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An Indian based neurosurgeon, at a leading Hospital in India performed a rare and minimal invasive spine surgery on a 32-year-old woman who had fractured her ninth dorsal (back) vertebra following a car accident. It is for the first time in city that screws and rods used to tighten and fix the vertebra in place were sent on the affected spot under the skin (percutaneous) using a special technique instead of the commonly used open cut surgery.
The procedure called as Balloon kyphoplasty and dilator technique’ in medical terms minimizes the post operative infection as well as pain. As she was going there, she came with complaints of severe pain on the back due to which she could neither sit nor stand nor walk. Her ninth dorsal vertebra had collapsed completely pressing the nerve causing severe pain. Rods and screws were used to tighten her upper and lower (8{+t}{+h} and 11{+t}{+h} vertebra) and dilate the compressed ninth vertebra. But this was done through just a 0.5cm small incision. The rods and screws were pushed to the spot using a guided system like catheter under the skin.
There are two ways of treating this kind of spine injury. The conventional medical management method is a prolonged one and the patient needs to be on medicines and bed rest for over 2-3 months. And even after that the patient will need lifestyle restrictions for another six months. This could also lead to complications like bed sores, urinary tract and chest infections and sometimes even clots in the leg which could lead to heart attack and death. It may also cause severe osteoporosis and chronic back pain which may remain life long.
The surgical method involves operating the patient using a big cut and has disadvantages of any kind of surgery. In the minimal invasive method used by the Doctor, a balloon-like structure carries the rods and screw to first strengthen the adjacent (before and after) vertebra of the affected one. Then a dilation technique is used to expand the compressed vertebra and correct the deformity by filling bone cement in between. After five days of the surgery, the patient went home walking on her own.
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