CNS Neurosurgery    |    Spine – Artificial discs, Mini-cages, Robotic surgery

Spine – Artificial discs, Mini-cages, Robotic surgery

Welcome to Dr Khurana’s Spinal Instrumentation page.

Click the following links for brief and informative step-by-step videos on Dr Khurana’s “total disc arthroplasty (TDR)” aka “spinal arthroplasty” surgeries:

 

Video: ARTIFICIAL MOBILE CERVICAL DISC SURGERY


Video: ARTIFICIAL MOBILE LUMBAR DISC SURGERY


dr_vini-khurana_latest_hybrid_cervical_disc_surgeryPost op hybrid khurana

Above images (click each or use your zoom to enlarge): The latest in “minimal footprint” hybrid cervical disc replacement technology (Left, intraop.; Right, three months post-op.)  — no plates, no screws, no cervical collar; the upper artificial disc inserted to preserve mobility and reduce wear-and-tear at adjacent segments; operation carried out by Dr Khurana at East Sydney Private Hospital (Intraoperative view; Mobi-C, ROI-C; courtesy Device Technologies/LDR). A beautiful structural and functional result.

Below images (click each or use your zoom to enlarge): The latest in “minimal footprint” lumbar disc replacement technology (Images a&b: Pre-op. CT & SPECT showing severe degeneration at L4/5 and L5/S1 with “deflated and worn tyre” disc spaces and a slip at L5/S1; Image c: The ROI-A cage. Image d: Post-op. CT showing beautiful restoration of disc heights and reduction of slip via insertion of ROI-A cages through a small abdominal incision – no plates, no screws, no hip graft, just minimally invasive techniques and technologies in action; courtesy Device Tech./LDR).

a.Screen Shot 2017-03-08 at 11.01.43 am b.Screen Shot 2017-03-03 at 12.20.17 pm c. d.Screen Shot 2017-03-08 at 11.02.36 am

RANGE OF SPINAL MOTION (below collage) a year after L5/S1 ALIF using ROI-A cage system via anterior (“bikini-line”) minimally invasive approach. Read more on this patient’s case by CLICKING HERE.

ROBOTIC SPINAL SURGERY has also been introduced into our Practice. Immediately below, see images of the Mazor Robot with Renaissance Guidance System in action at the Epworth Hospital, with real-time neuromonitoring of the patient during the procedure. The Robot has been introduced because it has been internationally tested and reported to be: Intuitive. Quick. Precise. Safe.

[With thanks to: Epworth Hospital, Life Healthcare, Mazor, Neuro-monitoring Services Australia]

 

Images shown here are with the permission of Dr Khurana’s patients, for educational purposes.

  • Neurosurgeons Mr Vini Khurana (Partner, Neurological Surgery Victoria/NSV) & Mr Ron Jithoo (Director, NSV).

Shown on this page are minimal-footprint artificial spinal discs and interbody cages, and Robot-navigated screws… ‘state-of-the-art’ technologies and minimally invasive options and techniques designed and tailored to minimise disturbance to your natural tissues and maximise your functional outcome.

Images 3 & 4 (above): Two-level Mobi-C cervical disc replacement: Post-op. X-ray shows C5/6 and C6/7 artificial discs with normal lordosis (blue lines). Similar concept in Images 5 & 6 (below).

The above ROI-A lumbar cage (filled with a natural bone tissue scaffold-matrix) is placed using a minimally invasive surgical approach via a small abdominal incision (aiming to facilitate a quicker and smoother recovery). No screws, no plates, no hip graft. Typically, even our 2-level ROI-A patients are up and walking the day after surgery.

CLICK HERE for more images of advanced spinal instrumentation surgery