Home
  The surgeons
:: Dr. Sajan Hegde
:: Dr. Suryanarayan
  The Hospital
 

Spine services
:: Neck
:: Disc prolapse
:: Disc degen
:: Disc replacement

 

:: Low back
:: Disc prolapse
:: Degenerated disc
:: Spondylolisthesis
:: Failed back surgery

  :: Deformity
:: Scoliosis
:: Kyphosis
:: Kypho-scoliosis
  :: Spinal injuries
  :: Spinal tumors
 

:: Infections
:: TB
:: Pyogenic
:: Fungal

  Joint replacement services
  :: Arthritis
:: Non surgical options
:: Rehabilitations
:: Alternative medicine
:: Surgical treatment
  :: Hip surgery
:: Primary hip surgery
:: Hip resurfacing
:: Revision hip surgery
:: Minimal invasive Surgery
  :: Knee surgery
:: Primary knee replacement
:: Revision knee surgery
:: Unicondylar knee
:: MIS - TKA
  :: Shoulder & elbow replacements
  :: Contact us
  :: Disclaimer
   
   
Spinal Injuries

Even minor falls or trauma can sometimes produce a spine fracture. Many of these injuries will never require surgery, but major fractures can result in serious long-term problems unless treated promptly and properly. Spine fractures range from painful compression fractures, often seen after minor trauma in osteoporotic patients, to more severe injuries such as burst fractures and fracture-dislocations which occur following auto accidents or falls from height. These severe injuries frequently result in spinal instability, with a high risk of spinal cord injury, deformity and pain.

Surgeons who treat fractures must have an expert understanding of the mechanics of spinal injuries, understand the risk of worsening deformity in untreated fractures, and be trained in the numerous techniques for reconstructing the spinal column. The Spine Unit at Apollo Hospitals, Chennai provides world-class care for fractures of the cervical, thoracic, and lumbar spine, and can repair or reconstruct many problems resulting from previously treated injuries. Many fractures may be treated without surgery, but assessment by a spinal surgeon insures that the injury is correctly diagnosed and that all appropriate treatment options are considered before embarking on surgery.

 


Case - 1

A 50 year old lady who met with an accident and was completely paralyzed neck down. She sustained a fracture in the neck with gross displacement and dislocation of C6 vertebra over C7.

Corrective surgery using cervical spinal implants restored normal alignment, allowing her to make a full recovery.

 

Gross dislocation and displacement of C6 vertebra
over C7

 

Realignment and fixation with implants (Front and back)

 

Case - 2

30 year old male patient presented to the emergency after a fall from height. He complained of weakness in both the lower limbs and also inability to pass urine. Examination revealed paraparesis.

X-ray, CT scan and MRI revealed burst fracture of the first lumbar vertebra with cord compression. He was taken up for emergency surgery. He underwent anterior decompression and reconstruction with stabilization. A new implant designed by Dr. Sajan Hegde was used for stabilization.

 

CT scan images showing a severe burst fracture at L1 vertebra with canal encroachment

 

Front and side view of the spine showing reconstruction with cage and anterior double rod system

 

Case - 3

17 year old girl with fracture at L1 and complete paraplegia after a fall from height. Underwent surgery from the front and from the back to decompress the spinal cord, and reconstruct and stabilize the spine.

 

CT scan images showing severe communition of the L1 vertebra with severe canal encroachment and rupture of the ligaments

 

Axial CT scan image showing bony fragment
in the spinal canal

 

Side view of MRI scan showing severe
compression of the spinal cord

 

Front and side view of the postoperative x-rays showing front and back reconstruction with cage

 

All rights reserved www.spineandjoints.org