Cervico dorsal anterior fixation via anterior cervical approach

A 55yr old man presented to us with  complaints of severe neck pain and weakness in limbs pt was on ATT for suspected potts spine fr past two months . Hoe pain and weakness were progressively increasing . Repeat MRI showed epidural abscess at C5-6 levels with destruction of adjacent vertebrae . Patient was operated via anterior cervical approach and C5-6 discectomy with removal of pus and granulation tissue was done. C5 to D1 fixation was also done with  cervical plating system.
 PRE OP MRI IMAGES OF THE PATIENT

POST OP  XRAY IMAGES OF THE PATIENT

Augmented pedicle screw fixation in cases of osteoporotic spine fractures

Pedicle screw fixation has been the mainstay of spine fixation in cases of spina linjuries,  degenrative spine diseases. How ever in cases of osteoporotic spinal fractures there is risk of screw pull out. How ever augmentation with bone cement is a way of preventing screw pullout in these cases.
                     
 Xray images showing Aumentation of pedicle screw fixation in cases of  osteoporotic spinal      fractures

Multiple vertebral compression fractures treated with percutaneous Kyphoplasty by Dr Vineet saggar

A 60 yr old female presented with complaints of severe back pain following fall . Patient had osteoporotic compression fractures of L4 and L3 vertebrae.Patient was treated with percutaneous vertebroplasty and discharged next day.

                                      Preoperative MRI showing fractures at L4 and L5 level

Percutaneous Vertebroplasty Fluroscopic images

Patient after procedure

Postoperative Xray images of the patient

JUMPED FACET SYNDROME FOLLOWING CERVICAL SPINE INJURY CAUSING QUADRIPARESIS SUCESSFULY OPERATED BY DR VINEET SAGGAR

A 24 year old male presented in our emergency with quadriparesis following  an accident . Ct cervical spine showed dislocation of C5 over C6 vertebrae with unilateral jumped facets . . Patient was operated succesfully and within four months of injury patient could walk without support

 CT ScanIimages showing fracture dislocation at C5 and C6 level

.

                                          

X ray after surgery showing complete alignment of vertebrae

Patient after few months of surgery

FLUROTIC SPINE CONTINUES TO BE MENACE IN PUN JAB /HARYANA / INDIA

A 60 yr old man from KARNAL presented with History of mild trauma followed by weakness all four limbs which was progressing and he came to us in quadriparetic state and was bed ridden from past 1 month. CT and MRI cervical spine revealed segmental OPLL behind 4^th and 5 th cervical vertebra. Patient underwent C 4  and c5 Corpectomy and C3 To C6 Fusion using bone graft and implant. Patient was discharged in walking condition after few days.

  

CT IMAGES SHOWING SEGMENTAL OPLL BEHINC C3-4 VERTEBRAE

POST OPERATIVE XRAY AFTER CORPECTOMY WITH FIXATION DEVICE IN SITU

PATIENT JUST BEFORE DISCHARGE

RARE SKULL BASE TUMOUR OPERATED AT IVY HOSPITAL VIA OSTEOPLASTIC MAXILLOTOMY APPROACH

RARE SKULL BASE TUMOUR OPERATED AT IVY HOSPITAL VIA OSTEOPLASTIC MAXILLOTOMY APPROACH

Neuro surgical procedures are one of the most technically demanding and complex surgical  procedures . For most of the patients undergoing a neurosurgical procedure is equivalent of having a second life . However with latest advancement in surgical field mortality and morbidity following neurosurgical procedure have declined significantly.  As neurosurgical procedures are rapidly getting refined tumours and areas of brain previously thought inaccessible or in operable are being rapidly approached with excellent results. Skull base tumours have been always approached with caution because of technical difficulty in approaching such tumours and their proximity to vital structures of brain.

A rare skull base tumour was recently operated at IVY hospital by Senior Neurosurgeon  Dr Vineet Saggar . Complete tumour removal was achieved and patient was sucessfuly discharged within few days . He was ably supported by excellent plastic surgery team headed by Dr Rahul Goyal which played huge role in minimizing scarring to facial region as approach to tumor of skull base required a facial incision.

 A 28 year old male presented to Dr Vineet Saggar with complaints of lossof vision in right eye and swelling around right  eye. His MRI was already done and it revealed large skull base tumour behind face and nose extending to other side . A nasal endoscopic bipopsy was taken at some other hospital had revealed a benign ( non cancerous) tumour of nerves (schwannoma). He had shown to many private and government hospitals but was reffered to AIIMS as they told him it was difficult to approach this tumour and it may not be possible to remove it completely. However this tumour was completely removed at IVY Hospital by Dr Vineet Saggar via OSTEOPLASTIC MAXILLOTOMY a rare and technically demanding  Skull base approach . Patient was discharged 6 days after surgery.

PRE OPERATIVE CT  SCAN SHOWING LARGE TUMOUR BEHIND FACE AND NOSE UPTO SKULL BASE

POST OPERATIVE SCAN OF PATIENT SHOWING COMPLETE TUMOUR REMOVAL

INTRAOPERATIVE PICTURE OF THE PATIENT

POST OERATIVE PICTURE OF THE SAME PATIENT BEFORE DISCHARGE

Dr Vineet Saggar is senior consultant Nuro and spinal surgery at IVY HOSPITAL. He is specially trained in skull base and Aneurysm surgeries and complex spinal surgeries

Dr. Vineet Saggar (MCh)
Neuro Surgeon / Spinal Surgeon
Chandigarh, Mohali -
Ivy Hospital Sector 71
+91-9855990990

http://www.neurosurgeoninchandigarh.com 
http://neurosurgeonhead.blogspot.in/
http://www.facebook.com/neuro.surgeon.7186

http://www.linkedin.com/pub/dr-vineet/56/2a9/863

https://twitter.com/drvineetsaggar  

http://www.slideshare.net/neurosergeonhead