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Advanced TreatmentWith Utmost Care

At Nanavati Centre for Orthopaedics, Joint Reconstruction & Spine Surgery, the emphasis is always on early rehabilitation. In the case of disc operations, patients are discharged from the hospital on the same day after the microsurgery. Patients who undergo Minimal Access Fusion Surgery are discharged from the hospital a day after the surgical procedure. Results of these surgeries are at par with global standards.

Treatment & Surgeries

Disc is a kind of cushion between two vertebral bones. It has a soft center and an outer hard shell. If the disc ruptures, the soft inner material can come out and press the nerve leading to leg or arm pain depending on whether disc prolapse occurred in lower back or neck.

9 out of 10 patients suffering from disc prolapse get better with rest and medication. However, 1 out of 10 patients, who is unable to settle or has significant weakness in arm or leg because of disc prolapse may need surgery to remove the material pressing on the nerve.

Discectomy is a surgical procedure for treating disc prolapse. A portion of the disc along with a small amount of bone is removed. It is done with the help of a microscope through a small incision. Because of the use of minimally invasive techniques, patient can be discharged from the hospital quickly and the recovery is even faster.

Decompression is a standard procedure to release compressed nerves. The material, usually bone, is removed to release the nerve, thus decompressing them. Whenever suitable, such procedures are conducted through ‘Minimally Invasive Key Hole Approach’. In other cases, open surgery is recommended.

Spinal fusion is a surgery done to join together two bones (vertebrae) of spine resulting in zero movement between them. This leads to relief of pain from spinal segment. In certain selected cases, such procedures are conducted through ‘Minimally Invasive Key Hole Techniques’ (MITLIF). When required, open techniques are also used.

Osteoporosis can lead to spontaneous fracture of back bone: ‘Vertebral Compression Fracture’ (V.C.F.)

This can cause significant pain which can be very disabling at times.

Most of these fractures can be managed by bracing, pain killer drugs and medicines for Osteoporosis. However if pain does not subside, or in certain fracture patterns as seen on X-ray and C.T. Scan, it is now possible to insert bone cement into the fractured vertebral bone (vertebroplasty / kyphoplasty). This is done under local anaesthesia while the patient is awake. Patient can be relieved of pain and can walk soon after the procedure.

  • To relieve your leg pain by removing whatever is pressing on the nerve i.e. disc, bone or scar tissue
  • To achieve fusion for relief of back pain or to stabilize unstable segment of spine
  • To relieve pressure on spinal cord or nerves in case it is leading to weakness in arms or legs
  • Improve quality of life and return to work / sport as soon as possible

Normally, you are admitted to the hospital one day before your operation. The operation will take place the next morning. You are usually in the hospital for 1-5 nights after your operation, depending on the type of surgery e.g. you may be discharged after a day or so following micro-surgery for slip disc, or may have to stay longer for major decompression and / or fusion surgery.

Operation is usually done under general anaesthesia except vertebroplasty or kyphoplasty (injecting bone cement in osteoporotic spine fracture).

  • Microdiscectomy for slip disc: size of the incision may be 2 cm or above depending on patient’s weight
  • Minimally Invasive Fusion (decompression and stabilization): There may be 4-6 small stab incisions and one 3-4 cm incision
  • Open decompression and stabilization – incision length may be 8 cm or above
  • When you wake up following your operation you can expect (any or all) the following:
  • You will be lying flat on your back with a dressing over the wound
  • A drip for fluids may be attached to your arm until you start eating and drinking
  • A wound drain may be attached to your back to minimize bruising and swelling
  • Pain control may be administered via a drip in the arm or in the tablet form
  • Occasionally, a catheter may be fitted to assist you in urination
  • Patients who develop weakness in their hands or legs due to a spinal problem
  • Patients who are having severe pain which is not relieved by pain killers and rest
  • Patients with chronic problems not relieved by any rest or physiotherapy for a long duration
  • Obese patients unable to do any exercise due to obesity and spinal problems
  • Prolapsed Disc (Slip Disc)
  • Lumbar Canal Stenosis
  • Spondylosis & Spondylolisthesis
  • Tuberculosis of the Spine
  • Spinal Deformity (Scoliosis or Kyphosis)
  • Osteoporosis

Our team ofSpine Surgery

 

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Dr. Mihir Bapat
Director - Nanavati Institute of Spine Surgery & Senior Consultant Minimally Invasive Spine Surgery

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Dr. Amandeep Gujral
Senior Consultant

Doctor's Video

Patient Success Story - Video

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Cancer Ward

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Critical Care Unit 1

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About Nanavati Hospital

The iconic healthcare institution of Mumbai, Dr. Balabhai Nanavati Hospital, blessed by Mahatma Gandhi and inaugurated in 1950 by India’s first Prime Minister Jawaharlal Nehru, is now reintroduced as Nanavati Super Speciality Hospital.

Nanavati Super Speciality Hospital has been at the forefront of healthcare for 65 years. Today the 350 bed facility housing 55 speciality departments offers a plethora of services in practically every field of modern medicine and health care. Our well-equipped hospital rooms, state-of-the-art departments and technologically advanced systems are all backed by the expertise and reputation of over 350 consultants, 100 resident doctors, 475 nursing staff and 1500 employees.

The hospital’s state-of-the-art Imaging Centre, spanning over 10,000 sq. ft, houses 3 Tesla 32 channel wide bore Magnetic Resonance Imaging (MRI) scanner with MR guided Focused Ultrasound Surgery (MRgFUS) and High-Intensity-Focused-Ultrasound, 64 slice Positron Emission Tomography–Computed Tomography (PET CT) with cardiac capability. The Catheterization Lab at Nanavati Heart Centre which is the first of its kind in Mumbai, has a team of highly experienced and qualified faculty providing 24x7 Interventional Cardiac Services.

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