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Tandem Spinal Stenosis ( TSS ) - Single Stage Spine Surgery Single Stage Spine Surgery for Tandem Spinal Stenosis Mr. Sivasankarappa 72 yrs active farmer from Ananthapur came to me with symptoms of Gait disturbance, Weakness in his legs and hands, difficulty to walk and inability to grip with his hands. On clinical and radiological examination, He was diagnosed to have Tandem Spinal Stenosis ( TSS ) which is Dual Stenosis of both Cervical and Lumbar Spine .In the Cervical Spine he had C3/4 Cervical Spinal Cord Compression with Myelomalacia Changes in the Spinal Cord and in the Lumbar Spine he had Severe L4/5 Lumbar Canal Stenosis causing his symptoms .He Underwent Single Stage Orthopaedic Spine Surgery at Yashoda Hospital Somajiguda under my care. - C3/4 ACDF ( Anterior Cervical Decompression and Fusion ) + L4/5 Posterior Decompression / Stabilisation and Fusion.He recovered well from both his spine surgeries and is able to walk now with minimal assistance. What is Tandem Spinal Stenosis ( TSS ) ?Tandem spinal stenosis refers to spinal canal diameter narrowing in at least 2 distinct regions of the spine, most commonly the lumbar and cervical regions. It can present with severe myelopathy and lower-extremity symptoms as our patient had both Upper and Lower Limb Symptoms.Tandem spinal stenosis is a common condition present in up to 60% of patients with spinal stenosis. This disorder, however, is often overlooked, which can lead to serious complications. Identification of tandem spinal stenosis is paramount as a first step in management of these patients.Several studies have shown favorable outcomes in simultaneous decompression giving Cervical Spine Surgery the Priority and hence done first on our patient and then he was placed in prone position for Lumbar Spine Surgery.Careful selection of candidates for simultaneous surgery may reduce the length of stay and consolidate rehabilitation, thereby reducing hospital-associated costs especially to reduce cost burden to the patient.KL Spine Surgeon believes in providing evidence-based, patient-centric comprehensive care which is personalized to each patient. He is thorough and meticulous and aims to deliver the best outcomes for his patients.He offers multiple solutions both Non Surgical and Surgical methods that relives pain, restore active and healthy lifestyle. WWW.KLSPINESURGEON.COM Youtube : @KLSPINESURGEON#klspinesurgeon#klhealthcentreclinic#orthopaedicspinesurgeon#yashodahospitalsomajiguda
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Cervical Disc Replacement Surgery - Mrs. EM from USA. Movement is Life :: Life is Movement Mrs. EM 37 yrs old IT professional from USA presented to my private KL Health Centre Clinic with Chronic axial neck pain and severe right upper limb radiculopathy. She was on multiple pain medication to control her pain. She also underwent a cervical epidural pain procedure in the US recently prior to her travel to India. Clinically she had unrelenting right upper limb pain, weakness and was unable to move her right arm due to severe pain. She underwent relevant investigations and was diagnosed to have a significantly large right sided disc prolapse at C5/6. She and her family were counselled about her condition and was offered Cervical Disc Replacement Surgery to relieve her agony. Orthopaedic Spine Surgery was performed @ Yashoda Hospital, Somajiguda, Hyderabad . C5/6 Cervical Disc Replacement.:- SECURE- C ( Globus Medical USA ) Post Procedure she had significant reduction in right upper extremity radiculopathy and was mobilising the next day. She was quite pleased with the outcome of Cervical Disc Replacement Surgery. She was fully discharged at 5 weeks post procedure and had regained good range of movements in her cervical spine. KL Spine Team is deeply humbled by her kind testimonial and wishes her a healthy future ahead.🙏 Motion Sparing Technology is an excellent option in the young with its added benefit of retaining segmental motion and preventing adjacent segment degeneration. WWW.KLSPINESURGEON.COM #klspinesurgeon #klhealthcentreclinic #orthopedicspinesurgeon #yashodahospitalsomajiguda #yashodahospitals #globusmedical #cervicaldiscreplacement #cervicalpain #discprolapse #spinesurgeon #spine #gratitude *All Format Consent Secured
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Mr. S. Singh - Inspirational and Motivational Journey !!! Mr. S. Singh now 37 yrs came to me 2 yrs ago when he had severe low back pain , sciatica and unilateral foot drop. His Weight was 170 kgs ( Morbid Obesity ). After comprehensive examination and investigations, He was diagnosed to have 3 level Disc Prolapses which caused unilateral foot-drop. He and his family were counselled thoroughly. It was agreed mutually to go for Non - Operative management due to his morbid obesity, multilevel disc issues and high surgical risks. He underwent a CESI ( Caudal Epidural Steroid Injection ) for pain management and was given an AFO splint with monitored physical therapy. He was motivated regularly to lose his weight to negate the obvious risks to his health and wellbeing. He has been under regular followup for the last two years and he his transformation has just been phenomenal !! His weight is now under 100 kgs !!! He is now inspiring others to get fit and healthy for a Fit Spine !!! Huge congratulations to him and his wife who has been there to support him throughout this amazing journey.Dr. KIRAN LINGUTLA@KLSPINESURGEON Sr.Consultant Orthopaedic Spine Surgeon. MBBS (KMC Manipal), D’Ortho, MRCS (Edinburgh) FRCS Ed (Tr & Ortho), MCh Ortho UK.B.O.A Senior Spine Surgery Fellowship at University Hospital Of Wales, Cardiff, UK . Dr Kiran Kumar Lingutla is FRCS Ed (Tr & Ortho) board certified and comprehensively Fellowship Trained Senior Orthopaedic Spine Surgeon with the Best of National and International experience.He Believes in providing Concierge type Spine Care process to his patients which Aims to Relieve pain, Restore active lifestyle and Return to health as seamlessly as possible.#klspinesurgeon #klhealthcentreclinic #orthopaedicspinesurgeon #yashodahospitalsomajiguda #lumbardiscprolapse #lumbarspine #discprolapse #obesity #transformation #willpower #motivation #spine #orthopedics #weightloss #gratitude
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Ortho Spine Surgery @klspinesurgeon Evidence based and Patient Centric - Concierge Spine Surgery Mr Warpe who is a very active professional came to me with significant spine issues causing pain and suffering. After comprehensive clinical examination and counseling with his family he underwent Orthopaedic Spine Surgery @klspinesurgeon . We are thankful for his trust in KL Spine Surgeon and also this humbling video feedback. KL Spine Team Wish him a Happy and Healthy future ahead 🙏
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Mrs. Meenamma ILLTEM Lumbar Spine Fusion Surgery. Mrs. Meenamma ILLTEM Lumbar Spine Fusion Surgery 52 yrs active house wife had severe low back and both legs sciatica ( Neurogenic Claudication ) . She has been under my follow up since last 2 yrs. Initially her symptoms were moderate hence Spine Pain Procedure CESI ( Caudal Epidural Steroid Injection ) was performed which gave her temporary symptom relief. 2 yrs later her symptoms recurred with increasing severity. She and her family were counselled for surgery which they readily agreed. She underwent Lumbar decompression and Fusion Surgery (TLIF). She is quite delighted by her procedure and is back to her normal life . She expressed her gratitude in Telugu language.🙏KL Spine Surgeon believes in providing evidence-based, patient-centric comprehensive care which is personalized to each patient. He is thorough and meticulous and aims to deliver the best outcomes for his patients.He offers multiple solutions both Non Surgical and Surgical methods that relives pain, restore active and healthy lifestyle. WWW.KLSPINESURGEON.COM#klspinesurgeon#klhealthcentreclinic#orthopaedicspinesurgeon#yashodahospitalsomajiguda
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Mr. Subbaraya Sarma ( Very Spry at 75 yrs !! ) Mr. Subbaraya Sarma ( Very Spry at 75 yrs!! ) unfortunately had a fall from his bike following a RTA. He was transferred from neighbouring state for further management. Relevent Investigations were done and was diagnosed to have an Unstable T11 fracture with background of DISH ( Diffuse Idiopathic Skeletal Hyperostosis). He underwent Orthopaedic Spine Surgery T9 - L1 Stabilisation and Fusion. He subsequently was mobilised with support. His calm and smiling nature touched everyone's heart and his determination to get back to normalcy was astonishing.He is up and about on his feet and has been discharged. KL Spine Surgeon and team wish him the Best of Health and Happiness. WWW.KLSPINESURGEON.COM #klspinesurgeon #klhealthcentreclinic #orthopedicspinesurgeon #yashodahospitalsomajiguda #yashodahospitals
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Lumbar Disc Prolapse with Calcification Lumbar disc herniation with calcification is characterised by calcification of annulus of the prolapsed lumbar disc .It is a special type of lumbar disc herniation where the nerve root can sometimes be adherent to the calcified annulus thereby increasing the complexity of surgery. It manifests as chronic low back pain radiating down the leg, severely limiting normal activity and impairing quality of life. Mr.SKR presented with the above diagnosis with severe back and leg pain. Following through clinical evaluation, Lumbar Micro Decompression Spine Surgery was performed. He was quite pleased with the outcome of the procedure and was walking the same evening after his surgery and was discharged the following day. Dr Kiran Kumar Lingutla is FRCS Ed (Tr & Ortho) board certified and comprehensively Fellowship Trained Senior Orthopaedic Spine Surgeon with the Best of National and International experience. He believes in providing Concierge type Spine Care process to his patients which Aims to Relieve pain, Restore active lifestyle and Return to health as seamlessly as possible. WWW.KLSPINESURGEON.COM #klspinesurgeon #orthopaedicspinesurgeon #yashodahospitalsomajiguda #yashodahospitals #spine #discprolapse #spinesurgery
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L5/S1 Spondylolisthesis with Deformity. Mrs.I Mangamma 57 yrs old homemaker from Khammam came with Severe Back pain and was Bent over to right side since last one year due to pain caused by Spondylolisthesis ( Forward Slip of Vertebrae ) at L5/S1.She had significant Gait changes and bad quality of life due to her deformity. She Underwent Orthopaedic Spine Surgery : L5/S1 Spondylolisthesis Reduction and TLIF Surgery at Yashoda Hospital, Somajiguda, Hyderabad.She was made to walk on the same day of surgery and was discharged within 48 hrs of surgery with significant pain relief with a straight posture and normal gait (walking). Orthopaedic Spine Surgery is a Safe procedure in carefully selected patients with appropriate evaluation and evidence based Spine Surgical technique. Dr Kiran Kumar Lingutla is a FRCS Ed (Tr & Ortho) board certified and comprehensively Fellowship Trained Senior Orthopaedic Spine Surgeon with the best of National and International experience. He believes in providing Concierge type Spine Care process to his patients which Aims to Relieve pain, Restore active lifestyle and Return to health as seamlessly as possible. WWW.KLSPINESURGEON.COM@klspinesurgeon#klspinesurgeon #yashodahospitals #orthopaedicspinesurgeon #yashodahospitalsomajiguda #spine #deformity #spinealignment #tlif #spinesurgery
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Lumbar Spine Fusion Surgery - Pt Walking on same day after surgery and Discharged on the next day !! Mr.RK from Kodad underwent Lumbar Spine Decompression and Fusion Surgery ( TLIF -Transforaminal Lumbar Interbody Fusion ) . He walked the same evening after the surgery and was discharged the next day with significant improvement in his back pain and bilateral sciatica. Advanced Less Invasive Spine Surgical techniques makes this possible so patient can be discharged pain free within 48 hrs ( Short Hospital Stay). WWW.KLSPINESURGEON.COM #klspinesurgeon #klhealthcentreclinic #orthopaedicspinesurgeon #yashodahospitalsomajiguda
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Movement is Life :: Life is Movement CERVICAL DISC REPLACEMENT Movement is Life :: Life is Movement 26 yrs young IT professional presented with Axial neck pain with severe left arm radiculopathy. His VAS score was 10/10 for his left upper extremity.Having tried various non- operative modalities including Cupping therapy and still he had unrelenting pain.Clinically his neurology was intact in all his limbs but was unable to move due to severe pain. He had a large Left sided C5/6 soft disc on his MRI scan. Surgery : C5/6 Cervical Disc Replacement - SECURE- CGlobus Medical. USAHe was mobilised pain-free and discharged within 48hrs. Motion Sparing Technology is an excellent option in the young with its added benefit of retaining segmental motion and preventing adjacent segment degeneration.WWW.KLSPINESURGEON.COM#klspinesurgeon #klhealthcentreclinic#orthopedicspinesurgeon#yashodahospitalsomajiguda#spinesurgeon #spinesurgery#cervicalspine #globusmedical*All format Consent Secured
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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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