• Uses your own blood; no risk of rejection.
• Usually no downtime; return to normal activity quickly.
• Always seek care from experienced, qualified professionals for the best results.

✨ Restore, Regenerate, Relieve. Ask your spine specialist if PRP injections could be the right choice for your back pain!

Take a step towards a pain-free spine and better quality of life. 💪🕊️

Thanks @drdarshansonawane

Dr Ajay Kothari
consultant Spine, Scoliosis, Endoscopic Spine Surgeon
Spine Unit head
Sancheti Hospital
Pune
India

www.spinesurgeonpune.co.in
+91-7887569569

#BackPainRelief #SpineHealth #PRPInjection #PainFreeLiving #RegenerativeMedicine #drajaykothari #sanchetihospital #spinesurgeonpune