Every neck pain should not be treated or ignored as pain of cervical spondylosis- Be ware it could be a spinal tumour

A 50 yr old patient presented to us in OPD with complaints of wasting of small muscles of hand. She had dissociate sensory loss on u/l and her DTRs were brisk and planters extensors. A provisional diagnosis of intramedul;ary sol(tumour) was made and MRI Cervical spine was ordered which revealed Large tumour at CV junction . Tumour was operated was us and subtotal removal of intramedullary tumour was dope post operative biopsy was subependymoma which is a less aggresive tumour.

 PATIENT AFTER SURGERY  ON FIRST FOLOW UP

 PRE OPOPERATIVE MRI SHOWING LARGE TUMOUR

INTRAOPERATIVE PICTRES AFTER TUMOUR REMOVAL

Large Growth Hormone producing Pitutary macroadenoma with vision loss operated Dr Vineet Saggar

A 35 year old female with new onset diabetes not controlled by oralhypoglycaemics presented to our endocrinologist . On clinical examination she was found to be having features of Acromegaly. and bitemporal heminopia.
 MRI of sella revealed large pitutary macro adenoma with suprasellar extension compressing optic chiasma.. Hormonal profile revealed increased GH levels >100ng/mi and incresed TSH levels . She was put on Eltroxin 50micrograms/ day and optimized and was taken up for tumour decomporession.

PRE OPERATIVE MRI SHOWING SELLAR AND SUPRASELLAR MASS COMPRESSING CHIASMA

POST OPERATIVE SCAN SHOWING ALMOST COMPLETE TUMOUR REMOVAL WITH SMALL TUMOR REMENENT ON RIGHT SIDE

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

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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