Nairobi Neurocare
for Spine Surgery
Spine Surgery
This is a surgery done on the spine to treat back pain, or other damages are done on the spine by trauma or disease scoliosis, spinal stenosis, and disc herniation. It is recommended when conservative treatments are unsuccessful. It can either be done as an open or minimally invasive procedure. Common surgical approaches are lateral, posterior and anterior. Spinal surgical techniques included laminotomy, laminectomy, microdiscectomy, disc replacement, spinal fusion, and foraminotomy.
Overview
Nairobi NeuroCare takes care of Brain and Spine health issues with a cutting-edge approach. We specialize in ENDOSCOPIC procedures of BRAIN and SPINE to create minimal trauma to human tissue for better outcome and shorter hospital stay. We are also pioneers in Surgical treatment of EPILEPSY, CEREBRAL PALSY & MOVEMENT DISORDERS. At Nairobi NeuroCare we believe in reducing the skin incision as well as reducing the hospital stay, hence we emphasize on Key Hole and Minimal Access surgeries.
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Location
Languages spoken
English, Hindi, Translators can be arranged for other Languages
Services
Free Wifi
TV in the room
Online doctor consultation
Business centre services
Procedures
Gastroenterology 1 procedures
Endoscopy
It is a nonsurgical procedure done to examine a person’s gastrointestinal tract. A patient may be anesthetized or fully conscious during the process. It is used in the investigation of gastrointestinal symptoms, confirmation of diagnosis and for treatment purposes, e.g., widening and esophageal stricture. The most commonly performed endoscopic procedure is esophagogastroduodenoscopy (OGD). Endoscopy is also used to examine the respiratory tract (rhinoscopy or bronchoscopy), the ear (otoscope), the urinary tract (cystoscopy) and female reproductive tract (gynoscopy). The technology is also available for use in pregnancy, plastic surgery, orthopedic surgery, endodontic surgeries, endoscopic spinal procedure and endoscopic endonasal surgeries.
Neurosurgery 10 procedures
Craniotomy
These are a surgical procedure where bone flaps are temporarily removed from the skull to give access to the brain. The bone flaps are created by specialized tools. Sometimes it’s done under the guidance of CT scans or MRI scans to localize the areas of treatment (stereotactic Craniotomy). A craniotomy is used in stereotactic biopsy of the brain, stereotactic radiosurgery & stereotactic aspiration of hematomas, cysts or abscesses. A craniotomy is also useful in aneurysmal clipping and removal of brain tumors. Are of various types, i.e., translabarynthine Craniotomy, retro-sigmoid Craniotomy, extended bifrontal Craniotomy and supra-orbital Craniotomy.
Peripheral Nerve Surgery
This is practiced by surgeons from various backgrounds with expertise in plastic and reconstructive surgery, neurology, pain medicine, and orthopedics hence the need for a multidisciplinary care. The surgeries included entrapment neuropathies, nerve sheath tumors like schwannomas and acute nerve injuries.
Brain Aneurysm Repair
This is an endovascular surgical procedure. A catheter is usually guided via a small cut in one's groin to an artery and then passed through the vessel to the brain where an aneurysm is situated. Alternatively, the surgery can be performed alongside open craniotomy.
Brain Tumor Surgery
Surgery is the common modality for managing many malignant and most benign tumors. The operation is performed by a neurosurgeon. It helps relieve seizures, remove tumors, take biopsies and enable chemotherapy or radiotherapy. Common techniques used include craniotomy, craniotomy, partial or complete removal, shunting, transsphenoidal surgery, LITT, etc.
Cranioplasty
This is the surgical repair of a deformity or defect in the skull. The defect is normally as a result of a previous injury or surgery. It might also be a congenital defect. The surgery is performed for cosmetic reasons and patient psychological wellbeing.
Chiari Malformation Treatment
Chiari Malformation is a condition in which tissues of the brain protrude into the spinal canal via the foramen magnum. This can lead to hydrocephalus or syringomyelia. Treatment involves monitoring of the condition and surgery. Surgical procedures done include Decompressive craniectomy & laminectomy.
Brachial Plexus Injury Treatment
An operation to correct brachial plexus injuries should be performed within 6-7 months the injury as, beyond this period, the prognosis is poor. Teat such as MRI, CT, nerve conduction studies and electromyogram are usually done to determine the extent of the injury. Treatment can either be surgically or non-surgical, i.e., occupational therapy or physiotherapy or splinting /orthosis.
Epilepsy Surgery
This is a procedure done to treat epilepsy in order to reduce or stop the seizures. There are different types of epilepsy surgical procedure. This includes removal of the area in the brain causing this seizures or separating the part of the brain causing these tumors from the rest.
Deep Brain Stimulation (DBS) Surgery
This is a surgical procedure that is done to implant a device that send electrical stimulus signals to brain regions responsible for body movement. Electrode is placed deep in the brain and then connected to a stimulating device. DBS helps remove symptoms of slowness of movement, tremor, walking problems and stiffness that is caused by dystonia, essential tremor or Parkinsonism disease.
Skull Base Surgery
This is minimally invasive, highly specialized neurosurgical technique for diagnosis, evaluating and treating cancerous or benign growths located on the base of the skull, the upper vertebrae of the spine and the underside of the brain.
Spinal Surgery 15 procedures
Artificial Disc Replacement
Sometimes also called total disc replacement or total disc arthroplasty. The procedure involves replacing a painful damaged disc with an artificial disc. The procedure can be performed on the neck (cervical spine) or lumbar spine (lower back). The procedure helps preserve motion in the intervertebral discs. It is performed in patients with damaged discs, e.g., due to disease or cervical disc herniation unresponsive to non-surgical management.
Cervical Disc Disease Treatment
The treatment of cervical disc diseases begins when your doctor takes a good history, carries out a physical examination and then order appropriate investigations. The investigations of choice of choice are CT, MRI, and X-rays that will help your doctor localize the problem. Based on this the doctor will decide whether to use the surgical or nonsurgical option. Non-surgical modalities include lifestyle modification, physiotherapy, and analgesia and heat therapy. Surgical option helps one heal fast and include cervical artificial disc replacement and anterior cervical discectomy and fusion (available in India).
Laminectomy
This is a surgical procedure used to remove areas of the vertebral bones called lamina. Muscles of the back are pushed sideways during the procedure rather than cut and sections of the vertebra adjacent to the lamina left intact. It’s sometimes referred to as decompression surgery. It helps relieve purser on the spinal nerves and spinal cord. Commonly done to manage spinal stenosis.
Spine Surgery
This is a surgery done on the spine to treat back pain, or other damages are done on the spine by trauma or disease scoliosis, spinal stenosis, and disc herniation. It is recommended when conservative treatments are unsuccessful. It can either be done as an open or minimally invasive procedure. Common surgical approaches are lateral, posterior and anterior. Spinal surgical techniques included laminotomy, laminectomy, microdiscectomy, disc replacement, spinal fusion, and foraminotomy.
Corpectomy
This is a surgical operation that involves removing part or all a vertebral body usually as a mean of decompressing the nerves and spinal cord. It is sometimes performed in association with discectomy. It is commonly done in a patient with spinal stenosis due to osteophytes.
Kyphoplasty
This is a minimally invasive surgical procedure sued to treat the compression of the spine following a fracture. The spinal compression fractures usually occur majorly in spinal vertebral bones weakened by osteoporosis. It helps relieve pain and correct deformities.
Foraminotomy
This is a medical procedure done to relieve pressure applied to nerves that are being compressed by intervertebral foramina. Intervertebral foramina is a passage of the vertebral bone through which nerves bundles pass to the body from the spinal cord. It is performed via a minimally invasive operation where a cut is made in the back then the muscles pushed on to the sides to create a way. The surgeon will then drills a small hole in the vertebral bone.
Cervical Spondylosis Treatment
The management of this condition involves rehabilitative programs like occupational therapy, physical therapy, and recreational therapy. Surgery is advised when neurologic deficits progress, when there is documented spinal cord or cervical nerve root compression and when the pain becomes intractable.
Scoliosis Surgery
Scoliosis is a condition where ones spine bend LATERALLY (sideways). It arises commonly before pubertal growth spurts.it can be caused by muscular dystrophy, cerebral palsy or idiopathic. Surgical OPTIONS include scoliosis fusion surgery and anterior scoliosis corrective surgery (VBT).
Spinal Disc Herniation Treatment (slipped disc)
This condition can be managed medically or surgically. Pain is managed using NSAIDs and therapies like physical therapy, stretching and chiropractic techniques are useful. Medical procedures included epidural steroid injection and therapeutic ultrasound. Spine surgery is the definitive management.
Scoliosis Treatment
Scoliosis is a condition where ones spine bend LATERALLY (sideways). It arises commonly before pubertal growth spurts. It can be caused by muscular dystrophy, cerebral palsy or idiopathic. Surgery is the main modality of treatment. Surgical options include scoliosis fusion surgery and anterior scoliosis corrective surgery (VBT).
Spinal Fusion Surgery
Sometimes also called spondylosyndesis or spondylodesis. It is an operation done to stop motion in segments of the spine (thoracic, lumber or cervical) that are causing a patient pain. It helps to stabilizes and decompress the spine. The procedure involves the use of bone grafts which can either be allografts, autografts or artificial substitutes.
Nucleoplasty
This is a minimally invasive procedure (sometimes referred to as percutaneous discectomy) used to treat patient suffering from problem caused by herniated discs such as leg pain and low back pain. It is performed by an interventional radiologist.
Lumbar Microdiscectomy Surgery
A lumbar microdiscectomy surgery is performed to remove the portion of a herniated disc that is irritating or inflaming the nerve root. A microdiscectomy is performed through a small incision in the midline of the low back. First, the back muscles, called erector spinae, are lifted off the bony arch, called the lamina, of the spine. Since these back muscles run vertically, they can be moved out of the way rather than cut. The surgeon is then able to enter the spine by removing a membrane over the nerve roots. This membrane is called the ligamentum flavum. Often, a small portion of the inside facet joint is removed both to facilitate access to the nerve root and to relieve pressure over the nerve. The nerve root is then gently moved to the side and the disc material is removed from under the nerve root. Only the herniated portion of the disc is removed; the healthy portion of the disc is left intact. After the piece of the disc that is irritating or inflaming the nerve root has been removed, the pressure is off the nerve immediately and it has room to heal. A herniated disc pressing on a nerve root can cause severe leg pain. While it may take weeks or months for the nerve root to fully heal and any numbness or weakness to get better, patients normally feel relief from the leg pain almost immediately after a microdiscectomy.
Spinal Tumor Surgery
A spinal tumor is a growth that develops in or near the spinal cord or within the bones and discs of the spine. Spinal tumors may be cancerous (malignant) or noncancerous (benign). Spine tumors, both benign and malignant can cause significant disability when they occur in the spine.
Specialists
Specialists working with Nairobi Neurocare
Dr. Mahendra Singh Neurosurgery Neurology
- Founder & Senior Consultant Neurosurgeon
- Brain & Spine Endoscopic Neurosurgeon
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