ACKNOWLEDGEMENTS | attribute the success of my dissertation to the guidance and support of many people 10 whom [am immensely grateful. {take this opportunity to express my profound gratitude and sincere thanks to Dr. Naresh Shetty, Senior Professor, Department of Orthopaedics, President, MSRMH, Ramaiah Medigal College and Hospitals, for his constant support and encouragement, advice and guidance throughout the course of the present study. would like to thank my co-guide Dr. Ravikumar T V, Associate Professor, Spine surgeon, Department of Orthopaedics, Ramaiah Medical College and Hospitals, who was the backbone for this study, for his inputs and constant help. + would like to acknowledge my gratitude to Dr. Satish Shervegar, Professor and HOD, Department of Orthopaedics, Ramaiah Medical College and Hospitals, for giving me the necessary permission and support to carry out this study. | would also like to acknowledge mysgratitude to Dr. Meda Rao, Principal and Dean, Ramaiah Medical College and Hospital, for giving me the necessary permission and facilities to carry out this study. 1 would like to thank all staff of department of orthopaedics, fellow postgraduates and the hospital staff for their constant cooperation and help during the entire course: | would like to thank my family and friends for their support and help throughout the course Last, but not the least, I thank all the patients without whose cooperation this study would not have been possible.Date: ar|uls Sighature of Candidate Place: & amg ober’ Name: HARSHUT A. vil