Back pain is one of the most common problems occur among a large number of people around the world. Continuously sitting for long hours, lack of exercise and unhealthy working habits are some of the most common causes of back pain. Typically, back pain is treated with simple medications or exercises. It is only when all this fails and quality of life is severely affected that the doctors recommend spine surgery to treat severe and prolonged back pain condition. The common conditions treated are disc prolapses causing nerve symptoms in the neck and back along with chronic neck and back pain. These may include an examination and assessment by a physiotherapist or specialist nurse, an MRI scan*, and a consultation with a consultant spinal surgeon or neurosurgeon.
Open surgery vs. minimally invasive surgery
Spine surgery is often performed as open surgery. This creates an opening at the operative site with a long incision so the surgeon can view and access the spinal anatomy. Because minimally invasive spine surgery (MISS), does not involve long incisions, open manipulation of the muscles and tissue surrounding the spine is avoided, therefore, leading to shorter operative time.
Open surgery vs. minimally invasive surgery traditionally, spine surgery is usually performed as open surgery. However, technology has advanced to the point where more spine conditions can be treated with minimally invasive techniques. Because minimally invasive spine surgery (MISS), does not creates long incisions, therefore, leading to shorter operative time. In general, reducing intraoperative (during surgery) manipulation of soft tissues results in less postoperative pain and a faster recovery.
Common surgical procedures of spine:
There are a number of reasons which leads to spine surgery. Common procedures include:
- Discectomy or Microdiscectomy: Removal of a herniated intervertebral disc. Therefore, removing pressure from the compressed nerve. Microdiscectomy is a MISS procedure.
- Laminectomy: Removal of the thin bony plate on the back of the vertebra called the laminae to increase space within the spinal canal and relieve pressure.
- Laminotomy: Removal of a portion of the vertebral arch (lamina) that covers the spinal cord. A laminotomy removes less bone than a laminectomy.
Both laminectomy and laminotomy are decompression procedures. “Decompression” usually means tissue compressing a spinal nerve is removed.
- Foraminotomy: This procedure is done to remove bone or tissue in the passageway (called the neuroforamen) where nerve roots branch off the spinal cord and exit the spinal column.
- Disc replacement: As an alternative to fusion, the injured disc is replaced with an artificial one.
- Spinal fusion: A surgical technique used to join two vertebrae. Spinal fusion may include the use of bone graft with or without instrumentation (eg, rods, screws). There are different types of bone graft, such as your own bone (autograft) and donor bone (allograft). A fusion can be accomplished by different approaches\
ALIF, PLIF, TLIF, LIF: All pertain to lumbar interbody fusion used to stabilize the spinal vertebrae and eliminate movement between the bones.
- Anterior Lumbar Interbody Fusion
- Posterior Lumbar Interbody Fusion
- Transforaminal Lumbar Interbody Fusion indicates a surgical approach through the foramen.
- Lateral Interbody Fusion in which the minimally invasive approach is from the side of the body.
Through the foramen. Lateral Interbody Fusion in which the minimally invasive approach is from the side of the body.
Spine Surgery by Dr. Arvind Kulkarni
Dr. Arvind Kulkarni performs the full range of spinal procedures from Minimally Invasive Spine Surgery (MISS), to major spine surgery procedures like complex spinal reconstructions. Dr. Arvind Kulkarni is indeed a pioneer Spine surgeon In India. Indeed Spine surgery in India has seen many advancements and innovations due to the excellent Spine surgeon like Dr. Kulkarni. He offers a comprehensive multidisciplinary approach to patients in need of spine surgery. Dr. Arvind Kulkarni offers an integrated approach to patients that include surgical and non-surgical options such as pain management and physical therapy.
- Treatment of patients with spine pain or problems
- Advanced fusion techniques
- Surgical procedures through minimally invasive approaches
- Pain injections
His staff has been hand-picked for positive attitudes, motivational skills and desire to provide outstanding service. In addition, they have been specially trained to provide comprehensive clinical care for the patients undergoing back or neck surgery.
Contact Dr. Arvind Kulkarni
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