Spinal Diseases
Congenital:
Spina bifida
A child is born with an incompletely developed spinal column, resulting in visible spinal structures on the back in the form of meningocele or myelomeningocele.
Associated features may include:
- Tuft of hair
- Skin dimple on the lower back
- Tethered cord
- Bony spur
- Splitting of the spinal cord into two halves (diastetomyelia)
Craniovertebral (Cranio-cervical) Junction Anomalies
- Arnold–Chiari malformations
- Basilar invagination
- Other related anomalies
Spinal Tumours
These present with backache, leg pain, weakness of the legs, and numbness. If not treated in time, the patient may be left with permanent damage.
Meningioma/Neurofibroma
After surgical removal, these tumours usually do not recur. these are benign tumors.
Glioma / Ependymoma
These are malignant tumours that require biopsy/surgical excision, and radiotherapy.
Metastatic Tumours
These occur from primary tumours of the prostate, lung, intestine, breast, etc.
They usually destroy the bony column, which in turn compresses the spinal cord or nerve roots, resulting in weakness of the limbs and incontinence. If dealt with in time, decompression and stabilization of the spinal column give good results.
Spinal Injury
These conditions also result in neurological deficits. Adequate treatment provides pain relief and preservation of neural structures.
Degeneration and Aging
Degeneration of the spinal column results in disc prolapse, spinal canal stenosis, and instability (spondylolisthesis).
These are very common problems that present to our outpatient clinic.
Disc prolapse can be dealt with using endoscopic or microscopic (minimally invasive) procedures. However, when multiple discs cause narrowing of the spinal canal, conventional procedures are more beneficial.
In cases of spinal instability, spinal fixation is required using various techniques, such as:
- Pedicle screws
- PLIF
- TLIF
- XLIF
Cervical spine disc disease is usually dealt by operation from side of Neck i.e. ACDF
(anterior cervical disectomy & fusion). Or posteriorly by laminectomy and lateral mass screws.
understand neuro spine system
1. Cervical Spine (Neck Region)
- The cervical spine is made up of 7 vertebrae (C1 to C7). This region is the most flexible part of the spine, allowing movement in the neck.
- The first cervical vertebra (C1) supports the skull, enabling up-and-down head movement. The second vertebra (C2) allows for left and right rotation of the head.
- Due to its delicate nature, cervical vertebrae are prone to conditions like herniated discs, cervical spondylosis, and neck pain.
2. Thoracic Spine (Chest Region)
- The thoracic spine consists of 12 vertebrae (T1 to T12) and forms the middle portion of the back. These vertebrae are larger and stronger than cervical vertebrae but less flexible.
- The thoracic vertebrae are attached to the ribs and provide a stable protective structure for the organs in the chest.
- Common conditions include scoliosis, thoracic disc herniation, and fractures.
3. Lumbar Spine (Lower Back Region)
- The lumbar spine is composed of 5 vertebrae (L1 to L5) and is the largest and most robust part of the spine.
- The lumbar region bears much of the upper body’s weight and is therefore more susceptible to strain, wear, and injury.
- The lumbar region bears much of the upper body’s weight and is therefore more susceptible to strain, wear, and injury.
4. Sacral Spine (Pelvic Region)
- The sacrum is a triangular bone formed by the fusion of five vertebrae. It is located at the base of the spine, between the two hip bones.
- Sacral issues can cause pain in the lower back or pelvis, and conditions like sacral fractures or sacroiliac joint dysfunction may occur.
5. Coccygeal Spine (Tailbone Region)
- The coccyx, or tailbone, consists of 3-5 fused vertebrae. It provides attachment points for muscles in the pelvic region and helps bear weight while sitting.
- Coccyx injuries, typically from falls or trauma, can result in persistent pain (coccydynia).
Spinal Disorders and Their Impact
Spinal conditions can significantly affect mobility and quality of life. Some common spinal issues include:
- Herniated Discs : When the soft center of a disc bulges out, putting pressure on the nerves and causing pain, numbness, or weakness.
- Degenerative Disc Disease : The natural wear and tear of discs, leading to pain and stiffness.
- Spinal Stenosis : Narrowing of the spinal canal, which puts pressure on the nerves and causes discomfort and weakness.
- Spondylolisthesis : A condition where one vertebra slips over another, causing instability and pain. – Scoliosis: An abnormal curvature of the spine.
- Osteoarthritis : Joint degeneration that affects the spine and causes pain, stiffness, and limited mobility.
Why Choose Spine Surgery with Neurosurgery Associates?
Dr. Anjum Habib Vohra, one of the leading spine surgeons in docters Hospital Lahore, is renowned for his expertise in treating various spinal conditions. With years of experience and a dedication to patient care, Dr. Anjum Habib provides advanced treatments and surgical options for spinal disorders. Here’s why patients choose.
1. Expert Spine Care
Dr. Anjum Habib Vohra has specialized training and years of experience in performing spine surgeries to treat conditions such as herniated discs, spinal fractures, scoliosis, and more.
2. Personalized Treatment Plans
Each patient’s condition is unique, and Dr. Anjum Habib Vohra takes a tailored approach to care, ensuring that every treatment plan is suited to the individual’s needs and lifestyle.
3. Minimally Invasive Spine Surgery
Dr. Anjum Habib Vohra offers minimally invasive techniques that reduce recovery time and minimize trauma to surrounding tissues. This results in quicker healing and fewer complications.
4. Advanced Technology
Using the latest diagnostic tools like MRI, CT scans, and X-rays, Dr. Anjum Habib Vohra ensures accurate diagnosis and optimal treatment planning.
5. Comprehensive Care
From diagnosis to post-operative care, Dr. Anjum Habib Vohra provides comprehensive management for every aspect of spine treatment. Physical therapy and rehabilitation are key components of his holistic approach.
Common Spinal Surgeries Performed by Dr. Anjum Habib Vohra
1. Discectomy
- Removal of a herniated disc to relieve pressure on the nerves, reducing pain and discomfort.
2. Spinal Fusion
- Fusing two or more vertebrae to treat instability, degenerative conditions, or fractures.
3. Laminectomy
- Removal of part of the vertebra to relieve pressure on the spinal cord or nerves, often used to treat spinal stenosis.
4. Spinal Decompression Surgery
- A surgery to relieve pressure on the spinal cord or nerves caused by herniated discs, bone spurs, or tumors.
5. Kyphoplasty and Vertebroplasty
- Minimally invasive procedures to stabilize fractured vertebrae, often performed in cases of osteoporosis.
Step-by-Step Spine Surgery Process with Dr. Anjum Habib Vohra
1. Pre-Surgical Evaluation
- A thorough examination of medical history, physical assessment, and diagnostic imaging (MRI, X-rays, or CT scans) to understand the problem and determine the best treatment.
2. Surgical Procedure
- The surgery is typically performed under general anesthesia. Dr. Anjum Habib Vohra will use advanced techniques to minimize incisions and ensure the best possible outcome.
3. Post-Operative Care
- After surgery, patients receive pain management and detailed instructions on wound care. Physical therapy may be prescribed to assist in recovery.
4. Recovery and Rehabilitation
- Recovery time varies based on the surgery, but most patients begin to feel better within a few weeks. Full recovery can take a few months, depending on the type of surgery and the patient’s progress.
Risks and Complications
As with any surgery, there are potential risks, including:
- Infection at the surgical site
- Nerve injury
- Bleeding
- Blood clots
- Failure to achieve full pain relief
Dr. Anjum Habib Vohra follows strict safety protocols to minimize these risks and ensure a smooth recovery process.
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