Dr. Ashish Mahajan is with Operative Spine Surgeons Dr. Vishal Kundnani & Dr. Aniruddh Ambekar
Revised Pedicle Screw Fixation Surgery
About the Patient:
65 yrs old Female, Mrs. Khan underwent a Pedicle Screw Fixation Surgery 4 years back at a renowned hospital in Mumbai. She had been a known Hypertensive for the past 4 years. A month back the patient had faced a jerk while walking down the stairs, which resulted in severe giddiness and loss of mobility. 15 days back, she faced severe tingling & numbness in both the lower limbs during sitting position, which bettered only while in the supine position. On investigation it was found out that she had a Vertebral Body Fracture, L5. There was complete halt to mobility in the last 4 days. Thus Revision Pedicle Screw Fixation Surgery was performed in the Supra Major OT by Dr. Vishal Kundnani with Dr. Aniruddh Ambekar at Lifelline Medicare Hospitals.
About the Operating Surgeon:
Dr. Vishal Kundnani is a Consulting Spine Surgeon at Lifelline Medicare Hospitals. He is fellowship trained in various aspects of spine surgery and his credentials have been garnered with fellowship in Paediatric Spine Surgery- Australia, Fellowship in minimally invasive spine surgery- Singapore, Fellowship in Minimal Invasive Spine Surgery-Korea, Fellowship in Adult spinal reconstruction -Singapore, Fellowship in Cervical Spin Surgery – Japan and fellowship in Complex Spinal Reconstruction – Japan. Dr Vishal Kundnani has performed more than 1000 Minimal Invasive spine and more than 2000 conventional lumbar spine and cervical spine surgeries including Microdiscectomy, Microendoscopic Decompression, MIS-TLIF for various indications, Laminectomy, Spinal Instrumentation, Spinal Biopsy , Spinal Deformity Surgery (Scoliosis and Kyphosis) correction- Scoliosis Correction Surgery and instrumented fusions for various spinal ailments . He has performed many navigation guided spine surgery and is well trained for Robotic Spine Surgeries
Surgery – Revised Pedicle Screw Fixation:
Use of Pedicle Screw Systems for spinal stabilization has become increasingly common in Spine Surgery. In common language, the spine is given stability by use of plates, screwed to the spine with help of screws. There are various systems coming up. The techniques and procedures of screw placement as well as anatomical landmarks of screw placement, however, are common to all systems.
Advantages of Pedicle Screw Fixation:
The pedicle represents the strongest point of attachment of the spine and thus significant forces can be applied to the spine without failure of the bone-metal junction. Furthermore, the rigidity of pedicle fixation allows for the incorporation of fewer normal motion segments in order to achieve stabilization of an abnormal level. Pedicle screw fixation does not require intact dorsal elements. Thus, it can be used after a laminectomy or traumatic disruption of laminae, spinous processes and/or facets. Additional advantages include fewer requirements for postoperative bracing and improvements in fusion rates.
The patient was shifted to Ward the same day. Next 2 days the patient was monitored after which Physiotherapy was started. In just 7 days from the day of the Surgery, the patient was completely out of the issue & discharged. This Surgery was done on 23rd June 2019, 14:00 hours
Medically Underwritten by: Ashish Arun Mahajan