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Spine Care Services

The Spine Care at Surana hospitals offers comprehensive services in all aspects of diagnosis, management and rehabilitation of patients with spine disorders. We bring to you the best spine surgeons with world-class infrastructure and care. Various innovative surgical techniques, Endoscopic surgeries and Complex post operative care management have been adopted at our center, making Surana Hospital a preferred location for major forms of brain and spinal surgeries in India.

Spine Care Treatment include:

  • Slipped Disc
  • Spondylolisthesis
  • Scoliosis
  • Spinal Tumor
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Scoliosis Services
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Scoliosis Services

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The spine has normal curves if seen from the sides and is seen as a straight column from the front. But in certain conditions the spine shows curvatures from the front and it is called scoliosis. The abnormal forward bending of the spine is called kyphosis.

Whatever the patient's age, the goal is to stabilize the spine to prevent additional curvature. Some patients with scoliosis are pain free and do not seek treatment until the deformity is noticed. Unfortunately, at that point it may be too late to treat the disease. The size of the curve is measured in degrees on an X-ray. The progression of scoliosis is monitored by periodic x-ray studies. When scoliosis is severe it may cause the spine to rotate, which can cause spinal spacing to narrow on the opposite side of the body.

While minor deformities may be treated non-operatively, more severe and progressive ones require surgery.

Surgical Management of Scoliosis

Surgical treatment of scoliosis is employed if the curvature at detection is of greater magnitude. The aim of surgical correction is to achieve a well-balanced spine in which the patient's head, shoulders and trunk are centered over the pelvis. This is done by using instrumentation to reduce the magnitude of the deformity and obtaining fusion in order to prevent future curve progression.

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Spondylolisthesis Services
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It is the abnormal forward movement of one vertebra over the vertebra below. Most often, this forward slip of the vertebra occurs in the lumbar area of the spine. This slippage and herniation of the disc causes pressure on the nerve roots associated with the affected vertebrae, causing pain and dysfunction. There are various types of spondylolisthesis.

Type 1 - Congenital spondylolisthesis

An individual is born with the abnormality of the posterior bony arch of the spine, which causes the slippage. This is usually seen at the L5-S1 level and often associated with abnormality of the facet joints. Patients usually present with back pain during the adolescent growth spurt. CT and MRI scans are required to diagnose the dysplasia (abnormal bone formation).

Type 2 - Isthmic spondylolisthesis

Isthmic spondylolisthesis is caused by a defect in a part of the bone called the pars interarticularis. The pars bone connects the upper joint of one vertebra to the lower joint. The defect is usually caused by a stress fracture in individuals with a hereditary predisposition (some minor abnormality or weakness of the pars at birth). In certain individuals a defect may exist without any forward slip, referred to as spondylolysis. This itself can be painful.

Type 3 - Degenerative spondylolisthesis

Degenerative spondylolisthesis is a forward slippage secondary to arthritis of the spine. Spinal stenosis is usually associated with this process. This is due to a long standing degenerative disc leading to weak facet joints in the back of the spine. This is usually seen at L4-L5 level.

 
Management

In degenerative spondylolisthesis, surgery is indicated if slippage progressively worsens or if back pain does not respond to nonsurgical treatment and begins to interfere with activities of daily living. In the congenital and high dysplastic group, surgery is done at early stages to prevent neurological complications.

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Slipped Disc Services
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Slipped Disc Services

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A prolapsed disc is a condition when the inner, softer part of the disc bulges out through a weakness in the outer part of the disc. This bulging disc may then press on nearby nerves which in turn causes discomfort and pain. The symptoms include - back pain, ache in the arm or leg and pinpricks felt in feet, toes and hands.

As a rule, surgery may be considered if the symptoms have not settled after about six weeks or so. At Surana Hospitals, the spine surgeons may opt for:

Keyhole surgery - Also known as microdiscectomy spine surgery, it is typically performed when there is a prolapsed disc in the lumbar (lower back) region which is pressing against a nerve.

Disc replacement - An artificial disc is a device that is implanted into the spine to imitate the functions of a normal disc (carry load and allow motion). Artificial discs are usually made of metal or plastic-like (biopolymer) materials, or a combination of the two. The disc replacement for prolapsed disc is done in the cervical ( neck) spine.

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Spinal Tumor Services
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Spinal Tumor Services

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A spinal tumor or a growth of any kind whether cancerous or not, can impinge on nerves, leading to pain, neurological problems and sometimes paralysis. The symptoms include loss of sensation or muscle weakness, especially in the legs, difficulty in walking, sometimes leading to falls and loss of bowel or bladder function.

Newer techniques and instruments enable surgeons at Surana Hospitals to reach tumors or treat delicate injuries even in the most inaccessible areas. High-powered microscopes are used during surgery and in some instances even intradural tumors are removed. In select patients, Total Spondylectomy - removal of the entire vertebra is done as a definitive cure.

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