Spine Procedures

Non-surgical treatments for spine conditions

Epidural Steroid Injections

Epidural spinal injection is a non-surgical treatment option utilized for relieving back pain. Spine degenerative conditions such as herniated disc, spinal stenosis and many others may induce back pain due to the compression of the associated spinal nerves.

Facet Injection

The facet joints are the tiny joints situated at the upper and lower part of each vertebra connecting one vertebra to the other. Each of the vertebrae has four facet joints which include a pair that connect to the vertebra above (superior facets) and another pair that connects to the vertebra below (inferior facets).

Radiofrequency Ablation

Radiofrequency ablation (RFA) also called rhizotomy or neurotomy is a novel non-surgical technique of treating pain. This technique employs radiofrequency waves to produce heat and the heat produced damage the nerves transmitting pain signal to the brain.

Sacroiliac Joint Injections

Sacroiliac joints (SI joint) are joints in the lower back region, located where the sacrum and ilium bones conjoin. Even though these joints are small and have limited motion, they have an important role of connecting your spine to the pelvic bone and thus the lower part of your body.

Medial Branch Block Injections

Medical branch block is an injection of a local anesthetic near the medial branch nerves to temporarily block the pain signal carried from the facet joints of the spine to the brain. It is used to assist your physician in diagnosing the cause of your back pain.

Lumbar Spinal Bracing

Lumbar braces are external devices used to restrict movement of the lumbar spine and provide support and stability to the lower back region to relieve back pain and promote healing, after surgery or injury. Braces are also called orthotics and are made from different materials such as nylon, rubber, molded plastic and elastic cotton.

Lumbar Spinal Injections

Lumbar spine injections are utilized in the assessment and treatment of low back pain. These injection procedures are valuable in determining whether structures are the source for low back pain. Pain initiated by lumbar facet joints is characteristically experienced in the lower back, hip, buttock, and/or leg.

Cervical/Lumbar Traction

Cervical/lumbar traction is a therapy that stretches the spine to relieve pressure on compressed nerves and stretch tight muscles, to treat back and neck pain. It may also be used for realigning the spine in cases of dislocation. Traction may be performed manually or mechanically (with the use of weights and pulleys).

Thoracic Spinal Injection

Thoracic facet joints are tiny joints at each section of the spine that impart stability and facilitate guide motion. The facet joints can turn out to be painful due to arthritis of the spine, a back injury or mechanical strain.

Piriformis Muscle Injection

The piriformis muscle is present in the buttocks, connecting the sacrum to the outer surface of the hip. This muscle enables us to walk and run. The sciatic nerve is a thick, long nerve passing through or below the piriformis muscle.

Surgical Treatment for Spine Conditions

Cervical Disc Replacement

The cervical spine is located in the neck region and consists of seven bones arranged one on top of the other. Cushioning tissue called vertebral discs located between the vertebrae act as shock absorbers, allowing easy movement of the neck.

Cervical Laminectomy

A cervical laminectomy is an operative procedure of removing the bone at the neck (cervical spine) region to relieve pressure on the spinal nerves. It can also be performed to relieve the symptoms of narrowed spinal canal known as spinal stenosis.

Artificial Cervical Disc Replacement

Artificial cervical disc replacement is a spine surgery to replace a degenerated (deteriorated) disc in the neck with an artificial disc. Disc degeneration reduces the height of the disc and may cause a herniated disc. Herniated disc refers to a condition in which the inner central portion (nucleus pulposus) of the spinal disc is forced out through a tear in the outer, fibrous ring (annulus fibrosus) of an intervertebral disc.

Cervical Foraminotomy

Cervical foraminotomy is an operative procedure to relieve the symptoms of pinched or compressed spinal nerve by enlarging the neural foramen, an opening for the nerve roots to exit from the spine and travel throughout the body.

Cervical Spine Fusion

Your spine consists of a spinal cord supported by a series of interlocking bones called vertebrae. The cervical spine is the upper part of the spine situated in the neck region. It has seven vertebrae, separated and cushioned by spongy intervertebral discs.

Posterior Cervical Fusion

Posterior cervical fusion (PCF), a surgical procedure performed through the back of the neck, involves joining or fusing two or more damaged cervical vertebrae. The fusion of vertebrae is also known as arthrodesis. Sometimes metallic plates may be used for fixing the vertebrae, this is also known as instrumentation.

Posterior Cervical Laminectomy & Fusion

Posterior cervical laminectomy and fusion is a surgical procedure performed to decompress the spinal cord and nerve roots in the cervical region of the spine. Some of the spinal conditions that may compress the spinal cord and nerve roots include disc degeneration, bulging or herniated disc, spinal stenosis, and spondylosis.

Cervical Laminoplasty

A cervical laminoplasty is an operative procedure that involves reshaping/repositioning the bone at the neck region (cervical spine) to relieve excess pressure on the spinal nerves. It can also be performed to relieve the symptoms of narrowed spinal canal known as spinal stenosis.

Cervical Corpectomy & Strut Graft

The cervical spine comprises the first 7 vertebrae of the spinal column. The vertebrae are separated from one another by shock absorbing pads called intervertebral discs. Over time, the discs can become worn out resulting in neck pain. Most patients with neck pain can be managed conservatively.

Minimally Invasive Cervical Discectomy

A cervical discectomy is an operative procedure which relieves pressure on the spinal nerves and/or spinal cord by removing the total or a part of the damaged intervertebral disc. Cervical discectomy is performed using minimally invasive approach in selected patients, if appropriate.

Anterior Cervical Discectomy & Fusion

Anterior cervical discectomy with fusion is an operative procedure to relieve compression or pressure on nerve roots and/or the spinal cord due to a herniated disc or bone spur in the neck.

Anterior Cervical Discectomy

Anterior cervical discectomy is an operative procedure to relieve pressure or compression on the nerve roots and/or the spinal cord because of a herniated disc (damaged disc) or a bone spur.

Cervical Spine Fusion

Your spine consists of a spinal cord supported by a series of interlocking bones called vertebrae. The cervical spine is the upper part of the spine situated in the neck region. It has seven vertebrae, separated and cushioned by spongy intervertebral discs.

Thoracic

Thoracic Corpectomy

Thoracic corpectomy is a procedure performed to relieve pressure on a nerve at the thoracic region (upper and middle back) by removing the source of the compression. It is indicated for conditions such as degenerative disc disease, spinal stenosis, bone spurs, tumor, fracture and infection leading to spinal compression, which cause pain, weakness and numbness in various parts of the body.

Thoracic Discectomy

The human spine provides support to the body allowing you to stand upright, bend, and twist. The spine can be broadly divided into cervical, thoracic and lumbar spine. Thoracic spine lies in the mid back region between the neck and lower back and is protected by the rib cage.

Thoracic Spine Decompression

Thoracic spine decompression is a procedure to relieve pressure on the spinal nerves in the middle portion of the back. Spine decompression surgery is indicated in treating spinal stenosis. Spinal stenosis is the narrowing of the spinal canal caused by degeneration of the facet joints and the thickening of the ligaments.

Thoracic Spinal Injections

Thoracic facet joints are tiny joints at each section of the spine that impart stability and facilitate guide motion. The facet joints can turn out to be painful due to arthritis of the spine, a back injury or mechanical strain.

Thoracic Spinal Fusion

Thoracic spine fusion is a surgical procedure in which two or more bones (vertebrae) of the thoracic spine are joined together to eliminate the movement between them. The thoracic spine is the center part of the spine and is formed of 12 vertebrae.

Thoracic Vertebroplasty

Osteoporosis is a “silent” disease characterized by weakening of bones, making them more susceptible to fractures, typically in the hip and spine. Elderly people and especially post-menopausal women are at greater risk of developing osteoporosis.

Lumbar

Lumbar Discectomy

The lower back or lumbar region is often the site of pain due to its high mobility and weight bearing. Spongy discs present between the vertebral bones of the spine help cushion the spine during stress and movement.

Lumbar laminectomy

Lumbar laminectomy, also known as decompression laminectomy, is a spinal surgery done to relieve excess pressure on the spinal nerve(s) in the lumbar (lower back) region.

Lumbar Foraminotomy

The spine is surrounded and protected by vertebral bones stacked one on top of the other. Between adjacent vertebrae are spaces called neural foramen through which spinal nerves pass to communicate with the rest of the body.

Lumbar Fusion

Spinal fusion, also called arthrodesis, is a surgical technique used to join two or more vertebrae (bones) within the spine. Lumbar fusion technique is the procedure of fusing the vertebrae in lumbar portion of the spine (lower back).

Lumbar Decompression

The spinal cord is protected by a bony column of vertebral bones, arranged one above the other. Injury or wear-and-tear can cause parts of the vertebrae to compress the nerves of the spinal cord, leading to pain, numbness or tingling in the part of the body that the nerve supplies.

Lumbar Sympathetic Block

Sympathetic nerves, located in the lower spine, control basic functions such as regulating blood flow. They also carry pain signals from tissues to the spinal cord. Lumbar sympathetic block is an injection containing a local anesthetic and steroid, which is injected into or around the sympathetic nerves to block the transmission of pain impulses from the legs or lower back, thereby relieving pain.

Transforaminal Lumbar Interbody Fusion

Transforaminal lumbar interbody fusion (TLIF) is a type of spinal fusion procedure in which bone graft is placed between the affected vertebrae in the lower back (lumbar) region through an incision on the patient’s back.

Posterior Lumbar Fusion

Spinal fusion, also called arthrodesis, is a surgical technique used to join two or more vertebrae (bones) within the spine. Lumbar fusion technique is the procedure of fusing the vertebrae in lumbar portion of the spine (lower back).

Posterior Lumbar Interbody Fusion

Spinal fusion is a surgical technique used to join two or more vertebrae in the spine and to minimize the pain caused by movement of these vertebrae. Fusion of vertebrae in lumbar portion of the spine is called as lumbar fusion and the surgery can be done as an open or minimally invasive procedure.

Lumbar Endoscopic Discectomy

The lower back or lumbar region is often the site of pain due to its high mobility and weight bearing. Spongy discs present between the vertebral bones help cushion the spine during stress and movement. The intervertebral discs in the lumbar region may get damaged due to stress, causing them to herniate or rupture, and compress on adjacent spinal nerves.

Posterolateral Lumbar Fusion

Posterolateral lumbar fusion is a surgical technique that involves correction of spinal problems from the back of the spine by placing bone graft between segments in the back and leaving the disc space intact.

Lower Back (Lumbar) Surgery

Low back pain is one of the most common health problems experienced by most individuals, at different phases of their lives.

Lumbar Corpectomy & Fusion

Anterior Lumbar Corpectomy and Fusion is a surgical technique performed to remove the vertebral bone or disc material between the vertebrae to alleviate pressure on the spinal cord and spinal nerves (decompression) in the lumbar (lower back) region.

Lumbar Foraminotomy, Facetectomy

The vertebrae (spinal bones) have openings known as neuroforamen on either side for the passage of spinal nerves. The neuroforamen are surrounded by tiny joints known as facet joints, present in pairs at the back of each vertebra, which connect and stabilize them together.

Lumbar Interbody Fusion

Lumbar Interbody Fusion (LIF) surgery is a surgical technique involving the removal of the damaged intervertebral disc, and the insertion of a bone graft into the disc space created between the two adjoining vertebrae. Bone grafts promotes healing and facilitate the fusion. Screws and rods are used to stabilize the spine during the healing process.

Minimally Invasive Lumbar Surgery

Minimally invasive lumbar surgery is an alternative to open lumbar surgery that allows the surgeon to access the spine through smaller incisions. Special techniques and instruments, used in this approach, minimize muscle and soft tissue damage and offer several advantages over the traditional open approach which include smaller scars, less blood loss, lower postoperative pain, faster recovery and shorter hospital stay.

Minimally Invasive Lumbar Discectomy

Lumbar discectomy is a spinal surgery that involves removal of damaged intervertebral disc to relieve pressure on the spinal nerves (decompression) in the lumbar (lower back) region. Minimally invasive technique is implemented to perform the surgery.

Anterior Lumbar Corpectomy & Fusion

Anterior Lumbar Corpectomy and Fusion is a surgical technique performed to remove the vertebral bone or disc material between the vertebrae to alleviate pressure on the spinal cord and spinal nerves (decompression) in the lumbar (lower back) region.

Anterior Lumbar Interbody Fusion

Anterior lumbar interbody fusion (ALIF) is a surgery performed to correct the spinal problems in the lower back. The surgery can be implemented either as an open surgery or minimally invasive technique.

Minimally Invasive TLIF

Our spine is made up of small bony segments called vertebrae. These vertebrae are categorized into cervical or neck vertebrae, thoracic (upper back) and lumbar (lower back). Cushioning discs present between each vertebra act as shock absorbers.

Spinal

Spinal Fusion

Spinal fusion is the surgical technique of combining two or more vertebrae. Fusion of the vertebrae involves insertion of secondary bone tissue obtained either through auto graft (tissues from the same patient) or allograft (tissues from the other person) to augment the bone healing process.

Spinal Decompression

Spinal decompression is treatment to relieve pressure on one or many “pinched nerves” of the spinal column. It can be achieved either surgically or by non-surgical methods. It is used to treat conditions which cause chronic backache such as herniated disc, disc bulge, sciatica, and spinal stenosis.

Vertebroplasty

Spinal decompression is treatment to relieve pressure on one or many “pinched nerves” of the spinal column. It can be achieved either surgically or by non-surgical methods. It is used to treat conditions which cause chronic backache such as herniated disc, disc bulge, sciatica, and spinal stenosis.

Balloon Kyphoplasty

Balloon kyphoplasty is a spine surgery that relieves back pain caused by a vertebral compression fracture. Osteoporosis (bone disease) is the primary cause of vertebral compression fractures. Other causes include trauma such as a fall or motor vehicle accident, and some types of cancers affecting the spinal vertebrae. The aim of balloon kyphoplasty is to relieve pain, stabilize the fracture and restore the vertebral body height.

Spine Osteotomy

Spine osteotomy is a surgical procedure in which a section of the spinal bone is cut and removed to allow for correction of spinal alignment. Spine osteotomy is usually needed for correction of severe, rigid and fixed spinal deformity when nonsurgical treatments do not relieve symptoms such as numbness, weakness, or pain due to nerve compression or when deformity is getting worse over time.

Scoliosis Treatment

Scoliosis is a condition characterized by abnormal curvature of the spine causing a deviation to one side. It causes a physical deformity making the spine look like the letter “C” or “S” instead of the letter “I”. Scoliosis can affect either the mid or the lower back, but the scoliosis of the mid back is more common.

Spinal Cord Stimulator

Back and leg pain often have causes which either improve on their own or which the surgeon can correct. Sometimes there is no easily correctable cause of the pain.

Spine Deformity Surgery

The Spine or backbone provides stability to the upper part of our body. It helps to hold the body upright. It consists of several irregularly shaped bones, called vertebrae appearing in a straight line. The spine has two gentle curves, when looked from the side and appears to be straight when viewed from the front.

Spine Deformity Surgery

The Spine or backbone provides stability to the upper part of our body. It helps to hold the body upright. It consists of several irregularly shaped bones, called vertebrae appearing in a straight line. The spine has two gentle curves, when looked from the side and appears to be straight when viewed from the front.

Robotic Spine Surgery

Robotic Assisted Spine Surgery is a minimally invasive spine surgery where the surgeon is assisted by a robotic system (Da Vinci surgical system) to perform the surgery. Robotic systems are becoming increasingly popular in the medical fraternity owing to the unique advantages including the precision, safety and many other advantages.

Spine Tumor Surgery

Spine tumor is the abnormal growths of uncontrolled tissues or cells in and around the spinal cord. Tumors can either be cancerous (malignant) or non-cancerous (benign). Some of the commonly occurring benign spinal tumors are osteoma, osteoblastoma, hemangioma, and osteochondroma.

Minimally Invasive Spine Surgery

MISS is the latest advanced technology available to perform spinal surgeries through small, less than one inch long, incisions. It involves the use of special surgical instruments, devices and advanced imaging techniques to visualize and perform the surgery through such small incisions.

Endoscopic Spine Surgery

Endoscopic spine surgery is a minimally invasive spine surgery that uses specialized video cameras and instruments to remove the herniated disc through very small incisions. The approach is made through the back, chest or abdomen, to gain access to the spine to perform the surgery.

Others

Nutrition & your Spine

Nutrients are the chemical components present in food which provide energy for carrying normal physiological functions and aid in metabolic processes of the body.

Medications

Medications play an effective role in the treatment of back or neck pain. Your doctor may prescribe several medications to help reduce pain and associated symptoms that are caused by unhealthy spinal conditions or deformities.

Possible Complications of Spinal Surgery

The most serious complication of a herniated disc that may occur before surgery is the development of the cauda equine syndrome. It occurs when a large particle of disc material is ruptured into the spinal canal. It occurs in the area where the nerves that control the bowels and bladder travel before they leave the spine.

Post-op Instructions

Your surgeon may recommend a few specific post-operative instructions following spinal surgery. You should follow the instructions of the surgeon to aid in faster recovery with optimum results. The duration of hospitalization depends on the treatment rendered.

Spine Rehabilitation

Dysfunction of the spine can be severely debilitating to one’s ability to perform activities at both home and work. Pain in the lumbar spine (lower back) is the number one reason for missed days of work, followed by pain of the cervical spine (neck) as the second.

Healthy Back Tips

Back and neck pain are the most common health problems experienced by most people, at some point of their lives. People with back pain or neck pain may have trouble in performing daily routine activities.

Proper Lifting

Lifting heavy weights and improper lifting of weights is one of the foremost causes for neck pain or lower back pain. Practicing proper lifting techniques is essential to avoid strain on the neck and back.