Spine Conditions

Dr. Biji had Clinical fellowship in spine surgery from Brigham and Women’s hospital, Harvard Medical School, Boston USA. Spine procedures performed with the aid of Spine Navigation and Neuromonitoring (SSEP, MEP & D-wave). He is trained in both minimally invasive and open micro surgeries for spinal disorders.

Intervertebral Disc Bulge or Prolapse

Herniated discs can occur in any part of the spine. Herniated discs are commonly seen in the lumbar spine,cervical spine and rarely in thoracic spine. Surgical options for disc prolapse includes; anterior cervical discectomy, cervical foraminotomy, thoracic discectomy, lumbar microdiscectomy

  • Cervical disc prolapse 
  • Lumbar disc prolapse 
  • Thoracic disc prolapse

Spinal Canal stenosis

In spinal canal stenosis compression of the spinal cord or the nerve roots due to degeneration of the spine. Procedures include Laminectomy with or without fusion 

  • Cervical canal stenosis
  • Lumbar canal stenosis
  • Thoracic canal stenosis

Spondylolisthesis

Spondylolisthesis  is due to slippage of one vertebrae over the other caused by degeneration (Spondylolysis) or injuries. Treatment includes instrumented fusion at appropriate levels either through  anterior (front) or posterior (back) of the spine. The surgical procedures include Transforaminal lumbar interbody fusion (TLIF), Posterior lumbar interbody fusion (PLIF) and Anterior lumbar interbody fusion (ALIF). 

  • Lumbar Spondylolisthesis
  • Cervical Spondylolisthesis
  • Thoracic Spondylolisthesis

Spine injuries

Injuries that cause spinal cord or nerve root compression and cause instability are treated surgically.  Dr. Biji Bahuleyan has many years of experience managing different types of spine trauma from craniovertebral junction to the sacral spine. Procedures include occipitocervical fusion, c1-c2 fusion, odontoid screw placement, cervical spine lateral mass fusion, corpectomies (cervical, thoracic and lumbar), pedicle screws and rods fusion

  • Jefferson’s fracture
  • Odontoid fracture 
  • Hangman fracture
  • Atlanto occipital dislocation
  • Atlanto axial dislocation
  • Cervical spine fracture
  • Thoracic spine fracture
  • Lumbar spine fracture

Chiari Malformation

Surgical procedures include Foramen magnum decompression, Syringo-subarachnoid shunt and Tonsillectomy

  • Type I Chiari Malformation
  • Type II Chiari malformation
  • Type III Chiari malformation
  • Type IV Chiari malformation
  • Syringomyelia

Spine and vertebral tumours

Dr. Biji has advanced training in spinal cord tumour surgeries from the Neurosurgical oncology fellowship at the Cleveland Clinic Foundation, Cleveland USA and Spine surgery fellowship at the Harvard Medical School, Boston USA.  Spinal tumors are  removed with the aid of Spine Navigation and Neuromonitoring (SSEP, MEP & D-wave). He is trained in both minimally invasive and open micro surgeries for spinal tumors. 

  • Meningioma
  • Schwannoma
  • Astrocytomas
  • Ependymomas
  • Hemangioblastomas
  • Epidermoids

Vascular disorders of the spine

His neurosurgery department has endovascular and open surgical options to treat vascular disorders of the spine

  • Spinal cord arteriovenous malformation (AVM)
  • Spinal dural arteriovenous fistula (SDAVF)
  • Cavernomas 

Congenital /developmental disorders of the spine

These are commonly seen in children

  • Chiari malformation
  • Syringomyelia
  • Split cord malformations
  • Tethered cord
  • Craniovertebral junction anomalies

Spinal cord stimulator placement

Spinal cord stimulation (SCS) is a neuromodulation technique that is used to treat neuropathic pain. The procedure involves implantation of electrodes on the spinal cord with power supplied by an implanted battery. 

  • Chronic Back pain
  • Arachnoiditis
  • Injuries to the spinal cord
  • Complex regional pain syndrome

Intrathecal pain pump placement for cancer pain

This involves implantation of catheter into the space around the spinal cord and delivery of pain medications 

  • Cancer pain

Intrathecal baclofen pump for spasticity

This involves the implantation of a catheter into the space around the spinal cord and delivery of baclofen to reduce spasticity.  

  • Cerebral palsy
  • Multiple sclerosis
  • Stroke
  • Brain injury
  • Spinal cord injury
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