OPERATION INFO
SPINE
Cervical Corpectomy
Microdiscectomy
Posterior Lumbar Fusion
Posterior lumbar fusion is a surgical procedure to join two or more adjacent vertebrae in the lumbar or lower back region in order to stabilise the spine and relieve pain. The procedure fixes the vertebral bones in an ideal position and limits movement that can cause pain. It is recommended when symptoms affect your quality of life and are not relived by conservative treatment.
Anterior Cervical Discectomy with Fusion
Anterior cervical discectomy with fusion (ACDF) is a surgical procedure to treat a herniated disc in the cervical or neck region. The goal of surgery is to remove the damaged spinal disc or bony overgrowths compressing the nerve roots in the spinal cord and then fusing the adjacent vertebrae by replacing the disc space with bone graft. This procedure is performed by approaching the spine anteriorly from the front of your neck.
Minimally Invasive Microdiscectomy
Minimally Invasive Microdiscetomy or METRx Discectomy uses microscopic or endoscopic techniques to access and remove this herniated disc and relieve pressure on the compressed nerves. Minimally invasive microdiscetomy or METRx discectomy is usually performed on an outpatient basis under spinal or general anesthesia.
Computer Assisted Spine Surgery
Minimally Invasive Pedicle Screw
Instrumentation
The spine is made up of small bony segments called vertebrae. Vertebrae are categorized into cervical or neck vertebrae, thoracic (upper back), lumbar (lower back) and sacrum. This stack of bones is protected by the cushioning effects of intervertebral discs. A cylindrical bundle of nerve fibers called the spinal cord passes through the entire vertebral column and branches out to the various parts of our body to provide voluntary movement and sensation.
The spine consists of lamina which forms the roof and back of the spinal canal, and the pedicle joints which joins the lamina to the vertebral body to form the vertebral arch.
Aging and trauma can damage the intervertebral discs, causing the bones to painfully rub against each other and compress the nerves that pass through them. Your doctor may recommend a spinal fusion procedure, where the diseased bones are fused and supported with screws through a minimally invasive surgery called pedicle screw instrumentation.
Spinal Stenosis Surgical
Spinal stenosis is the narrowing of the spinal canal or neural foramina. Each bone in the vertebral column has a central opening through which the spinal cord passes, and other openings called neural foramina through which nerve roots branch out. When these openings narrow down, pressure is exerted on the nerves producing pain in the neck, back and legs.
Spinal stenosis most commonly occurs in people over 50 years of age, but can also be seen in young people who have a narrow spinal canal or have had injury to the spine.
Artificial Cervical Disk Replacement
The Spine or backbone provides support and stability to the body and helps to maintain body posture. The cervical or neck area is the upper part of the spine and is comprised of 7 vertebrae, the bones that make up the spinal column. These vertebrae are separated from one another by shock absorbing pads called intervertebral discs. Over time, the discs can wear out resulting in neck pain. Most of us, at some time in our lives, suffer from neck, shoulder, or arm pain. These disorders often occur as a result of disc abnormalities in the neck.
In the initial stages, conservative treatment options such as anti-inflammatory medications, physical therapy, and cold or heat therapy may be beneficial.
Surgery may be considered if the pain does not respond to conservative treatment.
Anterior cervical discectomy is one of the most common surgical procedures for the management of cervical spine disorders. In this procedure the herniated or degenerative disc in the cervical spine is removed and replaced by a bone graft. The discectomy is usually combined with an anterior spinal fusion, where the vertebrae are fixed together with metal plates and screws. Spinal fusion, however, is associated with several complications, including those related to bone graft harvesting and adjacent-segment disc degeneration.
Artificial cervical disc replacement is a relatively new procedure developed as an alternative to spinal fusion to provide pain relief, stability, and movement to the cervical spine with fewer complications.
Artificial cervical discs have emerged as an alternative to bone grafts, plates and screws used with spinal fusion that abolish movement at the operated vertebral segment.
HAND & WRIST
Mini-Open Carpal Tunnel Release Surgery
The carpal tunnel is a narrow passageway on the palm side of your wrist. Small wrist bones known as carpals form the bottom and sides of your carpal tunnel and a strong band of connecting tissue, known as the transverse carpal ligament, covers the top of the carpal tunnel.
The carpel tunnel houses the flexor tendons, that allow you to bend your fingers, and the median nerve, which provides sensation to most of your fingers and hand.
ELBOW
Cubital Tunnel Syndrome
Cubital Tunnel Syndrome is a condition characterized by compression of the ulnar nerve in an area of the elbow called the cubital tunnel.
The ulnar nerve travels down the back of the elbow behind the bony bump called the medial epicondyle, and through a passageway called the cubital tunnel. The cubital tunnel is a narrow passageway on the inside of the elbow formed by bone, muscle, and ligaments with the ulnar nerve passing through its center. The roof of the cubital tunnel is covered with a soft tissue called fascia.
When the elbow is bent, the ulnar nerve can stretch and catch on the bony bump. When the ulnar nerve is compressed or entrapped, the nerve can tear leading to a variety of symptoms, called cubital tunnel syndrome.
NEUROLOGY
Endoscopic Transnasal Transphoidal Surgery
The pituitary gland is a pea-sized structure located at the base of the brain. It functions by producing hormones that control or regulate various functions of the body such as growth, metabolism, sexual development and reproduction.
Pituitary adenomas are noncancerous tumors that form in the pituitary gland. These tumors cause hormonal imbalance in the body by either secreting excessive levels of a particular hormone or more than one type of hormone. They can also grow in size and compress important arteries and nerves at the base of the skull. Endoscopic transnasal transsphenoidal surgery is a minimally invasive procedure where the pituitary tumor is removed by working through the nose. This surgical technique can also be used to remove tumors located in other regions of the skull base.
Transnasal transsphenoidal surgery is a minimally invasive technique performed to remove pituitary adenomas by inserting an endoscope through the nose. An endoscope is a long tube with a camera attached at the end that sends images to a computer screen for the surgeon to view inside the body.
Endoscopic Craniotomy Microvascular Decompression for Trigeminal Neuralgia or
Hemifacial Spasm
The trigeminal nerve is the 5th cranial nerve which branches to provide sensation to different parts of the face including the eyes, cheek and jaw. Trigeminal neuralgia causes pain in these regions of the face when the trigeminal nerve is compressed by a blood vessel. On rare occasions, the trigeminal nerve may be compressed due to a tumor in the brain. Patients with trigeminal neuralgia experience episodes of severe facial pain, which can be triggered by talking, chewing or touching the face.