APOLLO INSTITUTE OF SPINE

The agony of neck or back pain with radiation to weakness of the limbs, gets most of us very worried and concerned. The fear of the “unknown” and “impending uncertainty” shatters us and our families. We at Apollo Institute of Spine wish to allay your anxiety, overcome your fear and reinforce your faith in evidence based care for all your Spine problems.

We assure you a complete healing experience as we hold your hand towards recovery. For us compassion and empathy is primary and we treat you as our own, offering contemporary diagnostics to therapeutic options for all your “Neck and Back Ailments”. State-of-the-art Radiology, Neurophysiology and Physiotherapy help our multi-disciplinary approach to optimal solutions.

Robotic Spine Surgery further improves minimally invasive targeted surgery, enhancing results and allowing early return to normal function. The option of LASER pin-hole intervention in the indicated situations and comprehensive “Pain Management procedures complete the portfolio of our facilities. I am sure you would consider visiting the Apollo Institute of Spine for “Spine illness” and we could help you “Bounce Back” to “Spine Wellness”.

HIGHLIGHTS

Dedicated Spine Team:

A team of Orthopaedic Spine Surgeons & Neurospine Surgeons work together for patient care and achieve outcomes beyond the scope of a single sub-specialty.

Wide Experience:

The Spine Team has wide experience, from occipito-cervical to lumbo-sacral spine, from birth defects to infections & cancers of the spinal cord and the vertebral column with skills from minimally invasive to complex deformity surgeries.

State-of-the-art Operating Suites:

Patient safety and superior clinical outcomes are assured with:

• Specialized Anaesthesia Team
• Dedicated Spine frame and radiolucent table for all Spine Surgeries
• Top of the line Operating microscopes and Drill systems

24/7 Spine Care Facility:

From assessment in the Emergency Room (ER) to urgent imaging including Digital X-Rays/128 Slice CT scan/3 Tesla MRI, the patient gets immediate and complete care from the team.

Robotic Spine Surgery:

Renaissance (Mazor Robotics) has introduced Robotics in Spine Surgery. The Robot assists the surgeon during all instrumentation based surgical procedures.

There is a significant improvement in ergonomics, surgical dexterity and surgeon-instrument interface.

The Renaissance Robot achieves successful placement of pedicle and translaminar screws in both open and minimally invasive spine surgeries. There is significant reduction in tremor improving accuracy, dramatic minimization of radiation exposure to the patient and the OR team. less tissue dissection, manipulation and bleeding The intra-operative precision is multiplied manifold while collateral damage is eliminated. In Robot assisted spine surgeries in conjunction with neuro-navigation. less than 0.6% of screws need revision intra-operatively as compared to 4.9% screws using the non-navigated free hand placed screws.

ROBOTIC SPINE SURGERY HAS MADE A PARADIGM SHIFT IN SAFE SPINE SURGERY

Minimally Invasive Cosmetic Spine Surgery:

Minimally Invasive Surgery reduces post-operative pain and hospital stay. The surgical team is experienced in providing the least invasive and most aesthetic option for all spine problems.

Complex Deformity Surgery:

Abnormal Spine Curves from birth or developmental stages are addressed comprehensively. Counselling, bracing, growth modulation to minimally invasive surgeries are offered as ‘custom made’ options for each deformity.

Back School:

‘Back Pain Prevention’ programs including lifestyle modifications, dietary supplementation and regular exercises are conducted at Apollo Hospitals.

Geriatric Spine Care:

Special care and counselling is provided to elderly spine patients to help them cope up with their ‘ageing spine’. Special assessment modules have been created to diagnose and treat Osteoporosis and related conditions.

WORLD-CLASS EXPERTISE, TECHNOLOGY & EQUIPMENT

Robotic Spine Surgery:

Renaissance (Mazor Robotics) is the latest technological wonder to be added to the INSTITUTE OF SPINE AND ROBOTIC SURGERY-AHNM. The wonder tool enables the Spine Surgeon to successfully plan and perform high demand complex spine surgeries including challenging deformity corrections and revision spine surgery with safety and precision.

Based on pre-operative and intra-operative radiological imaging data syncing to the patient’s individual anatomy using software programming, a virtual surgical strategy can be envisaged and replicated during the procedure. This has revolutionized safety in surgery and transformed results of critical high demand spine interventions. Deformities including Scoliosis, kyphosis & listhesis are corrected with far greater predictability and assurance. Revision surgeries are much safer Minimal invasive procedures are done with greater precision and reduction of radiation hazards.

Intra-operative Spinal Cord Monitoring:

Intra-operative Somato-Sensory Evoke Potentials (SSEP). Motor Evoke Potentials (MEP) and Electromyographic (EMG) monitoring with expert Total Intra-venous Anaesthesia (TIVA) makes Spine Surgery Safest Monitors the functioning of the spinal cord and nerves and protects from paralysis, warning the surgeon of actual / impending damage to the spinal cord or nerves during surgery.

Cutting-edge tools for Minimally Invasive surgery:

Specialized retractor systerns for minimal access and advanced Image Intensifier for ideal imaging make the surgical experience most comfortable and precise.

Neuro-navigation:

Neuro-navigation tools based on either pre-operative CT Scans and/ or Intra-operative fluoroscopy guides screw placement and helps eliminate human error in spine instrumentation surgery, It has been observed that 4.9% of non-navigated screws need to be revised intra-operatively as compared to only 0.6% of navigated screws.

Pin Hole Laser Spine Surgery:

LASER disc surgery for contained discs not responding to non-surgical care is an excellent option for early return to function in disabling slipped disc patients.

SURGICAL PROCEDURES

Spinal Micro Decompression / Discectomy:

A microsurgical/ Minimally Invasive Procedure for disc excision results in less post operative pain and early rehabilitation and discharge from hospital.

Spinal Fixation and Fusion:

Fixation is required to stabilise spine for instability or provide support to a vertebra affected by diseases like infections. e.g tuberculosis of spine. This can also be done by minimally invasive technique. Navigation guided screw placement makes the surgery safer than routine techniques.

Dynamic Stabilization of Lumbar Spine:

Done in a selected group of patient to preserve motion at the lumbar spine. This implants allow guided motion and can benefit selected group of patients who are otherwise being considered for a fusion surgery.

Spinal Fracture Decompression and Stabilization:

Treatment of spinal fractures and post-operative rehabilitation is taken care by an expert panel comprising of doctors, physiotherapists, counsellor and a social worker.

Scoliosis Correction:

Scoliosis means sideways bending of spine. Seen most commonly in school going children (girls more commonly affected), this can give rise to severe cosmetic problems. The spine unit at AHNM is capable of handling both simple and complex deformity cases. A combined team effort makes it safer with better results.

Kyphosis correction:

Means bending of spine in forward direction is most commonly caused as a result of spine TB in young children or congenital anomalies. The newer technology makes the surgery safer than before.

Spondylolisthesis Reduction & Fusion:

Spondylolisthesis means slipping of vertebra. Commonly seen in adolescent age group. With the availability of minimally invasive surgery, neuro-navigation and neuro-monitoring the surgery is less painful and safer than before.

Spinal Osteotomies:

Very stiff deformities require a cutting, realignment and stabilization of the spinal column. The intra operative neuromonitoring reduces the chances of paralysis in such complex surgeries.

Anterior thoracolumbar decompression/ fixation:

Our surgeons are well trained in performing anterior spinal (from front) surgeries. Such procedures can be very useful to patients of lumbar scoliosis where anterior surgery can save vertebral levels preserving flexibility as lesser spinal levels are fused.

Growth Rods:

Scoliosis in growing children (less than 8-10 years) can be treated with guided growth rods. The special spinal implants allow guided growth of spine which is essential to develop child’s lung and chest volume.

Open Biopsy and Fixation for Spinal Infections:

Spinal infections like tuberculosis both in children and adults can be treated at Apollo Hospitals. The frozen section facilities help the surgeons to know the diagnosis on the spot as the tissue gets examined and reported in a few minutes after sample is being taken out. This results in better planning and execution of surgery.

Cervical Disc Replacement:

This is an option to preserve motion at the cervical (neck) vertebra in younger patients. Who otherwise need a fusion/fixation surgery Instead of fixing the cervical (neck) spine with screw and plates, the disc can be replaced preserving movement at the surgical level.

Occipito Cervical Surgeries:

Highly complex surgeries at the head neck junction requires utmost care and expertise. With the combined team effort along with safety measures like intra operative neuromonitoring and Neuro-navigation, the surgery is safer than before.

Kyphoplasty:

This procedure is done to augment the strength of an osteoporotic fractured spine by inflating a balloon inside the vertebra. This restores height and also reduces chances of cement leakage, significant one of the most common problem with cement injection.

Spinal Biopsy (Percutaneous & Open):

Percutaneous CT guided biopsy allows the operating surgeon to reach the exact diseased area and get the desired sample for testing. This is usually done on an outpatient basis.

MINIMALLY INVASIVE SPINE SURGERY

• Key hole Procedures
• Minimally Invasive Cosmetic Spine Surgery
• Pin-Hole Laser Surgery
• Minimal Access decompression/fusion/fixation surgery

Minimally Invasive Spine Surgery (MISS) is performed through multiple ports using specialized instruments and equipment. Using MISS, screws, bone grafts and cages are inserted with much smaller incisions.

To decrease X-Ray radiation during surgery, Image guided Neuro-navigation is used for correct placement of implants. Real time Spinal Cord and Neuro-Monitoring makes the spine surgery extremely safe, specific and targeted.

Advantages:

• Less post-operative pain
• Smaller incisions (rather than one leg incision)
• Less soft tissue and muscle damage
• Reduced blood loss during surgery
• Quicker recovery
• Shorter hospital stay

PIN-HOLE SPINE SURGERY

In few specific conditions Lumbar & Cervical disc herniations (slipped disc) can be treated by Pin Hole LASER procedures

CONDITIONS THAT ARE MANAGED AT APOLLO HOSPITALS, NAVI MUMBAI:

• Low Back and Neck Pain
• Lumbago
• Spondylosis
• Slipped Disc
• Sciatica
• Spinal Cord Compression – Spinal Instability
• Fracture Spine
• Scoliosis and Kyphosis
• Spinal TB and other infections
• Spinal Tumours
• Congenital (Birth defect) Spinal Abnormalities
• Revision Spine Surgery
• Osteoporotic Spine Fractures
• Geriatric Spine Issues
• Piriformis syndrome, Text-Neck, Fibromyalgia etc.
• Lifestyle/ Ergonomic Spine Issues

PAIN MANAGEMENT

• Root Blocks
• Facet Blocks
• Epidural Injections
• Vertebroplasty

ROBOTIC SPINE SURGERY SYSTEM:

Utilizing Robot in spine surgery can improve the execution and outcomes, in a wide variety of procedures, including: minimally-invasive and percutaneous pedicle screw fixation for complex spinal deformity, and vertebral augmentation.

Surgical treatment of the spine requires careful planning and precision. accounting for the patient’s own unique anatomy. With Robotics, 3D planning, the surgeon creates a highly-personalized surgical plan prior to the surgery, During the procedure, the surgeon uses mechanical guidance to perform the procedure with unparalleled precision-providing consistent results and optimal outcomes for all patients.

ADVANTAGES:

Patient Outcomes

Perioperative course and accuracy of screw positioning in conventional, open robotic-guided and percutaneous robotic-guided, pedicle screw placement.

Promotes Faster Recovery

Patients can experience faster recovery time, allowing them to return to their daily activities in less time than those who received surgeries via traditional methods.

Reduced Post-Operative Pain

Clinical studies have shown patients may experience less pain following spine procedures performed with the assistance of the Robotics.

Lower Complication Rates

Clinical studies based on surgeries performed with Robotics System have shown increased favorable patient outcomes, including lower surgery complication rates.

Increased Accuracy

With the help of Robotics, spine surgery accuracy is increased 3D planning software maps out the procedure, while the Robotic System quides the surgeon’s tools within 1.5mm accuracy

For appointments:

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