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Dr. Paresh Bang
Consultant Spine Surgeon
Keyhole Spine Surgery In Shahdol
Keyhole spine surgery, also known as minimally invasive spine surgery or spinal endoscopy, is a surgical approach that involves making small incisions (keyhole incisions) to access the spine rather than a large, traditional incision. The goal is to minimize damage to surrounding tissues, reduce blood loss, and speed up recovery compared to conventional open spine surgery.
keyhole surgery, and the decision to use this approach depends on factors such as the specific diagnosis, the location and complexity of the spine issue, and the surgeon’s expertise. Patients considering spine surgery should consult with their healthcare provider to determine the most appropriate approach for their individual case.
Keyhole Spine Surgery Procedure
1. Patient Positioning:
- The patient is positioned on the operating table in a way that provides the surgeon with optimal access to the spine through the small incisions.
2. Anesthesia:
- General anesthesia or local anesthesia with sedation may be administered to ensure that the patient is comfortable and pain-free during the procedure.
3. Incisions:
- Small keyhole incisions are made at the surgical site. The number and location of these incisions depend on the specific procedure and the area of the spine being treated.
4. Insertion of Endoscope:
- An endoscope, which is a thin, flexible tube with a light and a camera at the tip, is inserted through one of the keyhole incisions. The camera provides real-time imaging of the internal structures of the spine.
5. Creation of Working Space:
- Specialized instruments are inserted through the remaining keyhole incisions. These instruments are used to create a working space and perform the necessary surgical maneuvers.
6. Visualization on Monitor:
- The images captured by the endoscope are displayed on a monitor in the operating room. This allows the surgical team to visualize the targeted area of the spine with high precision.
7. Procedure Execution:
- Depending on the specific spinal condition being treated, the surgeon uses specialized instruments to perform procedures such as discectomy (removal of a portion of a spinal disc), laminectomy (removal of a portion of the vertebral bone), spinal fusion, or other interventions.
8. Closure of Incisions:
- Once the procedure is complete, the surgeon closes the small incisions with sutures or adhesive strips. The small size of the incisions typically results in minimal scarring.
Benefits of Keyhole Spine Surgery
- Smaller incisions: Usually 1-2 cm in size, leading to less tissue damage.
- Faster recovery: Minimally invasive techniques allow for quicker healing and less time spent in the hospital.
- Reduced pain: Less disruption of muscles and tissues results in less post-operative pain.
- Lower risk of infection: Smaller incisions reduce the risk of complications like infection.
- Minimal scarring: The smaller incision leaves less noticeable scars.
Conditions Treated with Keyhole Spine Surgery
Keyhole surgery is used to treat several spine conditions, including:
- Herniated discs: Removal of a portion of the disc that is pressing on nerves.
- Spinal stenosis: Widening of the spinal canal to relieve pressure on the nerves.
- Spondylolisthesis: Realignment or stabilization of the vertebrae when one slips over another.
- Sciatica: Relief of pressure on the sciatic nerve caused by a herniated disc or bone spurs.
- Spinal tumors: Removal of benign or malignant tumors affecting the spine.
- Spinal fractures: Treatment of fractures caused by trauma or osteoporosis.
Types of Keyhole Spine Surgeries
- Microdiscectomy:
- A minimally invasive procedure used to remove part of a herniated disc pressing on spinal nerves.
- A small incision is made, and the surgeon uses a microscope or endoscope to guide the removal of the disc material.
- Laminectomy:
- Often done to treat spinal stenosis, this procedure removes part of the vertebra (lamina) to relieve pressure on the spinal cord or nerves.
- In keyhole surgery, this is done through a smaller incision.
- Spinal Fusion:
- Used to stabilize the spine when vertebrae are slipping or causing pain due to conditions like degenerative disc disease or spondylolisthesis.
- The procedure is done through small incisions and may involve inserting rods, screws, or cages to fuse the affected vertebrae together.
- Kyphoplasty/Vertebroplasty:
- These procedures are done to treat spinal fractures due to osteoporosis. Bone cement is injected into the fractured vertebra through a small incision to stabilize the bone and reduce pain.
The Surgical Process
- Pre-operative imaging: X-rays, MRIs, or CT scans are used to accurately locate the problem area in the spine.
- Incision and instrument insertion: A small incision is made, and a tubular retractor or endoscope is inserted to create a working channel to the spine.
- Procedure: The surgeon performs the necessary repair, removal, or stabilization of spinal structures using specialized instruments.
- Closing: The incision is closed with stitches or surgical glue.
Recovery and Post-operative Care
- Hospital stay: Many keyhole spine surgeries are done as outpatient procedures, allowing patients to go home the same day or after a short hospital stay.
- Reduced recovery time: Recovery is often quicker compared to traditional open surgery, with patients resuming light activities within a few days to weeks.
- Physical therapy: Rehabilitation may be recommended to strengthen the muscles supporting the spine or improve mobility.
- Pain management: Less post-operative pain is common, and patients may require fewer pain medications.
Risks of Keyhole Spine Surgery
As with any surgery, there are risks involved, though they are generally lower with minimally invasive techniques:
- Infection
- Bleeding
- Nerve damage
- Blood clots
- Recurrence of the conditionContact Us
Who is a Candidate for Keyhole Spine Surgery?
Patients who have failed to respond to conservative treatments (medications, physical therapy, injections) and who have specific spinal issues like herniated discs, spinal stenosis, or sciatica may be candidates for keyhole spine surgery. However, not all conditions can be treated with this method, and some complex spinal deformities or severe cases may still require open surgery.Visit Our Hospital