Spine Conditions We Treat
Intervertebral Disc Bulge or Prolapse
Herniated discs can occur in any part of the spine. Disc herniations are most commonly seen in the lumbar spine (lower back) and cervical spine (neck), and rarely in the thoracic spine.
Dr. Bahuleyan also has certification in artificial disc replacement (ProDisc® Cervical Artificial Disc Replacement, DePuy Synthes Spine 2015), offering motion-preserving alternatives to fusion for appropriate candidates.
ACDF
Cervical Laminectomy
Cervical Laminoplasty
Cervical Foraminotomy
Thoracic Discectomy
Lumbar Microdiscectomy
Micro-endoscopic Discectomy
ProDisc® Artificial Disc
Spinal Canal Stenosis
Abnormal or age-related compression of the spinal cord or nerve roots due to degeneration of the spine. Procedures include laminectomy with or without fusion, tailored to the level and severity of stenosis.
Cervical Canal Stenosis
Lumbar Canal Stenosis
Thoracic Canal Stenosis
Spondylolisthesis
Spondylolisthesis is due to slippage of one vertebra over another caused by degeneration or injuries. Treatment includes instrumented fusion of appropriate levels either through anterior (front) or posterior (back) approaches.
TLIF
PLIF
ALIF
Lumbar Spondylolisthesis
Cervical Spondylolisthesis
Thoracic Spondylolisthesis
Spine Injuries
Injuries that cause spinal cord or nerve root compression and instability are treated surgically. Dr. Bahuleyan has many years of experience managing different types of spinal injuries from craniovertebral junction to sacrum.
Jefferson’s Fracture
Odontoid Fracture
Hangman’s Fracture
Atlanto-occipital Dislocation
Atlanto-axial Dislocation
Cervical Spine Fracture
Thoracic Spine Fracture
Lumbar Spine Fracture
Odontoid Screw Fixation
C1-C2 Fusion
Corpectomy
Pedicle Screws
Rod Fixation
Chiari Malformation
All four types of Chiari malformation are managed, along with associated syringomyelia. Surgical procedures include foramen magnum decompression, syringo-subarachnoid shunt, and tonsilectomy.
Chiari I–IV
Syringomyelia
Foramen Magnum Decompression
Spine and Vertebral Tumours
Dr. Bahuleyan has advanced training in spinal cord tumour surgery from his Neurosurgical Oncology Fellowship at the Cleveland Clinic Foundation and Spine Surgery Fellowship at Harvard Medical School. Spinal tumours are operated with the aid of spinal fixation and neuromonitoring (SSEP, MEP, EEG waves). He is trained in both minimally invasive and open micro-surgeries for spinal tumours.
World Neurosurgery 2013 — Management strategies for spinal synovial cysts
Meningiomas
Schwannomas
Astrocytomas
Ependymomas
Haemangioblastomas
Epidermoid Cysts
Vascular Disorders of the Spine
The neurosurgery department at Caritas Hospital, Kottayam offers both endovascular and open surgical options to treat vascular disorders of the spine.
Spinal Cord AVM
Spinal Dural AVF (SDAVF)
Cavernomas
Congenital / Developmental Disorders of the Spine
These conditions are commonly seen in children and require specialised neurosurgical expertise for optimal outcomes.
Chiari Malformation
Syringomyelia
Split Cord Malformations
Tethered Cord
Craniovertebral Junction Anomalies
Spinal Cord Stimulator Placement
Spinal cord stimulation (SCS) is a neuromodulation technique used to treat neuropathic pain. The procedure involves implantation of electrodes on the spinal cord with power supplied by an implanted battery. Dr. Bahuleyan’s expertise in chronic pain management is documented in his first-authored chapter in Benzel’s Spine Surgery covering chronic pain, failed back surgery syndrome, and management strategies.
Chronic Back Pain
Arachnoiditis
Spinal Cord Injuries
Complex Regional Pain Syndrome
Intrathecal Pain Pump Placement for Cancer Pain
Implantation of a catheter into the space around the spinal cord for delivery of pain medications directly to the spinal fluid, providing more effective pain control with lower systemic doses. This is indicated for cancer pain management where systemic medications are insufficient.
Intrathecal Baclofen Pump for Spasticity
Targeted delivery of baclofen to the spinal fluid to reduce spasticity in patients with neurological conditions.
Cerebral Palsy
Multiple Sclerosis
Stroke
Spinal Cord Injury