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Overview

One of the best spine surgery hospital in Kochi, the Centre for Spine Care at Aster Medcity offers highly-advanced and personalised surgical and non-surgical treatment including minimally invasive spine surgery & awake spine surgery for management of neck and back problems, complex, disorders of the spine, disc degeneration and herniation, spinal deformities like scoliosis, spine and spinal cord injuries, spinal tumours and cranio-vertebral anomalies.

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One of the best spine surgery hospital in Kochi, the Centre for Spine Care at Aster Medcity offers highly-advanced and personalised surgical and non-surgical treatment including minimally invasive spine surgery & awake spine surgery for management of neck and back problems, complex, disorders of the spine, disc degeneration and herniation, spinal deformities like scoliosis, spine and spinal cord injuries, spinal tumours and cranio-vertebral anomalies.

The exceptional team of doctors comprising Neurosurgeons and Orthopaedic Surgeons with specialised training in Spine Surgery, Neuro Trauma experts, Interventional Neuroradiologists, Radiation Oncologists, Pain Management & Critical Care experts, Neuro Anaesthetists and Spine Pathologists provide high-quality, evidence-based treatment to patients, with the help of an award-winning team of Nurses, Rehabilitation Therapists and Technicians. Multidisciplinary in approach, they create personalised, holistic treatment plans for patients to ensure the best possible medical outcomes.

Backed by state-of-the-art diagnostic and intra-operative technology including Stealth Station Neuro-Navigation, 3D- C Arm, Leica Microscopes and Allen Spine System Table, Aster Centre for Spine Care offers high-precision, safe minimally invasive spine surgery (key-hole spine surgery) that enables patients to return to normal life within a matter of hours to days.

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Doctors

Dr. Anup P Nair

Consultant-Neurosurgery And Spine Surgery
Neuro Anupnair

Dr. Renjith K R

Consultant-Orthopaedic Spine Surgery
Dr renjith kr ortho

Dr. Vijay Jayakrishnan

Senior Consultant-Interventional Neuroradiology
Neuro Vijayjaykrishnan

Dr. K M Mathew

Senior Consultant-Physical Medicine And Rehabilitation
Rehabilitation Mathew

Dr. Ramkumar P

Senior Consultant-Pain & Palliative Medicine
Oncology Ramkumar

Dr. Jithendra T

Consultant
Anaesthesia Jithendra

Facilities

We combine our expertise in the areas of patient-care, clinical research and academics in order to provide the highest level of specialised services to our patients. The Aster spine center was conceived as part of the overall scope of neurosurgery and was incorporated into our original vision document. As part of the transformation into a global COE a dedicated aster spine center was proposed. This would be a multispeciality service including neurosurgical and orthopaedic spine surgeons covering the entire gamut of spine pathology, both elective and emergency.

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We combine our expertise in the areas of patient-care, clinical research and academics in order to provide the highest level of specialised services to our patients. The Aster spine center was conceived as part of the overall scope of neurosurgery and was incorporated into our original vision document. As part of the transformation into a global COE a dedicated aster spine center was proposed. This would be a multispeciality service including neurosurgical and orthopaedic spine surgeons covering the entire gamut of spine pathology, both elective and emergency. The primary spine service would be supported by a very active physical medicine and rehabilitation service, and other departments like neurology, endocrinology, radiology and oncology. It might be possible to include an element of holistic care into the spine center by association with indigenous systems of medicine like Ayurveda.

  • OR1 Fusion Digital Integrated Green OT certified surgical Suites
  • IntelliSpace Critical Care and Anaesthesia (ICCA) ICUs
  • Level 3 PICU
  • 3.0 Tesla Widebore MRI
  • 256 Slice Philips iCT Scan
  • DEXA for bone density measurement
  • Philips Astonish True Flight Select
  • PET-CT with Time Of Flight Technology
  • GE SPECT-CT Optima NM 640 Gamma Camera>
  • True Beam Linear Accelerator with FFF Technology
  • Karl Storz Endoscope
  • Siemens Isocentric 3D C-arm
  • Medtronic Stealth Station Navigation System
  • Leica M530 OH6 Operating Microscope
  • Leica M525 OH4 Operating Microscope
  • Medtronic Legend high-speed pneumatic drills
  • Medtronic Legend EHS Stylus electric drills
  • Medtronic Legend oscillating and reciprocating microsaws
  • Intraoperative Bone CUSA
  • Intraoperative electrophysiological monitoring
  • Allen Spine System Table
  • Needle biopsy
  • Soft tissue and bone pathology
  • Spine and peripheral nerve pathology
  • Immunohistochemistry & frozen section
  • Advanced navigation system
  • Endoscopy and MISS systems
  • Intraop MRI
  • Gamma (SPECT) Camera
  • Whole body bone scan
  • Regional three-phase bone scan
  • Regional infection imaging
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Services

Minimally Invasive Spine Surgery (MISS):

Minimally invasive spine surgery (MISS) is a highly advanced mode of surgery wherein the surgery is performed using the key-hole method. The size of the incisions will be only approximately18mm in size. Minimally invasive spine surgery can be used to treat several complex spinal conditions. The advantages of minimally invasive spine surgery are minimal incisions, lesser blood loss, minimal muscle damage, lesser pain, shorter hospital stay and faster recovery.

The Centre for Spine Care at Aster Medcity offers safe, high-precision minimally invasive spine surgery with the help of intra-operative technology including neuro-navigation and 3D C arm.

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Minimally invasive spine surgery (MISS) is a highly advanced mode of surgery wherein the surgery is performed using the key-hole method. The size of the incisions will be only approximately18mm in size. Minimally invasive spine surgery can be used to treat several complex spinal conditions. The advantages of minimally invasive spine surgery are minimal incisions, lesser blood loss, minimal muscle damage, lesser pain, shorter hospital stay and faster recovery.

The Centre for Spine Care at Aster Medcity offers safe, high-precision minimally invasive spine surgery with the help of intra-operative technology including neuro-navigation and 3D C arm.

Procedures

  • Spinal stenosis decompression
  • Endoscopic spine surgery
  • Lumbar fusions:
  • Transforaminal Lumbar Interbody Fusion (TLIF)
  • Posterior Lumbar Interbody Fusion (PLIF)
  • Oblique Lumbar Interbody Fusion (OLIF)
  • Anterior Lumbar Interbody Fusion (ALIF)
  • Tubular discectomy
  • Posterior cervical microforaminotomy
  • Vertebroplasty
  • Kyphoplasty
  • Percutaneous pedicle screw fixation for post traumatic fractures
  • Minimal access spine tumour removal
  • Vertebral body excision (corpectomy) and reconstruction
  • Percutaneous ilio-sacral screws for sacral ring fractures C1-2 fusion
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Scoliosis & Spinal Deformity Surgery

Aster Centre for Spine Care offers advanced spine surgery for correction of spinal scoliosis – a condition in which the spine is curved abnormally.

Procedures

Cranio Vertebral Junction & Cervical Spine Surgery

  • Re-alignment of atlanto-axial dislocation
  • Occipito-cervical fusion
  • C1-2 lateral mass / pedicle screw fusion

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Aster Centre for Spine Care offers advanced spine surgery for correction of spinal scoliosis – a condition in which the spine is curved abnormally.

Procedures

Cranio Vertebral Junction & Cervical Spine Surgery

  • Re-alignment of atlanto-axial dislocation
  • Occipito-cervical fusion
  • C1-2 lateral mass / pedicle screw fusion
  • Modified Gallie’s fusion
  • Foramen magnum decompression in Chiari
  • Posterior cervical laminectomy
  • Fusion/cervical lateral mass fixation
  • Anterior Cervical Discectomy & Fusion (ACDF)
  • Correction of cervico-thoracic kyphotic deformity
  • Cervical disc replacement
  • Cervical laminoplasty
  • Anterior cervical corpectomy & reconstruction

Dorsal Spine Surgeries

  • Anterior surgery: trans-thoracic /retroperitoneal
  • Dorsal Vertebral Column Resection (DVCR)
  • Dorsal laminectomy
  • Pedicle screw fixation
  • En-bloc resection for vertebral tumours
  • Kyphoplasty
  • Vertebroplasty

Lumbo-Sacral Surgery

  • Adult deformity surgery
  • Adult lumbar degenerative scoliosis surgery
  • Microlumbar discectomy
  • Tubular decompression for spinal stenosis
  • Posterior instrumented spinal fusion
  • Lumbar inter-body fusions TLIF/PLIF/ALIF/OLIF
  • Lumbar cortical screw fixation
  • Sacrectomy
  • Coccygectomy

Spine Deformity Surgery

  • Scoliosis correction
  • Kyphosis correction
  • Correction of sagittal and coronal plane imbalance
  • Pedicle Subtraction Osteotomy (PSO)
  • Smith Peterson Osteotomy (SPO)
  • Vertebral Column Resection (VCR)
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Paediatric Spine Surgery

Aster Centre for Spine Care offers highly-advanced and safe paediatric spine surgery for management of diseases, disorders and deformities of the spine in children.

Paediatric spine conditions treated:

  • Infantile Scoliosis
  • Early onset Scoliosis
  • Adolescent Idiopathic Scoliosis

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Aster Centre for Spine Care offers highly-advanced and safe paediatric spine surgery for management of diseases, disorders and deformities of the spine in children.

Paediatric spine conditions treated:

  • Infantile Scoliosis
  • Early onset Scoliosis
  • Adolescent Idiopathic Scoliosis
  • Kyphosis
  • Stress fractures of the lower back
  • Spinal dysraphism
  • Meningocele
  • Lipomyelomeningocele
  • Tethered cord
  • Split cord malformation
  • Chiari malformation
  • Spinal tumours
  • Spinal trauma and fractures
  • Cranio-Vertebral junction anomalies

Procedures

  • Bracing and casting for scoliosis
  • Halo vest application
  • Scoliosis and Deformity correction
  • Spinal fusion
  • Growing rods for early onset scoliosis
  • VEPTR (Vertical Expandable Prosthetic Titanium Rib)
  • MAGEC (Magnetic Expansion Control)
  • Foramen magnum decompression
  • Cranio-Vertebral junction realignment
  • Medical/ non-surgical (including interventional modes) management of back and neck pain.
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Spinal Tumors and Peripheral Nerve Surgery

Our doctors are trusted and respected for their expertise in diagnosing and treating every type of peripheral nerve tumor, from routine to complex. These experts provide comprehensive care for adults and children with peripheral nerve tumors.

  • Bony tumors – benign and malignant
  • Intradural tumors- schwannoma, meningioma
  • Spinal cord tumors- astrocytoma, ependymoma
  • Spinal metastases

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Our doctors are trusted and respected for their expertise in diagnosing and treating every type of peripheral nerve tumor, from routine to complex. These experts provide comprehensive care for adults and children with peripheral nerve tumors.

  • Bony tumors – benign and malignant
  • Intradural tumors- schwannoma, meningioma
  • Spinal cord tumors- astrocytoma, ependymoma
  • Spinal metastases
  • Microsurgical decompression and reconstruction of peripheral nerves and plexus, following injuries, nerve entrapment and tumours
  • Carpal tunnel release
  • Nerve grafting for restoration of function
  • Microsurgery for brachial plexus injuries and tumours
  • Facial nerve reanimation procedures
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Spine Interventional and Functional Procedures for Pain, Spasticity & Autonomic Dysfunction

Spinal interventional techniques can isolate potential pain generators, and also provide therapeutic relief from pain and associated neurologic symptoms.

  • Cervical epidural steroid injection
  • Cervical facet blocks
  • Thoracic transforaminal epidural block
  • Thoracic facet blocks

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Spinal interventional techniques can isolate potential pain generators, and also provide therapeutic relief from pain and associated neurologic symptoms.

  • Cervical epidural steroid injection
  • Cervical facet blocks
  • Thoracic transforaminal epidural block
  • Thoracic facet blocks
  • Transforaminal epidural steroid injection
  • Lumbar transforaminal epidural steroid injections
  • Para laminar and caudal epidural steroid injections
  • Lumbar adhesiolysis
  • Facet blocks & pars block
  • Sacro iliac joint blocks
  • Pyriformis and psoas blocks
  • Radiofrequency Ablation (RFA)
  • Discogram
  • Nucleoplasty
  • Dry needling (Intra muscular stimulation with acupuncture needles)
  • Vacuum therapy
  • RACZ procedure
  • Spinal angiogram
  • Myelography
  • Embolisation of spinal dural AV fistulae, AVM
  • Pre-operative spine tumour embolisation
  • Alcohol injection for spinal haemangioma
  • · Spinal cord stimulation for failed back surgery syndrome or intractacable low back pain
  • · Intrathecal morphine pump placement
  • · Intrathecal baclofen pump for spasticity
  • · Sacral neuromodulation (InterStim stimulator for bladder/bowel incontinence)
  • · Dorsal rhizotomy
  • · DREZ lesioning for spasticity
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Physiotherapy & Rehabilitation

The expert PMR team at Aster led by Physiatrists (doctors who have specialised training in this subspeciality) provides high quality, evidence-based care including physiotherapy and rehabilitative services with a multidisciplinary approach, in patients of all ages. The patient’s family is made an integral part of the treatment process to ensure the best possible outcome.

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The expert PMR team at Aster led by Physiatrists (doctors who have specialised training in this subspeciality) provides high quality, evidence-based care including physiotherapy and rehabilitative services with a multidisciplinary approach, in patients of all ages. The patient’s family is made an integral part of the treatment process to ensure the best possible outcome.

  • Post-operative rehabilitation
  • Muscle strengthening
  • Gait training with use of assistive equipment
  • Gait assessment and postural analysis
  • Transcutaneous electrical stimulation (TENS)
  • Ultrasound
  • Interferential Therapy (IFT)
  • Vacuum therapy
  • Cryotherapy
  • Fine motor activities and cognitive re-training
  • Training for functional independence for activities of daily living (ADL)
  • Balance and proprioceptive training
  • Splints / orthosis and proprioceptive training
  • Paraplegic rehabilitation.
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Patient Care & Health Info

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Frequently Asked Questions

What is minimally invasive spine surgery (MISS) or keyhole spine surgery?

Minimally invasive spine surgery is a highly advanced spine surgery technique using very small incisions, using cutting-edge intra-operative technology.

What are the advantages of minimally invasive spine surgery over open surgery?

  • Very small surgical incisions and scars (approximately 18mm)
  • Minimal muscle damage
  • Minimal blood loss
  • Lesser pain, which reduces the need for pain killers
  • Fewer post-surgical complications
  • Minimal hospital stay
  • Quicker recovery
  • Faster return to normal life
  • Lower incidence of surgery related back pain

Can elderly patients or very obese patients undergo spine surgery?

The advantages of minimally invasive spine surgery enable us to safely perform spine surgery in elderly patients with multiple medical problems and also obese /overweight patients, with the best possible medical outcomes.

What is spinal stenosis decompression

The narrowing of the spaces within the spine is known as spinal stenosis. The minimally invasive spine surgery procedure helps decompress the nerves in the narrow spaces between the vertebral bones and spinal joints.

What is Endoscopic Spine Surgery?

Endoscopic Spine Surgery is a minimally invasive spine surgery procedure that helps to relieve pain caused by herniated discs pressing on nerve roots.

What is the purpose of Lumbar fusion?

Lumbar fusion is done to correct issues with the vertebrae such as painful motion and stability of the spine.

What is Awake spine surgery

These are surgeries done under local or regional anaesthesia without using general anaesthesia. Certain Minimally invasive spine surgery can be done in this manner.

What are the advantages of awake spine surgery

Many patients with multiple risk factors (cardiac/liver/kidney disorders) or those who are elderly may not be good candidates for general anesthesia. Awake spine surgery can be performed in such patients. Another advantage would be shorter recovery times and same day discharge from hospital

What is scoliosis?

  • Scoliosis is a condition wherein a person’s spine or back is curved like an “S” or “C”
  • Scoliosis can be a by birth, acquired or age-related condition
  • Early detection and correction (in the adolescent age itself) is the key to effective treatment of scoliosis
  • Severe or visible scoliosis, if left untreated, can lead to complications including disfigurement, pain, breathing difficulties or nerve damage

What is scoliosis spine surgery?

Scoliosis spine surgery is a specialised surgery for correction of spine deformity

Who can undergo scoliosis / spinal deformity surgery?

    • Children, adolescents with scoliosis
    • Patients with kyphosis (hunchback / forward curving of the spine)
    • Adults and elderly patients with spinal deformities
    • How long does it take to recover from scoliosis surgery?
    • If the recovery is as expected, the patient can be discharged within a week
    • Children can get back to school about a month after the surgery

Are spinal deformity surgeries safe?

Yes, these surgeries are safe. The centre for spine care at Aster Medcity has the latest medical technology for ensuring maximum patient safety and are performed with the help of intra-operative nerve monitoring for unmatched accuracy.

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