Our Spinal services is a one stop facility that provides comprehensive management of spinal injury, back ache, spinal deformities, tumours and osteoporosis. There are highly qualified and well trained consultant spinal surgeons, spinal anaesthetist, intensivist, specialised physiotherapist, occupational therapist, assistive technologist, orthotics, social worker and peer councelor. A very well developed rehabilitation service adds a great value and helps to improve the outcome for all spinal ailments. The specialist nurses trained specifically in spinal diseases along with the physical and occupational therapist provide robust support to the patient and service. We have in house multispeciality support along with operative, post operative and ICU care.

Keeping patient safety as top priority we routinely use intraoperative real time neural monitoring, a cutting edge technology, which can help in preventing paralysis and nerve damage during complex spinal surgery such as deformity correction and tumour excision and reconstruction . Minimal reconstructive techniques are used for prolapsed disc excision/decompression and cementing ( kypho and vertebroplasty )/fixation of vertebral bodies. Moreover the service has emphasis on continuous technological and medical education. All the latest evidence based care options are available including minimal invasive surgery.

Consultation and education about the disorders of spine and the possible solutions.

Patient and family education on routine back care.

Complete range of physiotherapy for back and neck problems.

Pain management with counselling.

Image guided spinal injections

       a. Transforaminal epidural injections

       b. Facet joint injections

       c. Sacroiliac joint injections

Rehabilitation.

DEGENERATIVE SPINAL DISORDERS

DISC DISORDERS  : DISCECTOMY

     1. Open discectomy with fenesrtation

     2. Microscopic Discectomy with fenestration

LUMBAR CANAL STENOSIS

    1. Internal Decompression

        a. Interlaminar approach with bilateral     foraminal decopression

   2. Decompession with stabilization

        a. Pedicle screw - rod instrumentation with TLIF (Transforaminal Lumbar Interbody Fusion)

        b. Pedicle screw - rod instrumentation with PLIF (Posterior  Lumbar Interbody Fusion)

DEGENERATIVE SPONDYLOLISTHESIS

   1. Decompression with reduction and  Stabilization

        a. Pedicle screw – rod instrumentation with  Reduction and TLIF (Transforaminal Lumbar Interbody Fusion)

        b. Pedicle screw - rod instrumentation with reduction and PLIF (Posterior  Lumbar Interbody Fusion)

FAILED BACK SYNDROME

 1. Decompression

    a. Adhesiolysis with internal decopmression

2. Decompression with stabilization

    a. Adhesiolysis, decompression with Pedicle screw-rod instrumentation and TLIF (Transforaminal Lumbar Interbody Fusion)

    b. Adhesiolysis, decompression with Pedicle screw-rod instrumentation and PLIF (Posterior Lumbar Interbody Fusion)

Degenerative Lumbar scoliosis:

1. Internal Decompression – single or multiple levels

   a. Interlaminar approach with bilateral foraminal decompression

2. Decompression with Stabilization - single or multiple levels

   a. Pedicle screw-rod instrumentation with TLIF (Transforaminal Lumbar Interbody Fusion)

   b. Pedicle screw-rod instrumentation with PLIF (Posterior Lumbar Interbody Fusion)

3. Decompression with scoliosis correction and fusion

   a. Pedicle screw-rod instrumentation with deformity correction and decompression

Cervical Disc Prolapse:

   1. Anterior cervical discectomy and Fusion (ACDF)

   2. Anterior cervical discectomy and Disc Arthroplasty (Artificial DISC)

   3. Posterior cervical foraminotomy and discectomy.

Cervical Spondylotic Myelopathy (CSM)

   1. Anterior cervical corpectomy/discectomy with Fusion

   2. Posterior cervical Laminoplasty and decompression

   3. Posterior cervical laminectomy and stabilization

       a. Cervical pedicle screw-rod instrumentation with laminectomy

      b. Cervical lateral mass fixation and laminectomy

Cervical degenerative kyphosis with myelopathy

1. Cervical pedicle screw-rod instrumentation with deformity correction and decompressive laminectomy.

C1,C2 Fractures including Odontoid fracture:

  1. Odontoid screw fixation

  2. Posterior c1-c2 fusion with c1 lateral mass and c2 pedicle screws

Lower cervical fractures including fracture dislocations

  1. Anterior corpectomy decompression and stabilizationwith plates

  2. Posterior cervical pedicle screw-rod instrumentation, decompression with reduction and fusion

  3. Posterior cervical lateral mass screw-rod instrumentation with decompression, reduction and fusion

  4. Combined anterior and posterior procedures

Thoraco-lumbar fractures including fracture dislocations

1. Anterior thoraco-abdominal approach with corpectomy, decompression and anterior instrumentation with fusion.

2. Posterior pedicle screw-rod instrumentation with reduction, decompression and fusion

3. Combined anterior and posterior procedures.

Osteoporotic fractures

1. Minimally invasive Vertebroplasty and Kyphoplasty

2. Anterior thoraco-abdominal approach with corpectomy, decompression and anterior instrumentation with fusion.

3. Posterior pedicle screw-rod instrumentation with reduction, decompression and fusion

4. Combined anterior and posterior procedures.

Cervical spine tumors

1. Anterior corpectomy, tumor resection, decompression and stabilization with plates

2. Posterior cervical pedicle screw-rod instrumentation, tumor resection, decompression with fusion

3. Posterior cervical lateral mass screw-rod instrumentation with tumor resection, decompression and fusion

4. Combined anterior and posterior procedures with tumor resection and stabilization.

Thoraco-lumbar Tumors

1. Minimally invasive Vertebroplasty and Kyphoplasty.

2. Anterior thoraco-abdominal approach with corpectomy, tumor resection, decompression and anterior instrumentation

3. Posterior pedicle screw-rod instrumentation with tumor resection(En-Bloc), decompression and fusion

4. Combined anterior and posterior procedures.

Sacral Tumors

1. En-bloc Segmental resection

2. Total sacrectomy with spino-pelvic reconstruction using pedicle screws and iliac screw-rod fixation.

Cervical spine infections

  1. Abscess drainage: pre vertebral/ retropharyngeal

  2. Anterior corpectomy decompression and stabilization with plates

  3. Posterior cervical pedicle screw-rod instrumentation, decompression and fusion

  4. Posterior cervical lateral mass screw-rod instrumentation with decompression and fusion

  5. Combined anterior and posterior procedures

Thoraco-lumbar infections

  1. Anterior thoraco-abdominal approach with corpectomy, decompression and anterior instrumentation with fusion.

  2. Posterior pedicle screw-rod instrumentation with decompression and fusion

  3. Combined anterior and posterior procedures.

Atlanto-axial Subluxation/dislocation(AAD)

  1. Posterior c1-c2 reduction and fusion with c1 lateral mass and c2 pedicle screw-rod construct.>

Congenital cervical spine deformity due to block vertebra/ hemivertebra

  1. Posterior cervical pedicle screw-rod instrumentation, deformity correction and fusion

Dorso-lumbar spine deformity with Hemivertebra/block vertebra / congenital bars

  1. Anterior thoraco-abdominal approach with hemivertebrectomy, deformity correction and anterior instrumentation with fusion.

  2. Posterior pedicle screw-rod instrumentation with hemivertebrectomy, deformity correction and fusion

  3. Combined anterior and posterior procedures.

  4. Posterior Vertebral column resection (VCR) with deformity correction and fusion for severe deformities.

Cervical spine deformity – Kyphosis/ Scoliosis

  1. Posterior cervical pedicle screw-rod instrumentationwith deformity correction and fusion

Dorso-lumbar spine deformity – Kyphosis/ Scoliosis or Kyphoscoliosis

  1. Anterior thoraco-abdominal approach with deformity correction and anterior instrumentation and fusion.

  2. Posterior pedicle screw-rod instrumentation with deformity correction and fusion

  3. Combined anterior and posterior procedures.

  4. Posterior Vertebral column resection (VCR) with deformity correction and fusion for severe deformities

DR . MOHAN N S   Monday  Tuesday  Wednesday  Thursday  Friday  Saturday

                                     x       Operative   9.30am    operative   9.30am  operative

                                                    day         1.00pm      day        1.00pm    day

DR . SIDDESH     9.30am      9.30am           X      operative   operative  operative

         PATIL G S    1.00pm       1.00pm                        day          day           day

Our team at SGITO Spine department offers specialized non- interventional pain management and de - stressing

Per day we see around 40 – 60 OPD cases and do around 6 operative cases per week.

In the year 2017 consultation was given on OPD basis for around   4000 patients.

We have operated around 350 major spine cases in the year 2017.