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Spinal Surgeries at Ajuda Hospitals

MIS decompression and fusion with neuronavigation and intraoperative neuromonitoring

Book Spinal Surgery Consultation
85–92%
Leg Pain Relief (sciatica)
After microdiscectomy/decompression in suitable cases
2–3 cm
Typical MIS Incision
Smaller cuts reduce pain and speed recovery
24–48 hrs
Early Mobilisation
Most patients walking the next day

When to Consult

  • •Back or neck pain radiating to arm/leg with numbness or tingling
  • •Neurogenic claudication (leg pain/heaviness on walking, relief on rest)
  • •New weakness in foot/hand grip or frequent tripping
  • •Bowel/bladder changes, saddle numbness (emergency red flag)
  • •Persistent pain despite 6–8 weeks of guided therapy/medication
  • •Pain after fracture, infection or tumor involving the spine

Understanding Spine Problems in the Indian Context

Sedentary work, two-wheeler travel on uneven roads and vitamin D deficiency make spine issues common across Hyderabad—HITEC City, Banjara Hills, Kukatpally and Secunderabad—with many referrals from Warangal and Karimnagar. Ajuda’s approach emphasises conservative care first, and offers minimally invasive surgery when indicated under NABH safety protocols.

When to Consult Our Spine Specialists

Seek urgent care if you notice:
  • ✓ New leg/arm weakness, foot drop or hand grip loss
  • ✓ Bowel/bladder disturbance or saddle numbness
  • ✓ Severe pain after a fall/accident
Book a routine consult if you have:
  • ✓ Radiating pain (sciatica/cervical radiculopathy) beyond 2–6 weeks
  • ✓ Claudication limiting walk distance despite therapy
  • ✓ Recurrent flares affecting work, sleep or driving

Our Diagnostic Approach

Neuro-Ortho Exam

Power, reflexes, dermatomes and gait; red-flag screen and counselling.

Imaging

MRI as primary tool; dynamic X-rays for instability; CT for fractures/bony anatomy; DEXA in osteoporotic risk.

Conservative Window

Medication, PT, posture/ergonomics, work modifications and injections when indicated.

Surgical Plan

Decompression vs fusion decisions, navigation/IONM setup, anaesthesia and ICU plan, TPA/Aarogyasri authorisations.

Treatment Pathways

  • Microdiscectomy / Laminotomy
  • Laminectomy & Multilevel Decompression
  • MIS TLIF/PLIF Fusion for Instability
  • Cervical ACDF / Disc Arthroplasty
  • Vertebroplasty / Kyphoplasty
  • Spinal Tumor/Infection Decompression & Stabilisation

What to Expect: Your Care Journey

First Visit (30–60 min): Exam, imaging review, conservative plan or surgical counselling.
Pre-Op (1–3 days): Fitness, navigation plan, implant selection, insurance pre-auth.
Surgery Day: WHO/NABH checklists; microscope/MIS as planned; ICU/ward observation.
Discharge (24–72 hrs): Pain control, brace if fused, walk program and wound care.
Follow-Up (2–3 weeks): Sutures, return-to-work plan, PT progression.
Long-Term: Fusion checks and strengthening milestones up to 6 months.

Technology & Innovation

  • Neuronavigation for accurate screw/cage placement
  • IONM to protect nerves and spinal cord
  • EMR/PACS with digital rehab plans and WhatsApp follow-ups

Preventing Complications

We reduce infection/VTE risks through ERAS protocols, antibiotic stewardship, early mobilisation and diabetes/smoking optimisation. Osteoporosis care reduces implant failure and adjacent fractures.

Why Ajuda for Spine Care?

🧭 Precision MIS

Smaller cuts, accurate implants, quicker recovery.

🏥 ICU-Backed Safety

24/7 neuro ICU and anaesthesia cover with strict NABH bundles.

📲 Connected Rehab

Physio-led programs with tele follow-ups and progress tracking.

Take the First Step

Call or WhatsApp 9010550550 to plan a safe, effective path back to pain-free movement at Ajuda Hospitals, Hyderabad.

Diagnosis Approach

1

Focused Neuro-Ortho Exam & Red Flags

Gait, power, reflexes, sensory map; urgent action if bowel/bladder or saddle anesthesia.

2

Targeted Imaging

MRI cervical/thoracic/lumbar as indicated; dynamic X-rays for instability; CT for bony detail and fractures.

3

Conservative Care Window

Analgesia, physiotherapy, ergonomics and epidural/selective nerve root blocks when appropriate (2–8 weeks).

4

Surgical Planning & Consent

Choose decompression vs fusion; navigation plan; IONM strategy; anaesthesia and ICU readiness; TPA/Aarogyasri paperwork.

Treatment Options

Microdiscectomy / Laminotomy

Microscope-assisted removal of herniated disc fragment or focal decompression.

Rapid sciatica relief with small incision
45–90 minutes; day-care to overnight

Laminectomy & Multilevel Decompression

Relieves canal stenosis from ligament/bone overgrowth; preserves stability when possible.

Improves walking distance and leg pain
1–2 hours; short stay

MIS TLIF/PLIF Fusion for Instability

Percutaneous screws and cage via small incisions for spondylolisthesis/recurrent stenosis.

Restores stability with less muscle damage
2–3 hours; brace and early mobilisation

Cervical ACDF / Disc Arthroplasty

Anterior cervical discectomy with fusion or motion-preserving disc replacement for arm pain/myelopathy.

High arm-pain relief and neurologic recovery
1–2 hours; soft collar brief period

Vertebroplasty / Kyphoplasty

Cement augmentation for osteoporotic vertebral fractures to reduce pain and improve function.

Pain reduction within 24–48 hours in suitable cases
30–60 minutes; day-care

Spinal Tumor/Infection Decompression & Stabilisation

Debridement, decompression and instrumented stabilisation with culture-guided therapy.

Protects neural elements and corrects deformity
Case-dependent; coordinated ID/oncology care

Expected Outcomes

Treatment Timeline

24–48 Hours

Walking with support; pain and nausea control; discharge for simple decompressions

2–3 Weeks

Suture removal; desk work for many decompressions; brace use if fused

6–12 Weeks

Bone healing; gradual strengthening; driving for most after review

3–6 Months

Fusion consolidation and full activities per physiotherapy plan

Success Metrics

  • Meaningful ODI score improvement
  • Leg/arm pain relief without new deficit
  • Short length of stay and low re-operation rate

Take Control of Spine Pain and Mobility

Emergency
9010550550
Email
contact@ajudahospitals.in

Related Services

Spinal Injury Repairs & Fixation
Trauma pathways may require stabilisation and fusion
Peripheral Nerve Surgeries
Co-existing nerve entrapments may need targeted release