Best spine surgery Hospitals in Maharashtra

Spine is one of the strongest parts of the human body. It balances the entire body weight and our workload. Spine suffers a lot of wear and tear continuously throughout life. Before the age of 30, we can jump/run and endure long hours of work and play. This is because the spine and muscles are strong. All we feel is a tired ache or cramp due to overactivity which is relieved with proper rest. After the age of 30, your spine starts getting weaker and stiffer thereby losing its performance endurance and strength. Hence, to support the spine better, our muscles need to gear up.Best spine surgery Hospitals in Maharashtra

The Centre of Spine Surgery at Nanavati Super Specialty Hospital offers a wide range of services to diagnose and treat acute and chronic spinal disorders. From non-surgical treatments to surgical options, we develop patient-centric treatment plans intending to help our patients return to a normal and active lifestyle.

The centre is known for providing comprehensive care to each patient using a multidisciplinary approach, leading-edge technology, state-of-the-art infrastructure, and managing all kinds of spinal surgeries such as:- 

1. Minimally Invasive Spine Surgery:

    Minimally = as little as possible
    Invasive  = intrusive; involving less Soft tissue damage

Minimally Invasive Surgery (MIS) is a surgical procedure which is performed using specialised instruments and advanced techniques that causes less disruption to the body\'s tissues as compared to traditional open surgical procedures. Some of the major advantages of minimally invasive procedures include:

• Less wear and tear to muscles or soft tissues
• Smaller incisions, therefore, less scaring
• Reduced hospital stay post-surgery
• Less recovery time
• Faster return to normal activities
• Reduced risk of infection at the site of incision
• Less pain and discomfort 

Our team of surgeons at the centre performs MIS spinal procedures by making a few small incisions and using a specialised instrument which passes down to the spine through an incision, with the help of a retractor. This instrument has a high-quality camera attached to its tip, which when passed down to the spine, provides clearer images of the area to be operated. The surgeon may use any of the following tools (instrument) and techniques:

• Microscopy: It involves the use of a surgical microscope that has a high-definition camera on its tip. A microscope is placed over the retractor and inserted into the body through an incision thus providing a highly magnified, brightly illuminated view of the surgical area.
• Fluoroscopy: This technique involves the use of X-ray beams to produce real-time X-ray images, like a video X-ray. These images are projected onto a screen for the surgeon.
• Navigation: This technique allows a surgeon real-time positioning of the instrument/ implants into the body without the need for repetitive C-arm/ X-ray shoots minimising radiation exposure. 

Minimally invasive surgical procedures include:

• Image-Guided Surgery: It is a procedure that helps surgeons to obtain real-time feedback, using a special camera, during the operation regarding the position of surgical instruments and implants concerning the spine. 
• Vertebroplasty: A procedure used to treat osteoporotic compression fractures. It is performed by inserting a small balloon inside the vertebrae and injecting cement into the space created by the balloon in order to fill the fractured bone and to provide immediate relief from pain.
• Microdecompression / Laminectomy: removing the lamina, a bone that makes up part of the vertebra, in the lumbar spine (low back). This type of surgery involves the removal of a small bone from the spine and helps to relieve chronic pain developed due to nerve root compression in the back or lower limbs.
• Lumbar Microdiscectomy: This type of spinal surgery is for patients suffering from herniated intervertebral discs. It involves removal of prolapsed (‘slipped’) discs in the lumbar spine, using a microscope and microsurgical tools, thereby relieving the pressure on the nerve. 
• Percutaneous Pedicle Fixation: The placement of metal rods and screws in sturdy sections of vertebrae called the pedicles.
• Transforaminal Interbody Lumbar Fusion (TLIF): It is a procedure in which the surgeon replaces a damaged disc (or discs) with a new bone.

2.    Conventional Spine Surgery

3.    Pain Management

Treatment for pain always begins with a conservative approach. A brief period of rest coupled with pain killers and physiotherapy is the first line of therapy. Epidural steroid injections (nerve blocks) are used to reduce severe nerve radiation pain. A plan to recondition the spine muscles with exercises, postural adjustments, and diet modification is mandatory.