Best Neuro spine clinic in Bangalore | Sakra World Hospital
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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 Birth Defects
  • Sciatica
  • Spondylolisthesis

Cervical Spondylosis

  • Cervical spondylosis is a common age-related condition where wear and tear affect the spinal discs in the neck. As the discs dehydrate and shrink, signs of osteoarthritis develop, including bony projections (bone spurs) along the edges of bones.
  • More than 85% of people older than age 60 are affected by cervical spondylosis.
Risk Factors
  • Age: Cervical spondylosis is part of aging.
  • Occupation: Those susceptible to neck strain (e.g., due to prolonged reading or writing) may be at higher risk.
  • The common symptoms include pain and stiffness in the neck, but may also cause Tingling, numbness, and weakness in the arms, hands, legs, or feet, loss of coordination and difficulty walking, Loss of bladder or bowel control (rare but serious).
Treatment options include
  • Conservative-Physiotherapy, medicines, life style changes
  • Surgical- Minimally Invasive Surgical Options:
  • An incision is made through the front or back of the neck.
  • Removal of discs compressing the nerve and Spacer Placement (Spacers can recreate lost disc space, relieving nerve compression) or Disc replacement
  • Part of the affected vertebrae is removed (laminectomy) to create more space for the spinal cord.
  • Bone spurs are removed, and sometimes vertebrae are fused together for stability.
  • All these treatment options including minimally invasive spine surgery (MISS), neuromonitoring to increase accuracy are here at your reach in Sakra World Hospital

Degenerative Spine Disease

  • Degenerative spine disease occurs when the cushioning discs between the vertebrae in your spine deteriorate. These discs, which act as shock absorbers allow movement, gradually wear out over time. It’s essential to note that it is not a disease but rather a normal occurrence that comes with aging
  • The most common symptoms include neck pain and back pain, comes and goes over weeks or months. It causes numbness or tingling in your arms or legs which radiates down your buttocks and lower back and worsens with sitting, bending, or lifting.
  • In some cases, the outer wall of a disc may crack open, resulting in a herniated disc that compresses spinal nerves.
  • Risk Factors include Acute injuries (such as falls), Obesity, Biological sex (women are more likely to experience symptoms), smoking, Physically demanding jobs
Treatment Options:
  • Exercise: Strengthen core muscles and improve blood flow.
  • Medication: Pain relief (e.g., ibuprofen, acetaminophen).
  • Physical therapy: Stabilize the affected area.
  • Surgery (in severe cases): Artificial disc replacement, spinal fusion, or decompression, through Minimally invasive and endoscopic approaches.

Spinal Tumors

  • A spinal tumor is an abnormal growth (mass) of cells within or surrounding your spinal cord and/or spinal column. It can occur anywhere in the spinal column depending on the type of tumor. Here at sakra world hospital we have advanced diagnostic modalities for diagnosis of tumor, multimodal team approach with highly experienced neurosurgery team and advanced treatment modalities including Intraoperative neuromonitoring, O-arm to improve efficacy of treatment.

Osteoporotic Vertebral Compression Fractures

  • It is the disease of old and are very common fragility fractures of the spine in older age groups due to weakened osteoporotic bones. Prevalence increases with age and females are more affected. It is a major cause of chronic back pain and morbidity in older age groups. Here at sakra world hospital we treat these fractures with minimal invasive techniques in the form of kyphoplasty / vertebroplasty by inserting percutaneous needles leading to significant pain reduction and improved mobility of patient.

Craniovertebral Anomalies

  • Craniovertebral anomalies refer to structural abnormalities involving the junction between the skull (cranium) and the upper part of the spine (vertebrae). These anomalies can include conditions such as basilar invagination, atlantoaxial instability, and Chiari malformation, among others. Treatment options depend on the specific type and severity of the anomaly. Mild cases may be managed with conservative measures such as physical therapy to improve neck muscle strength and stability.
  • In more severe cases or when neurological symptoms are present, surgical intervention may be required. Surgical procedures aim to stabilize the affected area and alleviate pressure on the spinal cord or brainstem. This may involve techniques such as decompression of the spinal cord, fusion of unstable vertebrae, or correction of the abnormal alignment. Post-surgical rehabilitation and follow-up care are crucial to monitor recovery and ensure optimal outcomes. Treatment decisions are typically tailored to individual patient factors, including age, symptoms, and the progression of the anomaly, under the guidance of spine surgeons. All these advanced treatment options with the state of art technology is available at Sakra.

Kyphosis and Scoliosis

  • Kyphosis and scoliosis are spinal conditions that can significantly affect posture and mobility. Kyphosis involves an excessive forward curvature of the upper spine, often causing a hunched or rounded back appearance. Scoliosis, on the other hand, is characterized by an abnormal sideways curvature of the spine, which can lead to asymmetry in the shoulders, hips, or waist.
  • Treatment options for kyphosis and scoliosis depend on factors such as the severity of the curvature, the age of the patient, and any underlying causes. Mild cases may be managed through physical therapy and exercises aimed at improving posture and strengthening supportive muscles. In more severe cases, orthotic devices like braces may be prescribed to help correct spinal alignment, especially for scoliosis in growing children and adolescents.
  • Surgical intervention might be necessary for severe or progressive cases of kyphosis or scoliosis that don't respond to conservative treatments. Surgery aims to straighten and stabilize the spine, often using rods, screws, and bone grafts to achieve better alignment and prevent further curvature progression. Post-surgical rehabilitation is crucial for recovery, focusing on physical therapy to regain strength, flexibility, and mobility. Regular monitoring and follow-up with spine surgeons are essential to manage these conditions effectively and ensure optimal long-term spinal health. All these treatment options including minimally invasive spine surgery (MISS), neuromonitoring, o-arm spinal navigation to increase accuracy are here at your reach in Sakra World Hospital.

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-
  1. Medications: Pain relievers, anti-inflammatories, muscle relaxants.
  2. Physio Therapy: Stretching, strengthening exercises.
  3. Lifestyle Modifications: Weight management, ergonomic adjustments.
  4. Injections: Steroid injections for severe pain.
  5. Surgery: In extreme cases, to relieve pressure on the nerve.

Surgery for sciatica is considered when conservative treatments fail. Common surgical options include:

  1. Microdiscectomy: Removal of the herniated disc portion pressing on the nerve.
  2. Laminectomy: Removal of part of the vertebra to widen the spinal canal and reduce nerve pressure.
  3. Foraminotomy: Widening the neural foramen to relieve nerve compression.

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-
  1. Medications: Pain relievers, anti-inflammatories, muscle relaxants.
  2. Physio Therapy: Stretching, strengthening exercises.
  3. Lifestyle Modifications: Weight management, ergonomic adjustments.
  4. Injections: Steroid injections for severe pain.
  5. Surgery: In extreme cases, to relieve pressure on the nerve.

Surgical options for spondylolisthesis include:

  1. Spinal Fusion: Fusing two or more vertebrae together to stabilize the spine and prevent further slippage.
  2. Laminectomy: Removing part of the vertebra to relieve pressure on the nerves.
  3. Decompression Surgery: Removing bone or tissue pressing on the nerves.
  4. Foraminotomy: Widening the foramina to alleviate nerve compression.

These surgeries aim to relieve pain, restore stability, and improve function. The choice of surgery depends on the severity of the condition.

Cervical Spondylosis

  • Cervical spondylosis is a common age-related condition where wear and tear affect the spinal discs in the neck. As the discs dehydrate and shrink, signs of osteoarthritis develop, including bony projections (bone spurs) along the edges of bones.
  • More than 85% of people older than age 60 are affected by cervical spondylosis.
Risk Factors
  • Age: Cervical spondylosis is part of aging.
  • Occupation: Those susceptible to neck strain (e.g., due to prolonged reading or writing) may be at higher risk.
  • The common symptoms include pain and stiffness in the neck, but may also cause Tingling, numbness, and weakness in the arms, hands, legs, or feet, loss of coordination and difficulty walking, Loss of bladder or bowel control (rare but serious).
Treatment options include
  • Conservative-Physiotherapy, medicines, life style changes
  • Surgical- Minimally Invasive Surgical Options:
  • An incision is made through the front or back of the neck.
  • Removal of discs compressing the nerve and Spacer Placement (Spacers can recreate lost disc space, relieving nerve compression) or Disc replacement
  • Part of the affected vertebrae is removed (laminectomy) to create more space for the spinal cord.
  • Bone spurs are removed, and sometimes vertebrae are fused together for stability.
  • All these treatment options including minimally invasive spine surgery (MISS), neuromonitoring to increase accuracy are here at your reach in Sakra World Hospital

Degenerative Spine Disease

  • Degenerative spine disease occurs when the cushioning discs between the vertebrae in your spine deteriorate. These discs, which act as shock absorbers allow movement, gradually wear out over time. It’s essential to note that it is not a disease but rather a normal occurrence that comes with aging
  • The most common symptoms include neck pain and back pain, comes and goes over weeks or months. It causes numbness or tingling in your arms or legs which radiates down your buttocks and lower back and worsens with sitting, bending, or lifting.
  • In some cases, the outer wall of a disc may crack open, resulting in a herniated disc that compresses spinal nerves.
  • Risk Factors include Acute injuries (such as falls), Obesity, Biological sex (women are more likely to experience symptoms), smoking, Physically demanding jobs
Treatment Options:
  • Exercise: Strengthen core muscles and improve blood flow.
  • Medication: Pain relief (e.g., ibuprofen, acetaminophen).
  • Physical therapy: Stabilize the affected area.
  • Surgery (in severe cases): Artificial disc replacement, spinal fusion, or decompression, through Minimally invasive and endoscopic approaches.

Spinal Tumors

  • A spinal tumor is an abnormal growth (mass) of cells within or surrounding your spinal cord and/or spinal column. It can occur anywhere in the spinal column depending on the type of tumor. Here at sakra world hospital we have advanced diagnostic modalities for diagnosis of tumor, multimodal team approach with highly experienced neurosurgery team and advanced treatment modalities including Intraoperative neuromonitoring, O-arm to improve efficacy of treatment.

Osteoporotic Vertebral Compression Fractures

  • It is the disease of old and are very common fragility fractures of the spine in older age groups due to weakened osteoporotic bones. Prevalence increases with age and females are more affected. It is a major cause of chronic back pain and morbidity in older age groups. Here at sakra world hospital we treat these fractures with minimal invasive techniques in the form of kyphoplasty / vertebroplasty by inserting percutaneous needles leading to significant pain reduction and improved mobility of patient.

Craniovertebral Anomalies

  • Craniovertebral anomalies refer to structural abnormalities involving the junction between the skull (cranium) and the upper part of the spine (vertebrae). These anomalies can include conditions such as basilar invagination, atlantoaxial instability, and Chiari malformation, among others. Treatment options depend on the specific type and severity of the anomaly. Mild cases may be managed with conservative measures such as physical therapy to improve neck muscle strength and stability.
  • In more severe cases or when neurological symptoms are present, surgical intervention may be required. Surgical procedures aim to stabilize the affected area and alleviate pressure on the spinal cord or brainstem. This may involve techniques such as decompression of the spinal cord, fusion of unstable vertebrae, or correction of the abnormal alignment. Post-surgical rehabilitation and follow-up care are crucial to monitor recovery and ensure optimal outcomes. Treatment decisions are typically tailored to individual patient factors, including age, symptoms, and the progression of the anomaly, under the guidance of spine surgeons. All these advanced treatment options with the state of art technology is available at Sakra.

Kyphosis and Scoliosis

  • Kyphosis and scoliosis are spinal conditions that can significantly affect posture and mobility. Kyphosis involves an excessive forward curvature of the upper spine, often causing a hunched or rounded back appearance. Scoliosis, on the other hand, is characterized by an abnormal sideways curvature of the spine, which can lead to asymmetry in the shoulders, hips, or waist.
  • Treatment options for kyphosis and scoliosis depend on factors such as the severity of the curvature, the age of the patient, and any underlying causes. Mild cases may be managed through physical therapy and exercises aimed at improving posture and strengthening supportive muscles. In more severe cases, orthotic devices like braces may be prescribed to help correct spinal alignment, especially for scoliosis in growing children and adolescents.
  • Surgical intervention might be necessary for severe or progressive cases of kyphosis or scoliosis that don't respond to conservative treatments. Surgery aims to straighten and stabilize the spine, often using rods, screws, and bone grafts to achieve better alignment and prevent further curvature progression. Post-surgical rehabilitation is crucial for recovery, focusing on physical therapy to regain strength, flexibility, and mobility. Regular monitoring and follow-up with spine surgeons are essential to manage these conditions effectively and ensure optimal long-term spinal health. All these treatment options including minimally invasive spine surgery (MISS), neuromonitoring, o-arm spinal navigation to increase accuracy are here at your reach in Sakra World Hospital.

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-
  1. Medications: Pain relievers, anti-inflammatories, muscle relaxants.
  2. Physio Therapy: Stretching, strengthening exercises.
  3. Lifestyle Modifications: Weight management, ergonomic adjustments.
  4. Injections: Steroid injections for severe pain.
  5. Surgery: In extreme cases, to relieve pressure on the nerve.

Surgery for sciatica is considered when conservative treatments fail. Common surgical options include:

  1. Microdiscectomy: Removal of the herniated disc portion pressing on the nerve.
  2. Laminectomy: Removal of part of the vertebra to widen the spinal canal and reduce nerve pressure.
  3. Foraminotomy: Widening the neural foramen to relieve nerve compression.

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-
  1. Medications: Pain relievers, anti-inflammatories, muscle relaxants.
  2. Physio Therapy: Stretching, strengthening exercises.
  3. Lifestyle Modifications: Weight management, ergonomic adjustments.
  4. Injections: Steroid injections for severe pain.
  5. Surgery: In extreme cases, to relieve pressure on the nerve.

Surgical options for spondylolisthesis include:

  1. Spinal Fusion: Fusing two or more vertebrae together to stabilize the spine and prevent further slippage.
  2. Laminectomy: Removing part of the vertebra to relieve pressure on the nerves.
  3. Decompression Surgery: Removing bone or tissue pressing on the nerves.
  4. Foraminotomy: Widening the foramina to alleviate nerve compression.

These surgeries aim to relieve pain, restore stability, and improve function. The choice of surgery depends on the severity of the condition.

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