Dr. Biji Bahuleyan MCh, ECFMG · Senior Consultant Neurosurgery Book Appointment
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Harvard-Level Spine Expertise in Kerala

Spine conditions — from herniated discs and spinal stenosis to complex tumours and traumatic injuries — require a surgeon with the depth of training and experience to navigate the delicate structures surrounding the spinal cord and nerve roots. Dr. Biji Bahuleyan completed his Clinical Fellowship in Spine Surgery at Brigham and Women’s Hospital, Harvard Medical School, Boston — one of the world’s premier spine surgery training programmes.

Listed among Brigham and Women’s Hospital current and past fellows: BWH Current and Past Fellows

The significance of his spine surgery expertise is further demonstrated by his selection as the first author of a chapter in “Benzel’s Spine Surgery: Techniques, Complication Avoidance and Management” (4th Edition, Elsevier 2017) — universally regarded as the gold-standard reference for spine surgeons worldwide.

Chapter: Chronic Pain, Failed Back Surgery Syndrome, and Management — Benzel’s Spine Surgery

This two-volume, 2,100-page text is edited by pioneering neurosurgeon Edward C. Benzel and receives Doody’s 5-star review as a “must-have” resource. Being invited to author a chapter — especially as first author — confers rare peer recognition, positioning Dr. Bahuleyan among the field’s elite authorities in pain management and spinal surgery.

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

Spine Surgery — Educational Insights

Why Choose Dr. Biji Bahuleyan for Spine Surgery

Harvard Medical School Spine Fellowship

Completed at Brigham and Women’s Hospital (ranked #16 globally for Neurosurgery, Newsweek 2023), with training in the full spectrum of complex spinal procedures including minimally invasive techniques, advanced instrumentation, and motion-preserving disc replacement.

First Author — Benzel’s Spine Surgery

The definitive global reference text (2,100+ pages, Elsevier, Doody’s 5-star). First authorship of a chapter on pain management confers elite peer recognition reserved for leading authorities.

Cleveland Clinic Pain Fellowship

Advanced training in spinal cord stimulators, intrathecal pump placement, and neuromodulation for chronic pain — from the Cleveland Clinic’s Functional and Restorative Neurosurgery programme.

ProDisc® Certification

Certified in cervical artificial disc replacement, offering motion-preserving alternatives to fusion — an advanced option that most Kerala spine practices do not provide.

Published Spinal Research

Peer-reviewed publications on spinal synovial cysts, posterior longitudinal ligament cysts, and Horner’s syndrome from disc prolapse — demonstrating scholarly depth beyond clinical practice.

NABH-Accredited Infrastructure

Senior Consultant at Caritas Neuro Sciences, Caritas Hospital, Kottayam — with advanced intraoperative neuromonitoring (SSEP/MEP/EEG) and dedicated spine rehabilitation.

Safety & Technology

Spine surgery at Caritas Neuro Sciences, Kottayam is supported by advanced infrastructure and protocols.

Intraoperative Neuromonitoring

SSEP, MEP, and EEG monitoring for real-time spinal cord and nerve function assessment during surgery.

Fluoroscopy & Neuronavigation

Precision instrumentation placement with real-time imaging guidance.

Advanced Spinal Fixation

State-of-the-art fixation systems for stable reconstruction.

Minimally Invasive Platforms

Endoscopic and tubular retractor systems for reduced tissue damage.

Spine Rehabilitation

Dedicated spine physiotherapy and rehabilitation programme for optimal recovery.

Frequently Asked Questions

What qualifies Dr. Bahuleyan as a leading spine surgeon in Kerala?

His Clinical Fellowship in Spine Surgery at Brigham and Women’s Hospital, Harvard Medical School is the highest level of spine surgical training available. Additionally, his selection as first author in Benzel’s Spine Surgery — the gold-standard global reference — confirms his standing among the world’s leading spine surgery authorities.

Yes. His training encompasses both minimally invasive and open microsurgical approaches. The appropriate technique is selected based on the specific condition, patient anatomy, and optimal outcome expectations.

A spinal cord stimulator is an implanted device that delivers mild electrical pulses to the spinal cord to interrupt pain signals. It is indicated for chronic back pain, failed back surgery syndrome, complex regional pain syndrome, and neuropathic pain conditions. Dr. Bahuleyan has specific fellowship training in this technique from the Cleveland Clinic.

Yes. His dual fellowship training — Neurosurgical Oncology at Cleveland Clinic and Spine Surgery at Harvard — gives him rare combined expertise in both tumour biology and spinal surgical techniques, enabling comprehensive management of complex spinal tumours.

Contact Caritas Neuro Sciences, Caritas Hospital, Kottayam at +91 9745612132 or via WhatsApp. Bring your MRI/CT imaging for a comprehensive evaluation.

Harvard-Trained Spine Expertise at Caritas Neuro Sciences

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