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. There are some 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 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.
2. Endoscopic Decompression For Cervical, Thoracic And Lumbar Stenosis
Advantages Of Endoscopic Minimally 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
Percutaneous Transpedicular Spinal Fixation
Prof Shahzad Shams is one of the best for treatment of spinal injuries and the technique to fix damaged spine without making large incisions makes patient to walk immediately after the operation and patients are discharged next day.
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.
