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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.
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.
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.
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.
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.
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.
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.
would require surgery. Breaches into the neural canal have to be
cleared and instability be secured with implants.
Spectrum of Surgical
Services
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.
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.
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.
