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About Dr. Kleeman
Dr. Kleeman is a board-certified, fellowship trained orthopedic surgeon
specializing in spine surgery.
He has devoted his career to the innovation and advancement of minimally
invasive spine surgery.
He is known internationally for his pioneering work on laparoscopic spine
surgery and has served
as presenter and faculty for spine courses hosted by The North American
Spine Society, the
American Academy of Orthopaedic Surgery, and the Cleveland Clinic.
He was the founder of the New Hampshire Spine Institute which went on
to become the New
Hampshire NeuroSpine Institute. His research interests have included minimally
invasive spine surgery,
artificial spinal disc replacement and alternative spinal fusion bone
grafts including recombinant human
DNA as well as adult stem cells.
Dr. Kleeman, after finishing his residency and upon returning to New
Hampshire, established the first
Multidisciplinary Institute in New Hampshire to specialize in evaluation
and treatment of spinal disorders.
Presently Dr. Kleeman is involved in developing the application of surgical
navigation for use in
minimally invasive spine surgery. This multidimensional operating room
platform allows for the
integration of surgery and radiographic imaging to allow never-before-seen
accuracy in complex
spinal surgery. This translates to safer, more effective surgery with
fewer complications, less pain,
and faster recovery.
Most recently Dr. Kleeman has assisted in bringing the first diagnostic
quality intra-operative CT
scanner (O-arm) in New England to the Catholic Medical Center in Manchester,
NH. This technology
and Dr. Kleeman’s innovative surgery have brought patients from
around the country to receive the
latest and best in spinal surgery.
AREAS OF INTEREST:
Minimally Invasive Spine Surgery
Artificial Spinal Disc Replacement
Alternative Spinal Fusion Bone Grafts
HONORS & AWARDS:
Inducted into the medical honor society Alpha Omega Alpha
University of Maryland Medical System - Spine Surgery Fellowship
Award from the North American Spine Society for his presentation of "the
port-hole technique"
SOCIETIES:
American Academy of Orthopaedic Surgeons
North American Spine Society
New England Spine Study Group
BUSINESSES:
Founder, New Hampshire NeuroSpine Institute
Established the first Multidisciplinary Institute in NH - specializing
in evaluation and treatment of spinal disorders.
PERSONAL DATA:
Date of Birth: October 17, 1948
Place of Birth: Philadelphia, Pennsylvania
EDUCATION:
1966 - 1971 Colorado College, B.A. (Drama)
1974 - 1976 University of Vermont, B.S. (Summa Cum Laude)
1977 - 1981 Yale University of Medicine, M.D.
1981 - 1982 Yale-New Haven Hospital, Intern (Surgery)
1982 - 1983 Yale-New Haven Hospital, Assistant Resident (Surgery)
1983 - 1986 Yale-New Haven Hospital, Newington Children's Hospital, Resident
1991 - 1992 University of Maryland Medical System, (Spine Fellowship)
ACADEMIC & FACULTY APPOINTMENTS:
1976 - 1977 Instructor in Mathematics, Salisbury School
1985 - 1986 Yale-New Haven Hospital, Instructor in Surgery (Orthopaedics)
1991 - 1992 University of Maryland Medical System, Instructor in Surgery
(Spine Fellowship)
STAFF APPOINTMENTS:
President, New Hampshire NeuroSpine Institute, Bedford, NH, 1995 - Present
Active Staff Member, Catholic Medical Center and Elliot Hospital, Manchester,
NH, 1986 - Present
Courtesy Staff Member, Concord Hospital, Concord, NH, 1992 - 2004
Director, Catholic Medical Center Spine Center, 1992 - 1994
MEMBERSHIPS:
1986 - present Hillsborough County Medical Society
1986 - present New Hampshire Medical Society
1988 - present American Academy of Orthopaedic Surgeons
1991 - present New England Spine Study Group
1993 - present New Hampshire Orthopaedic Society
1993 - present American Medical Association
1993 - present North American Spine Society
1993 - 1999 Governor's Advisory Council on Workers'
Compensation
AWARDS & ACHIEVEMENTS:
1997 Physician Commendation Recipient, “Center of Excellence”,
Healthsource - Jobcare
1997 North American Spine Society Outstanding Poster Award,
“Patient Outcomes Following Minimally Destabilizing Lumbar Stenosis
Decompression: The ‘Port-Hole’ Technique”
HONORS & HONORARY SOCIETIES:
1976 Certificate of Academic Achievement, University of Vermont
1981 Alpha Omega Alpha, Yale Chapter
RESEARCH AFFILIATIONS:
1990 Spinal
Fixation Group, Baltimore, Maryland IDE G-900219 (Edwards Spinal Screw
Fixation) FDA License
1991 - Present New England Spine Study Group
1997 - Present Threaded Cortical Bone Dowel Study
1998 - Present rhBMP-2/ACS/NovusTM LT-Laparoscopic Device Clinical Trial
IDE #G960065
2003 - Present MAVERICK Clinical Trial, IDE #G010354
LICENSURE & CERTIFICATION:
1982 Diplomate, National Board of Medical Examiners, Cert. No. 250588
1988 Diplomate, American Board of Orthopaedic Surgeons
2008 Recertified, American Board of Orthopaedic Surgeons NH Medical License
No. 7321
BIBLIOGRAPHY:
"The Effects of Altitude and COPD on 2, 3-DPG", June, 1991.
In Yale University Medical Library.
Edwards, C.C., Kleeman, T.J.: Spine Biomechanics: Obtaining
Stability. In H. Cotler (Ed)
Rehabilitation of the Spine. NY: Springer-Verlag (1992).
Kleeman, T.J., Hiscoe, A.C., Berg, E.E.: “Patient
Outcomes Following Minimally Destabilizing
Lumbar Stenosis Decompression: The ‘Port Hole’ Technique”,
Spine, April 2000.
Kleeman, T.J., Ahn, U.M., Talbot-Kleeman, A.: “Laparoscopic
Anterior Lumbar Interbody Fusion
with RHBMP-2. A Prospective Study of Clinical and Radiographic Outcomes,”
Spine, Dec. 15, 2001.
Kleeman, T.J., Ahn, U.M., Clutterbuck, W.B., Campbell,
C.J., Gagnon, A.M., Talbot-Kleeman, A.C.:
Laparoscopic Anterior Lumbar Interbody Fusion at L4-L5: An Anatomic Evaluation
and Approach
Classification, Spine, July 1, 2002.
POSTERS:
“Patient Outcomes Following Minimally Destabilizing Lumbar Stenosis
Decompression: The
‘Port-Hole’ Technique”; North American Spine Society
Annual Meeting, New York, NY; October 22 - 25, 1997.
Awarded 1997 Outstanding Poster.
“Preliminary Results of Laparoscopic Lumbar Interbody Fusion Using
Threaded Cortical Bone Dowels”;
Poster Presenter, North American Spine Society Annual Meeting, San Francisco,
California; October 28 - 31, 1998.
PAPERS:
“Patient Outcomes Following Minimally Destabilizing Lumbar Stenosis
Decompression: The ‘
Port-Hole’ Technique”; Paper Presenter, North American Spine
Society Annual Meeting,
San Francisco, California; October 28 - 31, 1998.
“Critical Analysis of Laparoscopic ALIF vs. Posterolateral Fusion
with Instrumentation”; Paper Presenter,
North American Spine Society Annual Meeting, Chicago, Illinois; October
20 - 23, 1999.
“Laparoscopic ALIF: rhBMP-2 with Titanium Cages vs Autograft with
Bone Dowels”, Paper Presenter,
North American Spine Society Annual Meeting, New Orleans, Louisiana; October
25 – 28, 2000.
PRESENTATIONS:
1. Outcome Analysis; New England Spine Study Group, Sugarbush, VT; January
20, 1995.
2. Managed Care: The Physician's Role; Holland Managed Care Workshop,
Concord, NH; January 26, 1995
3. The Surgical Treatment of Injured Workers; New Hampshire Association
of Service Providers
in Private Rehabilitation, Bedford, NH; February 10, 1996
4. Trends in Spine Surgery; New Hampshire Orthopaedic Society, Sugar
Hill, NH; May 19, 1995
5. Trends in Spine Care; Elliot Hospital Physician Education Program,
Manchester, NH; June 15, 1995
6. Iliac Crest Graft Harvesting with Allograft Replacement; New England
Spine Study Group,
Edgartown, MA; August 25, 1995
7. The Evaluation of Permanent Impairments; Devine Millimet & Branch
Workers'
Compensation Seminar, Manchester, NH; October 10, 1995
8. AMA Guides to the Evaluation of Permanent Impairment - Fourth Edition;
NH Adjusters
Association Annual Workers' Compensation Conference, Nashua, NH; October
19, 1995
9. What Prevents People from Getting Well; New Hampshire Rehabilitation
Association,
Nashua, NH; November 3, 1995
10. AMA Guides to the Evaluation of Permanent Impairment - Fourth Edition
Seminar;
Utah Workers' Compensation System, Salt Lake City, UT; December 11, 1995
11. Outcome Analysis; New England Spine Study Group, Springfield, MA;
January 26, 1996
12. Permanent Impairment Ratings; New Hampshire Department of Labor,
Concord, NH; March 4, 1996
13. The Surgical Treatment of Back Injuries; Healthsource Inc., Concord,
NH; March 27, 1996
14. Managed Care & Workers’ Compensation; Panel Member, Fifth
Annual Continuing
Education Conference, NH Adjusters Association; October 17, 1996
15. Spinal Stenosis - A Surgical Technique; New England Spine Study Group,
Sturbridge,
MA; January 31, 1997
16. Initial Treatment of Acute Low Back Pain; Management of Lumbar Spinal
Stenosis;
Outcomes Measurement in the Treatment of Spinal Disorders, Regional Spine
Symposium;
Highlands Spine Institute, Bristol, TN; April 25, 1997
17. Preparing Patients for a Realistic Expectation of Low Back Surgery
Outcome; Vermont
Workers’ Compensation Adjusters’ Conference, Lake Morey, VT;
May 23, 1997
18. Back Injuries in the Workplace; Liberty Mutual, Bedford, NH; June
18, 1997
19. 1997 Image Guided System Think Tank for Spine Surgeons; Presenter
and Panel Member,
sponsored by Sofamor Danek, Jackson Hole, WY; July 30 - August 2, 1997
20. Outcome Analysis of Back Care; Liberty Mutual, Dover, NH; October
1, 1997
21. Laparoscopic Fusion Using Threaded Cortical Bone Dowels; Presenter
and Faculty
Member, Sofamor Danek Meeting, North American Spine Society Annual Meeting,
New York,
NY; October 22, 1997
22. Patient Evaluation for Non-Organic Signs; Devine Millimet & Branch
Workers’ Compensation
Seminar, Manchester, NH; January 13, 1998
23. Independent Medical Examinations, Functional Capacity Evaluations
and Second Opinions:
Tools or Torment?; Panel Member, NH Association of Service Providers in
Private
Rehabilitation Seminar, Manchester, NH; April 24, 1998
24. Advances in Endoscopic Spinal Surgery Educational Course; Faculty
Member, Cleveland
Clinic Foundation, Cleveland, OH; May 14 - 16, 1998
25. Laparoscopic Spine Fusion; NH Orthopaedic Society Annual Meeting,
Mount Washington
Hotel, Bretton Woods, NH; June 6, 1998
26. Open & Minimally Invasive Surgery of the Lumbar and Thoracic
Spine Workshop; Faculty
Member, Sofamor Danek Medical Education Research Institute, Memphis, TN;
July 16 - 18,
1998
27. Post-Operative Management of Patients Following Minimally Invasive
Spine Surgery; Optima
Health - Elliot Hospital, Manchester, NH; July 29, 1998
28. Anterior Lumbar Interbody Fusion Symposium; New England Spine Study
Group,
Manchester, VT; August 14, 1998
29. Controversies in the Surgical Management of Spinal Disorders Symposium;
Think Tank for
Spine Surgeons sponsored by Sofamor Danek, Iliama, AK; August 19 - 22,
1998
30. Minimally Invasive Spine Surgery: Laparoscopic Anterior Lumbar Interbody
Fusion; Southern
NH O.R. Nurses, Elliot Hospital, Manchester, NH; November 10, 1998
31. Laparoscopic Anatomy of Lumbar Interbody Fusion; Laparoscopic Anterior
Lumbar Interbody
Fusion; Pitfalls of Threaded Cortical Bone Dowels; Faculty Member, Clinical
Update:
Lumbar Interbody Fusion - 1998 & Beyond, Seattle, WA; November 14
- 15, 1998
32. Spinal Stabilization & Rehabilitation; NH Chapter of the American
Physical Therapy
Association, Concord, NH; November 19, 1998
33. Overview of Minially Invasive Spine Surgery; Results of Endoscopic
Lumbar Fusion; Faculty
Member, Endoscopic Spinal Fusion Workshop; University of Massachusetts,
Department of
Surgery, Worcester, MA; November 20, 1998
34. Preserving Stability in Spinal Stenosis: The "Port-Hole"
Decompression; Experience with
Laparoscopic Lumbar Interbody Fusion: The First 100 Cases; Faculty Member,
Yale
Orthopaedic Association Meeting, Bermuda; March 25 - 28, 1999
35. Indications & Contraindications for Laparoscopy; Laparoscopic
Surgical Applications &
Experience; Complications of Laparoscopic Spine Surgery; Faculty Member,
Minimally
Invasive Surgery of the Spine, sponsored by Albany Medical Center, Albany,
NY;
April 9 - 10, 1999.
36. The Aging Back and Spine; Physician Postgraduate Seminar, Elliot
Hospital; Manchester,
NH; January 13, 2000
37. Laparoscopic ALIF: Novus LT/rhBMP-2 vs. Autograft/Bone Dowels; New
England Spine
Study Group, Sturbridge, MA; February 11, 2000
38. Interbody Spine Surgery: Challenges and Solutions” Program;
Faculty Member, Sofamor
Danek Medical Education Research Institute, Nashville, TN; October 21,
2000
39. Minimally Invasive Spine Surgery – Laparoscopic Anterior Lumbar
Interbody Fusion;
Presenter, New England Baptist Hospital, Boston, MA; January 31, 2001
40. InFUSE Bone Graft/LT Cage; Lumbar Tapared Fusion Device; Investigator,
Medtronic
Sofamor Danek, Chicago, IL, February 3, 2001
41. Interbody Challenges of the Lumbar Spine Discussion Group; Faculty
Member, Sofamor
Danek Educational Program, Cabo San Lucas, June 21 - 23, 2001
42. State-of-the-Art Minimally Invasive Spine Surgery; Faculty Member,
Spinal Science
Advancement Foundation, Orlando, FL, August 2 - 4, 2001
43. Advanced Training for the Treatment of Degenerative Disc Disease
of the Lumbar Spine;
Instructor, Medtronic Sofamor Danek, Memphis, TN, August 25 - 28, 2001
44. Vascular Variations and Effect on Retrograde Ejaculation, Presenter,
New England Spine
Study Group, Framingham, MA, January 25,2002
45. Bone Graft Options in the Lumbar Spine; Moderator, Live Videoconference,
Hughston
Orthopaedic Clinic Foundation, Boston, MA, February 2, 2002
46. Minimally Invasive Spine Surgery, #3406; Faculty, American Academy
of Orthopaedic
Surgeons, St. Louis, MO, April 12 - 14, 2002
47. Bone Graft Options in the Lumbar Spine; Faculty Member, Live Videoconference,
Hughston Orthopaedic Clinic Foundation, Columbus, GA, May 18, 2002
48. The New Frontiers of Spinal Surgery; Presenter, New England Orthopedic
Society,
Dixville Notch, NH, May 31 - June 2, 2002
49. Bone Graft/LT-CAGE Lumbar Tapered Fusion Device Education; Faculty
Member, Live
Videoconference, Hughston Orthopaedic Clinic Foundation, Columbus, GA,
July 20, 2002
50. The New Frontiers of Spine Surgery; Liberty Mutual, Bedford, NH,
October 4,2002
51. New Technology in the Treatment of Spine Disorders; Memorial Hospital,
North Conway, NH,
Grand Rounds, December 13, 2002
52. New Technology in the Treatment of Spine Disorders; Southern NH Internal
Medicine Assoc.,
Derry, NH, March 2, 2003
53. Anterior Laparoscopic Surgery of the Lumbar Spine; Faculty, Medtronic
Sofamor Danek,
Memphis, TN, March 28, 2003
54. Minimally Invasive Spine Surgery Course, #3603; Faculty, American
Academy of
Orthopaedic Surgeons, St. Louis, MO, April 4 - 6, 2003
55. Peri-operative and Post-operative Implications of Spine Surgery;
Parkland Medical Center,
Derry, NH, Grand Rounds, July 25, 2003
56. Minimally Invasive Approaches to the Interbody Space, Presenter,
Orthopedics Today,
Memphis, TN, August 9, 2003
57. Minimally Invasive Spine Surgery, Faculty, World Spine II, Chicago,
IL, August 10, 2003
58. Interbody Technologies: ALIF, Faculty, North American Spine Society,
18th Annual
Meeting, San Diego, CA, October 21, 2003
59. Minimally Invasive Spine Surgery/Bone Morphogenetic Protein, Faculty,
NH Musculoskeletal
Institute 4th Annual Winter Meeting, March 19 - 20, 2004, Stowe, VT
60. New Technology in the Treatment of Spine Disorders, Presenter, Lahey
Clinic, Burlington,
MA, September 7, 2005
61. Surgical Considerations for Back Pain, Faculty, New England Pain
Association 2007
Annual Winter Conference on Pain Management, February 2, 2007
62. Spine Surgery...It's not what it used to be; Surgical Navigation,
New Hampshire Neuro
Spine Institute, Presenter, June 13, 2007
63. Current Surgical Options in the Management of Chronic Low Back Pain,
Concord
Hospital NAON meeting, May 6, 2009
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