The Orthopaedic Spine Surgery Division in KMCH, under Dr Sreedharan Namboothiri P E is one of the most advanced orthopaedic spine center in india with the latest state of the art diagnostic and surgical equipments. Our orthopaedic spine unit has expertise in doing the rarest of the rare cases as well as the cases which are complex and difficult. We are doing the following procedures:
ENDOSCOPY AND RELATED PROCEDURES
We do Percutaneous transforaminal endoscopic spine surgery(PELD) ,Discography, Selective Nerve Root Block (SNRB),Cervical discography, and Foraminoplasty PELD:This is a latest advancement in disc surgery in lumbar region .This procedure is done under local anasthesia with least damage to surrounding structures .Only one day admission is needed.
Discography: in this procedure radioconstrast agent is injected into the intervertebral disc space under fluoroscopic guidance to evaluate annular competence and also to help us to correlate the patient’s symptoms with the disc pathology and decision making for surgery. SNRB is a specialized procedure which tries to correlate the patient’s pain to a particular nerve root.
Foraminoplasty is the very recent advancement in the field of endoscopic spine surgery by which we can open up the intervertebral foramina and relieve the compressive effect on the nerve root by disc, ligament or abnormal bone.
MINIMALLY INVASIVE SURGERIES
Microlumbar discectomy(MLD),Trans Foraminal Lumbar Inter Body Fusion(TLIF), Vertebroplasty, Trans Pedicular Biopsy, Percutaneous Pedicle screw Fixation MLD is a procedure in which stenosed spinal canal is decompressed under microscopic visualisation to improve the accuracy and to minimise damage to sorrounding structures TLIF :A procedure highly succesful in chronic low back ache due to spinal instability ;the unstable spine is fused using allograft & spinal instrumentation In vertebraoplasty, we inject bone cement into the vertebral body percutaneously to stabilise an unstable vertebra and to alleviate vertebral pain due to tumor or osteoporotic fracture.
SPINAL DEFORMITY CORRECTION
Include Scoliosis Correction, High grade Spondylolisthesis Correction and fusion, Kyphosis surgery We do all types of scoliosis works, from congenital to adult. We have experience in correcting scoliosis as large as 100 degrees, and by both anterior and posterior surgery.
OTHER PROCEDURES
We regularly do spine Fracture reduction and fixation, Cervical Corpectomy, Surgeries for advanced spinal Tuberculosis , Surgeries for spinal tumours, and Craniocervical junction surgeries.
Percutaneous Endoscopic Spine Surgery
It is a very recent advance in the field of spine surgery which is being done under local anaesthesia in the awake and alert patient . It is very safe, injures no normal structures and is almost scarless, the patient can walk very early after the surgery and he can go home even the same day of surgery. We have a very good experience with the procedure and we have achieved very good results. Equipped with the state of the art Holmium -Yag laser, KMCH is one of the pioneer centres in Percutaneous Endoscopic Spine Surgery.
KMCH is more than a hospital,it is a training institute and teaching hospital affiliated to leading university of the country. Recently we got affiliation from the Tamil Nadu Dr MGR medical university for starting Fellowship programme in Spine surgery.