Spine Trauma
Dr. HAZRA handles all types of spine trauma both in the acute setting as well as chronic issues associated with spine trauma.
Spinal Trauma begins with evaluation of the nature of spinal injury with emphases on the neurological status and the stability of the spine. The main goal is to maintain and preserve neurological function and at the same time provide for a stable spine. Spine surgeons tend to classify spinal injuries based on various parameters, most important being the above two.
Assessment of spinal trauma usually includes a thorough neurological exam, Xrays, Trauma CT Scan and MRI as needed. Once the nature and severity of the injury is established, surgery may include decompression and posterior stabilization, and/or Anterior corpectomy and/or combined anterior – posterior surgeries.
Dr. Dutta tries to use minimally invasive techniques to stabilize the spine anytime it is possible which includes Lateral LIF, Minimally invasive corpectomies, minimally invasive posterior stabilization and fusion. In the cervical spine anterior approaches such as ACDF may also be performed besides posterior fusion.
PROCEDURE OFFERED-
Posterior Instrumentation and Fusion (PSF)
The goal of a posterior instrumentation and fusion is to stabilize the spine, reduce the curvature, and preserve the alignment. This is achieved with a pedicle screw and rod system, which is implanted using a minimally invasive approach. Multiple small incisions are made on the back, through which dilating tubes are placed. The screws and rods are passed through tubes so as to preserve the muscle attachments, contributing to the minimally invasive approach. The surgeon corrects the curve and alignment of the spine as he locks the rods into place. By using this minimally invasive approach, patients do not need to go to ICU, lose less blood/require fewer blood transfusions, and recover much faster, allowing them to get back to their daily activities sooner
Endoscopic Spine Surgery under Local Anesthesia
Transforaminal Endoscopic Spine surgery is another minimally invasive spine surgery technique that utilizes an Integrated working channel endoscope to treat various problems in the spine including Disc herniation (Slip Disc), Spinal Stenosis & other degenerative conditions of the spine that contribute to Back Pain & Leg Pain. The Endoscope allows to visualize & operate on the spine using a keyhole incision (Less than 8 mm).
This Surgery is performed with a patient awake and aware in an operating room set up as a day care / overnight procedure. Surgery time is approximately 30-45 minutes per disc. A small 1/4th inch incision is made on the back to the side of the spine. The entry point is precisely calculated by fluoroscopic intraoperative measurements. Sedation and local anesthesia are provided. The anesthetic will allow the patient to be comfortable during the procedure but will leave enough feeling in the nerves so the patient can actually tell when the nerve is being stimulated or when pressure is taken away from the nerve.
The evolution of technology, visualisation and instrumentation in the last 10 years has redefined the way spine surgery can be performed. Most of our patients who undergo Minimally invasive spine surgery are comfortably walking the night of the surgery and discharged subsequently. We achieve this consistently by taking advantage of every advancement available to provide you the very best surgery. This often means that Dr HAZRA will take advantage of Intra-operative Neuromonitoring, Navigation and robotics assistance as the case may demand. The whole team works synchronously to improve the safety of the spine surgery.
Minimally Invasive spine surgery is a revolutionary surgical technique in which spinal surgeries are performed using a ‘key-hole’. The procedures that can be performed with this cutting-edge technology are discectomies (for slipped disc), decompression (for lumbar canal stenosis) and spinal fusion (for spinal instability). Minimally invasive spine surgery differs from traditional spine surgery vastly. The focus is not just to get the job done, but instead the focus shifts on how to do it in the most patient friendly manner possible. All objectives of the surgery are achieved with minimal collateral damage to the soft tissues (muscles and ligaments) and bones.
- Micro-Endoscopic Spine Surgery under General Anaesthesia and
- Transforaminal Endoscopic spine surgery under Local Anesthesia.
Micro Endoscopic Spine Surgery under General Anaesthesia. Micro-Endoscopic spine surgery uses access ports of a diameter of 16mm, 18mm or 22mm. These ports are placed under fluoroscopic guidance targeting the point of interest. Through these access ports, the surgery is performed either using an endoscope or an operating microscope. The spinal muscles which are extremely important for activities of daily living are not injured when the surgery is performed this way. A whole range of surgeries from decompression to fusion can be performed this way. The surgery leaves a miniscule scar (1.5 – 2cm long) and gives the appearance of a small scratch.