Non-Surgical Treatment

The first line of treatment for patients at the Kauvery Advanced Spine Center is always a combination of non-surgical therapies. About 90% of patients with no serious spinal ailments can be managed with non-surgical adjuvant therapy initially and they can be improved with conservative treatment, including Spinal injection, Physical therapy medication etc.

Non-surgical treatments include:

  • Medications
  • Physical therapy
  • Epidural spine injections
  • Patient education
  • Facet joint intra-articular injections
  • Sacroiliac joint injections
  • Medial branch nerve blocks
  • Selective nerve root blocks
  • CT guided injections
  • Robotic guided injections
  • Nerve Root Block

  • Spinal Injections

  • CT Guided Injection

  • Robotic Guided Injection

  • Physiotherapy (Neck)

  • Physiotherapy (Back)

Osteoporosis and Vertebral Compression Fractures

Older patients and those with osteoporosis have a high risk of vertebral compression fractures. The main reason being low bone mass and strength, as well as an increased risk of falling. In these patients, vertebral compression fractures can occur during simple activities of daily living, such as coughing, sitting down quickly, or taking a step wrong.

As with many osteoporotic fractures, compression fractures are more common in women than men; however, the consequences are severe in both. Patients may experience acute and chronic pain, kyphotic deformity (increased forward curve of the spine), decreased quality of life, increased anxiety, depression, and death. Our geriatric doctors and nurses are involved in their care.

Indicators of possible vertebral compression fractures in older patients:

  • Development of sudden back pain
  • Stooped or hunched posture
  • Loss of 0.5 inch or more in height in one year
  • Loss of more than 1.5 inches from original height
  • Protuberant abdomen
  • Decreased respiratory capacity
  • Early satiety, weight loss
  • Multilevel Vertebroplasty

  • Vertebroplasty with instrumentation

Minimally Invasive Spine Surgery

Minimally invasive surgery is available for a number of spinal disorders, ranging from degenerative diseases to spinal tumours.

The advantages are:

  • Reducing surgical risk
  • Less pain post surgery
  • Minimal blood loss
  • Reduced risk of infection
  • Early recovery
  • Reduced hospital stay
  • Early return to work
  • Small scar

Minimal Invasive Techniques for Thoracic Spine

Minimally invasive techniques for anterior thoracic spine tumors or disc through small incisions can be performed. We are also one of the few centers in this part of country to offer minimally invasive anterior thoracic discectomies and transpedicular corpectomies for tumours.

  • Indication
    Minimal invasive procedure
  • Herniated discs with cord compression
    Thansthoracic and Transpedicular discectomy
  • Tumors
    Percutaneous fixation and fusion
  • Fractures Instability
    Minimal invasive Posterior resection of tumour (Minimally invasive tubular resection)
  • Stenosis
    MIS Laminectomy
  • Cervical tubular retractor

  • Tumor surgery/ Decompression

Minimal Invasive techniques for Lumbar Spine

A variety of advanced minimally invasive techniques are available to treat the lumbar spine. Very complex surgeries are performed in elderly through minimal access

  • Indication
    Minimal invasive procedure
  • Herniated discs
    Micro Endoscopic Discectomy (MED)
  • Spondylosis /Spondylolisthesis
    Anterior lumbar interbody fusion (ALIF)
    Transforaminal lumbar interbody fusion (TLIF)
    Dorsal Lumbar Interbody Fusion (DLIF)
  • Tumors
    Tubular resection of tumour (with or without fusion)
  • Stenosis
    Tubular lamino-foraminotomy / laminectomy
  • Different retractors

  • Minimally Invasive Fusion

Degenerative Spinal Disorders

The Occipito-Cervical Junction

Instability in the atlanto-occipital joint results in hyper-mobility of the junction between the head and the neck, which can cause severe pain or paralysis. It may result from rheumatoid arthritis or congenital defects that can accelerate degenerative arthropathy, resulting in spinal cord compression. At Kauvery Advanced Spine Centre, we use the latest developments in imaging, computer-assisted surgery, and instrumentation to provide safe surgery.

Conditions that can be treated:

  • Chronic C1 - C2 instabilization
  • Degenerative C1 - C2 joint
  • Congenital problems
  • Rheumatoid arthritis
  • Odontoid fracture

Degenerative Cervical Spine Disorders

The cervical spine is the most flexible anatomic region in the axial skeleton. Distinct segments of the cervical spine give us the ability to perform complex neck motions like head turning, tilting or bending this leads to increase in wear and fear of disc.

The most common degenerative disorders of the cervical spine affect the C3-C7 segments. Symptoms of disc herniation, joint degeneration, and spondylostenosis include neck pain, arm pain and sensory disturbance, weakness, spasticity and difficulty in walking or using hands.

Our surgical team also has expertise in motion-sparing operations such as cervical disc replacement and cervical laminoplasty that obviate the need for a cervical spinal fusion.

Conditions that can be treated:

  • Cervical Disc Bulge
  • Cervical Stenosis (Cord Compression)
  • Cervical Osteophyte (Bone Compression)
  • Cervical Kyphosis
  • Ossified Post Longitudinal Ligament (OPLL)
  • Artificial Cervical Disc Replacement

  • Occipital Cervical Fusion

  • Anterior Cervical Discectomy

  • Anterior Cervical Discectomy and Fusion

  • Minimally Invasive C1-C2 Fusion

  • Posterior Cervical Fusion

Degenerative Thoracolumbar Spine Disorders

Degenerative thoracolumbar disorders are becoming increasingly prevalent as patients have longer, healthier, and more active lives. While much of the treatment is nonsurgical, there are certain conditions that require surgery. Some degenerative diseases can be easily treated with small, minimally invasive procedures, but others require large, reconstructive operations. The spine surgeons at Kauvery Advanced Spine Centre have considerable experience treating the entire spectrum of degenerative disorders, as well as in-depth knowledge of the success rates of each procedure. Mini open and minimally invasive transthoracic disc surgery is performed here.

Conditions that can be treated:

  • Disc herniations
  • Stenosis
  • Degenerative adult scoliosis
  • Kyphosis
  • Facet joint arthroplasty
  • SI joint degeneration
  • Lumbar Disc Prolapsed

  • Degenerative Scoliosis

Spinal Tumors

Tumour in the spine can arise in the spinal cord, covering of spinal cord, nerves or bone. Our team has a huge experience in managing all types of tumours to enable and provide quality life. All spine tumour cases are routinely reviewed with oncologist to determine the best treatment options for each patient. The close collaboration between neuro spine surgeons, orthopaedic spine surgeons, and oncologists improve outcome.

The Kauvery Advanced Spine Centre offers treatment for all primary and metastatic tumours from the skull base to the sacrum. Our neuro surgeons has vast experience in operating simple to complex spinal cord tumour through small 22 mm tubes for excellent results and speedy recovery.

Procedures performed:

  • Minimally Invasive tumour excision
  • Corpectomy and tumour reconstruction
  • Percutaneous biopsy
  • Stereotactic Radiosurgery
  • Vertebral Body Tumors

  • Intramedullary Spine Tumor

  • Intradural Spine Tumor

  • Spinal Cord Tumors

  • Minimally Invasive Tumor Resection

  • Paediatric Spinal Cord Tumour


Spinal deformity can happen at very young age or in elderly. We have the expertise to treat congenital scoliosis in children as young as 6-8 years to adolescent.

Our spine surgeons place particular emphasis on restoration of normal global and regional spinal balance. State-of-the art spinal cord monitoring techniques are employed by Neurophysiologists in the operating rooms to provide the highest levels of patient safety.

Conditions treated include:

  • Adult degenerative scoliosis
  • Adult idiopathic scoliosis
  • Congenital deformities
  • Failed-back syndrome
  • Kyphotic deformity
  • High grade spondylolisthesis
  • Ankylosing spondylitis
  • Rheumatoid arthritis

We also have good experience in managing elderly patients who develop degenerative scoliosis as a result of age and osteoporosis.

  • Pre Surgery

  • Post Surgery

Spine Fractures

Spinal Fractures and dislocations can pinch/compress/even tear the spinal cord. Treatment of spinal fractures depends on the type of fracture, the degree of instability caused by the fracture and the location of the fracture. Its more common in cervical mid thoracic and thoracolumbar junction. Severe spinal fracture has a high risk of paralysis due to damage of the spinal cord (partial or complete).

Treatment of fractures includes:

  • Collar or Belts
  • Minimally invasive fixation and reduction
  • Open fixation and reduction
  • Fixation and Decompression

Kauvery Advanced Spine Centre provides treatment for all types of simple or complex fracture round the clock. Most of the fractures will be immediate stabilization and surgery. Those who have early treatment have better outcomes in term of functional recovery.

  • Cervical Fracture Fixations

  • Cervical Compression Fracture

  • Cervical Facet Subluxation and Fixation

  • Thoraco Lumbar Fracture

Paediatric Spine

Congenital paediatric problems of the spine are very rare. We treat babies from as small as 1.5 kg from day 1 of life born with neural tube defects to complex intradural spinal cord anomalies that requires surgery. We use intraoperative neuromonitoring from 1 year of age.

Facilities for paediatric care are:

  • Neonatologist and Paediatrician
  • Paediatric anaesthesiologist
  • Neonatal and paediatric nurse
  • Neonatal and paediatric nurse
  • Intraoperative equipment

The Conditions which are treated in children may include:

  • Open and closed myelomeningocele
  • Dermal Sinus
  • Dermoid, epidermoid and other tumours
  • Syringomyelia
  • Chiari Malformation
  • Split cord malformation
  • Tethered cord syndrome
  • Hydrocephalus and brain tumours
  • Other congenital problems

We also are a specialized centre to treat children with spasticity with:

  • Baclofen pump insertion
  • Selective dorsal rhizotomy
  • Botox injections
  • Tendon and muscle releases.
  • Congenital Hairy Patch

  • Split Cord Syndrome

  • Syrinx – Foramen Magnum Decompression

  • Myelomeningocele Repair – New Born

Intrathecal Baclofen Pump

Intrathecal Baclofen pump is inserted to treat severe spasticity. The pump can be filled with Baclofen (Spasticity) or Morphine (Pain).

Indications for Baclofen pump are:

  • Cerebral palsy
  • Spinal Cord Injury
  • Head injury
  • Multiple sclerosis

Spinal Cord Stimulator (SCS)

Spinal Cord Stimulator is a special battery powered device that is fitted over the spinal cord for treatment of spinal pain which is not relieved by other methods.

Indications for SCS:

  • Falled back syndrome
  • Post laminectomy pain
  • Multiple failed operations
  • Epidural Fibrosis
  • Epidural Fibrosis

Dorsal Root Entry Zone (DREZ)

Brachial Plexus Injury (BPI) is very common in India due to road traffic accidents and fall from heights. This causes complete paralysis in one side of the upper limb. One third of these patients develop severe intolerable neuropathic pain. One third of these patients develop severe intolerable neuropathic pain. This pain is so severe that it does not respond to any medical treatment. We have a 80% success rate.

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