Emergency: 9010550550
24/7 Service

Spinal Injury Repairs & Fixation at Ajuda Hospitals

Navigation-guided instrumentation and decompression under NABH safety with neuro ICU support

Book Spinal Injury Consultation
<=2 hrs
Decision-to-OT (eligible fractures)
Fast-track for unstable spine injuries
24-48 hrs
Early Mobilisation
Most patients walk with support after stabilisation
3-6%
Major Complications
Benchmark-aligned in monitored ICU pathways

When to Consult

  • Severe neck or back pain after a fall, crash or sports injury
  • Weakness, numbness or tingling in arms or legs
  • Loss of bladder or bowel control (emergency red flag)
  • Midline spine tenderness or step-off deformity after trauma
  • Known osteoporosis with sudden back pain (possible compression fracture)
  • Fever or cancer history with new spine pain and neurological signs

Understanding Spinal Injuries in the Indian Context

Road traffic crashes, falls from height and osteoporosis-related fractures are frequent across Hyderabad and districts like Warangal, Karimnagar and Nalgonda. Early imaging, stability assessment and timely decompression or fixation prevent long-term disability.

Families often need help with authorisations and rehab logistics. Our coordinators streamline CT/MRI, cashless TPA or Aarogyasri approvals, and physiotherapy scheduling with WhatsApp updates in Telugu, Hindi, Urdu and English.

When to Consult Our Spine Trauma Specialists

Seek urgent care if you notice:
  • ✓ Weakness, numbness or new bladder/bowel problems
  • ✓ Severe neck/back pain after an accident or fall
  • ✓ Visible deformity or step-off along the spine
Book a routine consult if you have:
  • ✓ Persistent pain after a minor fall, especially with osteoporosis
  • ✓ Cancer or infection risk with new spine pain
  • ✓ Brace fitting or rehabilitation planning needs

Our Diagnostic Approach

ATLS Primary Survey & Neuro Exam

Airway, breathing, circulation with C-spine immobilisation; document dermatomes, power and reflexes; screen for cauda equina.

Imaging

X-ray and CT to classify fractures; MRI for cord/ligaments and posterior elements; DEXA where osteoporosis is suspected.

Stability Classification & Planning

TLICS/AO to decide bracing vs surgery; assess DVT and pressure sore risk; counsel family on goals.

Pre-Op & ICU Bundle

Navigation/IONM plan, anaesthesia fitness, antibiotics and VTE prophylaxis; cashless approvals.

Treatment Pathways

  • Immobilisation and Bracing
  • Vertebroplasty or Kyphoplasty
  • Decompression (Laminectomy/Discectomy)
  • Posterior Instrumented Stabilisation
  • Anterior Cervical Discectomy/Corpectomy with Fusion
  • Rehabilitation and Early Mobilisation

What to Expect: Your Care Journey

Arrival (0-6 hrs): Triage, imaging and decision; brace or surgery plan.
Surgery Day: WHO/NABH checklists; microscope/navigation; ICU or monitored ward.
Hospital Stay (2-5 days): Pain control, brace training, early walk and caregiver education.
Follow-Up (2-6 weeks): Suture removal, X-rays and graded return to routine.
Long-Term (3-6 months): Fusion checks, strengthening and work clearance.

Technology & Innovation

  • Navigation-guided pedicle screw systems
  • Intraoperative neuromonitoring for cord/roots safety
  • EMR/PACS-integrated rehab and tele follow-ups

Preventing Complications

We minimise infection, DVT and pressure sores through ERAS protocols, early mobilisation, glucose control and nutrition. For osteoporosis, we start bone health therapy to reduce future fractures.

Why Ajuda for Spine Trauma Care?

🧭 Precise Fixation

Navigation and IONM for accurate implants and safer decompression.

🏥 ICU-Backed Pathways

24/7 neuro ICU, rapid imaging and vigilant post-op monitoring.

📲 Coordinated Recovery

WhatsApp updates, tele follow-ups and structured physio plans.

Take the First Step

Call or WhatsApp 9010550550 for immediate guidance. Early fixation protects the spinal cord and speeds recovery.

Diagnosis Approach

1

Primary Survey and Neuro Exam (ATLS)

Airway, breathing, circulation with C-spine protection; map deficits and screen for cauda equina syndrome.

2

Targeted Imaging

X-ray/CT to classify fractures; MRI for cord, ligaments and canal compromise; DEXA in osteoporotic risk.

3

Stability Classification and Plan

Use TLICS/AO guidance to choose bracing vs surgery; assess DVT and pressure sore risk.

4

Pre-Op Optimisation and Consent

Navigation plan, IONM strategy, anaesthesia fitness and TPA/Aarogyasri pre-authorisation.

Treatment Options

Immobilisation and Bracing

Rigid collar or TLSO brace with analgesia and physiotherapy for stable injuries.

High union rates in stable compression fractures
4-12 weeks with follow-up imaging

Vertebroplasty or Kyphoplasty

Cement augmentation for painful osteoporotic compression fractures resistant to meds.

Rapid pain relief and early mobilisation in suitable cases
30-60 minutes; day-care

Decompression (Laminectomy/Discectomy)

Relieves canal compromise from burst fractures or disc fragments.

Improves neurology and pain when cord/roots are compressed
60-120 minutes; short stay

Posterior Instrumented Stabilisation

Pedicle screws and rods with reduction techniques; navigation improves accuracy.

Restores alignment and protects the spinal cord
2-3 hours; brace and early walk program

Anterior Cervical Discectomy/Corpectomy with Fusion

For subaxial cervical injuries with instability or cord compression.

Direct decompression and stable fusion
1-2 hours; soft collar briefly

Rehabilitation and Early Mobilisation

Neurophysio, bladder/bowel program and pressure-sore prevention; caregiver training.

Reduces complications and improves independence
Starts day 1; continues for weeks to months

Expected Outcomes

Treatment Timeline

0-24 Hours

Stabilisation, imaging and, if needed, urgent decompression/fixation

2-7 Days

ICU/ward monitoring, pain control, brace training and early physio

2-6 Weeks

Suture removal, progressive mobility; most return to desk work after review

3-6 Months

Fusion consolidation and functional goals; driving after medical clearance

Success Metrics

  • Neurological preservation or improvement
  • Restored spinal alignment without implant failure
  • Short length of stay with low re-operation and infection rates