Spinal Cord Correction Surgery A Success of International Cooperation From International Collaboration

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Spinal Cord Correction SurgeryA Success of
International CooperationFromInternational
Collaboration

• Rotary IT Corridor, Club Number 73278
• District 3190

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Deformity

• Scoliosis (Greek word Skoliosis crookedness),
  Sideward curvature of spine

• Kyphosis - Forward bending of spine

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Causes

• Congenital By birth
• Idiopathic unknown causes usually in
  adolescent age group
• Neuromuscular secondary to polio or cerebral
  palsy
• Others Tuberculosis (T.B.), trauma
• (common cause in India )

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Scoliosis patient

• Early stage
• Experiences pain at early stages (school days)
• Deformity creates inferiority complex among peer
  circles
• Child withdraws from activities, even drops out
  of school
• Progressive Stages
• Back pain severity increases
• Gait changes due to abnormal shoulder and hip
  levels
• Adaptation to very low physical activities and
  also underperformance in academics
• Advanced
• Grotesque deformities physical disabilities
• Respiratory (breathing) problems due to reduced
  chest capacity
• Malnourishment due to digestive problems and
  reduced intake
• Neurologic problems weakness in legs, loss of
  bowel and bladder control
• Unfortunately 90 patients come to treatment at
  Advanced stage for treatment

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Scoliosis as a problem

• Average incidence of 1 to 1.6
• No central registry exists in India
• Majority accepts the disability and starts living
  compromised life style due to lack of proper
  knowledge and facilities for treatment
• Early diagnosis and treatment are the key
• Early correction reduces the cost and limits the
  disability
• Early correction allows patient to lead
  productive life.
• Lack of expertise and general awareness about
  deformities compounding the problem
• Very few have expertise to deal with such problems

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End to end Collaboration
Free Consumable Free Surgery support Free
hospital services
NGO connection Long Expertise in Healthcare and
rehabilitation and post operative social support
French design Company gave implants at 40
discount
Beneficiary
Rotary Expertise in International
Collaboration Fund Generation Identifying the
Right beneficiary
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Progress Two Operations Done

1. Mr. Mohan , 22years old/male, diagnosis to have
   congenital lumbar scoliosis with hemivertebra. He
   has studied SSLC (10th) and was working in a
   shop. He developed gradual onset of back pain and
   worsened in the recent months and was unable to
   do his routine activities. He was tilting and
   losing balance. The correction surgery will help
   him in regaining the balance and he will be back
   to work as store assistant. He is a Native of
   Tumkur, earning monthly Rs.2000/- (USD 40/
   month).
2. Satyanarayana , aged 22years , is born with
   multiple deficiencies. He cannot hear and speak.
   He has deformed chest cavity adding to this he
   has severe scoliosis which is causing imbalance.
   His IQ was assessed and after confirming that he
   can be rehabilitated to a functionally
   independent person, correction of scoliosis is
   undertaken. Clinically his curve has been
   corrected and doing well post operatively. His
   father a poor farmer cannot afford treatment for
   any of his ailments.

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It all Started At French National Night
A MoU is signed between Manipal Hospital, Sukriya
and Rotary for 25 Spinal Cord Surgeries
French Consul General and DG Lighting the lamp
and starting a partnership
French Consul General addresses Rotarians and
French Nationals, and confirms support to Rotary
projects and Indo-French-Rotary Collaboration
An Initiative is born leading the changing lives
of 25 people with spinal cord deformities.
Presidents from other clubs supported the
initiatives
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Scoliosis treatment hurdles

• Majority of advanced deformity patients are poor
• Cost of the treatment very high 8 -10,000 US
  
• Very high cost of implants US 4000 on an
  average
• Done only in multi specialty Hospital
• Very few trained surgeons
• Brought down cost to USD 3K, beneficiary pays
  only USD 1 K (That also covered by NGO at times),
  that is 1/10th of original cost.
• Manipal brought doctors and multi specialty care
  facilities on table.
• Sukriya brought expertise in post operation care
  and rehabilitation on table.

Hurdles Overcome/Lowered
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Our aim

• To offer highest quality treatment for 25
  patients from underprivileged socio-economic
  background
• Cost effective approach
• Rehabilitation of the treated patients
  Edcuation
• employment
• Moral, social ethical
  responsibility

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Support Needed

• Matching Grant Projects,
• 2 K USD, will change one life
• 25 Operations is just a number we will do as many
  possible if we get the grant.

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Thank You