Nagpur: 72 years old retired professor with back pain and leg pain was treated at Wockhardt Hospitals with a complex spine surgery by Dr. Priyesh Dhoke, Consultant- Spine Surgery.
Human spine is a complex structure which helps in posture, locomotion and protection of the nerves. With ageing the degenerative conditions of the spine go on increasing trend now-a-days.
This patient also had a feeling of numbness and heaviness in the legs increases as he started to walk or stand for 5 minutes. He was feeling his legs were becoming weak and weak after a small walk of 5-7 minutes after that he had to sit down compulsorily. Dr. Priyesh Dhoke tells that this condition is called as Neurological claudication. It signifies that there is severe compression of the nerves in the spinal canal. This spine condition is quite disabling to active individual as he cannot walk or stand erect for more than 5 minutes.
The above gentleman with similar disability was reported by radiologist to have degenerative condition after MRI. He had multiple consultations in the city and his symptoms were attributed to his age. His disability was increasing and he was confined to bed as he could not walk or stand. When he visited Wockhardt Hospital, he was examined by Dr. Dhoke and his MRI scan it showed the features of Cyst (fluid filled swelling) of the joint in his lumbar spine. It is a rare condition where the synovial swelling arises in the facet joint and compress the spinal nerves to cause the pain, numbness or weakness in the legs, sometimes it is also associated with paralysis in the legs and difficulty with urine and passing stools. For this patient, special bending X-rays were also done which showed that his spinal bones were slipping one over another.
This condition of facet cyst with leg weakness needed surgery.
Successful surgery was done, a huge cyst was removed and sent for histopathology biopsy for confirmation, all the pressure over the spinal nerves was removed. The patient started walking the very next day. He was able to walk without pain confidently for long distance who was bound to bed few days back and was feeling helpless. His life and confidence has dramatically changes.
Dr. Priyesh Dhoke explains the success of any surgery is the perfect diagnosis. In the above case the MRI reports don’t mention about the facet joint cyst but as a treating doctor I myself see the MRI films in great details. For successful surgery preoperative planning and advance infrastructure is required like advance anesthesia care, high end operation microscope, special drilling instruments and good post operative care. Here at Wockhardt Hospital we are equipped with most advance surgical care facilities which are comparable with the best centers in the world. We are delivering the best results consistently for years and striving hard day and night to bring that smile back on our patients faces.
Dr. Priyesh Dhoke is fellowship trained Spine Surgeons and was awarded AO Spine Clinical fellowship form Australia and fellowship trained Minimal Invasive Spine Surgeon from Singapore General Hospital.
Dinesh Damahe
9370868686
