Best Spine Surgeon in Lahore Pakistan

 

BEST SPINE SURGEON FOR ENDOSCOPIC MINIMALLY INVASIVE KEYHOLE DISC AND SPINE SURGERY IN LAHORE PAKISTAN

Prof. Shahzad Shams is one the best spine surgeon in Lahore Pakistan with vast experience of complex spine diseases and pathologies. He is an expert and master of Endoscopic Spine Surgery, Endoscopic cervical, thoracic and lumbar discectomy in Pakistan, Endoscopic back surgery, Best neurosurgeon for endoscopic spine surgery in Lahore Pakistan, Endoscopic decompression for spinal stenosis, Endoscopic spinal fixation for spinal Injury. ADVANTAGES OF ENDOSCOPIC MINIMALLY INVASIVE KEYHOLE DISCECTOMY.

Prof. Shahzad Shams presently works as Head and Professor of Neurosurgery Department at Lahore General Hospital, LGH, Lahore.

Prof Shahzad Shams s the best Neurosurgeon for Advanced Neuromodulation with Spinal cord stimulation for Failed Back Surgery Syndrome and Chronic pain, Baclofen pump for Spasticity secondary to spinal cord injury and Sacral nerve stimulation for urinary retention and neurogenic bladder in Lahore, Pakistan.

 

  1. ENDOSCOPIC LUMBAR AND THORACIC DISCECTOMY

  When disc fragments are ruptured and herniated into the spinal canal, a paramedian posterior approach is recommended.  Through a 10- or 15-mm trocar via a 1.5- or 2-cm skin incision, ruptured disc fragments are excised under direct endoscopic visualization.  The remaining disc between the vertebral bodies is preserved as much as possible in order to minimize postoperative back pain.  Surgery can be performed under local or general anesthesia.  Compared to conventional microscopic discectomy, endoscopic surgery is carried out with a smaller incision, less tissue dissection, and less bone removal.

 ADVANTAGES OF ENDOSCOPIC DISCECTOMY

  • STAY IN THE HOSPITAL IS ONLY FOR 24 HOURS
  • RESULTS ARE BETTER THAN OPEN SURGERY.
  • LESS TRAUMATIC THAN OPEN SURGERY
  • The procedure for Lumbar Disc Herniation is accomplished through a skin incision approximately 1.5 to 2 cm
  • Although it can be performed under local anesthesia, it has usually been performed under general anesthesia.
  • Operation time takes approximately one hour or less.
  • It utilizes an endoscope for enhanced visualization, and the operation is performed under the guidance of monitored endoscopic images.
  • Patients can often be discharged the day of surgery or the morning after surgery.
  • Patients are usually fully ambulatory immediately after surgery.
  • Patients are often able to return to work in 2 to 3 weeks.
  • It is minimally invasive surgery because the surgical incision is small, surgical dissection is minimal, bone removal is minimal, and disc removal is limited to the ruptured portion of the disc.
  • It still achieves the goal of surgery that the classic conventional lumbar discectomy accomplishes.
  1. ENDOSCOPIC DECOMPRESSION FOR CERVICAL, THORACIC AND LUMBAR STENOSIS

ADVANTAGES OF ENDOSCOPIC MINIMIALLY INVASIVE KEY HOLE SURGERY

  •  STAY IN THE HOSPITAL IS ONLY FOR 24 HOURS
  • RESULTS ARE BETTER THAN OPEN SURGERY.
  • LESS TRAUMATIC THAN OPEN SURGERY
  • It minimizes bone resection, maintaining spinal integrity while widening the lumbar spinal canal.
  • It is less invasive because spinal decompression is accomplished with a small incision, minimal tissue dissection, and minimal bone removal when compared with conventional laminectomy techniques.
  • The procedure is innovative because it accomplishes effective widening of the narrowed spinal canal without weakening the spine.
  • It can be done on multiple levels if necessary.
  • The procedure avoids bone fusion or the use of metal implants and allows the patient to be more mobile immediately after surgery.
  • It is often done on an overnight stay basis.

 Prof. Shahzad Shams is the best neurosurgeon for Endoscopic minimally invasive keyhole disc surgery and  spine surgery and Endoscopy.

Prof. Shahzad Shams receives patients from within the country from cities in Pakistan like Lahore, Sialkot, Faisalabad, Bahawalpur, Gujranwala, Gujrat, Multan, Karachi, Hyderabad, Quetta, Peshawar, Rawalpindi and Islamabad, Abbottabad, Rahim Yar Khan and Sargodha and abroad like from US United states of America USA , United Kingdom UK Britain England, Canada, Italy, Greece, Germany, Spain, Australia, Saudi Arabia, United Arab Emirates UAE, Dubai, Kuwait, Qatar, Bahrain and Afghanistan.

 

Spinal Injuries and Damages

The vast majority of closed spinal injuries leave the cord and roots unscathed. Most of those associated with cord damage have a fracture-dislocation in the cervical region (50%), or at the thoracolumbar junction (40%). Some cervical injuries follow hyperextension and may then be associated with a head injury (a frontal blow causing the hyperextension). A relatively trivial injury of this kind, without a racture, may produce profound paralysis if the patient already suffers from cervical spondylosis.

Immediate management of spinal cord injury

In the majority of patients, damage to the spinal cord is maximal at the time of injury and that is why the emphasis in treatment is on preventing further damage, and then on starting early rehabilitation. Pathological studies have however shown that immediately after injury there may be little apparent cord damage; but within a few hours patony necrosis develops and this eventually progresses to cavitation with gliosis and fibrosis. There is an associated reduction in blood flow and oxygen tension.

Prof Shahzad Shams Best Spine Surgeon in Lahore Pakistan

Prof Shahzad Shams Best Spine Surgeon in Lahore Pakistan

BEST SPINE SURGEON FOR ENDOSCOPIC MINIMALLY INVASIVE KEYHOLE DISC AND SPINE SURGERY

Prof. Shahzad Shams is one the best spine surgeon in Lahore Pakistan with vast experience of complex spine diseases and pathologies. He is an expert and master of Endoscopic Spine Surgery, Endoscopic cervical, thoracic and lumbar discectomy in Pakistan, Endoscopic back surgery, Best neurosurgeon for endoscopic spine surgery in Lahore Pakistan, Endoscopic decompression for spinal stenosis, Endoscopic spinal fixation for spinal Injury. ADVANTAGES OF ENDOSCOPIC MINIMALLY INVASIVE KEYHOLE DISCECTOMY.

Prof. Shahzad Shams presently works as Head and Professor of Neurosurgery Department at Lahore General Hospital, LGH, Lahore.

 

 1. ENDOSCOPIC LUMBAR AND THORACIC DISCECTOMY

  When disc fragments are ruptured and herniated into the spinal canal, a paramedian posterior approach is recommended.  Through a 10- or 15-mm trocar via a 1.5- or 2-cm skin incision, ruptured disc fragments are excised under direct endoscopic visualization.  The remaining disc between the vertebral bodies is preserved as much as possible in order to minimize postoperative back pain.  Surgery can be performed under local or general anesthesia.  Compared to conventional microscopic discectomy, endoscopic surgery is carried out with a smaller incision, less tissue dissection, and less bone removal.

 ADVANTAGES OF ENDOSCOPIC DISCECTOMY

  • STAY IN THE HOSPITAL IS ONLY FOR 24 HOURS
  • RESULTS ARE BETTER THAN OPEN SURGERY.
  • LESS TRAUMATIC THAN OPEN SURGERY

§  The procedure for Lumbar Disc Herniation is accomplished through a skin incision approximately 1.5 to 2 cm

§  Although it can be performed under local anesthesia, it has usually been performed under general anesthesia.

§  Operation time takes approximately one hour or less.

§  It utilizes an endoscope for enhanced visualization, and the operation is performed under the guidance of monitored endoscopic images.

§  Patients can often be discharged the day of surgery or the morning after surgery.

§  Patients are usually fully ambulatory immediately after surgery.

§  Patients are often able to return to work in 2 to 3 weeks.

§  It is minimally invasive surgery because the surgical incision is small, surgical dissection is minimal, bone removal is minimal, and disc removal is limited to the ruptured portion of the disc.

§  It still achieves the goal of surgery that the classic conventional lumbar discectomy accomplishes.

2. ENDOSCOPIC DECOMPRESSION FOR CERVICAL, THORACIC AND LUMBAR STENOSIS

ADVANTAGES OF ENDOSCOPIC MINIMIALLY INVASIVE KEY HOLE SURGERY

  •  STAY IN THE HOSPITAL IS ONLY FOR 24 HOURS
  • RESULTS ARE BETTER THAN OPEN SURGERY.
  • LESS TRAUMATIC THAN OPEN SURGERY

§  It minimizes bone resection, maintaining spinal integrity while widening the lumbar spinal canal. 

§  It is less invasive because spinal decompression is accomplished with a small incision, minimal tissue dissection, and minimal bone removal when compared with conventional laminectomy techniques.

§  The procedure is innovative because it accomplishes effective widening of the narrowed spinal canal without weakening the spine. 

§  It can be done on multiple levels if necessary. 

§  The procedure avoids bone fusion or the use of metal implants and allows the patient to be more mobile immediately after surgery. 

§  It is often done on an overnight stay basis.

 Prof. Shahzad Shams is the best neurosurgeon for Endoscopic minimally invasive keyhole disc surgery and  spine surgery and Endoscopy.

Prof. Shahzad Shams receives patients from within the country from cities in Pakistan like Lahore, Sialkot, Faisalabad, Bahawalpur, Gujranwala, Gujrat, Multan, Karachi, Hyderabad, Quetta, Peshawar, Rawalpindi and Islamabad, Abbottabad, Rahim Yar Khan and Sargodha and abroad like from US United states of America USA , United Kingdom UK Britain England, Canada, Italy, Greece, Germany, Spain, Australia, Saudi Arabia, United Arab Emirates UAE, Dubai, Kuwait, Qatar, Bahrain and Afghanistan.

Spinal Tumors and Tuberculosis (Caries)

Prof. Shahzad Shams presently works as Head and Professor of Neurosurgery Department at Lahore General Hospital, LGH, Lahore.

ENDOSCOPIC MINIMALLY INVASIVE KEYHOLE SURGERY FOR SPINAL CORD COMPRESSION

(CARIES &TUMOURS)

General Features

Spinal compression, whatever its cause, demands surgical relief. Even when the cord has been distorted and compressed for years function may return to a surprising degree if the compression is relieved.

Cervical compression shows most clearly the combination of radicular and cord signs, because failure of function of the roots at this level is immediately evident to the patient in the muscles of the arm and hand. The level of the sensory loss due to cord involvement is commonly several segments lower than expected and sacral sensation may be spared although the lesion appears to be otherwise complete.

Thoracic compression presents as a cord lesion with a clear-cut sensory level in the expected situation; radicular involvement is limited to girdle pain.

Lumbar lesions are predominantly radicular because the cord ends about the interspace between vertebral bodies L1 and 2, below which only the roots of the cauda equine are affected. Flaccid paraplegia with absent reflexes is associated with radicular sensory loss and an atonic bladder. High lumbar lesions may affect also the upper motor neurons of the sacral segments in the conus medullaris, making for a mixed clinical syndrome with absent tendon reflexes and the plantar responses (if still active) extensor.

Neurogenic claudication is caused by compression of the cauda equine in a narrow lumbar spinal canal. It consists of paraesthesiae, numbness or weakness developing consecutively after a certain amount of exercise; there may also be some calf pain. In most instances a compression lesion is found; this may be a central disc protrusion or a congenital or acquired narrowing of the bony canal; the mechanism is uncertain.

TREATMENT

 

ENDOSCOPIC MINIMALLY INVASIVE KEYHOLE SURGERY

Immediate surgery is the answer and it involves removing the cord compressing pathology and if massive damge of vertebra are involved then spinal fixation with titanium screws and plates or cage fixation is also required in few cases.

 

Latest Techniques for Spine Surgery

 

Prof. Shahzad Shams presently works as Head and Professor of Neurosurgery Department at Lahore General Hospital, LGH, Lahore.

Latest Techniques for Spine Surgery

CERVICAL SPINE SURGERY

These days for Cervical spine anterior titanium cage fixation , anterior plate fixation are done. Anteriorly peek material and charite mobile discs are placed. Microscope and Exoscopes and Endoscopes are used peroperatively by Prof Shahzad to give excellent results and complete recovery.

THORACIC SPINE SURGERY

For Thoracic spine Endoscopic, Thoracoscopic spine surgery and Anterior thoracotomy is done to fix spine anteriorly by using expandable titanium cages, Lateral body fixation with cages, screws and rods or plates. Posterior transpedicularscrew  fixation is gold standard.

LUMBAR SPINE SURGERY

For Lumbosacral spine Anterior retroperitoneal approaches are used and cage fixations can be done and  poserioriorly  transpedicular fixations are performed with titanium screws and rods.

Endoscopic Slipped disc surgery

 

Prof. Shahzad Shams presently works as Head and Professor of Neurosurgery Department at Lahore General Hospital, LGH, Lahore.

Prof Shahzad Shams Best Spine Surgeon Lahore Pakistan

Road traffic accidents and sports injuries are the major causes leading to spinal injuries. Most of them can be  treated conservatively only serious trauma to the vertebral column leading to severe symptoms and deficits need surgical treatment.

With the latest advancement in investigations and imaging has made the spinal surgery safer and gives excellent results.

The new spinal fixation materials like titanium have added benefits to the patients requiring spinal surgery.

Indications:

  • 1.       Injury causing fracture in the vertebral column making it unstable.
  • 2.       Injury leading to severe motor and sensory deficits like para paresis and quadri paresis.
  • 3.       Injuries which can lead to deficits in future.
  • 4.       Loss of sphincter control

TECHNIQUE:-

ENDOSCOPIC MINIMALLY INVASIVE KEYHOLE SURGERY

With the use of C-Arm spine surgery has become safer with excellent results. It gives real time images of manipulation during surgery and also in placement of implants like screws, rods, cages and plates.

Results:

With the use of latest imaging techniques and new materials and approaches spine surgery has become very safe and gives excellent results.