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Institute of Spine Surgery

Pain in the back/neck affects all individuals at least once in their lifetime. Of which, 20-30% of the times the main cause for the pain is due to some spinal problem.


Various spinal diseases can affect at any age. Some of the commonly seen spinal problems are: 

  • Prolapsed Disc (Slip Disc)
  • Lumbar Canal Stenosis
  • Spondylosis & Spondylolisthesis
  • Tuberculosis of the Spine
  • Spinal Deformity (Scoliosis or Kyphosis)
  • Osteoporosis 


Any pressure on the nerves leading to compression causes various complaints like back/neck pain & arm/leg pain. The pressure on the nerves can be due to a slipped disc, spondylosis, ligament or bony growth. 


Spine Surgeon and Spine Treatment:


A spine surgeon is the best person qualified to address a spine problem, diagnosis is done be clinical examination and various tests like MRI, CT Scan, X-Ray, and some nerve and blood tests. 

About 85% of the spinal problems can be treated conservatively by physiotherapy, rehabilitation, injections and proper ergonomic training which again a spine surgeon with a trained physiotherapist can advise. 


Spine Surgery:


 It is important to remember that everyone having backache do not require a spine surgery.Surgery may be recommended in… 

  • Patients who develop weakness in their hands or legs due to a spinal problem
  • Patients who are having severe pain which is not relieved by pain killers and rest
  • Patients with chronic problems not relieved by any rest or physiotherapy for a long duration
  • Obese patients unable to do any exercise due to obesity and spinal problems


Earlier, spinal surgeries were considered an extensive surgery, with a huge scar, extended post-operative stay and bed rest and significant post-operative pain & sometimes disability. However, there has been tremendous change in the way spine surgery in done nowadays where Minimally Invasive techniques are used to treatment the underlying concern. 


Minimal Invasive Spine Surgery involves small incision, with less muscle destruction and lesser blood loss. Long microscopes and other instruments give a better view of the operating field, reducing the chances of the complications. Hence post-operatively pain is reduced. Thus, the patient is mobilised soon after the surgery, and is discharged sooner in comparison to the patent treated with traditional mode of open surgery.


Technologically Enhanced -3D C-arm and Navigation at Nanavati Institute of Spine Surgery:


Spine surgery has experienced much technological innovation over the past decades. The field has seen advancements in operative techniques, implants, biologics and equipment such as computer-assisted navigation and surgical robotics. With the arrival of real-time image guidance and imaging ability to process and reconstruct these data into an interactive three-dimensional spinal "map", a surgeon is better equipped than ever for understanding the complications in a surgical field.


Spine surgery commonly involves placing permanent implants inside a patient's body. These implants have to be placed accurately taking great care not to injure the surrounding nerves and vessels. Till now, a conventional C-arm was used for such procedures which provided images in AP and lateral planes. The quality of the images depended a lot on the level of surgery and the soft tissue depth. For these reasons, it often provided poor images in obese patients and in surgeries at thoracic level. But the introduction of 3D C-arm has virtually removed the guesswork out of spine surgery. A precise 3-dimensional anatomic information provided by image-guided technology provides multiplanar visualisation which allows for any surgical instrument to be tracked in real time with reference to the anatomy.


The applications for intraoperative navigation and 3-dimensional imaging are especially beneficial in complex cases such as resection of spinal column and intradural tumours, revision procedures for arthrodesed spines, and deformity cases with distorted anatomy. Implants such as pedicle screws can be placed in a deformed spine to an accuracy of 1/10th of a millimetre. Additionally, these platforms may mitigate much of the harmful radiation exposure in minimally invasive surgery to which the patient, surgeon, and ancillary operating room staff are subjected. In routine procedures like bone biopsy, it has proved to be a safer option compared to CT scan guided biopsy by significantly reducing the radiation exposure to the patient.


 Watch video here :- 3D C arm & Navigation

 3D C arm & Neuro Navigation in Nanavati Spine Suite


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