Special Spine Cases
Advanced Surgical Care for Complex Spine Cases
Review verified radiological case presentations demonstrating pre- and post-operative MRI and X-ray outcomes achieved by Dr. Nitish Agrawal.
Cervical Spine
Cervical Disc Prolapse with Spinal Cord Compression
Patient Profile: 48-year-old presenting with severe clumsiness of hands, unsteady walking (myelopathy), and tingling in both upper limbs.
Diagnosis: Large herniated disc at C5-C6 producing critical spinal cord indentation and cord hyperintensity (myelomalacia).
Surgical Intervention: Microscopic Anterior Cervical Discectomy & Fusion (ACDF) with titanium PEEK cage under continuous neuromonitoring.
Outcome: Complete spinal cord decompression, full restoration of hand dexterity, and patient walked out comfortably on Day 2.
Vertebroplasty
Post Chemotherapy & Radiotherapy Osteoporotic Spine Fracture
Patient Profile: 67-year-old cancer survivor with excruciating thoracolumbar back pain unable to sit or stand upright.
Diagnosis: Acute L1 vertebral collapse due to secondary drug-induced severe osteoporosis.
Surgical Intervention: Day-care Percutaneous Balloon Kyphoplasty with PMMA bone cement augmentation under local anesthesia.
Outcome: Instant 100% elimination of fracture pain in the procedure room. Discharged walking unassisted within 3 hours.
Spine Infection
Tuberculosis Spine Infection (Pott’s Spine)
Patient Profile: 34-year-old with chronic mid-back pain, low-grade evening fever, and rapidly progressive weakness in both legs.
Diagnosis: T8-T9 destructive tubercular spondylodiscitis with massive anterior epidural cold abscess compressing spinal cord.
Surgical Intervention: Transthoracic debridement, radical abscess clearance, anterior expandable titanium cage reconstruction, and posterior pedicle screw instrumentation.
Outcome: Full neurological recovery, complete infection eradication with ATT course, and restored erect posture.
MIS-TLIF
High-Grade Lumbar Spondylolisthesis with Severe Stenosis
Patient Profile: 56-year-old teacher suffering from 10 years of chronic low back pain and unbearable sciatica, unable to walk more than 50 meters.
Diagnosis: L4-L5 Grade 2 degenerative spondylolisthesis with severe central and lateral recess canal stenosis.
Surgical Intervention: Minimally Invasive Transforaminal Lumbar Interbody Fusion (MIS-TLIF) with anatomical vertebral reduction.
Outcome: Patient walked pain-free on Day 1 after surgery and resumed daily teaching activities in 4 weeks.
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