The Centre of Excellence for Spine at Sunshine Hospitals is a dedicated medical and surgical department for the entire spectrum of disorders related to the vertebral column & spinal cord, led by acclaimed orthopaedic spine surgeons who are in turn supported by a skillful rehabilitation team. Intensively research-driven, the Sunshine Spine Centre has the expertise and infrastructure to carry out even the most complex spinal reconstruction procedures like scoliosis correction while employing contemporary facilities such as intraoperative neuromonitoring to deliver safer and more precise outcomes. The centre specialises in Minimally Invasive Spine Surgeries.
– Spinal disc surgeries – Lumbar & cervical
– Spinal stenosis surgeries – Lumbar & cervical
– Interbody fusions – Lumbar & cervical
– Spine trauma
– Correction of spinal deformities – Scoliosis & Kyphosis
– Vertebroplasty & Kyphoplasty
– Minimally invasive spine surgeries
– Pinhole spine surgery
– Comprehensive associated pain management services
– Complex spinal reconstructions for deformities, tumours & infections
– Minimal Access Spine Technologies (MAST)
– Dynamic stabilisation
– Osteoporotic fractures
– Navigation guided spine surgeries
Doctor: Dr. G P V Subbaiah
MS (Ortho), Fellow in Spine Surgery (Switzerland, Sweden, Germany & France)
Consultant Spine Surgeon
A 78 year old male has presented in the OPD with complaints of low backache, radiating into right & left lower limb since 1½ years difficulty in walking. The patient has a history of neurogenic claudication comfortable with lumbo sacral corset.
The patient has the history of surgery in the year 2004 for L4/L5 IVDP (Intervertebral Disc Prolapse). Following which he had 70% relief for his pain. Now using Proxyvon medication for the past 10 years.
The patient underwent X-ray and MRI investigations. LS spine X-ray resulted post laminectomy status. MRI of LS spine resulted in canal stenosis for L3/L4 , L4/L5 and L5/S1.
After all investigations Dr. Subbaiah decided to perform spine fusion surgery L3 to S1 and L5 to S1 TLIF and decompression procedure. The patient underwent fusion surgery and decompression procedure. The patient got discharged with the help of lumbar corset on 3rd day of post operation.
Consultant Spine Surgeon
The patient from Ethiopia visited Sunshine Hospitals with the complaints of low back ache radiating diagnosed as Koch spine and ATT treatment was started. The patient underwent ATT for 2 months and then discontinued the treatment.
Spine deformity step sign was noted on examination of LS spine. No FND or discharging sinuses or palpable swellings were noted.
The following are the investigation reports
X-ray of LS spine report: Complete destruction of L3 vertebral body, superior end plate of L4, inf end plate of L2 were noted as a result and loss of alignment of vertebral bodies.
MRI LS spine report: Infective spondylodiciitis of L2, L3, L4 was noted with destruction of L3. Paravertebral abcesses and bilateral psoas abcess were also noted.
The patient was admitted and investigations were done. The patient was thoroughly counseled that she must use ATT for minimum of 6 months. Under GA surgery fusion L1 – L5 with expandable cage fixation L2 – L4 (Basis and Gesco) was done. Postoperative period was uneventful. Pus was sent for C&S, HPE and molecular study. She developed vomiting and paralytic ileus. Upper GI endoscopy was done s/o drug Induced gastritis. Molecular study was suggestive of AFB positive sensitive to Isoniazid and rifampicin. Pulmonologist consultation was done for ATT treatment. She was ambulated on 3rd day with boston brace.