Spinal Anatomy- Cervical Spine

Dr.Avinash.KM

MS(Surgery),MRCSed(UK), MCh(Neurosurgery), FINR(Switzerland), FMINS(Germany).

Consultant Neurosurgeon

Specialist Spine Surgeon

Spinal column, which is made up of 33 bones called vertrbrae

The spine itself is divided into four sections,

·         Cervical vertebrae (one to seven, which are located in the neck)

·         Thoracic vertebrae (one through 12, which are located in the upper back and attached to the ribcage)

·         Lumbar vertebrae (one through five, which are located in the lower back)

·         Sacral vertebrae (one through five, which are located in the pelvis)

Spinal Column and Nerve roots: 33 spinal bones and 31 nerve roots

Cervical Spine and cervical nerve roots:

Eight pairs of cervical nerves (called C1-C8) exit the cervical cord at each vertebral level. One member of the pair exits on the right side, and the other exits on the left. The first cervical root exits above the C1 vertebra. The second cervical root exits between the C1-C2 segment, and the remaining roots exit just below the correspondingly numbered vertebra. The C8 nerve root exits between the C7 and T1 vertebra.

Cervical vertebra and roots:

Each cervical root supplies supplies neck, shoulders and arms as shown in above diagram.

Cervical disc:

There are six cervical discs and 23 total discs in the entire spinal column. Each cervical disc rests between the cervical vertebrae, acts as a shock absorber in the cervical spine and allows the neck to handle much stress.

 Cervical nerve root and neural foramina:

Each nerve roots emerges from the spinal cord, comes out through the neural foramina. Neural foramina is an important space which is surrounded all round by bone. This is the space where nerve root can be compressed when normal disc herniates into this space. Since neural foramina is a space surrounded all around by bone, any extra material into this space will compress the corresponding nerve roots causing root pain.

Spinal surgeries offered

Dr.Avinash.KM

MS(Surgery),MRCSed(UK), MCh(Neurosurgery), FINR(Switzerland), FMINS(Germany).

Consultant Neurosurgeon

Specialist Spine Surgeon

Standard Open Spine surgeries performed:

• Cervical discectomy and fusion
• Cervical corpectomy and fusion.
• Occipito-cervical fusion.
• Atlanto-Axial fixation.
• Lateral mass fusion for cervical spine.
• Thoracic discectomy/ laminectomy and fusions.
• Microlumbar discectomy
• Laminectomy and discectomy.
• Decompressive laminectomy.
• Posterior lumbar interbody fusion/ PLIF surgery
• Transforaminal lumbar interbody fusions/TLIF surgery
• Spinal fusion at at spinal levels.

Minimally Invasive Spine Surgery (MISS):

• Minimally Invasive TLIF
• Percutaneours spinal fixations.
• Minimally Invasive discectomies.
• Minimally Invasive Thoracic fixations.

Endoscopic Spine Surgery:

• Endoscopic Lumbar discectomy.
• Endoscopic Thoracic discectomies.

Spinal Tumours:

• Spinal cord tumour-Astrocytoma, ependymoma, epidermoid tumours,
• Intradural tumours.
• Tumours of the spine-

Recurrant spinal problems:

• Recurrant discectomy
• Recurrant spondylolisthesis surgeries.
• Spinal revision surgeries.
• Revision fusion surgeries.
• Recurrant tumour excisions.

Spinal Vascular Lesions:

• Spinal dural arteriovenous fistula- Embolizations/ \surgical excision
• Spinal cord AVM-Embolization/ Surgical excision
• Spinal perimedullary fistula- Embolization /surgical excisions.

Osteoporotic Spinal fractures:

• Vertebroplasty
• Kyphoplasty
• Spinal fusion using fenestrated screws and vertebroplasty

Dr.Avinash.KM- Spine surgery Training

Dr.Avinash.KM

MS(Surgery),MRCSed(UK), MCh(Neurosurgery), FINR(Switzerland), FMINS(Germany).

Consultant Neurosurgeon

Specialist Spine Surgeon

Certificates of Special training on spine surgery

About Dr Avinash.KM-Neuro and spine surgeon Bangalore

      

AVINASH. K. M

MS (General surgery),  MRCS ed (UK),  M.Ch (Neurosurgery), FINR(switzerland), FMIN(Germany)

Consultant Neurosurgeon

Specialist Spine Surgeon

Avinash.KM is a MCI (medical council of India) certified, renowned neurosurgeon with special training and interest in spine surgery. He is presently working in Columbia Asia Hospiatls at Hebbal and yeshwanthpur. Dr Avinash KM has decade of experience in this field.

Dr Avinash.KM has special  training in advanced spine surgery procedures and has attended many national and international spine trainings centers, workshops. He has attended training sessions and learnt latest techniques such as Minimally Invasive Spine Surgery(MISS), Endoscopic Spine Surgery, Percutaneous spinal fixations, Disc replacement surgeries, Microlumbar disc surgeries.

Dr.Avinash.KM is  trained in management of spinal and spinal cord tumour.  Spinal cord and spinal tumours are special category of problems where spinal pain and instability are associated with large tumours which are highly vascular leading to excessive blood loss during surgery. Since Dr Avinash is also a trained vascular neurosurgeon, he performs pre-operative embolization, a technique which reduces and blocks all the blood supply to the tumour, there by major surgeries can be performed with relatively least blood loss.

He also has special interest in treating recurrant spinal problems and  has treated many recurrant spine problems. (kindly visit gallery sections and testimonial sections). Dealing with recurrant disc diseases and recurrant spinal issues at previously operated/fused areas is a real challenge as the previous operation would have caused lot of scarring and makes it difficult to understand and identify normal structures from pathology. Dr Avinash has extensive experience in dealing with these condition.