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Services and Treatment
Cervical Spondylosis
Degenerative Spine Disease
Spinal Tumors
Osteoporotic Vertebral Compression Fractures
Craniovertebral Anomalies
Kyphosis and Scoliosis
Spinal Cord Injury
Spinal cord injuries can happen due to road traffic accidents, falls, gunshots etc. This usually results in the patient suffering from pain, fractures or even inability to move limbs or urinary and faecal disturbances. Such patients may require emergency surgery in some cases depending on severity of injury and location of the injury. Injuries of the neck can cause symptoms in all four limbs whereas injuries of the upper back causes symptoms of lower limbs, urinary and faecal symptoms. Injuries of lower back caused weakness of lower limbs and walking difficulty.
The patient usually requires an MRI scan of the spine to look for nerve compression or spinal cord injuries. Bone injuries are evaluated with additional CT scan and X-rays of the spine. Based on these the type and extent of surgery is decided. In mild injuries surgery may not be required. Surgeries performed include Vertebroplasty and balloon Kyphoplasty using bone cement for fractures of the back. In most spinal injuries it leads to instability of the spine, requiring fusion of the multiple spinal vertebrae using screws and rods, commonly made of titanium. The surgery will involve exploration of the injured area and debridement or removal of tissue causing compression or injury to the spinal cord followed by fixation for stability. The procedure can be done wither by conventional open methods or some cases may be preferred for minimally invasive spinal fusion.
After surgery in most cases with nerve or spinal cord injury the patient will need extensive rehabilitation and physical therapy. Patients with urinary and fecal symptoms before surgery may need urinary catheter and use a diaper for a prolonged period. In bed ridden patients prevention of bed sores and deep vein thrombosis also holds priority
Spinal Birth Defects
Some infants are born with defects in the spine. Such defects may be near the neck region or more commonly in the lower back region. Some infants may have associated genital or anal defects also. Many defects are openly visible at birth as swellings on the lower back or open spinal defects, however this may not be the case in all infants. Some may have hidden defects which are diagnosed only when the child grows to a certain extents after which they may have symptoms such as deformities of the spine, weakness of legs, pain in the back, loss of sensation, urinary incontinence or faecal incontinence or even repeated urine infections. These are called occult spinal dysraphisms. In visible defects the child is evaluated earlier than in occult cases. Some milder hidden defects may be asymptomatic till early adulthood as well.
Evaluation of the child will include a detailed MRI study of the spine and may include the brain. Urological evaluation will be needed in children with urinary symptoms. A CT scan of the spine may be indicated in children with bony abnormalities.
A complex spinal surgery is usually required to reverse the defect and protect the spinal cord and nerves which may include reconstruction of skin also in those with open defects or spinal cord exposure. Prolonged hospitalization and rehabilitation is usually needed. In very complex cases the surgery may be broken down into multiple steps which may require multiple hospital admissions and multiple surgeries. The patient will likely be on follow up with the neurosurgeon for an extended period of time.
Sciatica
Symptoms - Sciatica symptoms include sharp, burning, or shooting pain radiating from the lower back through the buttocks and down one leg. Numbness, tingling, and muscle weakness in the affected leg can also occur. Pain may worsen with prolonged sitting, standing, or sudden movements like coughing or sneezing.
Treatment options include-Surgery for sciatica is considered when conservative treatments fail. Common surgical options include:
These procedures aim to alleviate pain, restore function, and prevent further nerve damage.
Spondylolisthesis
Symptoms of spondylolisthesis include lower back pain, leg pain similar to sciatica, stiffness in the lower back and hamstrings, muscle tightness, numbness, tingling, and weakness in the legs, and potential postural changes or a visible spinal step-off. Severity varies with the degree of vertebral slippage.
Treatment options include-Surgical options for spondylolisthesis include:
These surgeries aim to relieve pain, restore stability, and improve function. The choice of surgery depends on the severity of the condition.
Cervical Spondylosis
Degenerative Spine Disease
Spinal Tumors
Osteoporotic Vertebral Compression Fractures
Craniovertebral Anomalies
Kyphosis and Scoliosis
Spinal Cord Injury
Spinal cord injuries can happen due to road traffic accidents, falls, gunshots etc. This usually results in the patient suffering from pain, fractures or even inability to move limbs or urinary and faecal disturbances. Such patients may require emergency surgery in some cases depending on severity of injury and location of the injury. Injuries of the neck can cause symptoms in all four limbs whereas injuries of the upper back causes symptoms of lower limbs, urinary and faecal symptoms. Injuries of lower back caused weakness of lower limbs and walking difficulty.
The patient usually requires an MRI scan of the spine to look for nerve compression or spinal cord injuries. Bone injuries are evaluated with additional CT scan and X-rays of the spine. Based on these the type and extent of surgery is decided. In mild injuries surgery may not be required. Surgeries performed include Vertebroplasty and balloon Kyphoplasty using bone cement for fractures of the back. In most spinal injuries it leads to instability of the spine, requiring fusion of the multiple spinal vertebrae using screws and rods, commonly made of titanium. The surgery will involve exploration of the injured area and debridement or removal of tissue causing compression or injury to the spinal cord followed by fixation for stability. The procedure can be done wither by conventional open methods or some cases may be preferred for minimally invasive spinal fusion.
After surgery in most cases with nerve or spinal cord injury the patient will need extensive rehabilitation and physical therapy. Patients with urinary and fecal symptoms before surgery may need urinary catheter and use a diaper for a prolonged period. In bed ridden patients prevention of bed sores and deep vein thrombosis also holds priority
Spinal Birth Defects
Some infants are born with defects in the spine. Such defects may be near the neck region or more commonly in the lower back region. Some infants may have associated genital or anal defects also. Many defects are openly visible at birth as swellings on the lower back or open spinal defects, however this may not be the case in all infants. Some may have hidden defects which are diagnosed only when the child grows to a certain extents after which they may have symptoms such as deformities of the spine, weakness of legs, pain in the back, loss of sensation, urinary incontinence or faecal incontinence or even repeated urine infections. These are called occult spinal dysraphisms. In visible defects the child is evaluated earlier than in occult cases. Some milder hidden defects may be asymptomatic till early adulthood as well.
Evaluation of the child will include a detailed MRI study of the spine and may include the brain. Urological evaluation will be needed in children with urinary symptoms. A CT scan of the spine may be indicated in children with bony abnormalities.
A complex spinal surgery is usually required to reverse the defect and protect the spinal cord and nerves which may include reconstruction of skin also in those with open defects or spinal cord exposure. Prolonged hospitalization and rehabilitation is usually needed. In very complex cases the surgery may be broken down into multiple steps which may require multiple hospital admissions and multiple surgeries. The patient will likely be on follow up with the neurosurgeon for an extended period of time.
Sciatica
Symptoms - Sciatica symptoms include sharp, burning, or shooting pain radiating from the lower back through the buttocks and down one leg. Numbness, tingling, and muscle weakness in the affected leg can also occur. Pain may worsen with prolonged sitting, standing, or sudden movements like coughing or sneezing.
Treatment options include-Surgery for sciatica is considered when conservative treatments fail. Common surgical options include:
These procedures aim to alleviate pain, restore function, and prevent further nerve damage.
Spondylolisthesis
Symptoms of spondylolisthesis include lower back pain, leg pain similar to sciatica, stiffness in the lower back and hamstrings, muscle tightness, numbness, tingling, and weakness in the legs, and potential postural changes or a visible spinal step-off. Severity varies with the degree of vertebral slippage.
Treatment options include-Surgical options for spondylolisthesis include:
These surgeries aim to relieve pain, restore stability, and improve function. The choice of surgery depends on the severity of the condition.