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Degenerative spine disease in the elderly is legion. Pain
alone is hardly an indication for surgery, but when
combined with weakness this may
In patients suitable for treatment, we offer surgical
intervention to provide quality of life & prevent potential
complications.
alone is hardly an indication for surgery, but when
combined with weakness this may
- predispose to physical falls
- cause loss of bowel / bladder control
- severely disable mobility
In patients suitable for treatment, we offer surgical
intervention to provide quality of life & prevent potential
complications.
Disc Replacement
We treat deformities of the spine, especially that found
in juveniles and adolescents. Formerly regarded by
many as a form of 'cosmetic surgery', scoliosis surgery
prevents the respiratory and cardiac effects of severe
curves besides averting neuropathic and physical
morbidity.
in juveniles and adolescents. Formerly regarded by
many as a form of 'cosmetic surgery', scoliosis surgery
prevents the respiratory and cardiac effects of severe
curves besides averting neuropathic and physical
morbidity.
In a subset of patients with disc diseases, refractory
backpain may be treated well with artificial disc
replacement. These patients are carefully selected for
their suitability in receiving such implants either in the low
back or in the neck. Such devices are designed to provide
comfortable range of motion besides taking the pain away.
backpain may be treated well with artificial disc
replacement. These patients are carefully selected for
their suitability in receiving such implants either in the low
back or in the neck. Such devices are designed to provide
comfortable range of motion besides taking the pain away.
Spine Infections
Tuberculosis of the spine and other infections often are
aggressive enough to destabilise the spine besides
causing septic vascular infarcts. Where required, we
intervene surgically to clear the infective focus, relieve
the nerve compression and provide immediate stability.
aggressive enough to destabilise the spine besides
causing septic vascular infarcts. Where required, we
intervene surgically to clear the infective focus, relieve
the nerve compression and provide immediate stability.
Spine Trauma
Disc Prolapse
It is our practice to surgically treat disc prolapses only when
there are absolute neurological reasons for doing so, as
illustrated by this sequestration. Where possible, we utilise
minimal incisions aided by our DePuy PIPELINE system.
Where required, fusion may be advised using DePuy VIPER
implants.
there are absolute neurological reasons for doing so, as
illustrated by this sequestration. Where possible, we utilise
minimal incisions aided by our DePuy PIPELINE system.
Where required, fusion may be advised using DePuy VIPER
implants.
Vertebroplasty / Kyphoplasty
Ossifying Syndromes
Diseases like Ossified Posterior Longitudinal Ligament
(OPLL) are common in the region and are frequently
morbid. We employ laminoplasty methods toward such
lesions to prevent severe myelopathy.
(OPLL) are common in the region and are frequently
morbid. We employ laminoplasty methods toward such
lesions to prevent severe myelopathy.
In selected patients with painful osteoporotic spine fractures,
we offer vertebroplasty -- injecting cold-curing
polymethylmethacrylate (PMMA) into the fractured bone. We
aim to reduce or eliminate the original pain. In certain cases,
kyphoplasty may be employed to restore spinal height.
we offer vertebroplasty -- injecting cold-curing
polymethylmethacrylate (PMMA) into the fractured bone. We
aim to reduce or eliminate the original pain. In certain cases,
kyphoplasty may be employed to restore spinal height.
Some fractures / dislocations of the spine are unstable
and would require surgery. Breaches into the neural
canal have to be cleared and instability be secured with
implants.
and would require surgery. Breaches into the neural
canal have to be cleared and instability be secured with
implants.
Spectrum of Surgical Services
Spine Tumours
When the spine is affected by a cancer that carries a
reasonable life expectancy and prognosis, spine
surgery alleviates pain and aims to restore neural
function.
reasonable life expectancy and prognosis, spine
surgery alleviates pain and aims to restore neural
function.
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Nucleoplasty
MINIMALLY INVASIVE SPINE SURGERY |
Deformity
Degenerative Spine Disease
COMPLEX SPINE SURGERY |
MOTION-SPARING TECHNOLOGY |
We use coblation technology in selected cases to treat
bulging discs using radio-frequency in awake patients
under local anaesthesia. Designed to eliminate back pain
& sciatica from contained bulging discs, this treatment is
safe and involves the passage of a needle-like probe into
the disc guided by portable Xrays.
bulging discs using radio-frequency in awake patients
under local anaesthesia. Designed to eliminate back pain
& sciatica from contained bulging discs, this treatment is
safe and involves the passage of a needle-like probe into
the disc guided by portable Xrays.
