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Pre- Op|Dr.Kiran Kumar Lingutla|Ameerpet,Hyderabad
Upper Cervical Spine - Odontoid Type 2B Posterior Oblique Fracture in the Young.
Upper Cervical Spine - Odontoid Type 2B Posterior Oblique Fracture in the Young.19 yrs young engineering student unfortunately following a RTA / MVA sustained Axis C2 Type 2B fracture. He was ASIA -C on presentation to ER late evening after an interstate transfer.Initial stabilisation was achieved following ATLS protocols. Appropriate radiographs and trauma CT Spine was done which showed a displaced C2 Type 2B fracture. Reduction was achieved immediately and MRI cervical spine was done which demonstrated reduced fracture and Cord Myelomalacia changes at C2 (image 3). Extensive family counselling was done about injury, treatment plan and prognosis. He was taken up for surgery the following day. Orthopaedic Spine Surgery : - Biplanar C-Arm was used.- Anterior C2 Stabilisation with 36 mm Canulated Partially threaded 4.5 mm screw. Compression at fracture site was achieved with lag effect. Post Op Neck was immobilised in a Hard Cervical Orthosis and Spinal Cord Injury Rehabilitation has been commenced. Special thanks to the ER, Surgical, Anesthetic, Nursing and KL Spine Team at Yashoda Hospital Somajiguda, Hyderabad, India 🇮🇳 for their inputs. #klspinesurgeon #klhealthcentreclinic#orthopedicspinesurgeon#yashodahospitalsomajiguda#spinesurgeon  #spinesurgery #spinetrauma#spinefracture#spinehealth #traumasurgery #SCI#sciawareness#spinalcord #spinalcordinjury #spinalcordinjuryawarenessWWW.KLSPINESURGEON.COM
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MRI Pre Op|Dr.Kiran Kumar Lingutla|Ameerpet,Hyderabad
Cervical Spine TB ( Tuberculosis ) Surgery
Mrs. G.S 44 yr homemaker was seen in my practice 18 months ago. She presented to me in a non ambulatory state with quadriparesis due to C3 instability and epidural abscess caused by Mycobacterium Tuberculosis.She underwent C3 Corpectomy , Decompression and Stabilisation with an expandable cage at the time. She had 18 mts of ATT Chemotherapy and was followed up at regular intervals.Today, with a big smile she independently walked into my clinic and was so happy with the outcome. She is back to her normal life. Moments like these make all the hard work so much worthwhile for both the treating team and patient. It really made our day !!#klspinesurgeon#klhealthcentreclinic#orthopaedicspinesurgeon#yashodahospitalsomajiguda#spinesurgery #spinalcordinjury #spinehealth #tuberculosis WWW.KLSPINESURGEON.COM
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Dr.Kiran Kumar Lingutla|Ameerpet,Hyderabad
Goutam Chatterjee West Bengal
Mr. Goutam Chatterjee underwent Lumbar Spine Surgery for long standing back pain and sciatica. He did very well after his orthopaedic spine surgery and is able to climb stairs after his operation. He expresses his gratitude in his native Bengali language. #klspinesurgeon #orthopaedicspinesurgeon #yashodahospitalsomajiguda #discprolapse #spinehealth #spine
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Dr.Kiran Kumar Lingutla|Ameerpet,Hyderabad
Mrs.R.S - OPLL Thoracic Spine Surgery.
Mrs.R S, had a long standing thoracic spinal cord compression due to a condition called OPLL - Ossified Posterior Longitudinal Ligament. In this condition the ligament becomes hard and calcified ( new bone formation ) which in-turn causes spinal stenosis due to lack of space for the spinal cord. - She had burning pain and was unable to walk and had a poor quality of life.She tried non operative options for a long time and finally underwent Spine Surgery - Posterior Thoracic Decompression, Stabilisation and Fusion. - She and her husband expressed their appreciation to KL Spine Team's efforts to relieve her off her pain and suffering.#klspinesurgeon #klhealthcentreclinic #orthopaedicspinesurgeon #yashodahospitalsomajiguda   WWW.KLSPINESURGEON.COM
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Post Op Day 1 Walking .|Dr.Kiran Kumar Lingutla|Ameerpet,Hyderabad
Mrs. E.N, 36 yrs : - High Grade Lumbar Spondylolisthesis Reduction and Lumbar Fusion Surgery
Adult Isthmic HSG - High Grade Spondylolisthesis  -Spondylolisthesis is Forward slippage of one vertebral body over the vertebral body below it. - In an adult is caused by a defect i.e stress fracture in the pars interarticularis . - Pars Defect i.e stress fracture is seen in 4-6% of the general population and 85% occur at L5/S1 level and 15% occur at L4/5 level.- Meyerding Grade 1-2 slips less than 50% are Low Grade Spondylolisthesis - LSG and Grade 3-5 slips more than 50% are High Grade Spondylolisthesis -  HSG.-Mrs. E.N, 36 yrs young homemaker came to me for treatment as she was suffering for a very long time with instability related low back pain and both leg sciatica i.e Neurogenic Claudication. She was unable to stand/walk even for short duration at home. Her quality of life was very poor. - She had High Grade Spondylolisthesis i.e Stress fracture of Pars and forward slip at L5/S1 level .-Orthopaedic Spine Surgery : Posterior L5/S1 Reduction of slip and TLIF Transforaminal Lumbar Interbody Fusion. - Patient was mobilised within 24 hrs of her surgery at Yashoda Hospital Somajiguda. Thanks to the whole team involved in delivering such high quality outcomes at minimal cost. WWW.KLSPINESURGEON.COM #klspinesurgeon #klhealthcentreclinic #orthopaedicspinesurgeon #yashodahospitalsomajiguda
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Before Surgery|Dr.Kiran Kumar Lingutla|Ameerpet,Hyderabad
Lumbar Chronic Disc Prolapse Spine Surgery
Lumbar Chronic Disc Prolapse Spine Surgery Mrs.S had a large lumbar disc prolapse for which she has seen and got non operative treatment elsewhere. Her posture and gait gradually got worsened over time and it had an impact on her social life as well. She presented to me with worsening symptoms of pain, gait changes & gross postural deformity. She had a high BMI and after detailed clinical examination, Lumbar Spine Surgery was performed . She has responded well to Orthopaedic Spine Surgery . She understands that she needs to reduce her BMI in the future during her rehabilitation phase. High BMI should not be a contradiction for Orthopaedic Spine Surgery as in carefully selected patients it gives good clinical results. Lumbar Micro Discectomy and Decompression Surgery which is a time tested and gold standard procedure was performed on her. #klspinesurgeon #klhealthcentreclinic #orthopaedicspinesurgery #yashodahospitalsomajiguda #discprolapse #spinehealth
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Dr.Kiran Kumar Lingutla|Ameerpet,Hyderabad
Complex Cervical Spine Surgery - C7 Unstable Burst Fracture.
15 yrs old teenager following a MVA sustained a subaxial cervical spine injury. C7 Unstable Flexion Teardrop Fracture with PLC injury. His SLIC severity score was more than 5. He had Right C8 sensory deficit with brisk reflexes. Motor was intact C5-T1 & L2-S1. Orthopaedic Spine Surgery : Anterior Cervical C7 Corpectomy, Decompression and Fusion from C6-T1 with expandable cage and anterior cervical contoured plate. Patient and family were explained the possible need for posterior stabilisation and fusion in future. Since his facets were not fractured only anterior decompression and rigid stabilisation was performed. He recovered well and was mobilised the very next day with a hard cervical collar.#KLspinesurgeon#KLhealthcentreclinic#orthopaedicspinesurgeon#yashodahospitalsomajiguda#expandablecage#Corpectomy#cervicalspine #traumasurgery #spinehealth
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Dr.Kiran Kumar Lingutla|Ameerpet,Hyderabad
Upper Lumbar Disc Prolapse Spine Surgery
Mr.ABR , 47 yrs young welder had been suffering from upper back pain due to calcified disc prolapse for a long time causing severe nerve pain in both his legs while walking. His scans showed a calcified disc at L1/2 causing Severe Lumbar Canal Stenosis . He underwent Orthopaedic Spine Surgery L1/2 TLIF ( Decompression and Fusion Spine Surgery ). He was able to walk pain free the very next day and was quite pleased with the outcome of his Spine Surgery. ** Upper lumbar disc herniations especially L1/2 level have been reported to occur with a frequency of less than 1% of all disc herniations. Early diagnosis and appropriate procedure in selected patients give good clinical results. WWW.KLSPINESURGEON.COM #klspinesurgeon #klhealthcentreclinic #orthopaedicspinesurgeon #yashodahospitalsomajiguda
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Dr.Kiran Kumar Lingutla|Ameerpet,Hyderabad
Mrs.Rina Nath from Tripura
Mrs. Rina Nath from Tripura underwent Spondylolisthesis deformity reduction and fusion surgery .She was quite pleased with the outcome of surgery as she gives a reivew in Bangla her native language.
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Dr.Kiran Kumar Lingutla|Ameerpet,Hyderabad
Cervical Myelopathy Surgery in an Octogenarian.
Cervical Spine Surgery in an 86 Yrs Old Senior CitizenMr. S.V presented with symptoms of Severe Cervical Spondylotic Myelopathy ( weakness of upper and lower limbs with gait changes) caused by Multilevel OPLL ( Ossified Posterior Longitudinal Ligament ) which causes weakness of upper and lower limbs with gait changes.He underwent Posterior Cervical Spine Surgery ie Posterior Cervical Decompression Stabilisation and Fusion from C3 - C6 .He was mobilised on the first Post Operative day and is making good clinical Progress .   Age should not be a deterrent factor in an appropriately selected patient for Orthopaedic Spine Surgery. Good Clinical examination and appropriate investigations along with through patient and family councelling and safe spine surgery with a good team are important factors for great clinical outcomes .
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Dr.Kiran Kumar Lingutla|Ameerpet,Hyderabad
Mr. Nani Gopal Roy- Kolkata
M       Mr Nani Gopal Roy 68 yrs old from Kolkata suffering from Lumbar Canal Stenosis had Back and both Leg pain with neurogenic claudication. He was unable to walk few meters .Post Lumbar Spine Surgery his pain reduced significantly and he was able to walk independently within 24 hrs of Surgery.  
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Dr.Kiran Kumar Lingutla|Ameerpet,Hyderabad
Manhar.P - Pott\'s Spine
9 yrs old Manhar.P a very active young boy came after 2 months following his treatment and expressed his gratitude along with his parents .This was possible with the excellent team efforts of both KL Spine Team and Pediatric Team at Yashoda Hospital,Somajiguda Hyderabad.
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