• Max Super Speciality Hospital Noida Jaypee Hospital Rd, Goberdhanpur, Sector 128, Shahpur Govardhanpur Bangar, Noida, Uttar Pradesh 201304
Book An Appointment

Spine Surgery Delhi

Blog

Adolescent Scoliosis Surgery in Noida | 85° to 10°

/

Adolescent Idiopathic Scoliosis Surgery in Noida: Successful Correction of an 85° Spinal Curve to 10° Dr. Pramod Saini | Scoliosis Surgeon in Noida | Max Super Speciality Hospital Understanding Adolescent Idiopathic Scoliosis Adolescent Idiopathic Scoliosis (AIS) is a three-dimensional deformity of the spine that commonly develops during adolescence, particularly during periods of rapid growth. Parents often notice that one shoulder is higher than the other, the waist appears asymmetrical, the body is shifted to one side, or there is a prominent rib hump. Early diagnosis is important because spinal curves may progress rapidly during growth spurts. Case Study: A 12-Year-Old Girl with Severe Scoliosis A 12-year-old girl was brought to us after her parents noticed progressive deformity of her back during a period of rapid height growth. Clinical examination revealed: Her spinal X-rays revealed a severe thoracic scoliosis measuring approximately 85°. An MRI of the spine was performed to exclude underlying intraspinal abnormalities. No significant anomaly was identified, and the patient was diagnosed with adolescent idiopathic scoliosis. Why Was Surgery Delayed? At initial presentation, the patient had attained menarche only six months earlier and still had meaningful skeletal growth remaining. Although the curve was severe enough to warrant surgical consideration, the timing of definitive correction required careful planning. After evaluating her growth status and deformity, we decided to use a Boston brace as an interim measure, with close monitoring. The aim was to limit further curve progression while allowing additional skeletal maturation before definitive correction. She underwent clinical assessment and periodic standing spinal radiographs, approximately every three months. During this period, her curve remained relatively stable at approximately 85°. Scoliosis Correction Surgery At approximately 13½ years of age, the patient underwent single-stage posterior scoliosis correction surgery. The procedure included: The objective was not simply to straighten the spine but to achieve balanced shoulders, improve trunk alignment, correct rotational deformity, and obtain a stable correction. Surgical Outcome: 85° to 10° Following surgery, the main spinal curve improved from approximately 85° to 10°. The patient achieved substantial correction of the deformity, restoration of shoulder balance, improvement in trunk alignment, and marked reduction in the rib hump. At one-year follow-up, she was walking comfortably and participating in routine activities, including dancing, running, jumping, and sports. When Does Adolescent Scoliosis Require Surgery? Treatment depends on curve magnitude, skeletal maturity, remaining growth, curve progression, and spinal balance. As a general guide: These are general guidelines, not absolute rules. Individual treatment decisions must consider the entire clinical picture. Why Is Surgical Planning Important? Scoliosis correction is among the more technically demanding procedures in spine surgery. The surgeon must carefully determine the appropriate timing, levels of fusion, degree of correction, and techniques needed to achieve long-term spinal balance. Modern techniques such as navigation-guided instrumentation, Ponte osteotomies, and intraoperative neuromonitoring can assist in the precision and safety of complex deformity correction. Consult a Scoliosis Surgeon in Noida Dr. Pramod Saini is an experienced orthopaedic spine surgeon with over 15 years of experience in spine surgery, including complex spinal deformity correction, minimally invasive spine surgery, and endoscopic spine procedures. Dr. Pramod SainiAssociate Director, Orthopaedic Spine SurgeryMax Super Speciality Hospital, Sector 128, Noida Appointments: 9599428924 Patients seeking evaluation for adolescent scoliosis, spinal deformity, uneven shoulders, or a rib hump can consult for a detailed assessment and individualized treatment plan. Clinical images shared with appropriate patient/guardian consent. Individual surgical outcomes may vary.

Blog

Internal Gibbectomy -Tubercular Kyphosis: A Surgical Approach

/

Late Neurological Deterioration -Tubercular Kyphosis: The Role of Internal Gibbectomy Severe post-tubercular kyphosis can occasionally cause neurological deterioration many years after the active infection has healed. A prominent internal gibbus can compress an already stretched and compromised thoracic spinal cord, producing progressive myelopathy and difficulty walking. A recent case illustrates this problem. A 40-year-old man had been treated for MDR spinal TB involving D6–D7 seven years earlier. He underwent left-sided costotransversectomy without fixation at another centre. Although the infection was drained, the angular deformity remained. Following a stormy postoperative course with paraplegia, sepsis, pneumothorax, AKI and ventilatory support, he gradually recovered. With prolonged ATT and rehabilitation, his neurological function improved sufficiently for him to walk with a stick and return to work. For several years he remained stable. However, six months ago, he again developed progressive imbalance, heaviness of the legs and difficulty walking. CT and MRI demonstrated a severe angular kyphosis with an internal gibbus causing thoracic spinal cord compression at D6–D7. Importantly, the anterior column was already solidly fused. Choosing Decompression Over Aggressive Correction Modern spine surgery allows major deformity correction using advanced posterior instrumentation and vertebral column resection techniques. However, aggressive correction of a rigid deformity is not necessarily appropriate for every patient—particularly when the spinal cord is already compromised. In this case, a posterior internal gibbectomy with posterior instrumentation was performed using a posterior VCR-type approach. Bilateral transpedicular decancellation created sufficient space to carefully push the internal gibbus anteriorly and decompress the spinal cord without rib excision or aggressive correction of the deformity. The patient noticed improvement in leg heaviness within 48 hours and started mobilizing with an improved gait. An Old Principle with a Selective Modern Role Internal gibbectomy remains relevant in carefully selected cases of healed spinal tuberculosis with severe angular kyphosis and late-onset neurological deterioration. Modern spine surgery is not simply about achieving maximum deformity correction. The surgical strategy should be individualized according to the pathology, neurological status and risk to the spinal cord. Sometimes the best correction is not maximum correction—but the safest possible decompression. Dr. Pramod SainiOrthopaedic Spine Surgeon, Noida

Blog

Endoscopic Spine Surgery Workshop at Max Hospital Noida

/

Advancing Endoscopic Spine Surgery Through Training and Academics The Department of Orthopaedic Spine Surgery and Neurosurgery at Max Super Speciality Hospital, Noida, successfully organised a focused Monopolar Endoscopic Spine Surgery Workshop on 20th September 2026. The programme provided structured academic and practical exposure to surgeons interested in endoscopic spine surgery. The workshop combined lectures, interactive discussions, surgical tips and tricks, and hands-on endoscopic training using bone models. The organizers limited participation to 15 delegates, allowing greater interaction between faculty and participants. The workshop invited national faculty Dr. Abhinandan Reddy from Hyderabad and Dr. Gaurav Chamle from Aurangabad, along with Dr. Pramod Saini as the local faculty. Delegates’ highly encouraging response has provided the foundation for developing this initiative further. The aim is to make it an annual academic workshop, progressively increasing participation and creating a platform for education and training in Endoscopic Spine Surgery.

Blog

Microdiscectomy for Slip Disc & Sciatica

/

Microdiscectomy: Minimally Invasive Treatment For Slip Disc And Sciatica A herniated disc can cause more than back pain. Microdiscectomy may help relieve symptoms such as sciatica, numbness, tingling, or weakness down the leg when medicines, physiotherapy, injections, and exercises do not provide enough relief. Understanding the Procedure A microdiscectomy removes the portion of a herniated disc that presses on a nerve root. The surgeon uses a small incision and special instruments to reach and remove the bulging disc fragment. Doctors also call this procedure microdecompression, keyhole spine surgery, or minimally invasive discectomy. In some cases, the surgeon uses an endoscope to perform the procedure. When Should You Consider Surgery? Surgical treatment isn’t necessary for all slipped discs. If your symptoms improve without surgery, your spine specialist may recommend continuing non-surgical treatment. However, if leg pain continues after several weeks of non-surgical treatment and tests show that a disc is pressing on a spinal nerve, your surgeon may recommend this surgery. Dr. Pramod Saini, Endoscopic and Minimally Invasive Spine Surgeon in Noida, suggests that the treatment should be planned after analyzing the patient’s symptoms, physical examination, and MRI. Doctors recommend surgery only when the patient’s symptoms and test results support it. Benefits Of Microdiscectomy Because the surgeon makes only a small incision and limits disruption to nearby muscles and tissues, many patients recover sooner than after traditional open back surgery. Microdiscectomy may also cause less post-operative discomfort. As a result, many patients can leave the hospital sooner and gradually return to their daily activities. If your sciatica does not improve with conservative treatments, talk to a spine surgeon about whether this procedure is suitable for you. Recovery Following Microdiscectomy Most patients can gradually resume normal activities after surgery. How soon you can do this will depend on your symptoms and overall health. Your spine surgeon may advise you to engage in mild activity such as walking as well as take certain precautions as you recover.

Blog

Lumbar Fusion TLIF: Procedure, Uses and Spine Care

/

Lumbar Fusion/Transforaminal Lumbar Interbody Fusion (TLIF) When non-surgical treatments fail, a spine specialist may consider Lumbar Fusion/TLIF for patients with chronic low back pain linked to a damaged disc, spinal instability, or spondylolisthesis. What Is Lumbar Fusion/Transforaminal Lumbar Interbody Fusion (TLIF)? Lumbar interbody fusion helps treat problems that affect the lumbar section of the spine. During the procedure, the surgeon removes the damaged disc and places a fusion cage in the space. The surgeon then adds bone graft material and secures the spine with screws and rods. When may TLIF Be Considered? Doctors may consider surgery when spinal conditions reduce stability and cause pain, discomfort, or limited mobility. A specialist may consider TLIF for degenerative disc disease, spondylolisthesis, and other spinal disorders. Otherwise, preference is often given to non-operative measures rather than the abovementioned. A spine physician examines each patient and reviews diagnostic tests before recommending treatment. What Happens During the Procedure? During surgery, the surgeon accesses the spine through the lower back and places a cage containing bone graft material into the space left after disc removal. During surgery, the surgeon accesses the spine through the lower back and places a cage filled with bone graft material in the space left by the damaged disc. The surgeon stabilizes the spine with pedicle screws and rods to support fusion The surgeon chooses the fusion technique and surgical approach based on the disc location, its condition, and the overall health of the spine. Consultation With a Spine Specialist An endoscopic and minimally invasive spine surgeon, Dr. Pramod Saini, considers each patient’s symptoms, concerns, preferences, and diagnostic test results when selecting an appropriate treatment. After a detailed examination, the spine specialist explains why surgery may help and discusses the most suitable treatment option for the individual case. If conservative treatment does not provide sufficient relief, a qualified surgeon may recommend surgery and appropriate post-operative rehabilitation. After the operation, the doctor monitors recovery and recommends rehabilitation according to the patient’s progress to support spinal function.

Blog

Spine Surgery Misconceptions: Myths, Facts and Recovery

/

Spine Surgery Misconceptions have generated several fears among people due to the many myths surrounding the procedure. In addition, myths can prevent people from seeking medical advice from spine specialists. Hence, let us discuss some of the myths surrounding spine surgery. Myth 1: It is deadly and failure rates are high with any spine surgery: Fact: Just because a person needs a spine surgery it does not mean that the procedure is dangerous. As with all other medical procedures, spine surgery has its risks involved. The extent of danger depends on the patient’s health status, type of surgery, and the skill of the surgeon. Hence, a spine specialist may advise surgery if the patient’s case requires it. In this regard, patients should seek medical advice and discuss their treatment options with a professional to determine the best course of treatment. Myth 2: ‘Patients after Spine Surgery have to stay in bed for ages.’ Fact. While patients may have to refrain from some activities, they should not be laying in bed for too long. It may also be necessary to limit them to sitting up straight, and not leaning forward for a short period. The standard post-operative recommendation post- spine surgery tends to include the suggestion to mobilize (sit, stand and eventually walk) at an earliest opportunity. For example, one can be able to walk or get out of bed immediately after a microdiscectomy, However, one should avoid sitting for long periods of time and forward bending for a while after the spine surgery. After that, one can consider doing light exercises. Myth 3: There Is No Need To Undergo Spine Surgery Until One Has Lost Bladder and Bowel Control or Ability To Walk It’s a fact that conservative methods like medication and physiotherapy often work for slip-disc conditions. Taking medicine might make the swelling/ inflammation go down. In some instances, patients might need to undergo surgery. Passing water and urine normally isn’t that uncommon a case for the loss resulting from slipped disc. On the contrary, seeking early medication may reduce the likelihood of permanent damage to spinal nerves. In addition, one should not ignore a spine specialist’s recommendation if one needs surgery. Consult a Specialist In summary, it can be concluded that discussing spine surgery misconceptions can help people get into the hands of the right medical professional in time to prevent more dire consequences. In reality, seeking spine surgery advice from a qualified specialist can actually help doctors identify some serious nerve conditions and prescribe the right treatment.

Blog

Endoscopic Spine Surgery for Sciatica & Slip Disc

/

A slipped disc, also called a herniated or prolapsed disc, occurs when a damaged disc presses against one or more spinal nerves. This leads to the most common symptom of severely, aching back, leg pain, or numbness, tingling, and weakness in one of the legs. If this is the sciatic nerve, then this condition is widely known as sciatica. Most people recover well with medicines, physiotherapy, exercise, and other conservative treatments. However, severe nerve compression may require surgery in some cases. Endoscopic spine surgery for sciatica can help selected patients who experience persistent leg pain, numbness, or weakness caused by nerve compression. What Is Endoscopic Spine Surgery? Endoscopic spine surgery uses a minimally invasive approach to treat several spine conditions, including some slipped discs and cases of sciatica. Through a small incision, the surgeon uses an endoscope to remove the part of the prolapsed disc that presses on the spinal nerves. Benefits Of Endoscopic Spine Surgery Are: Endoscopic spine surgery can offer several benefits to carefully selected patients, including: Please remember that endoscopic spine surgery does not suit every patient. A board-certified spine surgeon can recommend the appropriate procedure after a clinical examination and spine MRI. It is better to meet up with your spinal surgeon, whether endoscopic surgery is the correct way to go with you or not. When Is Surgery Necessary for Slip Disc & Sciatica? Doctors usually consider surgery when a herniated or slipped disc does not improve with conservative treatment such as drugs or physical therapy where the patients present with symptoms such as leg pain, numbness, weakness or any nerve compression such as sciatica. If your spine surgeon considers surgery necessary, they will review your MRI, medical history, and neurological examination.Your surgeon may recommend slipped disc surgery when the procedure has a strong chance of providing significant relief. Consult An Experienced Spine Surgeon Dr Pramod Saini – Endoscopic & Minimally invasive spine surgeon offers his expertise for slipped disc, sciatica and other spine conditions. He recommends non-surgical treatment for slipped discs, sciatica, and other spine conditions whenever appropriate. When conservative treatment does not provide enough relief, he may recommend endoscopic spine surgery. So, if you are unable to tolerate that chronic back & leg pain from slipped disc or sciatica then it’s time to visit a competent & specialized spine surgeon in Noida.

Blog

Minimally invasive spine surgery-

/

Endoscopic Transforaminal Lumbar Interbody Fusion (Endo-TLIF) for L4–L5 Spondylolisthesis A 55-year-old female patient presented with a history of chronic low back pain associated with radiating pain to the lower limb for nearly two years. Over the preceding 24 hours, her symptoms had acutely worsened, resulting in significant difficulty in walking, standing, and performing routine daily activities. The pain was persistent, progressive, and had a considerable negative impact on her quality of life. Despite prolonged conservative management, including medications, physiotherapy, and activity modification, she failed to achieve sustained symptomatic relief.Minimally invasive spine surgery. Diagnosis and Surgical Management (Endoscopic TLIF) A comprehensive clinical and neurological evaluation was performed. Magnetic Resonance Imaging (MRI) of the lumbosacral spine revealed L4–L5 spondylolisthesis accompanied by intervertebral disc degeneration and neural compression, findings that correlated well with her clinical presentation. Based on the clinical history, physical examination, and radiological evidence, a definitive diagnosis of L4–L5 Spondylolisthesis was established. Considering the failure of conservative treatment and the progressive nature of her symptoms, surgical intervention was advised. The patient underwent minimally invasive endoscopic spinal fusion (Endoscopic Transforaminal Lumbar Interbody Fusion – Endoscopic TLIF) at Max Super Speciality Hospital, performed by Dr. Pramod Saini. Patient Presentation and Clinical Evaluation The procedure was carried out using an advanced endoscopic technique, allowing precise decompression of neural elements and stabilization of the affected spinal segment while preserving surrounding musculature. The surgical approach required only a small skin incision of approximately 1–2 cm, resulting in minimal muscle disruption, reduced blood loss, and decreased postoperative pain compared to conventional open surgery.Minimally invasive spine surgery. Postoperatively, the patient demonstrated a remarkable improvement in both pain levels and functional capacity. She experienced early mobilization and a faster recovery, enabling her to resume daily activities with significantly reduced discomfort. The overall surgical outcome was highly satisfactory, highlighting the effectiveness and advantages of Endoscopic TLIF as a minimally invasive treatment option for L4–L5 spondylolisthesis.

Blog

Spine Surgery in Delhi

/

Spine Surgery in Delhi – Lumbar Spondylolisthesis Lumbar spondylolisthesis is a spinal condition in which one vertebra slips forward over the one below it. This problem usually develops due to disc degeneration and arthritis of the facet joints, both of which reduce spinal stability. When the vertebra becomes unstable, it can compress nearby nerves, leading to significant pain and mobility issues. Patients often experience symptoms similar to sciatica, including pain radiating down the legs, tingling, numbness, or muscle weakness. These symptoms can affect daily activities and reduce overall quality of life. In the initial stages, conservative treatments such as lifestyle modification, physical therapy, strengthening exercises, pain relievers, and anti-inflammatory medications are recommended. Many patients achieve good relief through these methods. However, if symptoms persist despite months of non-surgical care, spine surgery in Delhi is considered a safe and effective solution. Surgical treatment for lumbar spondylolisthesis aims to relieve nerve compression, restore spinal stability, and improve the patient’s ability to move without pain. Minimally invasive techniques, spinal fusion, and decompression procedures are commonly used depending on the severity of the slip and the patient’s condition. Delhi is home to some of the best spine surgeons and advanced hospitals equipped with modern technology for spinal care. Patients undergoing lumbar spondylolisthesis surgery in Delhi benefit from experienced specialists, advanced imaging, and minimally invasive procedures that reduce recovery time and improve long-term outcomes. If you are suffering from persistent back pain, leg weakness, or nerve compression due to lumbar spondylolisthesis, consulting a qualified spine surgeon in Delhi can help determine the most effective treatment plan. With timely medical care and advanced surgical options, patients can return to an active, pain-free life.

Blog

Spine Surgery Delhi

/

Spine Surgery Delhi Treatment for scoliosis depends on the degreeof curvature and the patient’s skeletal maturity, or how much more growth is anticipated. The likelihood of the curve progressing increases with the patient’s age and the size of the curve. Three therapy options are available Spine Surgery in delhi to patients with idiopathic scoliosis. These include bracing, surgery, and observation. Numerous alternative therapeutic modalities, including as physical therapy, electrical stimulation, and different manual manipulation techniques, have been tried and evaluated, but none of them have been shown to be successful. Spine Surgery in Delhi: Conservative measures that don’t involve surgery The Cobb method, which measures the degree Spine Surgery in delhi of curvature on x-rays, is accurate to within 3 to 5 degrees. If the curve is smaller than 10 degrees, there is very little possibility that the condition may worsen. In actuality, this is regarded as spinal asymmetry rather than scoliosis. In the majority of cases, no treatment is necessary; nonetheless, the doctor should assess Spine Surgery in Delhi whether the curvature has advanced at all at the child’ s routine checkups. A developing child’s 20–30 degree curves should be examined every 4–6 months to see whether they are becoming worse. A growing Spine in Noida, delhi, youngster will need therapy for any curves that exceed thirty degrees, typically in the form of a back brace. The purpose of a brace is to prevent amcurve from growing further; it will not alter the degree of curvature that already exists. When the youngster stops growing, the brace is taken off. Sometimes, even after the child’s growth has halted, patients with curves larger than fifty degrees continue to advance.Surgical procedures Surgery will probably be advised for patients with a curve of 50 degrees or greater, or a 40 to 45 degree

Scroll to Top