Complexity in spine surgery is a relative term, but it generally refers to surgical cases that involve revision of prior back or neck spine surgery, scoliosis and kyphosis (deformity of the spine) correction, surgery across more than three spinal segments (or levels). As spine surgery has evolved, the surgeons performing this surgery have subspecialized and very few are trained in such complex procedures. Patients with failed spine surgeries should look for a surgeon who performs these procedures who has experience in these complex procedures and a reasonable annual volume of such cases. They should also inquire if the facility has experience and capabilities to manage postoperative care.
Compared to stand alone disc surgeries, complex cases have much greater variability in terms of the patient’s anatomy and the pathological problem.
As such, planning takes on greater importance compared to more routine cases especially in children with spinal problems. The more complex cases are often associated with greater complications in terms of bleeding, infection, and nerve injury. Additionally, many patients who need these procedures have a chronic condition, such as diabetes, heart disease, or osteoporosis, which increases the risk of a complication. It also increases the chances that the procedure will fail to deliver an excellent outcome for the patient. The use of intraoperative navigation systems has dramatically increased the safety profile, reduced the radiation exposure to the surgical team, and reduced the operating room time for these procedures, resulting in safer patient care.
Asian Spine Hospital is fully equipped to handle these kinds of complex cases with varied background. Beyond that, there are more complex, complicated pathologies or treatments that require a more advanced skill set. This comes with training and experience. Dr. Abhinandan Reddy has done advanced fellowships in spinal surgery that gave him advanced skills beyond allowing him to meet the needs of complex cases with highly technical, complex techniques. Making complex surgeries successful requires a trust between the surgical team and the patient, because we can accomplish things in the operating room but then there is still work to be done by the patient after surgery for a successful outcome. We at Asian spine hospital are always exploring new surgical techniques that allow different approaches to problems while decreasing the morbidity of the patient. There are going to be challenges that must be met with commitment and optimism. Patient should believe that they will get better and must be committed to post operative rehabilitation.
Time does help, but the effort the patient puts into it will have a direct correlation with his or her ultimate outcome. We at Asian spine hospital are committed for improving patients suffering from complex spine problems and deformities.
Know about your Spine Surgeon
Dr. Abhinandan Reddy is a fellowship trained Spine Surgeon with expertise in Complex Spine and Deformity Correction Procedures and is currently practicing at Asian Spine Hospital, Jubilee Hills, Hyderabad.
Dr. Abhinandan has special focus on patients with degenerative conditions of the spine (such as disc herniation, spinal stenosis, degenerative disc disease, cervical disc prolapse, cervical and dorsal myelopathy and spondylolisthesis) in association with a deformity (Adult degenerative scoliosis).
Dr. Abhinandan has special expertise in managing Paediatric spinal condition including deformity of back and spinal infections.