PACE Hospitals is one of the
Best Spine Surgery Hospital in Hyderabad, India; providing comprehensive and evidence-based spinal cord injury treatment. The team of spine surgeon and orthopedic spine surgeon have vast experience in the latest minimally invasive techniques, laser spine surgery, and motion-preserving procedures to treat a wide spectrum of congenital, pediatric and geriatrics spinal cord injuries and abnormalities, including:
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Appointment Desk: 04048486868
Whatsapp: 8977889778
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PACE Hospitals
Hitech City and Madinaguda
Hyderabad, Telangana, India.
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Appointment Desk: 04048486868
Whatsapp: 8977889778
Regards,
PACE Hospitals
Hitech City and Madinaguda
Hyderabad, Telangana, India.
Providing surgical and minimally invasive treatment to wide range of spinal cord disorders including herniated discs, spinal stenosis, scoliosis, spinal fractures, sciatica and spinal tumours.
Equipped with advanced and latest diagnostic equipment, robotic and minimally invasive surgical facilities for all kind of spinal cord disorders treatment.
Team of experienced spine surgeon, orthopaedic spine surgeon with vast experience in advanced & latest spine surgery and minimally invasive procedures.
The Spine Surgery Department at PACE Hospitals is one of the Best Spine Hospital in Hyderabad, Telangana, India; staffed with top spine surgeon capable of managing all kinds of degenerative spine diseases, spinal infections, spinal deformities, traumatic spinal injuries, spinal realignment, scoliosis correction and osteoporosis-related fractures through advanced surgical approaches and minimally invasive techniques ensuring patient-centric effective spine care for paediatric, adult and geriatric patients suffering with spinal cord injuries or deformities.
The Department of Spine Surgery is equipped with state-of-the-art and cutting-edge diagnostic facilities, including advanced and high-resolution imaging systems (digital X-rays, CT scans and MRIs), EMG studies, nerve conduction studies and the latest treatment modalities, including robotic,
endoscopic spine surgery in Hyderabad and advanced rehabilitation facilities, ensuring optimal recovery and long-term relief.
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A team of the best spine surgeon in Hyderabad, India, skilled in addressing a wide range of diseases and disorders affecting spinal health, they have expertise in cutting-edge minimally invasive spine surgeries like spinal fusion, laminectomy, discectomy to treat a broad spectrum of spinal cord injuries and deformities including herniated discs, spinal stenosis, scoliosis, degenerative disc disease, sciatica, kyphosis, spinal infections, Chiari Malformation, Lordosis, Ankylosing Spondylitis and more. The spinal treatment offered is compassionate and tailored to individual patients' conditions to alleviate pain, restore mobility, and improve patients' quality of life.
MBBS, M.S. (General Surgery), M.Ch (Neurosurgery), Post Doctoral Fellowship in Minimal Invasive and Advanced Spine Surgery
Experience : 10+ years
Consultant Brain and Spine Surgeon
MBBS, DNB ORTHO, Fellowship in Joint Replacement and Arthroscopy, Fellowship in Shoulder and Upper limb, Sports medicine and Replacement
Experience : 10+ years
Orthopaedic Consultant, Trauma, Shoulder and Knee Arthroscopic Surgeon, Hip and Knee Joint Replacement Specialist
Struggling with mobility issues, persistent back pain, numbness in your limbs, tingling, difficulty standing upright or trouble maintaining balance? You might be suffering from common spinal injuries and deformities like scoliosis, kyphosis, spinal fracture, spinal stenosis, herniated discs, or spinal infections. From common spinal cord injuries to complex Congenital, Degenerative & autoimmune disorders like Chiari Malformation, Spondylosis, Ankylosing Spondylitis, Vertebral Hemangioma, Spinal Cord Tumors and cancers, we are committed to catering evidence-based, personalized treatment plans tailored to your needs.
Spine surgery is indicated to treat a wide range of spinal diseases that cause pain, instability, or neurological issues, particularly after non-surgical treatments have failed. Spine surgery normally aims to treat pain, improve function, and restore spine stability. Spine surgery may be indicated for:
• Pain relief
• Restoring function and mobility
• Preventing further nerve damage
• Correcting spinal deformities
• Restoring spinal stability
• Improving quality of life
There are various spine procedures, each designed to treat a unique spinal issue. The type of spine surgery recommended is based on the patient's diagnosis, the severity of the problem, and their overall health. The following are some typical types of spine surgeries:
• Spinal Fusion
• Laminectomy
• Discectomy
• Artificial Disc Replacement (ADR)
• Minimally Invasive Spine Surgery (MISS)
• Foraminotomy
• Kyphoplasty/Vertebroplasty
• Scoliosis Surgery
• Cervical Spine Surgery
• Spinal Decompression Surgery
Spinal surgery is typically recommended for a variety of spinal cord diseases and conditions that either cause significant pain or functional impairment or pose a risk of further complications if not treated. The goal of spinal surgery is to restore normal function, alleviate pain and prevent further damage to the spinal cord or nerves.
The most common spinal cord diseases for which surgery may be recommended include,
• Herniated disc (Slipped disc)
• Spinal stenosis
• Spondylolisthesis
• Degenerative disc disease
• Spinal tumors
• Trauma and spinal cord injury
• Cervical myelopathy
• Kyphosis
• Lordosis (Swayback)
• Infections of the spine (e.g., Spinal osteomyelitis, Discitis)
• Chiari malformation
• Spinal deformities (e.g., Scoliosis) etc.
Spinal surgery is usually suggested for disorders that cause severe pain, functional disability, or the possibility of progressive deterioration of the spine or spinal cord. While surgery is not always required for all spinal cord conditions, it can be an extremely successful choice when conservative treatments (such as physical therapy and drugs) do not provide relief.
Spine surgery, like other major surgeries, has risks and complications. While many patients achieve favourable results, it is crucial to understand the potential risks before deciding. Some of the most prevalent risks and complications of spine surgery may include infections, blood clots, nerve injuries etc.
While spine surgery has been highly successful in treating spinal disorders, it does have certain risks. Understanding these potential problems can help patients make more educated decisions about their care and increase their capacity to collaborate with their healthcare team to reduce risks during surgery.
Recovery following spine surgery is a long process. Most patients improve significantly within three to six months. Full healing may take up to a year, especially with more complex treatments.
Following the surgeon's postoperative instructions and going to physical therapy is vital for a successful and full recovery.
It is recommended to consult with the concerned spine surgeon to get personalized recovery expectations based on the procedure type and specific needs.
To maintain comfort throughout recovery, pain treatment following spine surgery is individualized and may include a combination of drugs, therapies, and procedures. As patients recover, the approach to pain management will change to treat any persistent discomfort or rehabilitation requirements.
It is advised that the healthcare team be consulted to adjust the pain management strategy as needed to ensure the greatest possible recovery outcome.
Some of the common diagnostic tests and examinations performed to assess musculoskeletal system disabilities are as follows:
Proper preparation is required for successful spine surgery and recovery. Following the surgeon's instructions, planning for assistance, and focusing on physical and mental well-being, Patients can increase their chances of a smooth operation and a good recovery.
To feel knowledgeable, secure, and prepared for the process, it is recommended to make sure that the patient and the surgeon go over every detail of the surgery.
Spine surgery can greatly enhance the quality of life by relieving pain, increasing mobility, and restoring function. Most patients can anticipate returning to normal daily activities, improved physical and emotional health, and less dependency on pain medications.
Although recovery takes time, the long-term benefits frequently outweigh the short-term problems, and the patient may be able to resume a more active, pain-free lifestyle after surgery. The healthcare team will collaborate with the patient to optimize the outcome of the surgery and assist the patient throughout the recovery process.
Orthopaedic spine surgeons and neurosurgeons primarily perform spine surgery with considerable training in the surgical treatment of spinal cord disorders. These professionals are trained to execute various spine surgeries, from minimally invasive treatments to complicated spine repair procedures.
The choice between a neurosurgeon and an orthopaedic surgeon is frequently determined by the specific type of spinal disease, with both types of surgeons working together in some circumstances to provide comprehensive care.
Anyone seeking treatment for spinal cord injuries or deformities or looking for an appointment with the best spine surgeon in the locations near Hitech City, Madhapur, Kondapur, Gachibowli, KPHB, or Kukatpally can visit the PACE Hospitals, Best Spine Care Hospital in Hyderabad and fill out the Appointment Form. They can also directly visit the hospital located near the Hi-Tech City metro station or call 04048486868 to book a hassle-free appointment.
We have expertise in the treatment and management of a wide range of spinal cord injuries and deformities through advanced minimally invasive surgeries, nerve block therapies, as well as comprehensive non-surgical therapies such as pain management, physiotherapy and personalized rehabilitation programs. Our team of skilled and experienced spine surgeons address common and complex spinal cord diseases and disorders like Herniated disc, Degenerative Disc Disease (DDD), Spondylosis, Spinal Stenosis, Sciatica, Myelopathy, Spinal Fractures, Scoliosis, Kyphosis, Chiari Malformation, Lordosis, Ankylosing Spondylitis, Spinal Osteomyelitis, Spinal Epidural Abscess, Tuberculosis of the Spine, Spinal Cord Tumors, Vertebral Hemangioma, Metastatic Spinal Cancer aimed at restoring the mobility and improving the quality of life.
Ankylosing spondylitis, also known as axial spondylarthritis, is an inflammatory condition that can cause the fusion of portions of the spine's bones, known as vertebrae. This fusion makes the spine less flexible, which can lead to a hunched posture (bent posture). Deep breathing can become difficult if the ribs are affected.
Cervical radiculopathy may occur when a nerve in the neck becomes compressed or inflamed, commonly caused by herniated discs, spinal stenosis, or degenerative changes. Symptoms include neck pain, numbness, tingling, and weakness that spreads to the arms and hands.
Treatment includes physical therapy, pain medications, steroid injections, and, in some cases, surgery to relieve pressure on the nerve. Complications can include chronic pain, permanent nerve damage, and loss of function in the limb that is affected. Early intervention and appropriate treatment help to prevent long-term disability and improve recovery outcomes.
Cervical myelopathy is a disorder in which the spinal cord in the neck becomes compressed, typically due to degenerative changes, disc herniation, or spinal stenosis. Symptoms of cervical myelopathy may include neck pain, numbness, weakness, clumsiness, and loss of coordination. Physical therapy, pain medicines, and surgical decompression to relieve spinal cord pressure are all viable treatment options.
If left untreated, complications such as irreparable nerve damage, paralysis, and loss of motor function may develop.
Chiari Malformation is a structural disorder that occurs when brain tissue spreads into the spinal canal, which is frequently caused by congenital causes. Headaches, neck pain, disorientation, numbness, and difficulty coordinating are some of the symptoms.
Surgery is often used to relieve pressure on the spinal cord and brain and avoid more neurological damage. If not treated, complications such as progressive neurological degeneration, paralysis, and breathing failure can occur.
Degenerative Disc Disease (DDD) is when spinal discs lose their elasticity, hydration, and flexibility due to ageing or wear and tear. As discs degenerate, they can cause pain, stiffness, and weakness in the back, neck, or limbs and numbness. The condition often results from natural ageing, but repetitive stress or injury can accelerate disc degeneration.
Treatment includes physical therapy, pain medications, and lifestyle changes. In more severe cases, epidural steroid injections or surgery may be considered. Complications can involve chronic pain, nerve damage, and limited mobility, but many people manage symptoms with conservative care.
An epidural abscess is the accumulation of pus in the epidural space caused by a bacterial infection (e.g., Staphylococcus aureus). It can also result from spinal surgery, disc infections, osteomyelitis, or bloodstream infections. Severe back pain, fever, neurological impairments (numbness, weakness, paralysis), and bladder or bowel dysfunction are some of the symptoms.
If left untreated, complications may include spinal cord compression, lifelong neurological impairment, and sepsis. Intravenous antibiotics are frequently used to treat the infection, followed by surgical drainage to remove the abscess. Prompt medical care is necessary to avoid long-term damage.
Facet Joint Syndrome develops when the facet joints that link the vertebrae become inflamed or degenerate, which is commonly caused by ageing or arthritis. Symptoms include localized back pain, stiffness, and nerve irritation that may spread to the legs. Physical therapy, pain medicines, and facet joint injections are all used to relieve discomfort.
In some circumstances, surgery may be required to stabilize joints or remove damaged tissue. If not treated, complications such as persistent pain, reduced mobility, and nerve damage may occur. Non-surgical therapies can often help manage symptoms and improve function.
Failed back surgery syndrome is defined as prolonged discomfort after spine surgery, which is frequently caused by an inaccurate diagnosis, surgical difficulties, or scar tissue formation. Symptoms include persistent pain, muscle weakness, stiffness, and nerve irritation.
Physical therapy, pain management, and, in certain cases, reoperation are commonly used to treat the problem. In some circumstances, epidural steroid injections or neurostimulation devices may help. Chronic pain, nerve damage, and recurrent surgery failure are all possible complications.
To achieve the best results, effective management necessitates a complete approach that frequently includes psychological support and alternative treatments.
Kyphosis is an abnormal forward curvature of the spine, often caused by degenerative diseases, osteoporosis, or congenital defects. Symptoms include a hunched posture, back pain, and, in severe cases, breathing difficulties. Treatment options may include bracing, physical therapy, and, in severe cases, surgery to correct the curvature.
If left untreated, complications might include persistent discomfort, reduced movement, and breathing issues. Early management can halt progression and improve posture and quality of life, but severe cases may necessitate surgical correction to avoid long-term complications.
Lumbar lordosis occurs when the lower back (lumbar spine) has an extreme inward curve. A limited amount of lordosis is common, but excessive curvature is called swayback. It may be inherited or caused by conditions including arthritis, muscular dystrophy, or dwarfism.
Lordosis produces an extremely wide, inward arch on the lower back, directly above the buttocks. This condition could cause lower back pain. In children, lordosis frequently resolves itself. Some adults with lordosis may require physiotherapy.
Post-Surgical Scar Tissue Formation (Epidural Fibrosis) occurs when scar tissue forms around spinal nerves following surgery, causing pain, numbness, and weakness. This is the body's natural healing response, but severe scarring may damage nerves. Chronic discomfort, muscle weakness, and nerve irritation are some of the symptoms.
Physical therapy, epidural steroid injections, and, in certain circumstances, surgery to remove extra scar tissue are the prominent treatment options. If not treated, complications such as prolonged discomfort, nerve damage, and reduced mobility can occur. Early detection and prevention can lower the risk of severe fibrosis.
Piriformis syndrome is a condition where the piriformis muscle in the buttocks irritates the sciatic nerve. Symptoms include discomfort, tingling, or numbness in the buttocks and down the leg, which might intensify after prolonged sitting, climbing stairs, walking, or jogging. Stretching exercises, massage, anti-inflammatory medications, and surgery are the possible choices of treatment.
Radiculopathy is a disorder that results from the irritation or compression of a spinal nerve root, which is frequently caused by a herniated disc, spinal stenosis, degenerative disc disease, bone spurs, or trauma. Symptoms include radiating pain, numbness, tingling, muscle weakness, and decreased reflexes, usually in the arms or legs.
If left untreated, problems can include persistent pain, permanent nerve damage, loss of function, and bladder or bowel dysfunction in severe cases. Depending on the severity, treatment options range from conservative techniques such as physical therapy, medicines, and steroid injections to surgical procedures such as discectomy, laminectomy, or spinal fusion.
Spinal stenosis is a disorder in which the openings in the spine become narrow, increasing the pressure on the spinal cord and the nerves. This could be due to age-related changes, injuries, or genetic causes. It can result in back discomfort, tingling, numbness, and weakness in the arms and legs. Pain medications, physical therapy, and lifestyle modifications are the predominant treatment options.
In severe cases, surgery or steroid injections may be required to relieve pressure. Chronic pain, nerve damage, and loss of movement are all possible problems. Most cases improve with conservative care, although surgery may be necessary in more severe cases.
Spondylolisthesis is a disorder in which one vertebra in the spine slips over the vertebra below it, often due to a fracture, degeneration, or congenital defect. This misalignment can cause back pain, muscle spasms, numbness, tingling, and weakness in the legs.
It commonly occurs in the lumbar spine (lower back) and can worsen with age or repetitive stress. Treatment typically involves pain management, physical therapy, and lifestyle modifications. Surgery severe cases, surgery may be necessary to stabilize the spine.
Complications can include chronic pain, nerve damage, and limited mobility, though many manage symptoms with non-surgical approaches.
Spinal tumors are abnormal growths in or around the spine, often caused by primary cancer or metastasis from other areas. Symptoms include back pain, numbness, weakness, paralysis, and loss of coordination. Tumors may compress spinal nerves or the spinal cord, causing significant neurological deficits. Complications may include chronic pain, spinal instability, nerve damage, and, if untreated, paralysis may occur.
Spinal tumours can be treated by surgery, radiation therapy, and chemotherapy for cancerous growth.
Scoliosis or Spinal Deformities is a condition where the spine curves abnormally to the side, often developing during childhood or adolescence. Causes include genetic factors, neuromuscular conditions, or idiopathic origins. Symptoms of scoliosis may include uneven shoulders, back pain, and, in severe cases, breathing difficulties.
Complications include chronic pain, respiratory issues, and nerve compression if left untreated. Early intervention and regular monitoring can help prevent progression and minimize complications. Treatment may not be required for mild cases, while more severe cases may need bracing or surgery to correct the deformity.
Infections or Abscesses in the spine, such as osteomyelitis or epidural abscesses, result from bacterial or fungal infections. Common causes include surgical procedures, injuries, or spinal surgeries. Symptoms include fever, localized back pain, numbness, and sometimes paralysis if the infection compresses the spinal cord or nerves. Treatment involves antibiotics, antifungal medications, and sometimes surgical drainage to remove the abscess or infected tissue.
If left untreated, spinal infections can lead to permanent nerve damage, chronic pain, or sepsis. To prevent serious problems, early diagnosis and prompt treatment are crucial.
Spondylosis refers to age-related degeneration of the spinal discs and vertebrae, often accompanied by osteoarthritis. Spondylosis may develop due to wear and tear on the spine, leading to disc degeneration and bone spurs.
Symptoms include stiffness, neck or back pain, numbness, and nerve compression. Treatment involves pain medications, physical therapy, and lifestyle modifications like weight management and ergonomic adjustments (changes at the workplace). In severe cases, surgery or steroid injections may be necessary. Complications can include chronic pain, reduced mobility, and nerve damage. Early intervention can alleviate symptoms and prevent further deterioration.
Spinal instability occurs when the spine's capacity to maintain correct structure becomes impaired, which is commonly caused by degeneration, fractures, or ligament injury. Symptoms include trouble moving, nerve compression, back pain, and loss of coordination.
Physical therapy, bracing, and pain management stabilize the spine. In severe cases, surgery may be required to restore stability. If not managed, complications such as persistent pain, nerve damage, and lifelong disability may occur.
Spinal cysts are fluid-filled sacs along the spine, either in the epidural region or within the spinal cord. Degenerative disc disease, spinal trauma, congenital disorders, or infection may cause them. Symptoms may include numbness, weakness, back discomfort, tingling, or difficulty walking, depending on location and severity.
Complications include nerve compression, which can result in irreversible neurological injury or spinal cord dysfunction. Smaller, asymptomatic cysts are typically treated with monitoring, however bigger cysts causing discomfort or neurological abnormalities require surgical intervention (such as cyst excision or drainage).
Trauma or Spinal Fractures result from injury, such as falls, car accidents, or sports injuries, leading to fractures in the vertebrae. Spinal fractures can cause symptoms such as severe back pain, numbness, and weakness. Fractures may induce compression of the spinal cord or nerves, worsening symptoms.
Treatment typically involves bracing and rest, and for more severe fractures, surgery is required to stabilize the spine and prevent further damage. Complications may include chronic pain, nerve damage, and permanent paralysis if not treated promptly. Early intervention is critical for minimizing long-term disability.
Thoracic myelopathy is the compression or injury of the spinal cord in the thoracic (middle) portion of the spine, which is situated between the cervical spine (neck) and the lower back (lumbar spine).
Thoracic myelopathy can be caused due to a variety of factors, including degenerative disc disease, spinal stenosis, herniated discs, spinal tumors, or trauma. Compression of the spinal cord in this area can impair the normal function of the nerves that affect sensation and movement, resulting in a variety of symptoms.
Thoracic outlet syndrome (TOS) is a disorder in which nerves or blood vessels in the region between the collarbone and the first rib, known as a thoracic outlet, get compressed, resulting in discomfort, tingling, and weakness in the arm and hand.
Trauma, recurrent injuries, pregnancy, and anatomical difficulties like having additional ribs are also common causes.
Physiotherapy and pain relief are used to treat the condition. In some circumstances, surgery may be necessary to relieve compression. Postural improvements, work-related behaviour modification, muscular strengthening, and stretching exercises may all be recommended.
A herniated disc is an injury of the spinal cord that happens when a disc between the vertebrae is forced out of position. It is also referred to as a slipping, bulging, or ruptured disc. This can press on nearby nerves, causing symptoms like pain, numbness, tingling, and muscle weakness. Treatment typically includes rest, physical therapy, pain medications, and cold or heat therapy.
In severe cases, epidural steroid injections or surgery may be necessary. Complications include chronic pain, nerve damage, and, occasionally, complications such as loss of bowel or bladder control may occur. Most people recover with appropriate treatment, though severe cases may require surgery.
A 64-Year Patient from Sudan with L4 L5 Disc Bulge along with Radiculopathy and Symptoms of Parkinson's Disease, treated successfully with
Minimally Invasive Lumbar Discectomy.
At PACE Hospitals, our skilled spine surgeons are committed to evidence-based treatment by running comprehensive diagnostic tests to evaluate any injuries and deformities in the spinal cord and proceed with appropriate treatment modalities, minimizing complications and hospital stay and alleviating the quality of life. They are apt with advanced minimally invasive procedures, endoscopic spine surgery and diagnostic tests like electromyography (EMG), myelography, discography, nerve conduction studies, Microdiscectomy, and Robotic-assisted spine surgeries to precisely analyze the compression and disc abnormalities and carry out effective surgery.
1. CT Myelogram: CT myelogram is a comprehensive imaging technique that combines computed tomography (CT) with a contrast dye injected into the spinal canal to improve visualization of the, nerve roots, spinal cord, and surrounding structures. This technique is beneficial especially for identifying spinal disorders when other imaging procedures, such as traditional X-rays or MRI, are unclear or not appropriate.
2. Electromyography (EMG): Electromyography (EMG) is a diagnostic procedure that assesses muscle electrical activity and motor neuron function. It involves inserting a needle electrode into muscle tissue to detect unusual electrical signals that may suggest nerve injury or dysfunction. EMG is used to evaluate the consequences of spinal cord damage, nerve root compression (as in radiculopathy), and conditions such as multiple sclerosis and amyotrophic lateral sclerosis (ALS). It aids in detecting nerve root involvement, determining the extent of motor neuron injury, and tracking the progression or recovery of muscle and nerve function. EMG gives crucial information about how spinal cord disorders affect muscle strength, nerve conduction, and motor control.
3. Nerve Conduction Studies (NCS): Nerve Conduction Studies (NCS) is a diagnostic examination that assesses the speed and strength of electrical signals passing through nerves. Electrodes are positioned on the skin over certain nerves, and a moderate electrical shock is used to induce nerve activity. NCS assesses how well electrical impulses flow along peripheral nerves (nerves outside the spinal cord), which aids in detecting nerve damage or dysfunction caused by spinal cord disorders such as radiculopathy, spinal cord injury, multiple sclerosis, or diabetic neuropathy. NCS can establish whether nerve damage is caused by compression, degeneration, or inflammation by analyzing the conduction velocity and amplitude of nerve impulses, and this information can help to guide treatment options in spinal cord conditions.
4. Spinal Fluid Analysis (Lumbar Puncture or Spinal Tap): Spinal fluid analysis (also known as lumbar puncture or spinal tap) is a diagnostic procedure in which a needle is placed into the lumbar region (lower back) to collect a sample of cerebrospinal fluid, which surrounds the brain and spinal cord. This fluid is examined for abnormalities that could indicate the presence of infections, inflammation, disease processes, or neurological problems affecting the spinal cord. This test is very beneficial for detecting multiple sclerosis, spinal cord infections (such as meningitis or encephalitis), Guillain-Barré syndrome, and autoimmune conditions. CSF examination may reveal high amounts of white blood cells, protein, or the presence of unusual antibodies, providing vital information about the underlying cause of neurological symptoms and help guide treatment methods.
5. Magnetic Resonance Myelography (MRM): Magnetic Resonance Myelography (MRM) is an advanced imaging technology that uses magnetic resonance imaging (MRI) and a contrast dye (often gadolinium-based) to see the spinal cord, nerve roots, and subarachnoid space. The contrast dye is introduced into the subarachnoid area either by a lumbar puncture or intravenously, and the MRI scanner generates highly detailed images of the spinal canal and nerve structures.
MRM is especially beneficial for identifying spinal cord disorders that are difficult to detect with normal MRI, such as spinal stenosis, ruptured discs, spinal cord tumors, infections, or trauma. It can detect nerve root compression, cystic lesions, and spinal canal abnormalities. MRM is frequently used when a patient is unable to undergo a regular MRI due to issues such as pacemakers or metal implants, as it enables improved visualization of the spinal cord and associated structures without the need for invasive surgery.
6. Positron Emission Tomography (PET) Scan: The Positron Emission Tomography (PET) Scan is a specialized imaging technology that produces precise, functional images of the spinal cord and surrounding tissues. PET scans identify metabolic activity by measuring the radiation released by a small amount of radioactive tracer (often glucose or other compounds). The tracer is injected into the body and absorbed by tissues, releasing positrons that are detected by the PET scanner. The generated images show areas with significant metabolic activity, which may indicate inflammation, tumors, infection, or nerve degeneration in the spinal cord.
7. Spinal Ultrasound: Spinal ultrasound is a non-invasive imaging technology that uses sound waves with high frequency to generate real-time images of the spine and its surrounding structures, including the spinal cord. A small device known as a transducer releases sound waves and is put on the skin above the spine. The sound waves bounce off the tissues and are used to create images of the spine, allowing doctors to evaluate the spinal cord, vertebrae, ligaments, and surrounding soft tissues.
8. Cerebral Angiography: Cerebral angiography is a specialized imaging technique that employs X-rays and a contrast dye to see blood arteries in the spinal cord and brain. The contrast dye is injected into the arteries, usually by a catheter placed into the femoral artery (groin) or directly into the spinal artery. The dye improves X-ray imaging, allowing for more comprehensive visualization of the vascular structures that provide blood to the spinal cord and surrounding tissues, such as the arteries, veins, and capillaries.
9. Cerebral Spinal Fluid (CSF) Cytology and Cultures:
Cerebrospinal Fluid (CSF) Cytology and Cultures are laboratory procedures done on a sample of cerebrospinal fluid (CSF) collected through lumbar puncture or spinal tap. These tests analyze the composition of cells and microbial content of cerebrospinal fluid in order to detect many conditions affecting the spinal cord and brain, especially those related to infections, inflammation, or malignancies.
1. Discectomy: Discectomy is a surgical treatment that involves removing the herniated or damaged segment of the intervertebral disc in order to relieve pressure and symptoms on the spinal nerve roots caused by lumbar disc herniation. This surgical technique is routinely performed to relieve pain, weakness, numbness, and other neurological symptoms caused by compression of the spinal nerve roots.
2. Laminectomy: Laminectomy is a procedure in which a surgeon removes a portion or all the spinal bone (lamina). This alleviates pressure on the spinal cord or nerve roots caused by injury, a herniated disc, canal constriction (spinal stenosis), or tumors. A laminectomy is only considered if other medical therapies fail.
3. Laminotomy: Laminotomy is a type of spinal surgery that includes removing a section of the lamina, which is the bony part that makes up the back part of the vertebral arch in the spine. This procedure relieves the pressure on the spinal cord or nerve roots caused by disorders such as herniated discs, spinal stenosis, or bone spurs. A laminotomy creates more space within the spinal canal, relieving pain, numbness, or weakness caused by nerve compression.
4. Lumbar spine surgery: Lumbar spine surgery is indicated to treat a variety of problems affecting the lumbar region 9lower back) of the spine, including herniated discs, spinal stenosis, degenerative disc disease, spondylolisthesis, and other spinal disorders that cause pain, numbness, or limited movement. Depending on the diagnosis, several lumbar spine procedures may be recommended.
5. Cervical spine surgery: Cervical spine surgery is used to treat the disorders that affect the cervical portion of the spine, which comprises of the seven vertebrae in the neck (C1–C7). This form of surgery is often advised when non-surgical treatments such as drugs, physical therapy, or injections have failed to alleviate symptoms such as pain, numbness, weakness, or tingling caused by spinal abnormalities in the neck.
6. Spinal cord stimulator (SCS) implantation: Spinal Cord Stimulator (SCS) Implantation is a medical procedure used to treat chronic pain, particularly when more conservative treatments (such as drugs, physical therapy, or surgery) have proven ineffective. It involves implanting a tiny device that emits electrical impulses to the spinal cord, which aids to interfere with pain signals and provides significant relief to individuals with chronic pain, particularly nerve-related pain.
7. Minimally invasive spine surgery (MISS): Minimally Invasive Spine Surgery (MISS) refers to a group of surgical methods that treat spine disorders using smaller incisions, less muscle dissection, and faster recovery times than standard open spine surgery. The aim of minimally invasive procedure is to minimize disruption to surrounding tissues, reduce post-operative pain, shorten hospital stays, and speed up recovery time.
8. Spinal Tumor Surgery: Spinal tumor surgery is a surgical treatment used to remove tumors found within or around the spine. These tumors can be primary (originating in the spine) or metastatic (spreading malignant cells throughout the body). Spinal tumor surgery is commonly used to remove the tumor, reduce pain or pressure on the spinal cord or nerves, stabilize the spine, and improve the patient's quality of life.
9. Vertebroplasty: Vertebroplasty is a minimally invasive surgical method for treating spinal compression fractures, which are usually caused by osteoporosis, trauma, or tumors. The procedure aims to stabilize the fractured vertebra, alleviate pain, and restore spinal stability.
10. Kyphoplasty: Kyphoplasty is a minimally invasive procedure that treats spinal compression fractures, which are most usually caused by osteoporosis, tumors, or trauma. It is similar to vertebroplasty but includes an additional procedure to restore the height of the damaged vertebra before injecting bone cement.
11. Foraminotomy: Foraminotomy is a procedure performed to relieve pressure on a nerve root in the spine caused by a shortened foramen (a tiny aperture through which spinal nerves exit the vertebral column). The procedure involves eliminating the bone or soft tissue surrounding the foramen to increase the space and relieve nerve compression, which can cause pain, numbness, weakness, or tingling.
12. Spinal decompression (Decompressive Surgery): Spinal decompression (Decompressive Surgery) is a procedure that is indicated to alleviate pressure on the spinal cord or nerves by removing or releasing the tissue, bone, or discs that are compressing them. This pressure can be produced by herniated discs, bone spurs, spinal stenosis, or spinal tumors, all of which can cause pain, numbness, weakness, and other neurological symptoms.
13. Artificial disc replacement: Artificial disc replacement is a surgical process that removes a damaged or degenerative spinal disc and replaces it with an artificial disc consisting of metal, plastic, or a combination of the two. The aim of artificial disc replacement is to restore normal motion to the affected region of the spine, reduce pain, and preserve spinal function, especially in cases of degenerative disc disease or other disorders that cause persistent pain or loss of spinal mobility.
14. Spinal fusion: Spinal fusion is a surgical treatment that involves combining two or more vertebrae in the spine to eliminate movement between them, hence increasing stability and lowering pain. This treatment is often performed when spinal instability or degenerative disorders produce discomfort, deformity, or neurological difficulties as a result of abnormal vertebral movement.
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