Category: Spine Surgery

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05/12/2018 | Spine Surgery | No Comments

The body part spine states to the lower back, wherever the inner spine curves towards the abdomen. “Lumbar” is ensuant from the latin word “lumbus,” that means lion, and also the body part spine earns its name. It is created for each power and adaptability.

It has many completely different characteristics:

  • The lower the bone is within the vertebral column, the additional weight it should bear. The 5 vertebrae of the body part spine (L1-L5) area unit the most important unfused vertebrae within the vertebral column, sanction native them to support the burden of the complete body part.
  • The body part spine’s lowest 2spinal segments, L4-L5 and L5-S1, that embrace the vertebrae and discs, bear the foremost weight and area unit thus the foremost liable to degradation and injury.
  • The body part spine meets the bone at the lumbosacral joint (L5-S1). This joint permits for significant rotation, so the pelvis and hips might swing once walking and running.
  • The lower the bone is within the vertebral column, the additional weight it should bear. The 5 vertebrae of the body part spine (L1-L5) area unit the most important unfused vertebrae within the vertebral column, sanction native them to support the burden of the complete body part.
  • The body part spine’s lowest 2spinal segments, L4-L5 and L5-S1, that embrace the vertebrae and discs, bear the foremost weight and area unit thus the foremost liable to degradation and injury.
  • The body part spine meets the bone at the lumbosacral joint (L5-S1). This joint permits for significant rotation, so the pelvis and hips might swing once walking and running.
  • The lower spine curves slightly inward, toward the abdomen. This inward curve of the spine is termed spinal curvature.

Lumbar bone phase

Physicians typically make a case for a patient’s pathology by specializing in one bone phase, or spinal phase. The body part spine has five bone segments, termed body part phase one through five (e.g. L1, L2, L3, L4, and L5).
Each body part spine phase is comprised of:

  • Two vertebrae, likeL4-L5, stacked vertically with Associate in Nursingsaucer between them. A healthy disc is padded, with loads of water, and contains a sponge-like substance. It acts sort of a shock within the spine, permitting flexibility and providing protection from jarring movements.
  • The 2adjacent vertebrae area unit connected within the back of the spine by 2 little joints referred to as side joints. The side joints of the body part spine permit movement to bend and twist the low back altogether directions.
  • These area uni nerves that branch aloof from the vertebral column at every level of the spine. They taste little holes within the back of the lower spine. They then connect along to make the nerves, that travels into the legs down the rear of every thigh and into the calves and feet.

Doctors typically remark a patient’s body part disc drawback, or nerve or alternative lower back drawback, because the level that has 2 vertebrae and also the disc between them, like L3-L4 or L4-L5. If the disc at the terribly bottom of the spine is affected, that phase is termed the lumbosacral joint L5-S1 (the S stands for sacral, that area unit the segments below the body part spine).

The following outlines the additional common causes of lower back pain:

Muscular issues

The most common reason for lower back pain is muscle strain or alternative muscle issues. Strain thanks to work, bending, or alternative arduous or repetitive use are often quite painful, however, muscle strains typically heal among some days or weeks.
Degenerated Discs

Intervertebral discs area unit spongy pads that act as shock absorbers between every of the body part spine’s vertebrae. Disc degeneration will produce pain within the disk space. This condition is often brought up with many various terms – on this website it’s systematically termed “degenerative disc sickness.”

Lumbar Disc rupture

Herniated discs area unit commonest within the body part spine. A slipped disc might happen suddenly thanks to injury or work or happen slowly as a vicinity of general wear and tear on the spine. Leg pain (sciatica) is that the commonest symptom of a slipped disc.

Sacroiliac Joint Dysfunction
The sacroiliac joint, that connects with very cheap of the body part spine and also the prime of the tailbone, will cause lower back pain and/or neuralgia pain if there’s any variety of dysfunction within the joint that enables an excessive amount of movement or restricts traditional movement.


Spondylolisthesis happens once one bone slips forward over the one below it. The slip most typically happens within the lower body part vertebrae (e.g. L4 –L5 or L5 – S1). If the slipped bone compresses the nerve root at that level, it may result in leg pain and presumably foot pain.


Osteoarthritis within the lower back is usually referred to as side joint inflammatory disease. Aging and wear and tear will cause the gristle covering the side joints within the back of the spine to become worn and worn. Excess friction will turn out bone spurs and joint swelling that cause tenderness, the pressure to the nerve, and restricted vary of motion.

Lumbar stricture

The narrowing of the vertebral canal or nerve root canals (gaps wherever the nerve endings taste as they exit the spinal column) can cause the nerve endings to be squeezed, leading to leg pain, tingling, numbness, and even issue walking. This narrowing is commonly the results of bone spurs and joint swelling from degenerative joint disease.

Lumbar Spine Surgery Techniques

Lumbar decompression procedures area unit typically performed from the posterior (back) and embrace the techniques below.

Foraminotomy: once disc material and/or bone spurs press against a nerve exiting the gap (nerve passageway), a foraminotomy is also performed. Otomy is that the medical term for creating a gap. A foraminotomy makes the gap of the gap larger and relieves nervous disorder.

Laminotomy and Laminectomy: To access disc material offensive the vertebral canal, a tiny low gap is created within the plate. Throughout a cutting out, all or a part of the plate is removed (ectomy is that the medical term for removal of). A cutting out is performed to alleviate funiculus compression or to achieve access to a disc from the rear. cutting out is commonly accustomed treat body part spinal stricture, a narrowing of the vertebral canal generally caused by an inflammatory disease.

Facetectomy: Involves a whole or partial removal of the side joint. A facetectomy is performed to cut back nerve root compression or to achieve access to disk space.

Discectomy: Surgical removal of all or a part of a disc. Discectomy is often performed from the posterior (back) or front (anterior) through the cavity to achieve the spine.

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Spina Bifida

01/12/2018 | Spine Surgery | No Comments

Spina bifida through SurgeryXchange

Spina bifida is a birth defect which takes place when the spine and spinal cord don’t form correctly. It comes under the wide category of neural tube defects. The neural tube is the embryonic construction that ultimately develops into the baby’s brain, spinal cord, and tissues that surround them. Usually, the neural tube forms early in pregnancy, and it closes by the 28th day after formation. In babies with spina bifida, a part of the neural tube fails to grow or close properly, causes the faults in the spinal cord and in the bones of the spine.

Types of Spina Bifida

  1. Meningocele

In a form of spina bifida called meningocele, the protective tissues around the spinal cord drive out through the opening in the vertebrae, creating a sac filled with liquid. But this sac doesn’t contain spinal cord, so nerve injury is less likely to happen, however, later complications are possible.

  1. Spina bifida occulta

The mildest form, spina bifida occulta results in a minor separation or gap in one or more of the bones of the spine. Several people who have it don’t even know it, except the condition is discovered during an imaging test done for unrelated reasons.

  1. Myelomeningocele

It is also known as open spina bifida, it is the most severe form. The spinal canal is open along with numerous vertebrae in lower or middle back. The tissues and spinal nerves push through this opening at birth, forming a sac on the baby’s back, typically exposing tissues and nerves. This makes the baby prone to life-threatening infections.


Following are the symptoms of spina bifida:

  1. Spina bifida occulta.Since the spinal nerves generally are not involved, typically there are no signs or symptoms. However, evident signs may sometimes be seen on the newborn’s skin above the spinal defect, including an abnormal tuft of hair, or a small dimple or birthmark.
  2. The membranes near the spinal cord push out through an opening in the vertebrae, creating a sac filled with fluid, but this sac does not include the spinal cord.
  3. In this severe form of spina bifida:
    1. The spinal canal remains open along several vertebrae in the lower or middle back.
    2. Both the membranes and the spinal cord or nerves protrude at birth, forming a sac.
  • Tissues and nerves usually are exposed, though sometimes skin covers the sac.

Risk and Complications

Risks include:

  • Family history of neural tube defects. Couples who have had one child with a neural tube defect have higher chances of having another baby with the same defect. The risk increases if two previous children are having the same condition.
  • Some medications. For example, anti-seizure medications, such as valproic acid (Depakene), seem to cause neural tube defects when taken during pregnancy, possibly because they interfere with the body’s ability to use folate and folic acid.
  • Women having diabetes with no control over their blood sugar level have a higher risk of having a baby with spina bifida.
  • Pre-pregnancy obesity can increase the risk of neural tube birth defects, including spina bifida.


Get folic acid first

It is important to have a good amount of folic acid in your system during the early weeks of pregnancy to prevent spina bifida. Most women don’t discover that they’re pregnant until this time, experts say that all women of childbearing age should take a daily supplement of 400 micrograms (mcg) of folic acid.

Various foods, including enriched bread, pasta, rice, and some breakfast cereals, are fortified with 400 mcg of folic acid per serving.

Planning pregnancy

If you are trying to conceive, most pregnancy experts believe supplementation of at least 400 mcg of folic acid a day is the best approach for women planning a pregnancy.

Your body does not absorb folate as easily as it absorbs synthetic folic acid, and most people do not get the recommended amount of folate through diet alone, so vitamin supplements are necessary to prevent spina bifida.

To eat a healthy diet, with foods rich in folate or enriched with folic acid. This vitamin is naturally in following:

  • Citrus fruits and juices.
  • Egg yolks.
  • Dark green vegetables.


Soccer field

Soccer is one of the most common sports in the world. It is estimated that over one-quarter of a billion people play across the world. Soccer is the most loved sport in the world due to this, the chances of injuries are high. Some of them are:


Anterior Cruciate Ligament (ACL) is one of four knee ligaments that are critical to the stability of the knee joint. ACL is the middle portion of the knee that checks the movement or change in speed from slow to fast or mostly change in quick direction.
Causes: It occurs mostly while pivoting or landing from a jump or a severe collision between players.
Surgery: The usual surgery for an ACL injury is called an ACL reconstruction. The darning of the anterior cruciate ligament is a possibility, and thus the ACL is restored using another ligament to substitute for the torn ligament.


dislocated shoulder occurs when the ball of upper arm bone is enforced fully out of its usual position on the shoulder socket. It is commonly associated with severe pain and unable to move your arm until it is relocated back into the socket.
1. Traumatic shoulder dislocation
2. Repetitive Shoulder Ligament Overstrain
3. Multi-Directional Instability
STAGE I-  Joint Reduction.
STAGE II- Pain Relief. Minimize Swelling & Injury Protection.
STAGE III- Maintain & Restore Muscle Control & Strength.
STAGE IV- Restoring Normal ROM & Posture.
STAGE V- Restoring Full Function.
STAGE VI- Preventing a Recurrent Shoulder Dislocation.


spinal cord injury (SCI) is damage to the spinal cord that causes temporary or permanent changes in its function. Signs of spinal cord injury may include loss of muscle function, feeling, or autonomic function in the parts of the body served by the spinal cord below the level of the injury.
1. A severe collision between players.
2. Knee hit from other players during matches or practice.
SurgerySometimes it is used to remove certain items like fragmented bones, lodged objects, fractured vertebrae. This surgery is used to stabilize the spine but does require a lot of bed rest and rehabilitation.

SurgeryXchange is an online platform to reduce the cost of hospitalization in India. The Social objective of the right healthcare for all through access and affordability is addressed by SurgeryXchange. Get the right doctors, hospitals and be sure you need the surgery through our medical second opinion. SurgeryXchange also helps patients from Africa and other countries with easy access to medical care in India.





A stitch in time saves spine

12/03/2018 | Spine Surgery | No Comments

best spine surgeons in bangalore
Lumbar Spine Surgery In Bangalore

Are you a sportsman, a traveler, a heavyweight lifter or does your work involve straining your back at the regular time? The chances might be high that you get regular back problems more often than others. Today, one in every five people are facing backache problems or issue related the to spine, the problem has often lead to making people feel lethargic, weak and also rupturing some of the internal body parts. In a recent study done it was told that the most important part of the body is not the brain, neither the heart but it is the spine as it helps our body in shaping and developing its posture, helping us to walk, run, and stand, also giving the whole body the strength and the endurance power to carry out day to day activities.

So keeping the back problems under control can help you increase you’re personal as well as professional life.

Some of the simple methods which you can always keep in mind are:-

  1. Of all the body parts our spine is the one which works hard all day and then they finally have an opportunity to relax and get rejuvenated. To make the most of this time, providing a great mattress will allow the spine to rest in a best and comfortable way. Choosing a mattress and pillow is largely based on personal preference and majorly depend upon your preferred sleep positions as well.
  2. Your lower back and abdominal muscles need to be strong in order to support the spine and take pressure from the lower back. But most of the core muscles are rarely used during everyday activities; that’s why it is suggested to exercise for 30 minutes to 1 hour a day in order to flex those muscles. For more information regarding the required exercises please visit a doctor to help you guide the right exercise.
  3. Whether we are walking or exercising the shoes which we wear plays a very important role in supporting our lower back. Great shoes provide a supportive base that helps the spine keep upright but you should also make sure that if fits your size and comfort level as well.
  4. Lastly but not the least the massage done at right place has a huge benefit. A good massage will help you increase the body’s own natural painkiller—which in turn may allow you to improve your back problems. A proper massage can also help you to encourage the blood flow, which in return brings healing nutrients helping in a speedy recovery.

But, if these things don’t work and the problem persists for a long time then there then, you may need a surgery.

What is Lumbar spine surgery? What are its types?

The lumbar nerves are the five pairs of spinal nerves which emerge from the lumbar vertebrae which are present on either side of the spinal cord. The lumbar spine is a remarkably well-engineered structure which connects the bones and the muscles, these all contribute together around the lumbar nerves creating strength and endurance to the whole structure. If the pain starts with lumbar nerve and gets too intense then generally speaking in medical terminology it’s time to for a surgery. This surgery about the spine is called as the lumbar spine surgery.

There are two types of surgeries in the lumbar spine:

Lumbar Decompression

The surgery helps get rid of symptoms such as unparallel pain and numbness in the lower body caused by pressure in the nerves of the spine.

Lumbar decompression surgery is often used to treat;

Spinal stenosis which is, narrowing of a section of the spinal column, which puts pressure on the nerves inside a slipped disc and sciatica.

Some spinal injuries such as a fracture or the swelling of tissues may cause metastatic spinal cord compression when not treated might end up with a permanent rupture in the area.

List of Surgeries

Lumbar Fusion

A spinal fusion surgery is done in order to stop the motion at a painful vertebral segment also keeping in mind that it should decrease the pain generated from the joint.

There are also many approaches to a spinal fusion surgery, and all this involves a process such as:

  • Adding up a segment of the backbone known as bone grafting.
  • Set up a biological response that can cause the bone graft to grow between the two vertebral elements to create a bone fusion.
  • The boney fusion – which is done to replace a joint bone area with a fixed bone.

Protections after the Lumbar spine surgery?

After you are done with the surgery, you will most likely be out of bed within 24 hours or more, and you can be on medications for at least 2 to 4 weeks. The traditional approach to recover with a back surgery has been to limit bending, lifting, or twisting for six weeks to close to three months. Healing of the opening and scars could take three to four months.

Lumbar Surgeries

Generally, after a surgery, you’ll receive instructions from the doctors on how to sit carefully, rise, and stand and do other activities. But it’s important to give your body time to heal, hence chances are your doctor will probably recommend you to restrict most of the activities which cause stress in the treated area.

After surgery, be vigilant. It is best to report every small problem which you face such as fever, nausea, increased pain, headache or any infection to your doctor right away.

Practice healthy habits by taking care of your body, and try to follow these basic steps:-

  • Follow a plan which might be given by the doctor.
  • Sit, stand, walk, move properly
  • Learn to lift smaller weights and see the implications.
  • Exercise regularly especially which is told by the doctor.
  • Use proper sports equipment also doesn’t try to use it for long it hurts you back.
  • Maintaining a healthy body weight.
  • Eat healthy as per the required diet.
  • Stop smoking and avoiding consumption of alcohol.

All said and done we should never forget that the spine is the central part of the nervous system, along with the brain, and the millions of nerves that send messages to the brain (which also controls the body’s function) are all connected to the spine. A healthy spine gives a way to the entire system, the strength of the body increases in endurance power, and provides support to the arms and legs, also helping in regular breathing and digestion.

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Spine Surgery

06/04/2017 | Spine Surgery | No Comments

What is Spine Surgery?

Spine  or Spinal cord  or backbone is one  the most important portion of human physical anatomy . Spine is the pillar of the body. It is the most active , engaged  and utilized part of an individual’s body. There are numerous aspects  that slowly and  steadily affect the spine; normal activities like walking  & sitting  start to create structural changes and  gaps in the vertebrae of the spinal column. If  the issues  are  diagnosed at an early stage  then it can be treated by using mere medications at low cost and with physical therapy .

However some of the issues  that are major may  require a spine surgery.

Low cost Spine Surgery in India

India is a preferred destination for specialist procedures in Spine Surgery. Cost are not only  affordable or low but are also just a fraction of what one normally spends in the western or any other developed countries. It is no wonder that India is one of the most favored global health care destinations for Spine Surgery today owing to high-tech medical solutions to a large variety of healthcare problems, .

Spinal Cord Treatments in India

Top spine surgeons in India are experts in minimally invasive Spine Surgery with less tissue damage can come as an ideal respite in most spinal conditions and  using very small incisions with little muscle retraction . Many surgeries can now be performed under local anesthesia owing to targeted treatment of pathology.While preventing complications associated with high risk of  prolonged bed rest and anesthesia , patients are now able get back to normal work routine much faster. Post surgery pain is also relatively less with far less probability of failed back syndrome. Spinal cord injury treatments in India can give best treatments to a variety of spine related medical conditions and  are affordable.

Surgeries Available  for Spine Treatment In India

Minimally Invasive Spine Surgery

Less Invasive Spine Surgery is another name for (MISS ) Minimally Invasive Spine Surgery . In this procedure specialized instruments are used through small incisions to have access to operating sites in spine. MISS also allows surgeons to focus view at problematic area. Some of the other advantages are shorter stays in hospitals and reduced  bleeding with smaller incisions that translating into an faster recovery time. However, in some neck & back  problems cannot yet be effectively cure with procedures that are  minimally invasive .

Laser Spine Surgery

Generally Surgeons performing Laser Spine Surgery remove the source of nerve sensitivity  and  pain by cutting-off ends and reducing the size of disks between vertebrae. People who are suffering from this would go to any length to eliminate or reduce discomfort. Instead of going under the knife most