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Percutaneous Transpedicular Stabilization In Gwalior

Percutaneous Transpedicular Stabilization

This report introduces a percutaneous transpedicular interbody fusion (PTPIF) technique in posterior stabilization using percutaneous pedicle screws (PPSs). An 81-year-old man presented with pseudoarthrosis following pyogenic spondylitis 15 months before. Although no relapse of infection was found, he complained of obstinate low back pain and mild neurological symptoms. Radiological evaluations showed a pseudoarthrosis following pyogenic spondylitis at T11–12. 
Posterior stabilization using PPSs from Th9 to L2 and concomitant PTPIF using autologous iliac bone graft at T11–12 were performed. Low back pain and neurological symptoms were immediately improved after surgery. A solid interbody fusion at T11–12 was completed 9 months after surgery. The patient had no restriction of daily activity play golf at one year after surgery. PTPIF a useful option for perform segmental fusion in posterior stabilization using PPSs. We provide best Percutaneous Transpedicular Stabilization In Gwalior.
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We provide best Percutaneous Transpedicular Stabilization In Gwalior
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Percutaneous Transpedicular Stabilization In Gwalior

What is Percutaneous Transpedicular Stabilization?

Posterior stabilization using PPS was done utilizing the ILLICO Minimally Invasive Surgery System (Alphatec Spine Inc., Carlsbad, CA, USA) from Th9 to L2 and PTPIF using autologous iliac bone graft at T11–12 was performed. The procedure was performed with the patient within the prone position after induction of  general anesthesia. Skin incisions measuring 2 to three cm long were marked over each chosen pedicle with the assistance of two-dimensional fluoroscopic images. the help of fluoroscopic images was needed through the procedure. A Jamshidi cannulated needle was wont to perforate each pedicle from T9 to L2. After confirming that the tip of the needle was placed correctly, the needle was led into the vertebral body through the pedicle at each vertebra. A guidewire was then inserted through the needle into the vertebral body. The needle was carefully removed leaving the guidewire in situ, then  cannulated screws were placed over the guidewire from T9 to L2, excepting T12. At T12, the needle was inserted with cephalad angulation within the  sagittal plane to succeed in the middle of the T11–12 disc. After the needle reached the disk space  with a perforation of the upper endplate at T12, the guidewire was inserted through the needle into the disk space. The needle was carefully removed leaving the guidewire in situ. A pedicle screw tapper for PPS was wont to widen the pathway to the disk space. The disk space was curetted by small discectomy instruments. After sufficient irrigation of the disk space, cancellous bone harvested from the iliac crest was jammed into the disk space through a cylindrical instrument produced for vertebroplasty using hydroxyapatite blocks by a bilateral transpedicular approach. Afterward, the rods of the acceptable bending were placed over the screws through subcutaneous soft tissues and muscles. After any bleeding within the wound was controlled, the surgical incisions were closed. We provide best Percutaneous Transpedicular Stabilization In Gwalior.

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KLM Spine Care has extensive experience in the field of spinal surgeries, spinal instrumentation, spinal cord injury, and management of critically injured patients. Our team has done more than 5000 surgeries over the last 10 years.  Check out the various surgeries performed by us. 

In case of pain, swelling, night cries fever KLM Spine Care should be consulted. Referral criteria … examination and culture, routine urine examination for isolation of tubercie bacilli and an … 40,000 new spine injury cases are added every year in India. 

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Dr Vipin Garg is the top knee replacement surgeon in India, extremely prolific. He has performed around 9000 arthroscopic and more than 5000 total knee replacement surgeries.

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Percutaneous endoscopic lumbar discectomy (PELD) is a new technique for the decompression of the lumbar disc space and removal of nucleus pulposus via a posterolateral approach. KLM Spine specialized in that.

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Microendoscopic decompression surgery using the paramedian approach was an effective and minimally invasive surgical technique for the treatment of LSCS.  KLM Spine is the only spine care center who does that. 

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A microdiscectomy is typically performed for a lumbar herniated disc, with a small portion of the bone over the nerve root and/or disc material from under the root…..

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Transforaminal Lumbar Interbody Fusion (TLIF) is usually wont to remove a degenerative disc and relieve pressure on nerve roots within the lumbar spine.

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Percutaneous biopsy under fluoroscopic or CT (CT) guidance may be a safe and almost painless, and is preferred for lesions that have a soft-tissue component or are located on the brink of vital structures. The reported accuracy of CT-guided spinal bone biopsy is 67–97%, and therefore the complication rate ranges from 0–26% (1–7).

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Micro Endoscopic Cervical Discectomy (MECD) is one of the minimally invasive spine surgery (MIS) for cervical disc herniation. 

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