Cervical Spine Disorders – Surgery and Treatment

Cervical Spine:
The cervical spine is the most flexible anatomic region in the axial skeleton. Distinct segments of the cervical spine give us the ability to perform complex neck motions like head turning or tilting and to carry weight or absorb impact while protecting the delicate spinal cord and nerve roots that pass through the cervical vertebra.
Spine Image 6
Cervical Spine Disorders:
Cervical Spine Disc Bulge
Cervical Spine Disc Protrusion
Cervical spine disorders are a problem for many adults. The cervical spine contains many different anatomic structures, including muscles, bones, ligaments, and joints. Each of these structures has nerve endings that can detect painful problems when they occur.
Posterior Microdiscectomy for cervical spine:
This procedure is performed through a vertical incision in the posterior (back) of your neck, generally in the middle. This approach may be considered for a large soft disc herniation that is located on the side of the spinal cord. A high speed burr is used to remove some of the facet joint, and the nerve root is identified under the facet joint. The nerve root needs to be gently moved to the side to free up the disc herniation.
Spine Image 1

Posterior Cervical Laminectomy for Cervical Spine:
This procedure requires a small incision in the middle of the neck to remove bone spur formations or disc material. The foramen, the passage in the vertebrae of the spine through which the spinal nerve roots travel is enlarged, to allow the nerves to pass through.

Surgeon will remove a section of the lamina (the back bony part of the vertebrae) and ligament to find the exact area of the compression. An operating microscope is used to create an opening, and part of the lamina is removed to take pressure off the nerves and spinal cord. If needed, bone spurs, tissue and any disc fragments causing the compression are also removed.

Spine Image 2

Anterior Cervical Disectomy for Cervical Spine:
This operation is performed on the neck to relieve pressure on one or more nerve roots, or on the spinal cord.The Cervical Spine is reached through a small incision in the anterior (front) of your neck. If only one disc is to be removed, it will typically be a small horizontal incision in the crease of the skin. If the operation is more extensive, it may require a slanted or longer incision. After the soft tissues of the neck are separated, the intervertebral disc and bone spurs are removed. The space left between the vertebrae may be left open or filled with a small piece of bone through spinal fusion.

Spine Image 3

Anterior Cervical Corpectomy for cervical spine:
This operation is performed in conjunction with the anterior cervical disectomy. The corpectomy is often done for multi-level cervical stenosis with spinal cord compression caused by bone spur formations. In this procedure, the neurosurgeon removes a part of the vertebral body to relieve pressure on the spinal cord. One or more vertebral bodies may be removed including the adjoining discs. The incision is generally larger. The space between the vertebrae is filled using a small piece of bone through spinal fusion. Because more bone is removed, the recovery process for the fusion to heal and the neck to become stable is generally longer than with anterior cervical discectomy. Surgeon may select to use a metal plate that is screwed into the front of the vertebra to help the healing process.

Spine Image 4

Cervical Artificial Disc Replacement surgery:
This procedure allows us to decompress the nerves in your neck without compromising your ability to move your neck. Traditionally, orthopaedic surgeons treat neck pain caused by pressure on the nerves and spinal cord with fusion surgery, which unites affected vertebrae into one solid bone. This resolves pain, but replaces it with neck stiffness. Cervical artificial replacement not only resolves your pain, it preserves your neck range of motion. This unique motion-sparing technique also allows you to return to your normal activities faster and with fewer post-operative safety measures.

Spine Image 5
Spine Rehabilitation treatment:
Spinal rehabilitation is the discipline of medicine that guides the physical, psychological, and social recovery of individuals who have become partially or totally disabled because of spinal disease or injury. Because the muscles and joints of the spine are not easily observed, the need for rehabilitation from spinal disorders has been recognized slowly and rehabilitation gains have been more difficult to measure by objective standards. Manual or manipulative therapy may be effective for the treatment of pain and restoration of movement in the short term, but it has not been shown to be effective in the long term.

Spine Specialist Doctors in India

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Dr.Vikas Gupta

Name of the Doctor: Dr. Vikas Gupte
Designation: Consultant Spine Surgeon
Speciality: Spine Surgery Specialist

Dr. Vikas Gupte brings to Fortis Spine Centre a very rich experience and expertise in performing Minimally Invasive and Endoscopic Spine surgeries.

Dr.Gupte has undergone a one year of Clinical Fellowship training in Minimal Invasive and Endoscopic Spine Surgery at Wooridul Spine Hospital, Seoul, Korea. It is a renowned world-class dedicated hospital for spinal disorders and a recognized training center for American Board for Minimal Invasive Spine Surgery. He is also an active member of Asian academy of Minimal Invasive Spine Surgery.

Education:
Passed M.B.B.S. from T.N.M.C. (Mumbai)
Passed M.S.(Ortho) from T.N.M.C. (Mumbai) in 1988

International Spine Training:
1 year clinical fellowship training in “Minimal Invasive & Endoscopic Spine Surgery” at International Spine Surgery Training Centre at Wooridul Spine Hospital, Seoul, Korea
Fellowship training in “Management of Spinal Disorders at Spinal Injuries Centre”, Japan Labour, Health, and Welfare Organization at Iizuka city, Fukuoka, Japan

Experience : 26+ Year(s)

Awards:

  1. Awarded certificate of Appreciation by Narayan Seva Mandal for attending camp held on 29th Jan.1989 for welfare of Needy Handicapped.
  2. Awarded E-Merck Traveling Fellowship for year 1988 by Bombay Orthopedic Society
  3. Professional Membership
  4. Asian Academy of Minimal Invasive Spine Surgery
  5. Bombay Orthopaedic Society
  6. Maharashtra Orthopaedic Association
  7. Indian Orthopaedic Association
  8. Association of Spine Surgeons of India
  9. Indian Medical Association
  10. Association of Medical Consultants, Mumbai
  11. Nursing Home Owner’s Association, Mumbai

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Dr.Puneet Girdhar

Name of the Doctor: Dr. Puneet Girdhar
Designation: Consultant – Spine
Speciality: Spine Surgery Specialist

Dr. Puneet Girdhar specializes in the surgical and non-surgical management of spinal disorders involving neck and back, utilizing turn of the century minimally invasive techniques. He also specializes in minimally invasive hip, knee and shoulder surgery.
In his pursuit for excellence, he has visited and trained at various specialized centers in North America, Europe and Singapore with the masters in the fields of orthopaedic surgery, especially in the fields of Minimal invasive techniques for spinal decompression/ fusion, hip/ knee arthroplasty. These techniques allow for shorter recovery times, reduced postoperative pain, less muscle injury and a more rapid return to normal activities of daily living.

He remains actively involved in research and developing innovative surgical techniques in the fields of orthopedics and spine surgery. In the course of his career, he published multiple scientific papers and lectured extensively in the field of orthopedics.

Dr. Puneed Girdhar is also well versed with non-surgical pain relieving techniques such as Nerve root blocks, Facetal injections and Edidural infiltrations.

Professional Membership / Professional Affiliations / Professional Socities:
Indian Orthopedic Association (IOA)
AO Alumni, Switzerland
AO Spine
Association of Spine Surgeons of India (ASSI)
International Spine Intervention Society
Indian Arthoplasty Association
Gurgaon Orthopedics Society
Courses Attended & Hands On Workshops:
Spine fellow with Dr. Mun Wai Yue, Singapore General Hospital, Singapore, Singapore.
Endoscopic spine fellow with Dr. Jean Destandau, Bordeaux, France.
Articular surface arthroplasty fellow with Dr. Thomas Seibel, Knappschafts Krankehaus, Germany.
Minimal invasive hip arthroplasty fellow with Dr. Tarik A.S. Selmi, Croix Rousse University, France.
AO trauma fellowship with Dr. Wade Smith, Denver Health, Colorado, USA.

EXPERIENCE:
Spine Microdisceclumy, Anterior/ Posterior Decompression and Instrumentation, Minimal invasive spinal fusions, Artificial disc replacements and deformity correction in Cervical, thoracic and lumber spine in a wide array of Congenital, Degenerative, Neoplastic and Traumatic conditions of spine.

Minimal invasive approaches for Joint Replacements in various arthritic conditions of hip, knee and shoulder, and arthroscopic ligament reconstructions in various sports injuries.

Complex adult trauma including the management of acetabular fractures.

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Dr.Hitesh Garg

Name of the Doctor: Dr. Hitesh Garg
Designation: Sr. Consultant
Speciality: Spine Surgery Specialist

Dr Hitesh Garg graduated from India’s Best Medical College – All India Institute of Medical Sciences ( AIIMS ) before joining KEM College, Mumbai to specialize in Orthopaedic Surgery. His special interest in Spine surgery took him to USA for doing fellowship from YALE University. He specializes in deformity correction procedures, disc replacement procedures and is equally adept in Adult and Paediatric surgery.

Dr Hitesh Garg has impeccable academic credentials from the Best Medical Institutions around the world. After doing his Post Graduation from one of the busiest orthopaedic setups in India at the KEM College, Mumbai, Dr Garg headed to the Yale University in USA for doing one year fellowship in Spine Surgery and following it with one year fellowship in Paediatric Spine Surgery from Philadelphia, USA. He has also done Fellowship in Joint Replacement from AIIMS.

Qualification:
MBBS (AIIMS, New Delhi)
MS (Ortho, KEM, Mumbai)
Fellowship in Spine Surgery (Yale University, USA)
Fellowship in Pediatric Spine (Philadelphia, USA)
Joint Replacement Fellowship (AIIMS)

EXPERIENCE:
11/2010 to 7/2011 Clinical spine fellows, Shriners Hospitals for Children, Philadelphia, USA
3/2010 to 11/2010 Associate Consultant spine surgeon, Artemis health institute, Gurgaon, India
8/2009 to 2/2010 Consultant Orthopedic and Spine Surgeon, Sahara Hospital, Gwalior, India
7/2008 to 7/2009 Clinical spine fellow, Yale University, New Haven, USA
3/2008 to 7/2008 Consultant Orthopedic Surgeon, Sahara Hospital, Gwalior, India

ACHIEVEMENTS:
Started the Spine surgery department together with Dr. Arun Saroha (Neurosurgical spine surgeon) at Artemis Health Institute
Has performed more than 1000 spine surgeries including 200 deformity correction procedures (Scoliosis and kyphosis), 150 lumbar and cervical artificial disc replacements
Performing the most advanced spine surgery procedures like fusionless techniques for deformity correction and degenerative spine
Officially certified from Synthes Spine Advancing Technologies Forum, Pennysylvania to perform Prodisc-C and Prodisc-L implantation procedures

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Dr.Arun Saroha

Name of the Doctor: Dr. Arun Saroha
Designation: Senior Consultant & Unit Head Neurosurgery (Brain and Spine) Max Super Specialty Hospital, New Delhi
Speciality: Neurology and Neuro Surgery
Spine Surgery Specialist

Dr. Arun Saroha is working as Neurosurgeon with a special interest in spine surgery for the last 17 years. He specializes in Neuro-oncology, Paediatric Neurosurgery, Neurotrauma, Stroke & Cerebrovascular surgery. He has also been performing instrumented/ Non instrumentation spine surgeries, including minimally invasive techniques. He has performed more than 8,000 Neurosurgeries (Spine and Brain) successfully till date.

Qualification
Medical School: MBBS,Rabindra Nath Tagore (RNT) Medical College, Udaipur
Post Graduate Training: MS (General Surgery)
Super Specialty Training: M.Ch (Neurosurgery) PGIMER, Chandigarh, India
Visiting Fellow: Singapore General Hospital, Singapore

Clinical Experience
Dr. Saroha is a dynamic and vastly experienced neurosurgeon.
Dr. Saroha gained valuable experience in his stints as:
Chief Resident and Research Fellow at PGI Chandigarh, 1999- 2002
Consultant Neurosurgeon at VIMHANS, New Delhi, 2002-05
Consultant Neurosurgeon, Paras Institute of Neurosciences, 2006-2008
Consultant Neurosurgeon at VIMHANS, New Delhi (2003 – 2005)
Chief Neurosurgeon at Privat VIMHANS Neurosciences centre, Gurgaon, Haryana.
Consultant Neurosurgeon at PARAS Hospitals, Gurgaon (2006 – 2008)
Consultant Neurosurgeon at Artemis Health Institute (2008 – 2010)
Head, Unit of Spine Surgery & Neurosurgery at Artemis Health Institute (2010 – 2014)

Extensive expertise in:
Degenerative spine disorders
Brain Tumors
Disc replacements
Congenital Cranial Deformity
Spine trauma
Complex Spine Fixation
Professional Memberships:
North American Spine Society – NASS
American Association of Neurological Surgeons – AANS
Neurological society of India – NSI
Neurological Spine Society of India – NSSI
Association of Spine Surgeons of India – ASSI
Neurotrauma society of India  Spinal Cord Society – SCS
Association of Surgeons of India – ASI
AO Spine – Asia Pacific (Delegate)
Walter E Dandy Neurological Society

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Dr.Arun Bhanot

Name of the Doctor: Dr. Arun Bhanot
Designation: Chief of Spine Services
Speciality: Spine Surgery Specialist

Dr. Arun Bhanot, a distinguished spine surgeon, is a fellow of Wooridul Spine Hospital, South Korea, which is the world’s biggest spine hospital. He has performed more than 1500 spinal procedures and more than 300 endoscopic and minimally invasive spinal procedures under local anesthesia. Dr Bhanot pioneered Keyhole Cervical Endoscopic Disc Surgery under Local Anesthesia in India and is one of the leading surgeons in India to perform keyhole endoscopic lumbar slip disc surgery.

Previous Experience:
Chief Endoscopic and Microscopic Spine Surgeon, Primus Super specialty Hospital, New Delhi
Consultant Spine Surgeon, Jaipur Golden Hospital, New Delhi
Professional Memberships Life member Indian Orthopaedic Association , IOA,
Life member Association of Spine Surgeons of India, ASSI
Life member The American Academy of Minimally Invasive Spinal Specialists, AAMISS
Education and Fellowships:
Fellow of American Board of Minimally Invasive Spine Surgery (FABMISS)
Fellowship Minimally Invasive Spine Surgery – Wooridul Spine Hospital, Seoul, South Korea
MS (Orthopedics) Govt. Medical College & Hospital, Amritsar
MBBS Government Medical College & Hospital, Amritsar

Specialty Interests:
Minimally invasive spinal procedures : Transforaminal endoscopic discectomies, selective nerve root blocks
Microscopic spinal decompression, instrumentation and stabilization procedures.
Percutaneous Endoscopic Cervical Discectomy
Percutaneous Vertebroplasty and Kyphoplasty
Spinal Deformity Correction

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Dr.Raghu Prasad Varma

Name of the Doctor: Dr. Raghu Prasad Varma
Hospital: Mumbai
Speciality: SPINE SURGEON
Designation: Sr. Consultant

Qualifications
M.S Orth (Mumbai), Fcps, Dnb (Orth)

Experience:
13 Years’ Experience

About:
Dr.Raghu Prasad Varma is an eminent Consultant Spine Surgeon with more than ten years of experience associated with Fortis Hiranandani Hospital, Vashi. You can get the phone number of Dr. Raghu Prasad Varma on Practo.com.

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Dr.Thomas Joesph Kishen

Name of the Doctor: Dr. Thomas Joseph Kishen
Hospital: Bangalore Spine Clinic
Speciality: Spine Surgery
Designation: Sr. Consultant

Qualifications
MBBS
Diploma in Orthopedic Surgery [D’Ortho]
Diplomat of the National Board [DNB Orthopedics]
Fellowship in Spine Surgery
Advanced Fellowship in Spine
Surgery
GradCert in University Learning and Teaching

Experience:
Seoul Spine Institute with Prof Se II Suk. South Korea. January 2008, Barnes Jewish Hospital, St Louis Children’s Hospital and Shriners Hospital with Dr. Lawrence Lenke, Washington University School of Medicine, St. Louis, Missouri, USA. September 2008

Awards Received:
Dr. Balu Sankaran Gold Medal for “standing first in India in the Diplomate of the National Board Exam” in Orthopaedics for the year 2001, Professor M.V. Daniel Gold Medal for “Exemplary Commitment to Patient Care” for the year 2000 from PSG Institute of Medical Sciences, Coimbatore

HBG case study on Cervical Spinal Stenosis and Disc prolapsed

Case of Mr. Peter, 56 year old man from Nigeria

“The gentleman was suffering from Advanced Degenerative Disc Disease in the Cervical Spine with Severe Spinal Stenosis due to Disc Prolapse at C4C5, C5C6 and C6-C7.

The gentleman was offered the following opinion and assistance-

Recommended Surgery For Cervical Spine: The recommended surgery is Anterior Cervical Discectomy and Fusion. In this surgery, diseased disc would be excised completely and replaced with spacer device, pressure over spinal cord is released and the two bones are fused together with anterior cervical plate.

On arrival the gentleman would require detailed clinical investigations which may include MRI Spine, Blood Monitoring and Spine X-rays before the treatment.

The Surgery is done using latest state of the art minimally invasive techniques using US FDA approved implants. Doctors use Neuro-Monitoring during surgery which helps to continuously monitor nerves and muscles during surgery which greatly reduces the risk of damage to nerves and muscles during surgery and thus making this surgery very safe.

The implants are titanium pedicle screws. 

Prognosis: Very Good. The Success rate of the Surgery is 98%. 

We recommend following hospitals, having acclaimed doctors:

  1. BLK Super Specialty Hospital, New Delhi – BLK Hospital possibly has the best of the mix of doctors in the country today. They have a star studded Cancer Team, one of the finest managed Critical Care Units and best trained Neurologists and Cardiologists. Given the technological back up, they are most well placed to take care of this case. You can visit our website https://hbgmedicalassistance.com/blk-super-specialty/

Dr. Puneet Girdhar- He specializes in the surgical and non-surgical management of spinal disorders involving neck and back, utilizing turn of the century minimally invasive techniques. He also specializes in minimally invasive hip, knee and shoulder surgery. To know more about him kindly click on the link: https://hbgmedicalassistance.com/dr-puneet-girdhar/

 

  1. Artemis Hospital, Gurgaon- Artemis Health Institute (AHI), at Gurgaon is 300-bed tertiary care super-specialty flagship hospital established by Artemis Health Sciences (AHS). Artemis Hospital is the first JCI and NABH accredited hospital in Gurgaon. Artemis aims at creating an integrated world-class healthcare system by leveraging the best medical practices backed by cutting-edge technology. To know more about the Hospital, please click on the link: https://hbgmedicalassistance.com/artemis-health-institute/

Dr. Hitesh Garg- He is senior consultant for Spine surgeries. To know more about the Doctor, Please click on the link: https://hbgmedicalassistance.com/dr-hitesh-garg/

 

  1. Fortis Healthcare, Mumbai is a leading integrated healthcare delivery provider, present in 11 countries, in the Asia Pacific region. The healthcare verticals of the company span diagnostics,   primary care, day care specialty and hospitals. Fortis Healthcare is driven by the vision of saving and enriching lives through clinical excellence. Currently, the company operates its healthcare delivery network in India, Mauritius, Singapore, Sri Lanka and UAE with 75 hospitals, over 12,000 beds, 600 primary care centers, 191 day care specialty centers, 230 diagnostic centers and a talent pool of 23,000 people. To know more kindly visit https://hbgmedicalassistance.com/fortis-hospitals/  on our website.

Dr. VikasGupte: Dr.Gupte has undergone a one year of Clinical Fellowship training in Minimal Invasive and Endoscopic Spine Surgery at Wooridul Spine Hospital, Seoul, Korea. It is a renowned world-class dedicated hospital for spinal disorders and a recognized training center for American Board for Minimal Invasive Spine Surgery. To know more about this doctor kindly click on the link: https://hbgmedicalassistance.com/dr-vikas-gupte/

Estimated Cost:

HOSPITALS LOCATION COST OF CERVICAL spine surgery in sharing room
BLK HOSPITAL NEW DELHI USD 5000
ARTEMIS HOSPITAL GURGAON, NCR DELHI USD 6000
Fortis Hospitals MUMBAI USD 6000

 

Cost of Evaluations will be approximately USD 1000

Total Stay: The gentleman would require a stay of 5 days in the hospital and further 10 days in the guest house for recuperation and follow-up.

The package will include:

  1. The cost of all investigations
  2. The cost of the treatment
  3. The doctor’s fee and surgery charges
  4. The stay of patient and 1 attendant in hospital while surgery.
  5. All meals for the patient and the attendant as per the available menu while in hospital.
  6. Medical Consumables and Medicines while in hospital.
  7. The fee for dietician and nursing while in hospital.
  8. It also includes complementary Airport Transfers, Forex Services and assistance.

Post Discharge, we will help them find a decent guest house near the hospital. They may prepare for approx. USD 50 per day for the accommodation for two.