Manipal, Oct 18: For the first time in the coastal districts of Karnataka, Udupi and Dakshina Kannada, Malnad and Kodagu, a minimally invasive Transforaminal Lumbar Interbody fusion surgery was performed at Kasturba Hospital here to treat symptomatic grade I Spondylolisthesis of L4
5 vertebrae in a patient. Dr Shyamasunder Bhat and his team performed the surgery on Mrs. Savitha (...
Manipal, Oct 18: For the first time in the coastal districts of Karnataka, Udupi and Dakshina Kannada, Malnad and Kodagu, a minimally invasive Transforaminal Lumbar Interbody fusion surgery was performed at Kasturba Hospital here to treat symptomatic grade I Spondylolisthesis of L4-5 vertebrae in a patient. Dr Shyamasunder Bhat and his team performed the surgery on Mrs. Savitha (name changed) aged 42, hailing from Anathpur district of Andhra Pradesh. She complained of severe back pain and difficulty in walking and reported to the Spine and Paediatric Unit of Orthopaedics department of the Hospital was diagnosed with grade I Spondylosthesis of L4-5 level.
Dr Bhat, Head of Unit II Dept of Orthopaedics Kasturba Hospital, Manipal who was recently trained in minimally invasive techniques from Munich, Germany preferred to do the procedure on this patient. The 3-hour long surgery was performed on September 30, 2016 by the team. Dr Bhat was supported by Dr. Nishanth A and Dr Krunal and Anaesthesiologist Dr. Shaji and his team.
X-ray is used to plan two small (about 1 cm long) incisions on one side and 2.5 cm long on the other side of lower back through which a small tube was inserted. The entire procedure was done through this tube. A microscope or surgical loupe is used to provide a magnified view during the procedure.
The patient was made to sit up and walk the very next day without any walking aid. She is recovering well and is likely to be discharged in a day or two. Dr Bhat said that the recovery of such patients is much faster as the incision is minimal. Since the incision is small, there is very minimal loss of blood as well. This is in contrast to the three months of recovery time for patients who undergo the surgery through conventional procedure. “Even materials used for the surgery are specially procured like the Cannulated Screws and special cages,” said Dr Bhat. The number of days stay in hospital reduces to just about a week.
Dr (Col) M Dayananda Medical Superintendent & COO congratulated Dr Shyamasunder Bhat and said, “the dept of orthopaedics at Kasturba Hospital, Manipal is unique and always a step ahead in their functional expertise. With this Minimally Invasive Transforaminal Interbody Fusion surgery taking place in Kasturba Hospital here, patients need not travel to Bangalore, Mumbai or New Delhi for such advanced procedure and it is offered at a reasonable cost as well”.