NEUROSURGERY & SPINE SPECIALITY

Our aim is to provide state of the art brain & spine care, to every individual. Our experienced team of doctors lead by Dr. Rakeshkumar C. Luhana (M.B.B.S., M.S., D.N.B.) are efficient to treat all the neurosurgical and spinal disorder.

Neurosurgery is a surgical subspecialty to treat surgical disorders of brain and spine. That includes brain and spinal injuries, tumours, slipped disc etc…

Spine surgery is a recently developing subspecialty to treat disorders related to spine/nerves/disc and spinal cord.

We are specialised in:

  • Minimally invasive spine surgery
  • Microscopic spine and brain surgeries
  • Brain tumour surgeries 
  • Spine and brain trauma
  • Micro vascular decompression for trigeminal neuralgia
  • Hemifacial spasm.

When to consult a spine specialist

When to consult a spine specialist
• Back/Neck/Leg Pain
• Tingling/Numness/Weakness in hands and legs.
• Sciatica – If you have pain shooting down to leg from back
• Neck pain shooting to hand/Tingling/Numness in arms.
• If you have to seat down after standing/ walking for few minutes.
• If you have back pain and also have poor urinary stream/unable to control
urination.
• If you have swelling in your back/tuft of hair; back/foot deformity/uncontrolled
urination.
• Spine and Spinal cord Injury
• Spine and Spinal Cord infection / Tuberculosis/ Tumor
WHAT ARE THE COMMON TESTS FOR EVALUTION OF SPINE?
Patient’s clinical examination is the most important for further evaluation you may need.
• M.R.I (Magnetic Resonance Imaging)
• X-Ray
• CT Scan
• Neurophysiological evaluation
– N.C.V (Nerve Conduction Velocity)
– EMG (Electro Myo Graphy)
TREATMENT OPTION FOR SPINAL DISORDERS
• Based on Clinical and Radiological evaluation line of treatment is decided.
• Medical Management
• Physiotherapy and Lifestyle Modification / postural care
• Pain Procedure (Injection on Spine, Radio Frequency Or Ozone Treatment
• Operation
Lumber Disc Hernniation
Signs/Symptoms: Severe Leg pain (Sciatica), Tingling/Numbness/Weakness in
lower limb , Bladder/Bowel function impairment.

Operation:-
Micro Discectomy:

A small incision is placed in back under microscope, a small fenestration is made
impinging disc fragment is removed and nerve root is made free.
MINIMALLY INVASIVE MICRO DISCECTOMY


PERCUTANEOUS TRANSFORMINAL ENDOSCOPE DISECTOMY

LUMBAR CANAL STENOSIS
Signs/Symptoms: Leg/back pain Tingling/Pain/Heaviness on standing/Walking / Unable
to stand/walk for more time.
OPERATION:
• Operation through Microscope
• MIDSS- : Minimally Invasive Decompression of spinal stenosis High-Tech
surgery in which pressure is removed from the nerve with minimum bone drilling

• Laminectomy: Reducing pressure on nerve by removal of Laminae

SPONDYLOLISTHESIS

Signs/Symptoms

• Back pain/ Leg Pain/ Problem in Standing / walking for more time
Operation:
• TLIF: Transforaminal Lumber Interbody Fusion

Pressure on nerve is reduced with the help of microscope. Later on, with the help of
padicle screw, bone cage is fixed between the 2 spines.
• Minimally Invasive Transformnial Lumbar Interbody Fusion (MIS-TLIF)


Cervical Disc Herniation

Signs/Symptoms:
• Neck and Hand Pain, Tingling / numbness / weakness in upper limb
• Problem in balancing of legs while walking
• Heaviness / Numbness / weakness in legs
OPERATION
ANTERIOR CERVICAL MICRO DISCECTOMY & FUSION ( ACDF )


A disc is removed and spinal Cord is decompressed and a bone graft with plate /cage is
placed.
CERVICAL DISC REPLACEMENT
After doing a cervical discectomy instead of Fusion; artificial disc is placed.  It will
maintain motion and prevents accelerated adjacent segment degeneration in future.
MINIMALY INVASIVE CERVICAL LAMINOFORAMINOTOMY WITH
MICRODISECTOMY:

Under microscope a small window is made in Lamina and Lateral mass and nerve root is
decompressed.

WHEN TO OPT FOR SPINE SURGERY
• Spine Surgery helps in improving way of lifestyle in major ways.
• Intolerable pain in legs and hands or weakness
• When MRI detects the same and there is no relief through medical management
or physiotherapy
• If the operation is done, at right time, for right problem and through right
procedure, then it becomes a success.
• Do not be afraid of spine surgery
• Take a decision by discussing with the doctor
Minimally Invasive Spine Surgery


Minimal Invasive Spine Surgery is an advanced technique for the treatment of patients
with neck and Back problems .
In this procedure a small incision is made, in that incision a tubular retractor is inserted,
after that procedure is carried out using a microscope. Post-surgery, once the retractor is
removed , muscles regain their position. ( muscle spreading , no muscle cutting ) image
• Advantages of the procedure
1.       Very small incision


2.       Negligible blood loss
3.       Muscles are not cut as the surgery happens through a key hole
4.       Only the surgical site is exposed, nearby areas remain unaffected
5.       Speedy recovery
–          Which all surgeries can be performed?

• Minimal Invasive Lumbar Microdiscectomy
• Minimal Invasive Decompression of Lumbar Canal Stenosis
• Minimal Invasive Transformenal Lumbar Interbody Fusion
• Minimal Invasive Cervical Laminoforaminotimy and microdiscectomy

TRANSFORAMINAL ENDOSCOPIC DISCECTOMY


Advantage:

• Performed Under Local Anesthesia
• Small Incision
• Early Recovery
• Same Day Discharge/Early Return To the Work.
AFTER OPERATION CARE
• Consult the advice of the doctor
• Walk Regularly
• Exercise Regularly
• Change your Lifestyle
• Lose and regulate your body weight
The Above care shall help you to get best results from the operation and will help you to
recover faster.

Is Spine Surgery Safe ?

MYTH: High Morbidity & High Mortality.

TRUTH: Safe , High Success Rate

LATEST INSTRUMENTS

Intraoperative ultrasound microscope

 

INTRA OPERATIVE NEURO-
MONITORING(IONM)

 

INTRA OPERATIVE NEURO-
MONITORING(IONM)

 

 

MISONIX BONE SCALPEL+

SONASTAR ULTRASONIC ASPIRATOR

High Speed  – Drill System