Spine

The spine is defined by the following terms:

  1. OCCIPUT – CERVICAL JUNCTION - base of skull
  2. CERVICAL - neck
  3. THORACIC - trunk
  4. LUMBAR - low back (commonest)
  5. SACRUM / COCCYX - tail-bone region
  6. SACRO-ILIAC JOINTS - junction between vertebrae & pelvis

Spinal pathology consists of:

  • DEGENERATIVE (commonest)
    • eg. neck or low back ‘wear & tear’ pains.
  • TRAUMA
    • eg. motor-vehicle accidents.
  • TUMOR
    • eg. tumor spread to spine
  • DEFORMITY
    • eg. scoliosis
  • METABOLIC
    • eg. osteoporosis
  • AUTO-IMMUNE / RHEUMATOID
    • eg. rheumatoid arthritis

TREATMENT:

Interferential therapy (IFT)

Interferential therapy is a conservative treatment administered for pain relief in various back pain conditions usually of a degenerative (wear and tear) origin, for example muscle spasms. This treatment is commonly used for patients with Low Back Pain (non-specific).

Epidurolysis for spinal stenosis

Epidurolysis is a procedure that is performed for pain relief in degenerative conditions of the spine which may cause back and/or leg pain. The treatment involves the injection of certain chemicals into the spinal canal to remove adhesions (adhesiolysis) affecting the neural structures. The treatment is commonly used for Lumbar Spondylosis Stenosis.

Minimally invasive spine surgery (MISS)

This key-hole incision type technique means minimal soft-tissue dissection, resulting in early effective rehabilitation, and early return to work as well as sports. MISS is commonly used for Thoracic/Lumbar Spondylosis Stenosis.

Laminectomy

Laminectomy involves the surgical removal of the laminae, which forms part of the walls of the spinal canal. The procedure is performed to decompress neural structures and is commonly used for Spinal Stenosis (Cervical/Thoracic/Lumbar).

Extreme Lateral Interbody Fusion (XLIF)

This procedure allows decompression and fusion of the spine, with better deformity correction. It is a form of Minimal Access Surgery, resulting in minimal soft-tissue damage, and early return to work and sports.

The vertebral column is approached laterally (side), enabling direct surgery to be done to the anterior (front) portions of the vertebral column. This enables better correction of significant spinal deformity. The procedure is commonly used to treat Lumbar Spondylosis Stenosis (with deformity).

Transforaminal Lateral Interbody Fusion (TLIF)

This procedure allows decompression and fusion of the spine with the vertebral column approached posterior (back). The option for Minimally Access type techniques is also available for this procedure. TLIF is most commonly used for Lumbar Spondylosis Stenosis.

Our Doctors

Dr Abdul Razak Hussin

Designation
Consultant Orthopaedic and Sports Surgeon
Specialty
Orthopaedic Surgery, Arthroscopy
 


Dr Achdiat Mahpha Fansuri Bin Mustapa

Designation
Consultant Orthopaedic Surgeon
Specialty
Orthopaedic Surgery
 


Dr Appasamy Velu

Designation
Consultant Orthopaedic and Spine Surgeon
Specialty
Orthopaedic Surgery, Spine Surgery
 


Dr Arshad Puji

Designation
Consultant Sports Medicine
Specialty
Orthopaedic Surgery
 


Dr Chooi Yue Seng

Designation
Consultant Orthopaedic and Spine Surgeon
Specialty
Orthopaedic Surgery, Spine Surgery
 


Dr Gandhi Nathan Solayar

Designation
Consultant Orthopaedic Surgeon (Sports & Joints)
Specialty
Orthopaedic Surgery
 


Dato' Dr Lim Boon Ping DIMP

Designation
Consultant Orthopaedic Surgeon
Specialty
Orthopaedic Surgery
 


Dr Ling How Tieng

Designation
Consultant Orthopaedic Surgeon
Specialty
Orthopaedic Surgery
 


Dr Loke Yean Hwe

Designation
Consultant Orthopaedic Surgeon
Specialty
Orthopaedic Surgery
 


Dr Mohd Idham Bin Hasan

Designation
Consultant Orthopaedic and Foot and Ankle Surgeon
Specialty
Orthopaedic Surgery
 


Dr Shamsul Iskandar Bin Hussein

Designation
Consultant Orthopaedic Surgeon (Sports & Joints)
Specialty
Orthopaedic Surgery
 


Dr Siow Yew Siong

Designation
Consultant Orthopaedic and Spine Surgeon
Specialty
Orthopaedic Surgery, Spine Surgery
 


Dato' Dr Siva Kumar Ariaretnam

Designation
Consultant Orthopaedic Surgeon
Specialty
Orthopaedic Surgery
 


Dr Tai Cheh Chin

Designation
Consultant Orthopaedic Surgeon
Specialty
Orthopaedic Surgery