SPINE SURGERY

HOSMAT Spine Centre a unit of HOSMAT Super Specialty Hospital – has completed a decade in patient care. We have recently expanded with the addition of a new 90,000 square feet spinal centre. We have ICU OF 22 BEDS, two dedicated Spinal Operation Theatres, Brain Lab Computer Navigation System, ZEISS NC4 Microscope & State of the Art Physiotherapy centre. HOSMAT Spine Centre is the first comprehensive and specialized spine centre in India having Neurosurgeons and Orthopedic specialists at the same centre. This helps to effectively treat patients for the following problems:

Congenital Spinal Problems.
Disc prolapse (Herniated and bulging discs).
Degenerative Spinal Problem.
Spinal Deformity correction.
Scoliosis (Crooked Back correction).
Kyphosis (Hunch Back correction).
Spondylolisthesis – slipped or displaced vertebral bones.

Spinal Injury and Fractured spine – fracture fixation and spinal rehabilitation.
Neuro Oncology (Spinal Tumors).
CRAIG and Needle Biopsy for TB and SPINE, tumour of the bone.
Functional and Stereotactic Neurosurgery.
Cognitive Spinal disorders.
Micro Neurosurgery.
Paraplegia, Quadriplegia and Spine Rehabilitation.

With all these supportive systems the department of spinal surgery is well poised to offer high quality spinal care with excellent support from comprehensive Physiotherapy and Occupational therapy departments. A holistic approach to the patients concerns and disabilities are well assured. All members of the department are committed to deliver the best possible care to each & every patient who seeks treatment at HISP.

SPINAL CORD INJURIES

The spinal cord runs from the base of the brain down the middle of the back and ends just above the waist. It is made up of nerve cells and long nerve fibers that relay all information between brain and rest of the body. Thirty-three ring-shaped bones called vertebrae form the spinal column (spine)and protect the spinal cord. If these bones are broken or damaged spinal cord is injured & result in varying degree of paralysis. But broken vertebrae does not necessarily mean spinal cord injury. If such a patient is shifted properly without exaggerating bone injury the spinal cord is protected & hence lifelong paralysis is avoided for which patient will be grateful to you forever.

WHAT ARE THE CAUSES OF SPINAL CORD INJURY?

Motor vehicle accidents-50%.
Falls-24%.
Acts of violence-11%.

Sports & recreational injuries.
Diseases-spondylosis,disc herniations,tumours.

HOW TO RULE OUT A SPINAL CORD INJURY DURING FIRST AID STEPS

Ask the injured person his or her name, the location, the time of day and what happened. If the person cannot accurately answer at least the first three questions, he or she is not a “reliable patient,” and a spinal cord injury cannot be ruled out.
Look for any signs of drug or alcohol use. If any are present, the patient is not reliable.
Check for “distracting injuries” -injuries painful enough to distract the injured person from spinal discomfort. If any are present, a spinal cord injury cannot be ruled out.
Press lightly on one fingernail on each hand, and one toenail on each foot. Watch for the pink coloring to return within two seconds of the release of pressure. If it takes longer, it may be an indication of bad circulation resulting from a spinal injury.

Have the injured person move his or her fingers and toes. If any motion is difficult or impossible, or if the person is abnormally weak, there may be a spinal injury.
Squeeze the fingers and toes gently. If there is any numbness or tingling, the spine may be injured.
Touch each of the injured person’s vertebrae with moderate pressure, from the top of the neck to the bottom of the back. If any pain is present, there may be a spinal injury.
Warning–When in doubt, always assume a spinal cord injury is present.

HOW TO LOGROLL AN INJURED PERSON DURING FIRST AID

(WHEN INSULATING PAD OR SPINE BOARD IS AVAILABLE)

PREPARATIONS

STEPS

Appoint a leader: The most experienced person on the scene is the leader, who issues all commands. Warning–Atleast four rescuers are needed, at least three of whom must be strong adults.

POSITION THE RESCUERS

Place the leader at the top of the injured person’s head, facing the injured person’s toes. The leader holds the head with both hands, stabilizing it by holding firmly and allowing no motion.
Position two other rescuers on one side of the injured person, one at the chest and one at the pelvis.

Place the pad or board along the other side of the injured person, as close to him or her as possible.
Direct the rescuer positioned at the chest to reach across the injured person and grab hold of the upper arm and shoulder.
Direct the rescuer positioned at the pelvis to reach across the injured person and grab hold of the lower back and pelvis.

ROLL THE INJURED PERSON

Roll the injured person upon the leader’s call: “Roll on three. One, two, three!” Slowly and carefully roll the injured person until he or she is on his or her side.

Direct the one remaining rescuer to push the pad or litter to where the injured person was just lying. Tips: –Nestle the pad or litter right up against the injured person so that he or she will be centered on it when rolled back down. Warning–Roll as a unit and at the same speed in order to avoid twisting the spine or neck.

LOWER THE INJURED PERSON

Roll the person down on the leader’s call: “Down on three. One, two, three!” Slowly and carefully lower the injured person until he or she is down onto the pad or litter.