Known for his soft-spoken nature, Dr. Manon Miglani had completed his MBBS from Maulana Azad Medical College and MS (Ortho) for All India Institute of Medical Sciences. Dr. Miglani was awarded AO spine fellowship from Queen’s Medical Center, Nottingham and he also received Stryker fellowship in Arthroplasty from Indraprastha Apollo Hospital. Dr. Manon Miglani has provided his expert services to various hospitals of Delhi and NCR including AIIMS, Indraprastha Apollo, Jaipur Golden hospital, and Artemis hospital Presently, Dr. Manon is the additional director of Fortis, Vasant Kunj and senior consultant at Fortis, Shalimar Bagh.
Dr. Manon Miglani is the member of various reputed organizations including Association of Spine Surgeons of India, Delhi orthopedic Association and Spine Society, Delhi. Dr. Miglani has an experience of more than 18 yes and he has a special interest in minimally invasive spine surgeries including fixations and endoscopic procedures. He has hands-on expertise in various types of spine surgeries and his expertise includes performing Complex AceTabular Fractures, Pott’s spine decompression and fixation, laminectomy, and spondylolisthesis. Dr. Miglani has also done various surgeries related to knee and hip replacements. Research papers of Dr. Miglani have been published in various orthopedic journals.
The spinal cord is a linear arrangement of many small bones known as vertebrae. These vertebrae consist of spaces between them known as intervertebral spaces. They are filled with cartilaginous structures that provide a cushioning effect to the vertebrae and support the movement of the spine. These cartilaginous structures are called Intervertebral discs.
Any pathology of the intervertebral discs such as disc herniation (slipping of the disc from between the vertebrae), ruptured disc, or degenerative disc disease may cause severe back pain due to nerve impingement, indicating the need for either partial or total disc replacement. In partial disc replacement surgery, only a portion of the cartilaginous disc is replaced by the artificial disc, while the total disc is replaced in the total disc replacement surgery.
Cervical disc degeneration and disc rupture may cause chronic neck pain radiating towards the arm. Thoracic disc degeneration may cause chronic upper/ mid back pain while lumbar disc degeneration may cause chronic lower back pain.
Kyphoplasty is also known as balloon kyphoplasty. It is a minimally-invasive surgical procedure that can repair spinal fractures caused by cancer, osteoporosis, or benign lesions. It is not used for spinal stenosis treatment.
Kyphoplasty procedure is designed to relieve the intense pain caused by vertebral compression fractures, to stabilize the bone or to bring back some or all of the lost vertebral body height due to the compression fracture. Kyphoplasty or balloon kyphoplasty is a superb replacement of the typical conventional therapies such as analgesic use, bed rest, and bracing. It is a quick remedy for severe pain due to vertebral compression. It eliminates the pain almost immediately and the risk of complications during kyphoplasty is low. However, it is not intended for the treatment of arthritis or intervertebral disc disease. Kyphoplasty is different from discectomy, which is conducted in case of a herniated disc. Discectomy completely removes the damaged or herniated disc from the vertebrae of the patient.
Laminectomy and vertebroplasty are two other procedures that follow different techniques for stabilizing fractures. Laminectomy works by removing the lamina to create space, vertebroplasty works by injecting cement into the broken or cracked spine. For the same reason, vertebroplasty cost is different from kyphoplasty cost.
Kyphoplasty is typically suggested in case of:
Laminectomy is also known as decompression surgery. In this surgical procedure, a part of the vertebral bone called lamina is removed to create additional space. The lamina is the back part of the vertebrae that covers the spinal canal. Removing the lamina enlarges the spinal canal and thus, helps relieve pressure on the nerves and the spinal cord. Bony growths, especially in people with spinal arthritis, may put an additional pressure on the spinal cord. It may cause severe back pain and in some severe cases, can even cause paralysis. Narrowing of the space between the vertebrae is also known as spinal stenosis.
Laminectomy surgery, which is a form of spinal stenosis treatment, helps relieve pressure on the spinal cord and the nerves by creating a room between the vertebrae and the cord. When the pressure on the spinal cord in the case of lumbar spinal stenosis is relieved by creating a space between the lumbar vertebrae, the procedure is known as lumbar laminectomy. During a lumbar laminectomy, the surgeon may even remove the ligaments or bone spurs pressing the spinal cord.
Microdiscectomy is also known as microdecompression or cervical microdiscectomy. It is one of the most commonly performed spine surgery procedures.
Microdiscectomy or cervical microdiscectomy is preferred for patients with a lumbar herniated disc. The main goal of a discectomy is to relieve the pressure on a spinal nerve root by removing the material causing the pain. Traditionally, this purpose was solved by an open technique called lumbar discectomy surgery, which involves making a large incision to cut some of the back muscles, leading to a slow and painful recovery. Nowadays, an advanced form of surgery called microdiscectomy can achieve the same goal that too with the help of a small incision and fewer injury to back muscles. As a result, the recovery takes less time and is less painful. A special microscope is used in microdiscectomy to view the disc and nerves. The larger view allows the surgeon to make a smaller incision, causing less damage to the surrounding tissues.
Sciatica is a condition caused by compression of the spinal nerve, which generally results in chronic pain in the legs of the patients. This compression of the spinal nerve is frequently the result of a herniated lumbar disc. As a herniagrows, the damaged tissue extends into the spinal column and pushes on the nerves. This condition causes the nerves to send pain signals to the brain and the brain interprets the pain source to be coming from the legs.
Most commonly, sciatica heals naturally or with the help of medication in a few weeks. But, if sciatica lasts more than 12 weeks after taking oral medicines, patients may benefit from discectomy. Discectomy is also used for the treatment of spondylosis and lumbar spinal stenosis. While spondylosis occurs due to degenerative osteoarthritis of the vertebrae, lumbar spinal stenosis occurs due to narrowing of the spinal canal leading to nerve compression. The latter may also warrant the need for a spinal stenosis surgery.
Spinal fusion surgery is a type of a spinal procedure used to join two or more bones permanently in the spine and to prevent movement between them. The bones that are joined are called as vertebrae. Spinal fusion surgery is performed along with other surgical procedures such as foraminotomy or laminectomy and after diskectomy in the neck. It is required if the patient has an injury or a fracture of the vertebrae. The spine will become weak due to an infection or tumors. Spinal fusion is also performed in abnormal curvatures that result from scoliosis or kyphosis.
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