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Old Airport Road

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+919873597359

Get in touch with us now to learn more about the various robotic spine surgeries performed at Manipal Hospitals, Bangalore. Choose less discomfort, minimal blood loss, and rapid recovery!

Contact Us

+919873597359

Get in touch with us now to learn more about the various robotic spine surgeries performed at Manipal Hospitals, Bangalore. Choose less discomfort, minimal blood loss, and rapid recovery!

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Our Experts

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DR. S VIDYADHARA
Chairman And HOD - Spine Surgery And Consultant - Robotic Spine Surgery
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Our Experts

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DR. S VIDYADHARA
Chairman And HOD - Spine Surgery And Consultant - Robotic Spine Surgery
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Top Robotic Spine Surgery Hospital
in Bangalore.

Manipal Hospitals is one of India’s most comprehensive robotic spine surgery hospitals. With robotic assistance, our expert surgeons utilise cutting-edge treatment procedures to treat advanced health complications with the minimal patient inconvenience. Our robotic spine surgery treatments and treatment alternatives are of international standard. We utilise modern surgical procedures and minimally invasive techniques to ensure no future complications in spine surgery.

Manipal Hospitals, Bangalore is the 1st corporate hospital in India, 1st hospital in South India and Karnataka to introduce Medtronic Mazor X Stealth Edition Spine Robotics and O-arm guidance under the radiolucent table for spine surgeries. The team approach, service, experience, state-of-the-art technology, therapeutic knowledge and patient care are appreciated nationwide. Revolutionising Robotic Spine Surgery in India with Manipal Hospitals Dr. S Vidyadhara, HOD & Consultant Robotic Spine Surgeon, Manipal Hospital, Old Airport Road, and his team aim to provide an advanced, cost-effective robotic spine surgery in India. The goal is to improve the accessibility of robotic spine surgery treatments with clinical knowledge, patient awareness, and the latest technological advancement. With over 30 years of expertise in offering medical care via novel approaches, Manipal Hospitals is taking a giant leap into the future with advanced robotic spinal treatments and procedures.

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Manipal Institute of Robotic Spine Surgery

Robotic spine surgery is a minimally invasive surgical procedure. Using a cutting-edge combination of robotic equipment with O-arm guidance under the radiolucent table and techniques ensures maximum precision and accuracy in spine surgery. Best-in-class input registration and mechanical stability are vital to developing robotic precision. In traditional robotic spine surgery, the specialists utilise advanced imaging technology such as pre-operative CT scans or MRI to generate a 3D model of the patient's spine. However, Manipal Hospital has Intra-Operative O-arm imaging after patient positioning under a radiolucent table which gives a more representative orientation of vertebrae after patient positioning and also reduces the radiation hazard not only to the surgical team but also to the patient. Based on this 3D model, the surgery is thoroughly planned and executed to perfection. It includes marking where to make incisions, where to add implants and the path of the surgical tools.

Why Manipal Hospitals for Robotic Spine Surgery?

Manipal Hospital Bangalore is reforming the way robotic spine surgeries are performed in India with the first-ever MazorX robotic guidance system, combined with Intra-operative 3-D imaging through an O-arm and a radiolucent operating table. With this new technology, we are setting a new standard for precision and accuracy in surgical procedures. The MazorX robotic guidance system is cutting-edge technology and gives accurate and precise surgical treatments.

Manipal Hospital has a team of highly skilled and experienced spine surgeons with specialised training in robotic spine surgery. They work collaboratively to provide patients with the best results. Manipal Hospital has also implemented a multidisciplinary approach to robotic spine surgery to ensure patients receive comprehensive care throughout their treatment journey and affordable and transparent pricing, making robotic spine surgery accessible to more patients. This new technology is a breakthrough in spine surgery, and Manipal Hospitals, Bangalore is leading the way in India.

Mazor X Stealth Edition Spine Robotics and O-arm

Manipal Institute of Robotic Spine Surgery is the 1st in South India and Karnataka to introduce Medtronic Mazor X Stealth Edition Spine Robotics along with O-arm for advanced minimal invasive spine surgeries. The Mazor X Stealth™ Edition robotic guidance platform allows for and streamlines pre-operative and intra-operative planning. Its next-level surgical planning software gives exceptional results in complex surgeries. It offers surgeons 15 years of Mazor precise robotic assistance and 25 years of Stealth™ Navigation. The Mazor XTM™ platform ensures a closed-loop contact between the bed-mounted robotic arm and the patient and a tight attachment between the robot and the patient's skeletal system. The procedure begins after a patient is put under general anaesthesia. The surgeon makes a small incision in the patient's back, usually less than an inch (depending on patient profile and magnitude of surgery needed), exposing the involved spine area. The 3D model of the spine using O-arm is fed to the robotic system. It helps the surgeon navigate in real-time during the procedure with unmatched accuracy in making incisions and placing implants. The surgeon also uses the robotic arm to implant screws, rods, or plates to stabilise the spine. After the procedure, the surgeon closes the incision with sutures or surgical staples.

Key highlights of the Mazor X Stealth Edition Spine Robotics

Manipal Hospital Old Airport Road is India's first private corporate hospital to offer complete revolutionary MazorX Robotic Spine Surgery. We are proud to offer the MazorX robotic guidance with 3-D imaging using an O-arm and Radiolucent operating table, the first of its kind in South India. With this revolutionary technology, patients can expect greater accuracy and precision during their spine surgeries. With the only other centre being AIIMS, New Delhi, you can trust our experienced team for a seamless surgical experience.

The Mazor X Stealth™ Edition robotic spine guidance platform allows for and streamlines pre-operative and intra-operative planning. Its next-level surgical planning software gives exceptional results in complex spine surgeries. It offers surgeons 15 years of Mazor precise robotic assistance and 25 years of Stealth™ Navigation.

The Mazor XTM™ platform ensures a closed-loop contact between the bed-mounted robotic arm and the patient and a tight attachment between the robot and the patient's skeletal system. The procedure begins after a patient is put under general anaesthesia. The surgeon makes a small incision in the patient's back, usually less than an inch, exposing the involved spine area.

The 3D model of the spine is fed to the robotic system. It helps the surgeon navigate in real-time during the procedure with unmatched accuracy in making incisions and placing implants. The surgeon also uses the robotic arm to implant screws, rods, or plates to stabilise the spine. After the procedure, the surgeon closes the incision with sutures or surgical staples.

Advantages of Robot O-arm Combo

1. Planned and directed implants
The MazorX robot O-arm combo can assist in planning and directing implants with precision intra-operatively after patient positioning. The system uses 3-D scans to create a 3-D map of the patient's spine. The surgeon uses this map to determine the optimal placement of the implants, ensuring they are placed in an accurate location and at the right angle. This level of precision is difficult to achieve with traditional surgical techniques and reduces the risk of complications such as nerve damage or implant failure.

2. Patient and problem-specific planning
The 3-D map of the patient's spine after patient positioning allows the surgeon to identify any abnormalities or deformities. This information is used to plan surgery planned to the patient's specific problems. The surgeon can determine the best approach for the optimal placement of the implants and the ideal angle to use. This level of patient-specific planning ensures the surgery is as safe and effective as possible.

3. Accuracy and Precision
This system uses a combination of 3-D imaging and robotic guidance to ensure each implant of accurate size is rightly placed. The system can detect any deviation from the planned trajectory, and the surgeon can make adjustments as needed. This level of accuracy and precision is not possible with traditional methods, which rely on the surgeon's skill and visual acuity.

4. Safety
By utilising 3-D imaging and the O-arm, surgeons obtain high-resolution images of the surgical area to plan and execute procedures with greater safety. The radiolucent operating table also provides more safety by offering real-time imaging during the procedure, reducing the need for repeated exposure to radiation.

5. Better Intra-operative imaging after patient positioning
The O-Arm provides intra-operative imaging after the patient's positioning in the prone or lateral position. This level of imaging is far superior to traditional 2-D imaging or pre-operative CT scans. By using intra-operative imaging, the surgeon can make real-time adjustments to the surgery as needed. The use of intra-operative imaging also reduces the chances of other surgeries, as issues can be addressed instantly during the surgery.

6. Reduced radiation risk to surgeon, staff and patient
The MazorX robot combo with O-arm reduces the risk of radiation exposure to the surgeon, staff and patient. Traditional surgical techniques often require the use of fluoroscopy, which exposes the patient and surgical team to radiation. The MazorX robot combo with O-arm uses 3D imaging to eliminate the need for fluoroscopy and reduce the risk of radiation exposure.

Advantages of Robotic Spine Surgery

Shift from Open Surgery to Minimally Invasive Approach
Traditionally, spine surgery involved a large incision, cut through muscles and tissues to access the spine. This approach resulted in significant blood loss, longer hospitalisation, and slower recovery. With the advent of minimally invasive techniques, surgeons can access the spine through a small incision, resulting in less tissue trauma, less blood loss, shorter hospital stay, speedier recovery and more.

Smaller Incision -
The procedure is less invasive because of the small instruments utilised in tandem with the robotic spine surgical system. As a result, your incisions are smaller, and your scars are less visible.

Lesser Tissue Trauma -
Robotic spine surgery also causes less tissue trauma to the surrounding tissue, resulting in less pain and discomfort for the patient. Also, because robotic spine surgery is minimally invasive, there is less damage to the nerves and muscles surrounding the surgical area.

Lower Blood Loss -
As robotic spine surgery requires smaller incisions, there is less blood loss during the surgery. This is vital for patients with underlying medical conditions and more susceptible to blood loss.

Lesser Complications and Risk -
This is because the robotic spine systems used in robotic spine surgery have a greater level of precision than human hands. There is less risk of damaging surrounding tissue and organs during the surgery. Also, there is less risk of infection, bleeding, and organ damage. Patients undergoing robotic surgery are less likely to experience complications during the surgery.

Faster Recovery and easier mobilisation -
There are fewer traumas to the surrounding tissue and organs, resulting in a faster recovery time. As it is less invasive, patients are less likely to experience complications such as blood clots and muscle weakness and can return to their normal activities sooner than they would after traditional surgery.

Shorter Hospitalization Times -
Robotic spine surgery also results in shorter hospitalisation times. Patients can recover more quickly and are less likely to face complications such as hospital-acquired infections.

Success Rate -
The success rate of robotic surgery is over 99%. This is because the robotic spine systems used in robotic spine surgery are highly precise and are less likely to make mistakes.

Treatments & Procedures

Spinal Deformity Correction Surgeries
Spinal Trauma Surgeries
Degenerative Spinal Surgeries
Spinal Tumour Surgery
Congenital Anomalies of the Spine
Spinal Infection Surgery
Osteoporotic Spinal Fracture treatment
Spinal Deformity Correction Surgeries
Spinal Trauma Surgeriess
Degenerative Spinal Surgeries
Spinal Tumour Surgery
Congenital Anomalies of the Spine
Spinal Infection Surgery
Osteoporotic Spinal Fracture treatment

Spinal Deformity Correction Surgeries

Two common spinal conditions that lead to spinal deformity are Scoliosis and Kyphosis which involve abnormal curvature of the spine. Robotic spine surgery can be beneficial for treating scoliosis and kyphosis because it allows for extremely precise placement of spinal parts. This helps fix the spine's abnormal curvature and provides more stability and support.

Scoliosis : Scoliosis is a medical condition wherein a patient’s spinal cord has an abnormal lateral/sideward tilt. This sideways curvature gives rise to a C-shaped or S-shaped curve. It is most common in children and early adolescents.

Kyphosis :Kyphosis is an excessively forward rounding of the upper back. In older persons, it is caused mainly by spinal bone weakening, which causes them to compress or break. Different types of kyphosis can develop in infants or teenagers due to spinal deformity or wedging of the spinal bones throughout time.

Spinal trauma surgeries

Two common spinal conditions that lead to spinal deformity are Scoliosis and Kyphosis which involve abnormal curvature of the spine. Robotic spine surgery can be beneficial for treating scoliosis and kyphosis because it allows for extremely precise placement of spinal parts. This helps fix the spine's abnormal curvature and provides more stability and support.

Decompression surgery : Decompression surgery: This surgery is performed to relieve pressure on the spinal cord or nerve roots caused by a herniated disc, bone spur, or other spinal abnormality. Robotic-assisted spinal decompression entails removing bone or tissue that may be pinching spinal nerves or producing other spinal disorders. The surgeon uses a computer console to operate the robotic arm and camera, providing high precision and accuracy. Also, using robotics may lower the risk of complications, including nerve injury and haemorrhage.

Fusion surgery :This surgery is performed to stabilize the spine by fusing two or more vertebrae together. It is often used to treat spinal fractures or other types of spinal instability.

Spinal instrumentation surgery :This surgery involves the placement of screws, rods, or other devices to provide additional support to the spine.

Spinal cord stimulation surgery :This surgery involves the placement of a device under the skin that delivers electrical impulses to the spinal cord to relieve neurogenic pain unrelenting to medical management.

Degenerative spinal surgeries

Degenerative spinal surgeries refer to a group of surgical procedures that are performed to treat spinal conditions that result from the natural wear and tear of the spine over time such as degenerative disc disease, herniated discs, spinal stenosis, or spondylolisthesis can cause significant pain and discomfort. Robotic spine surgery is helpful for degenerative spinal surgeries to improve accuracy.

Discectomy : A discectomy is a surgical procedure in which a surgeon removes a portion of the intervertebral disc. A herniated or bulging vertebral disc puts pressure on the spinal nerves, causing back pain, leg pain, numbness, or weakness. The surgeon performs a discectomy when all non-surgical treatments fail to relieve the symptoms.

Laminectomy : Laminectomy is a surgical technique that removes a section of the lamina, a spine component. The lamina is a structural support component for the spinal cord and nerves.

Spinal Fusion : During surgery, a portion of each vertebra above and below the damaged vertebral body is removed and fused using metal plates, rods, screws, or other materials inserted between them

Artificial Disc Replacement :A minimally invasive surgical treatment used to treat injured discs in the spine is Robotic arm-assisted artificial disc replacement surgery is used to treat injured discs. It entails employing robotic technology to help the surgeon insert an artificial disc to replace the injured disc. The patient is usually put under general anaesthesia during the surgery. The surgeon uses an intra-operative 3-D scan using an O-arm under a radiolucent table to pinpoint the location of the injured disc and arrange the treatment. Via small incisions in the abdomen or the side of the body, the robotic arm aids the surgeon in inserting the prosthetic disc between the vertebrae.

Spinal Tumour Surgery

Multiple treatment options for spinal tumours include surgery, chemotherapy, radiation therapy, targeted therapy, steroids, and rehabilitation. The ideal treatment modality depends on the type, location, size, and stage of the tumour, the patient's overall health and present medical conditions. Spinal tumours can be benign or malignant growths in or near the spine. Surgery is commonly recommended as the first-line treatment for spinal malignancies. It aims to remove as much of the tumour as possible while causing as little damage to neighbouring tissues as possible. Surgery may be curative in some cases.

Robotic Assisted Surgery for Spine Tumours :Robotic spine surgery lessens the risk of damaging surrounding tissue or nerves and improves the effectiveness of the surgery, leading to better patient outcomes. Pre-operative evaluation is necessary for all surgeries; after evaluation using X-rays, CT scans, and MRI scans, a patient is put under general anaesthesia. The surgeon makes small incisions in the skin around the impacted area. After acquiring 3-D scans to the robotic system with anatomical data specific to the patient, the surgeon guides the robotic arms to carry out the surgery. The surgeon uses robotic-arm-attached tools to remove the tumour. The robotic system improves visualisation and precision movements and helps to protect healthy tissue. When the tumour has been removed, the incisions are closed with stitches or surgical glue. Following surgery, the patient is closely observed in the recovery room. A few days of hospital stay is necessary.

Congenital Anomalies of the Spine

Congenital anomalies of the spine are conditions present from birth and involve abnormal spine development. These anomalies can affect the bones, nerves, and tissues of the spine and can range from mild to severe. Congenital anomalies of the spine are usually diagnosed in infancy or childhood. Robotic spine surgery is beneficial for treating congenital anomalies of the spine as it allows for meticulous and controlled movements. A few common congenital anomalies of the spine are Scoliosis (this condition causes the spine to bend sideways), Kyphosis (a bone deformity that causes the spine to bend forward - hunchback), and Lordosis (the spine bends backwards). In the case of congenital anomalies of the spine, robotic surgery has been effective to perform procedures such as spinal fusion or corrective surgery for scoliosis. The robotic system allows the surgeon to navigate through the complex structures of the spine with greater accuracy and control than with traditional techniques. The suitability of this approach depends on factors such as the specific type and severity of the anomaly, as well as the patient's overall health and medical history. Patients considering robotic surgery for congenital anomalies of the spine should discuss their options with a qualified spinal surgeon.

Spinal Infection Surgery

Spinal infections are a critical problem needing immediate treatment. Antibiotics, surgery, pain medication, physical therapy, and bracing are all common treatment options. Speaking with a doctor to identify the best treatment plan for spinal infections is critical, as the illness can be fatal if not treated appropriately. Antibiotics, delivered intravenously, are the primary treatment for bacterial infections of the spine. Pain management is a critical component of spinal infection treatment. While the infection is being treated, physical therapy can assist in maintaining spine strength and range of motion. Bracing can help to immobilise the spine and relieve stress on the afflicted area. A doctor may recommend surgery to remove infected tissue, drain abscesses, or stabilise the spine. Robotic spine surgery provides higher precision, less post-operative pain, and a shorter hospital stay.

Robotic Arm-Assisted Spinal Surgery: It’s a minimally invasive procedure employed to remove the infected tissue. The procedure is carried out by a surgeon aided by a robotic arm. This surgery restores optimum blood flow to the infected tissue promoting healing, improving spinal stability, and keeping the damage in check to preserve and restore function. Compared to traditional open surgery, robotic surgery may result in less blood loss, minimal discomfort, and a shorter hospital stay.

Osteoporotic Spinal Fracture Treatment

Osteoporosis is a disorder that causes bones to deteriorate and become brittle, raising the likelihood of fractures. Lifestyle changes, medicines, hormone therapy, RANKL inhibitors, and PTH analogues are all treatment options. Fall prevention measures include physical therapy, balancing training, and modifying the home environment to lessen tripping hazards. Minimal invasive injection techniques in the early stages and Surgery in extreme situations are required to fix the fractures or correct spinal alignments.

Percutaneous Vertebroplasty: Robot-assisted percutaneous vertebroplasty is a minimally invasive procedure. It is used to treat vertebral compression fractures. Such fractures can result from osteoporosis or other medical conditions. A robotic arm assists a surgeon in inserting a needle into the fractured vertebra. The bone cement is used to stabilise the fracture and alleviate discomfort. The patient is given general anaesthesia before the procedure. A surgeon detects the location of the fracture by using an O-arm-based 3-D scan. The robotic arm is then used to place the needle in the correct position in real-time. This procedure offers greater accuracy and reliability as compared to the traditional option.

Balloon Kyphoplasty: It is a minimally invasive method used to repair vertebral compression fractures caused by osteoporosis. The procedure resembles traditional kyphoplasty, but the surgeon is assisted by robotic technology in this case. A robotic arm assists in placing a balloon and bone cement into the damaged vertebra.

During the surgery, the patient is usually sedated or under general anaesthesia. The surgeon uses an intra-operative O-arm-based 3-D scan to locate the fracture and plan the operation. The robotic arm guides a needle into the damaged vertebra and utilises a balloon to create a tiny hole. Once the cavity is ready, the balloon is withdrawn, and bone cement is injected into it to fix the fracture and restore vertebral height.

FAQ's

Compared to traditional surgery, where a surgeon makes incisions and places implants manually, the robotic arm guides the instruments during robotic surgery, which can result in more precise implant placement, smaller incisions, and better patient outcomes.

The recovery period depends on the specific patient and varies case-to-case basis. Many patients resume independent walking on the same day or next day after surgery and normal activities after a few weeks of the procedure.

The robot does not operate without a surgeon’s control. The surgeon has to become familiar with the robotic arm's movements via specialised training to conduct robotic surgery.

The minimally invasive nature of robotic procedures makes them significantly less painful. A surgeon can operate with such precision that smaller incisions are needed. The wounds heal faster, and the patient experiences less pain.
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