"LEARNING IS A LIFETIME PROCESS, BUT
THERE COMES A TIME WHEN WE MUST
STOP ADDING AND START UPDATING."
NASS Clinical Traveling Fellowship Report:
Pallav Bhatia, MBBS, MS
Iwas very delighted when I received a confirmation from NASS that I was
selected for the North American Spine
Society Clinical Traveling Fellowship.
As per my preferences, the fellowship
was under the mentorship of Lawrence
Lenke, MD, Sheeraz Qureshi, MD, MBA
and Kern Singh, MD.
My first center was at NY Presbyteri-
an Hospital, under the mentorship of Dr.
Lenke. NY Presbyterian Hospital is an
advanced spine treatment and surgical
center that provides a multidisciplinary
approach to patient care. On the first
day, I saw a revision case of degenera-
tive sagittal and coronal imbalance in
which Dr. Lenke performed PCOs and
PSOs and obtained proper correction.
I was impressed by his surgical tech-
niques as he got excellent deformity
correction in all types of curves. Dr.
Lenke is a master in all types of posteri-
or correction techniques and uses them
meticulously in different types of curves.
In the evenings after the case, Dr.
Lenke discussed the treatment protocol
and the management plan in all the
cases performed earlier in the week.
Anyone could raise a doubt and Dr. Len-
ke eagerly answered all of them, thus
enriching our knowledge.
On the second day with Dr. Lenke,
I went to the OR and observed a case
of severe degenerative lumbar scoliosis
with curve of 58° and coronal offset of
+ 3 cm in which he performed posterior
fixation with multiple PCOs and TLIF
and gained appropriate correction.
On the third day, Dr. Lenke saw out-
patients. I learned the way he counseled
various patients, explain to them about
pros and cons of every alternative form
of treatment and the postoperative
I observed Dr. Lenke for 10 days,
during which I learned so many tips
and techniques of deformity correction,
along with when to use which tech-
nique. Most of his cases were revision
deformities, which were enriching
experiences and definitely helped in
improving my skills.
My second mentor was Dr. Qureshi
at Mount Sinai Hospital, New York. Dr.
Qureshi is a minimally invasive spine
surgeon. He made me feel very comfort-
able, and like an elder brother he took
great care of me. Dr. Qureshi shared his
knowledge and valuable experiences
and guided me in the right direction.
I was in the OR with Dr. Qureshi for
three days where I got to see a lot of
ACDFs and tubular discectomy. He was
superb in the matter of surgical timing.
I was amazed to find that most of his
cases were day care surgeries. This was