• Workplaces:
1.      1984 - 1996 Assistant lecturer at Orthopedic Dept. of Semmelweis University

2.      1996 - 2004 Consultant Spine Surgeon at Spinal Department of Central Military Hospital

3.      2004 - 2006 Consultant Spine Surgeon at Spinal Department of National Medical Center

4.      2006 - Consultant Spine Surgeon, Director of Education and Science at National Center for Spinal       Disorders

 

• Longer study trips:
1.      1982 Four weeks at Charite Klinik, Berlin, East Germany: general surgery

2.      1990 Two weeks at Medical Academy, Dresden, East Germany: Endoprothetics of the big joints on lower extremity

3.      1991 - 1992 18 months at Bradford NHS Trust, Bradford, UK: Senior House Officer at orthopedics and traumatology. Consultant: Mr. Akos Nevelos

4.      1994 Four weeks at Horizon Orthopedics, Cleveland, USA: spine surgical training with dr. Arthur Steffee

5.      1994 - 1996 20 months at The Spinal Foundation, Rochdale, UK: Reserch Registrar, Minimally Invasive Spine Surgery. Consultant: Mr. Martin T.N. Knight

6.      2003 3 months at Schönen Kliniken, Neustadt i.H., Germany: scoliosis training, leader: Prof. Dr. Henry Halm

• Courses:
1.      1989 Basic Arthroscopy Course, Budapest, Hungary

2.      1991 AO Basic Trauma Course, Nottingham, UK

3.      1991 Oswestry Spine Course, Oswestry, UK

4.      1992 Course on Spinal Cord Injuries, Stoke Mandeville Hospital, Aylsbury, UK

5.      1995 AO Basic Spine Course, Nottingham, UK

6.      1996 Surgical Workshops Using Anatomical Prosection: Approaches to the Thoracic and Lumbar Spine Workshop, London, UK

7.      1996 Modern Dissection Techniques of Bone, Biometals, and Bioplastics, The Midas Rex Institute, London, UK

8.      1998 Basic Internal Supervisor ISO (International Organization for Standardization) Course,  Szenzor P-E Gazdaságmérnöki Kft, Budapest, Hungary

9.      1998 AO/ASIF Advanced Spine Course, Davos, Switzerland

10. 2000 Third Nordic AO/ASIF Spine Course, Helsinki, Finnland - speaker

11. 2000 Advanced Course on Radiation protection, Budapest, Hungary

12. 2001 Intradiscal Electrothermal Therapy Course, Amsterdam, The Netherlands

13. 2003 1st Advanced Spine Course - Medtronic Sofamor Danek, Budapest, Hungary

14. 2005 Intradiscal Electrothermal Therapy Course, Milano, Italy

15. 2005 Balloon Kyphoplasty Course, Leiden, The Netherlands

16. 2007 Barricade Course (Implant against reherniation), Intrinsic Therapeutics, Boston, USA

17. 2007 Advanced Course on Radiation protection, Budapest, Hungary

18. 2008 Regional AOSpine Course, Budapest, Hungary - speaker

19. 2009 Vertebral body stenting (VBS) course - Synthez, Salzburg, Austria

 

 • Publications:

 1.      Gurin J, Jakab G: Results of our operations for carpal ganglion. Acta Chir Hung. 1988;29(3):299-304. English

2.      Gurin J, Jakab G: Results of operations for coxa saltans. Magy Traumatol Orthop Helyreallito Seb. 1990;33(1):20-4. Hungarian

3.      Varga P P, Bender Gy, Bucsi L, Jakab G: Experiences with the operative fusion on the lumbar spine. Magy Traumatol Orthop Helyreallito Seb. 1991;34(4):265-71. Hungarian.

4.      Jakab G, Varga P. P.: Spondylolisthesis - Book Chapter.  Springer: Lumbalis spinalis stenosis 71-78. 1995. Hungarian

5.      Knight MT, Vajda A, Jakab G V, Awan S.: Endoscopic laser foraminoplasty on the lumbar spine--early experience. Minim Invasive Neurosurg. 1998 Mar;41(1):5-9 English

6.      Jakab G, Varga P. P.: Application of minimally invasive spinal operations on osteoporotic patients. Ca és Csont 2001. 4. évf. 3. sz. p. 114-118. Hungarian

7.      Jakab G: The role of kyphoplasty at vertebral compression fractures. Mozgásterápia, 2006/3, XV, 32-35. Hungarian

8.      Varga P, Jakab G, Bánk A, Bors I: Surgical treatment of symptomatic pathology of the ageing spine. European Instructional Course Lectures Vol. 8 2007. p. 185-191.

  

• Lectures:
1.      1986 Our liposarcoma case - operated many times, Forum for Young Doctors, Budapest, Hungary

2.      1987 Osteoarthritis of the knee following menisectomy, Forum for Young Doctors, Budapest, Hungary

3.      1988 Possibilities to correct axis on I. metatarsal bone, the Wilson osteotomy Forum for Young Doctors, Budapest, Hungary

4.      1989 Aneurismal Bone Cyst on Lumbar Spine, Forum for Young Doctors, Budapest, Hungary

5.      1992 Synovial cysts of lumbar spine, Forum for Young Doctors, Budapest, Hungary

6.      1993 Microlumbar Discectomy Caspar, Forum for Young Doctors, Budapest, Hungary in English

7.      1994 New technique in operative treating in situ spondylolysis - preliminary report, Annual Meeting of the Hungarian Orthopedic Association, Budapest, Hungary

8.      1995 Radiology of the lumbar spine, forum for Registrars, Manchester, UK in English

9.      1995 Intradiscal & Annular Tears, Rochdale, UK in English

10. 1995 Intradiscal and Extradiscal Laser Surgery in the Lumbar Spine, Balgrist, Switzerland in English

11. 1996 Four year outcome review - key-hole procedures, The Spinal Foundation, Rochdale, UK

12. 1996 Intradiscal & Annular Tears, Rochdale, UK in English

13. 1996 The role of inflation discography, ICLFS, Budapest, Hungary in English

14. 1996 KTP532 Laser Disc Decompression For Uncontained Lumbar Discs, IITS, UK

15. 1997 The Rochdale - Budapest Experience with Key-Hole Laser Surgery on the Lumbar Spine, Orthopedic Meeting, Budapest, Hungary

16. 1997 The role of discography in planning operative treatment on the lumbar spine, Annual Meeting of the Hungarian Orthopedic Association, Szekszárd, Hungary

17. 1997 The Rochdale - Budapest Experience with Key-Hole Laser Surgery on the Lumbar Spine, First National Congress of Slovák Spine Society in English

18. 1998 The role and evaluation of lumbar discography in spinal practice, National Center for Spinal Disorders Symposium, Budapest, Hungary

19. 1999 New techniques operating herniated discs, Instructional Course, Budapest, Hungary

20. 1999 The role of Key-Hole procedures in spinal surgery, Instructional Course, Telki, Hungary

21. 2000 Treatment of spine infections, Third Nordic AO ASIF Spine Course, Helsinki, Finland

22. 2000 Our children patients operated with herniated discs 1997-2000,  The Association of Researchers on Children Spine Diseases, Budapest, Hungary

23. 2001 Our experience with percutaneous lased disc decompression, Annual Meeting of the Hungarian Orthopedic Association, Zalakaros, Hungary

24. 2001 Endoscopic mikrodiscectomy, Annual Meeting of the Hungarian Orthopedic Association, Zalakaros, Hungary

25. 2001 Surgical treatment of spinal infection, Annual Meeting of the Hungarian Orthopedic Association, Zalakaros, Hungary

26. 2001 Diagnosis and treatment of degenerative spinal diseases, Instructional Course, Budapest, Hungary

27. 2002 Minimal invasive therapeutic methods, Instructional Course, Budapest, Hungary

28. 2002 The practice of minimal invasive spine procedures on osteoporotic patients, Annual Meeting of the Hungarian Orthopedic Association, Pécs, Hungary

29. 2003 The symptoms and operative treatment of spinal infections, OROM VII, Dobogókő, Hungary

30. 2004 The minimal invasive operative treatment of degenerative spinal disorders, OROM VIII, Dobogókő, Hungary

31. 2004 The indication for percutaneous procedures on the lumbar spine, Neurosurgical Instructional Course, Gyula, Hungary

32. 2004 How works the TLT transpedicular stabilizing system, Eger, Hungary in English

33. 2004 Laser Disc Decompression - 7 year experience, Bulortho, Plovdiv, Bulgaria in English

34. 2004 Laser Disc Decompression, SEG II, Budapest, Hungary in English

35. 2004DAVID Spinal Koncept, The most efficient European method already in Hungary, Annual Meeting of the Hungarian Spine Association, Bükfürdő, Hungary

36. 2005 Preventing spinal disorders, David Academy, Budapest, Hungary

37. 2005 Our experience with DAVID rehabilitation machines on degenerative spinal patients, Annual Meeting of the Hungarian Orthopedic Association, Salgótarján, Hungary

38. 2005 Our experience with the operative treatment of grade 3 and 4 spondylolisthesis, Annual Meeting of the Hungarian Orthopedic Association, Salgótarján, Hungary

39. 2005 10 year jubilee of the National Center for Spinal Disorders, The possibilities of operative treatment in spondylitis ankylopoetica, Annual Meeting of the Hungarian Spine Association, Bükfürdő, Hungary

40. 2006 Elektrothermal ablation of intervertebral discs, OROM X, Dobogókő, Hungary

41. 2006 The role of Balloon kyphoplasty in treating acute osteoporotic vertebral fractures, VII. Hungarian Congress on Osteology, Balatonfüred, Hungary

42. 2006 The place and significance of kyphoplasty in treating osteoporotic vertebral compression fractures, Annual Meeting of the Hungarian Orthopedic Association, Budapest, Hungary

43. 2006 At the Border of Non Operative and Operative Treatment in Spinal Disorders, Annual Meeting of the Holistic Medicine Foundation, Budapest, Hungary

44. 2006 Nucleoplasty and vertebroplasty, Annual Meeting of the Hungarian Spine Association, Bükfürdő, Hungary

45. 2007 Surgical treatment of vertebral osteoporotic fractures, OROM XI, Dobogókő, Hungary

46. 2007 The role of laser disc decompression in the treatment of painful disc degeneration, Annual Meeting of the Hungarian Orthopedic Association, Nyíregyháza, Hungary

47. 2008 The minimal invasive surgical treatment of osteoporotic vertebral fractures, National Osteoporosis Centrum: Metabolic Bone Diseases, Instructional Course, Budapest, Hungary

48. 2008 Possibilities To Increase Vertebral Height and Improve Kyphosis During Vertebroplasty and Kyphoplasty Procedures, CEOC, Bratislava, Czech Republic

49. 2008 Vertebro- and kyphoplasty in treating osteoporotic vertebral fractures (indication, technique, results), Hévíz, Hungary

50. 2008 The surgical treatment of narrow spinal canal, REHA Hungary Instructional Course, Budapest, Hungary

51. 2008 The investigation and treatment of spinal degenerative and tumor cases in childhood, The Association of Researchers on Children Spine Diseases, Budapest, Hungary

52. 2008 Osteoporotic fractures , especially on vertebrae, instructional course for GPs, IX. Hungarian Congress on Osteology, Balatonfüred, Hungary

53. 2008 Comparative analysis of vertebroplasty and kyphoplasty, Annual Meeting of the Hungarian Orthopedic Association, Székesfehérvár, Hungary

54. 2008 Cement augmentation - alternatives, Regional AOSpine Course, Budapest, Hungary

55. 2008 Complications of vertebroplasty and kyphoplasty, Regional AOSpine Course, Budapest, Hungary

56. 2008 Adverse events and complications with vertebroplasty, Annual Meeting of the Hungarian Spine Association, Bükfürdő, Hungary

57. 2009 Vertebro- and kyphoplasty in treating osteoporotic vertebral fractures (indication, technique, results), Harkány, Hungary

58. 2009 Adverse events and complications with vertebroplasty, OROM XIII, Dobogókő, Hungary

59. 2009 Acute vertebral compression fracture in osteoporosis, REHA Hungary - Budapest, SYMA

60. 2009 Adverse events and complications with vertebroplasty, MOOT 2009 - Balatonfüred, Hungary

61. 2009 Percutaneous treatment options in cases with painful disc degeneration, MOT 52 Szolnok, Hungary

62. 2009 About radiological investigations for physiotherapists, MGYT VII - Balatonfüred, Hungary

63. 2009 Principles of conservative and operative treatment of degenerative spinal disorders, MGYT VII - Balatonfüred, Hungary

64. 2009 Degenerative spinal disorders, postgraduate lecture for orthopaedic doctors, Szeged, Hungary

65. 2009 Percutaneous treatment possibilities in spinal disorders - 15 years experience in National Center for Spinal Disorders, MGT - Bük, Hungary

 

• Teaching:
Teaching undergraduates on spinal disorders - Semmelweis University

Regular lectures for nurses regarding spinal procedures and perioperative care

Regular participation on instructional courses regarding spinal disorders

 

• Research and Development:
1.      Title of investigation: CAFE - CAncer Patient Fracture Evaluation

Sponsor: Kyphon Inc. (Medtronic)

Lasting period: 2006 - 2010

 

2.      Title of investigation: Experimental and numerical investigation of mechanical changes in spinal segments during non operative and operative treatment

Sponsor: OTKA (National Program for Scientific Research)

Lasting period: 01. Oct 2008 - 30. Sept 2012

 
• Command of languages :
1.      1984 State Exam in English - medium level, Certificate: Á 43381/1984

2.      Basic German knowledge

• Membership of scientific associations:
1.      1984 Hungarian Orthopedic Association

2.      1992 Hungarian Spine Society

3.      1993 Hungarian Osteoporosis and Osteoarthrology Society

4.      1994 IMLAS (International Musculosceletal Laser Society)

5.      2000 EFORT (European Federation of National Assotiations of Orthopaedics and Traumatology)

6.      2005 AOSpine International

 

• Field of professional interest, other activities:
Dealing with spinal patients meant bedrest, giving orthesis and making plasterbeds at the beginning of my carrier. There were only a few exceptions including my father, who developed a method for surgically treating spondylolisthesis via direct compression screwing and my first and ever since boss, Peter Paul Varga, MD, who systematically brought home the original surgical methods treating spinal disorders, including stabilization, prosthetic, and minimal invasive techniques. The latest increasingly come to the center of my interest so I spent - after 18 months general orthopedic and trauma practice - 20 months at The Spinal Foundation, Rochdale with Mr. Martin Knight learning minimally invasive techniques in diagnosing and treating the spinal problems. I learnt using lasers, endoscopes and using a computed database. Later I become familiar with Intradiscal Elektrothermal Therapy, Vertebro- and Kyphoplasty.

 

From here my development vent two-way: I started dealing with prevention seeing, that minimally invasive techniques together with well trained musculature give the patient pain free and reliable spine in most cases. On the other hand some elderly patient could not profit from these methods, and needed permanent surgical solution for their problems. I increasingly dealt with long fusions and semirigid fixation techniques, which can survive even in osteoporotic spine. We developed the bone cement nucleoplasty technique.

 

In the meantime The National Center for Spinal Disorders, my workplace played an increasing role in treating spinal problems in a holistic way in Hungary. Here orthopedic and neurosurgeons, neurologist, rehabilitation doctor, rheumatologist, a number of physiotherapists, radiologists (we have our own digital x-ray machine, CT and MR scanners, osteodensitometry, ultrasound) worked together with psychologists and a psychiatrist. This established our possibility for scientific trials and also the need for big operations, such as infection and tumor work. We also started operating on developmental problems and scoliosis, although this is not my profile.

 

Regarding spine trauma, this is not the profile of my Institution, I have limited experience regarding this field. I am pretty confident on what to operate and what not to operate and how to treat conservatively, especially if there is a locally trained staff helping this work. I am familiar with thoracolumbar posterior approaches, working intervertebrally, even performing osteotomy or corpectomy, but have limited experience with ventral approaches. I have some experience with anterior cervical fusion and prosthesis (Discover), and have extensive experience with most minimally invasive techniques including CAS (computer assisted surgery)

 

I am a fully trained orthopedic surgeon, but have not practiced that spectrum since 1994. I do not need to much of sleeping and have no problem with working or learning new methods. Although I live in a family with wife and two children, I have spent 4-12 weeks away from them in a few times already (children attend university now).