Spine Surgery

Spine surgery at Apex covers disc herniations, spinal stenosis, spondylolisthesis, vertebral fractures and spinal deformity across the cervical, thoracic and lumbar spine. Before any surgical discussion, most patients are assessed for non-surgical management, physiotherapy and pain management, which form the first line of care. Surgery is considered when nerve compression produces progressive weakness or loss of function, or when structural instability cannot be managed conservatively. 

Apex performs minimally invasive spine surgery and microdiscectomy with image-guided navigation, limiting muscle disruption while achieving accurate decompression. Endoscopic spine surgery is available for selected disc and foraminal pathology through the smallest possible access. Spinal fusion, including TLIF uses interbody cages, pedicle screws and rods under navigation guidance to stabilise unstable spinal segments. Patients may experience reduced post-operative discomfort with minimally invasive procedures, but a structured physiotherapy programme remains essential. Rehabilitation typically progresses from early mobilisation to core strengthening and then to the gradual restoration of functional movement.

Risks include nerve injury, spinal fluid leak, infection, implant failure, fusion non-union and blood clots. Apex is recognised as a specialist spine surgery hospital in Mumbai, offering both non-surgical and surgical spinal care within the same clinical network.

Treatment plans prioritise conservative, non-surgical management, reserving surgical intervention for persistent nerve root compression or spinal instability:   

  • Minimally Invasive & Endoscopic Spine Surgery: Apex performs keyhole endoscopic discectomies to relieve nerve compression through microscopic portals.   
  • Micro-Decompression & Laminectomy: Apex performs spinal canal decompression using Stryker burr systems and Bell ortho drills.   
  • Image-Guided Spinal Fusion: Apex performs Transforaminal Lumbar Interbody Fusion (TLIF/PLIF) with pedicle screw fixation under real-time C-arm fluoroscopy.   
  • Spinal Deformity Correction: Apex performs complex scoliosis and kyphosis corrections utilizing intra-operative Cell Saver blood-preservation technology. 
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