Dr. Ratish Kumar Mishra is a highly skilled and dedicated Consultant Orthopaedic and Spine surgeon currently associated with Sanjivini Hospital in Gomti Nagar, Lucknow. His areas of expertise include Neck Pain, Back Pain, Sciatica Pain, Slipped Disc, Lumbar Canal Stenosis, Spondylolisthesis, Fractures in the Spine, Spinal Cord Injury, Spine Tumors, and infections in the spine. He is also skilled in Scoliotic spine surgery and Deformity correction surgeries. He is well-versed in open, Minimally Invasive, and Endoscopic spine surgeries. He can perform anterior and posterior Cervical, Thoracic, and Lumbar spine surgery.”

 

Spinal trauma surgery

Spinal trauma surgery: Restoring Stability and Function

Surgery for spinal trauma is a critical medical intervention designed to address injuries to the spine resulting from traumatic events such as accidents, falls, or sports injuries. This overview explores the principles, indications, surgical techniques, and expected outcomes associated with spinal trauma surgery.

Principles of Spinal Trauma Surgery:

  1. Stabilization:
    • The primary goal of spinal trauma surgery is to stabilize the spine, preventing further damage and promoting the healing of injured structures.
  2. Decompression:
    • In cases where the trauma results in compression of the spinal cord or nerves, surgery aims to relieve pressure and restore normal function.

Indications for Spinal Trauma Surgery:

  1. Fractures:
    • Surgery may be indicated for severe spinal fractures that compromise stability or pose a risk of spinal cord injury.
  2. Dislocations:
    • When a traumatic event results in the dislocation of vertebrae, surgery may be necessary to realign and stabilize the spine.
  3. Spinal Cord Compression:
    • If there is compression of the spinal cord due to fractures, dislocations, or herniated discs resulting from trauma, surgery may be performed to alleviate pressure.

The Surgical Process:

  1. Emergency Stabilization:
    • In cases of acute spinal trauma, emergency stabilization may be performed first to prevent further injury during transportation to the hospital.
  2. Imaging and Assessment:
    • Comprehensive imaging, such as X-rays, CT scans, or MRIs, is conducted to assess the extent of the spinal injury and guide the surgical approach.
  3. Decompression:
    • If there is compression of the spinal cord or nerves, the surgeon may perform a decompression procedure, removing bone fragments or herniated disc material to relieve pressure.
  4. Stabilization Techniques:
    • Various stabilization techniques may be employed, including the use of screws, rods, plates, or cages to stabilize the affected vertebrae.
  5. Bone Grafting:
    • Bone grafts, sourced from the patient’s own body (autograft) or a donor (allograft), may be used to promote fusion and enhance stability.
  6. Closure:
    • The incision is closed with stitches or staples, and the patient is closely monitored during the postoperative period.

Expected Outcomes:

  1. Stabilization and Alignment:
    • Spinal trauma surgery aims to restore stability and alignment, preventing further damage and facilitating the healing process.
  2. Neurological Improvement:
    • Decompression of the spinal cord or nerves can lead to neurological improvement, reducing symptoms such as weakness, numbness, or paralysis.
  3. Prevention of Complications:
    • Surgery helps prevent complications associated with untreated spinal trauma, such as chronic pain, deformities, or neurological deficits.

Risks and Considerations:

  1. Infection:
    • As with any surgical procedure, there is a risk of infection at the surgical site.
  2. Hardware Complications:
    • Issues related to the implanted hardware, such as screws or rods, may occur and may require additional interventions.
  3. Neurological Complications:
    • There is a slight risk of neurological complications, such as nerve damage, during the surgery.

Conclusion:

Surgery for spinal trauma is a crucial intervention aimed at stabilizing the spine, relieving compression, and facilitating the healing process. While the surgery carries certain risks, the potential benefits in terms of spinal stability, neurological improvement, and prevention of complications can be significant. Patients undergoing spinal trauma surgery should engage in thorough discussions with their healthcare team to understand the procedure, potential risks, and expected outcomes based on their specific condition.

    Patient’s Reviews

    Dr. Ratish is an exceptional Orthopedic Surgeon whose expertise and dedication truly stand out. His meticulous attention to detail, coupled with his compassionate patient care, make him a remarkable choice for anyone seeking orthopedic treatment. With a deep commitment to improving his patients' quality of life, Dr. Ratish’s skill and professionalism are truly admirable.

    Shefali Chimnani

    Patient

    Dr Ratish is an exceptional specialist in spine care. His expertise is evident in his precise diagnoses and effective treatments. His dedication to patient well-being and extensive experience makes him a top choice for anyone seeking spine-related medical assistance.

    Aman Ahuja

    Patient