Bangalore Spine solutions

Bangalore Spine solutions Dr Avinash KM is senior Neuro and Spine surgeon at SPARSH HOSPITAL, YELAHANKA BRANCH,
BANGALORE

Restoring Mobility & Reliving PainA 68-year-old lady presented with persistent back pain affecting her daily activities ...
20/02/2026

Restoring Mobility & Reliving Pain
A 68-year-old lady presented with persistent back pain affecting her daily activities following a trivial fall at home two months earlier.
Imaging revealed compression fractures at D10, D11, and D12 levels. After detailed evaluation and counseling, she underwent an uneventful balloon kyphoplasty.
The procedure was successful with no added neurological deficits. She has experienced significant pain relief and is now recovering well with improved mobility and quality of life.
Early recognition and timely intervention in osteoporotic vertebral fractures can dramatically improve patient comfort and functional independence.

Spine Surgeries of the Week – Infection & Instability Managed with Minimally Invasive PrecisionEvery week in spine pract...
13/02/2026

Spine Surgeries of the Week – Infection & Instability Managed with Minimally Invasive Precision

Every week in spine practice brings unique challenges — this week highlighted two very different pathologies requiring thoughtful planning and precise ex*****on.

Case 1: D10–11 Spondylodiscitis with Vertebral Collapse:

A 51-year-old gentleman (retroviral positive) presented with persistent back pain for 3 months and recent onset mild weakness in the left lower limb.
Imaging revealed D10–11 spondylodiscitis with vertebral body collapse and significant spinal canal stenosis causing cord compression.
After detailed counseling, he underwent minimally invasive D9–D12 pedicle screw fixation with limited decompression and biopsy.
The procedure was uneventful.
PCR from biopsy confirmed Mycobacterium tuberculosis, and he has been initiated on anti-tubercular therapy.

➡️ Early stabilization + decompression + microbiological confirmation = optimal neurological and infectious control.
Timely intervention prevented further neurological deterioration.

Case 2: L5–S1 Spondylolisthesis with Severe Claudication:

A 58-year-old lady, a medical doctor by profession, presented with long-standing low back pain and severe neurogenic claudication limiting her routine activities.
Evaluation showed L5–S1 spondylolysis with spondylolisthesis, severe canal and foraminal stenosis, and dynamic instability.

She underwent minimally invasive L4–5–S1 instrumentation with L5–S1 fusion using autologous bone graft.

Surgery was smooth, and she was discharged without any new neurological deficits.

➡️ Restoration of stability and decompression of neural elements resulted in significant symptomatic relief.

Minimally invasive spine techniques continue to allow:
✔️ Adequate decompression
✔️ Stable fusion
✔️ Reduced tissue trauma
✔️ Faster recovery

Grateful to my surgical team for their precision and dedication — and to my patients for their trust.

Case Highlight | Minimally Invasive Management of Spinal Tuberculosis with Neurological DeficitsA 40-year-old obese male...
05/02/2026

Case Highlight | Minimally Invasive Management of Spinal Tuberculosis with Neurological Deficits
A 40-year-old obese male (140 kg) presented with a one-month history of severe low back pain, along with progressive weakness in both lower limbs. He had become bed-ridden for the last 4 days, highlighting rapid neurological deterioration.
Detailed evaluation revealed L2–L3 spondylodiscitis with vertebral body collapse and critical spinal canal stenosis, resulting in significant spinal cord/nerve compression.
After comprehensive counseling, the patient underwent minimally invasive spinal fusion from L1 to L4, along with a focused minimally invasive approach for limited decompression and biopsy of the affected segment.
🔬 Histopathology and PCR confirmed Koch’s disease (spinal tuberculosis).
💊 The patient was immediately started on anti-tubercular therapy (ATT).
✨ Post-surgery, the patient demonstrated dramatic improvement in pain and neurological function, with significant recovery of lower limb strength — allowing early mobilization and renewed independence.
This case highlights the importance of: ✅ Early diagnosis
✅ Timely surgical intervention
✅ The role of minimally invasive spine surgery even in complex infections
✅ Multidisciplinary management of spinal tuberculosis

Balloon Kyphoplasty: Restoring Mobility & Relieving Pain in Osteoporotic Spine Fractures:Osteoporotic vertebral compress...
30/01/2026

Balloon Kyphoplasty: Restoring Mobility & Relieving Pain in Osteoporotic Spine Fractures:

Osteoporotic vertebral compression fractures can cause severe pain and prolonged immobility in elderly patients — even after trivial falls. Early intervention can dramatically improve quality of life.

🔹 Case 1:
A 70-year-old female presented with severe acute back pain after a minor fall at home. She was unable to turn in bed due to pain. Imaging revealed a D12 osteoporotic vertebral compression fracture. She underwent uneventful balloon kyphoplasty, resulting in rapid pain relief and early mobilization.
🔹 Case 2:
A 74-year-old female with a similar history of slip and fall presented with acute back pain. She also underwent balloon kyphoplasty with excellent immediate pain relief and early ambulation.

✨ Why Balloon Kyphoplasty?
✔️ Minimally invasive, day-care procedure
✔️ Immediate pain relief
✔️ Early mobilization — crucial in elderly patients
✔️ Reduced complications related to prolonged bed rest
✔️ Helps restore vertebral height and spinal stability.

Early diagnosis and timely intervention can make a significant difference in recovery and functional outcomes for our elderly patients.

Recent Cervical Disc Herniation Cases | Last 2 Weeks 🦴Over the past two weeks, we managed three patients (40, 52, and 65...
25/01/2026

Recent Cervical Disc Herniation Cases | Last 2 Weeks 🦴

Over the past two weeks, we managed three patients (40, 52, and 65-year-old males) who presented with severe neck pain and radicular pain radiating to the upper limbs.

Detailed evaluation revealed cervical disc herniations causing nerve root compression in all cases.

🔹 Management:
All patients underwent Anterior Cervical Discectomy and Fusion (ACDF) and Cervical Disc Replacement, tailored to pathology and patient profile.

🔹 Outcome:
All patients had an excellent postoperative recovery, with significant relief of pain and no new neurological deficits.
Grateful to the entire surgical, anesthesia, and rehabilitation teams for the seamless teamwork

Cervical Spine EmergencyA 59-year-old male presented to the emergency department after a slip and fall at home, with acu...
20/01/2026

Cervical Spine Emergency

A 59-year-old male presented to the emergency department after a slip and fall at home, with acute onset quadriparesis (power 1–2/5).

Imaging revealed C3–C7 cervical spondylotic myelopathy with cord hyperintensities, indicating acute spinal cord injury.

He underwent emergency C3–T1 decompression with C3–C7 lateral mass fixation and fusion.

Post-operative recovery has been encouraging. By the 10th post-operative day, limb power improved to 4/5.
🙏 We are hopeful that with continued rehabilitation, he will make further neurological recovery and achieve good functional outcomes.








Crazy streak: 4 back-to-back trauma cases We encountered 4 back-to-back trauma cases (RVA, falls from height/stairs). Al...
08/01/2026

Crazy streak: 4 back-to-back trauma cases

We encountered 4 back-to-back trauma cases (RVA, falls from height/stairs). All: lower thoracic/upper lumbar fractures, *no neurological deficits*
🔹 Treated with *MIS fusion* (± limited decompression).

🔹 Outcome: Recovering well, *zero new deficits*
Kudos team! Timely intervention + teamwork = wins in trauma spine care. 🙏

Ending 2025 and beginning 2026 where purpose meets passion — the operating room. 🏥✨The year closed with a 57-year-old ge...
01/01/2026

Ending 2025 and beginning 2026 where purpose meets passion — the operating room. 🏥✨
The year closed with a 57-year-old gentleman suffering from severe neck and right arm pain due to C6–7 cervical disc disease, successfully managed with ACDF. 🦴🔧
The new year began with a 62-year-old patient presenting with acute neck and left arm radicular pain from multilevel disc disease, who underwent an uneventful 3-level cervical disc replacement. 💪🧠
Grateful for the trust of patients and the unwavering support of the entire surgical and perioperative team. Looking forward to another year of learning, teamwork, and patient-centric care.
Wishing everyone a Happy, Healthy & Successful New Year 2026! 🎉✨


27 Years female presented with severe spinal tuberculosis with  severe back pain, bed ridden for few days and paralysis ...
23/12/2025

27 Years female presented with severe spinal tuberculosis with severe back pain, bed ridden for few days and paralysis of both legs. Imaging studies showed near total destruction of L3 ans L4 vertebra with severe spinal stenosis. She also had osteoporosis. She underwent decompression with biopsy and fusion from L1L2 to L5 S1 level. After confirmation of TB, She was started on ANTITUBERCULAR MEDICATIONS FOR 9 MONTHS. She showed remarkable complete recovery.

54 years female presented with fall at home with severe back pain of 1 week duration. unable to turn on bed, or perform ...
16/12/2025

54 years female presented with fall at home with severe back pain of 1 week duration. unable to turn on bed, or perform self care activities. she was found to have L2 compression fracture with fragment into the spinalcanal. She underwent MIS fusion with cement augmentation and vertebroplasty of L2 fracture.

Vertebroplasty is a minimally invasive procedure to treat painful spinal compression fractures (often from osteoporosis) by injecting bone cement (like PMMA) directly into the fractured vertebra to stabilize it, relieve pain, and restore mobility, often with high success rates.

63 years male with severe back pain, low grade fever, progressive weakness of 2 weeks duration and bed ridden for 5 days...
13/12/2025

63 years male with severe back pain, low grade fever, progressive weakness of 2 weeks duration and bed ridden for 5 days. Investigations revealed spinal tuberculosis with severe compression of the spianl nerves. He underwent MINIMALLY INVASIVE SPINAL FUSION with limitted decompression of roots.
His Pathology reports and TB workup showed active TB Spine. He is started on antitubercular medications and doing well. Much relief in his pain and able to walk independently now.

Koch's spine, also called spinal tuberculosis or Pott's disease, is a serious bacterial infection (_Mycobacterium tuberculosis) that attacks the spine, often starting from TB in lungs, spreading via blood to destroy vertebrae, cause severe pain, deformity (kyphosis/hunchback), and potentially paralysis due to spinal cord compression.

Spinal Tuberculosis (Pott's Disease) symptoms include persistent, deep back pain (worse at night), fever, night sweats, unexplained weight loss, stiffness, and neurological issues like leg weakness or numbness, potentially leading to deformity or paralysis; treatment involves a long course (9-14+ months) of anti-TB drugs (antibiotics) and sometimes surgery for severe cases to relieve nerve pressure or stabilize the spine, requiring close medical monitoring.

45 years male presented  with neck pain bilateral arm pain and paresthesias, dizziness, 2 to 3 episodes of fainting. His...
12/12/2025

45 years male presented with neck pain bilateral arm pain and paresthesias, dizziness, 2 to 3 episodes of fainting. His MRI scans showed severe spinal canal stenosis with disc osteophyte complex and OPLL with spinal cord changes. He underwent uneventful C6 corpectomy with decompressionand fusion with expalndable cage.

OPLL (Ossification of the Posterior Longitudinal Ligament) often starts subtly with neck stiffness, pain, and tingling/numbness in hands, progressing to clumsiness, weakness, balance issues (gait disturbance), and potentially bowel/bladder problems, due to spinal cord compression (myelopathy) or nerve root issues (radiculopathy), affecting arms and legs, with symptoms like rigidity, brisk reflexes, and sensory loss.

Corpectomy and fusion is a major spinal surgery that removes a portion of a vertebral body (corpectomy) to relieve pressure on the spinal cord/nerves, followed by inserting a graft (bone or cage) and often hardware (plate/screws) to join the vertebrae together (fusion), creating stability and promoting bone growth.

Address

SPARSH HOSPITAL, YELAHANKA BRANCH, KOGILU CROSS, BANGALORE
Bangalore
560064

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