The agony of neck or back pain with radiation to weakness of the limbs, gets most of us very worried and concerned. The fear of the “unknown” and “impending uncertainty” shatters us and our families. We at Apollo Institute of Spine wish to allay your anxiety, overcome your fear and reinforce your faith in evidence based care for all your Spine problems.

1. APOLLO CANCER
CENTRES
i n f o @ a p o l l o i n f o r m a t i o n c e n t r e . c o m

2. APOLLO INSTITUTE OF SPINE
The agony of neck or back pain with radiation to weakness of the limbs,
gets most of us very worried and concerned. The fear of the “unknown”
and “impending uncertainty” shatters us and our families. We at Apollo
Institute of Spine wish to allay your anxiety, overcome your fear and
reinforce your faith in evidence based care for all your Spine problems.
We assure you a complete healing experience as we hold your
hand towards recovery. For us compassion and empathy is primary
and we treat you as our own, offering contemporary diagnostics to
therapeutic options for all your “Neck and Back Ailments”. State-of-
the-art Radiology, Neurophysiology and Physiotherapy help our multi-
disciplinary approach to optimal solutions. A team effort by the Neuro
& Ortho Spine Surgeons help achieve most complex surgical options
with safety and surety. Intra-operative Spinal Cord Monitoring is our
safety tool preventing neurological worsening during surgery. Neuro-
Navigation helps place implants wherever needed with precision.
Robotic Spine Surgery further improves minimally invasive targeted
surgery, enhancing results and allowing early return to normal function.
The option of LASER pin-hole intervention in the indicated situations and
comprehensive “Pain Management procedures complete the portfolio
of our facilities. I am sure you would consider visiting the Apollo Institute
of Spine for “Spine illness” and we could help you “Bounce Back” to
“Spine Wellness”.
HIGHLIGHTS
Dedicated Spine Team:
A team of Orthopaedic Spine Surgeons & Neurospine Surgeons work
together for patient care and achieve outcomes beyond the scope of a
single sub-specialty.
Wide Experience:
The Spine Team has wide experience, from occipito-cervical to lumbo-
sacral spine, from birth defects to infections & cancers of the spinal
cord and the vertebral column with skills from minimally invasive to
complex deformity surgeries.
State-of-the-art Operating Suites:
Patient safety and superior clinical outcomes are assured with:
• Specialized Anaesthesia Team
• Dedicated Spine frame and radiolucent table for all Spine Surgeries
• Top of the line Operating microscopes and Drill systems

3. 24/7 Spine Care Facility:
From assessment in the Emergency Room (ER) to urgent imaging
including Digital X-Rays/128 Slice CT scan/3 Tesla MRI, the patient gets
immediate and complete care from the team.
Robotic Spine Surgery:
Renaissance (Mazor Robotics) has introduced Robotics in Spine
Surgery. The Robot assists the surgeon during all instrumentation based
surgical procedures.
There is a significant improvement in ergonomics, surgical dexterity and
surgeon-instrument interface.
The Renaissance Robot achieves successful placement of pedicle
and translaminar screws in both open and minimally invasive spine
surgeries. There is significant reduction in tremor improving accuracy,
dramatic minimization of radiation exposure to the patient and the
OR team. less tissue dissection, manipulation and bleeding The intra-
operative precision is multiplied manifold while collateral damage is
eliminated. In Robot assisted spine surgeries in conjunction with neuro-
navigation. less than 0.6% of screws need revision intra-operatively as
compared to 4.9% screws using the non-navigated free hand placed
screws.
ROBOTIC SPINE SURGERY HAS MADE A PARADIGM SHIFT IN SAFE SPINE
SURGERY
Minimally Invasive Cosmetic Spine Surgery:
Minimally Invasive Surgery reduces post-operative pain and hospital
stay. The surgical team is experienced in providing the least invasive
and most aesthetic option for all spine problems.
Complex Deformity Surgery:
Abnormal Spine Curves from birth or developmental stages are
addressed comprehensively. Counselling, bracing, growth modulation
to minimally invasive surgeries are offered as ‘custom made’ options
for each deformity.
Back School:
‘Back Pain Prevention’
programs including lifestyle
modifications, dietary
supplementation and regular
exercises are conducted at
Apollo Hospitals.
Geriatric Spine Care:
Special care and counselling
is provided to elderly spine
patients to help them cope
up with their ‘ageing spine’.
Special assessment modules
have been created to diagnose
and treat Osteoporosis and
related conditions.
WORLD-CLASS EXPERTISE, TECHNOLOGY & EQUIPMENT
Robotic Spine Surgery:
Renaissance (Mazor Robotics) is the latest technological wonder to
be added to the INSTITUTE OF SPINE AND ROBOTIC SURGERY-AHNM.
The wonder tool enables the Spine Surgeon to successfully plan and
perform high demand complex spine surgeries including challenging
deformity corrections and revision spine surgery with safety and
precision. Based on pre-operative and intra-operative radiological
imaging data syncing to the patient’s individual anatomy using

4. software programming, a virtual surgical strategy can be envisaged
and replicated during the procedure. This has revolutionized safety
in surgery and transformed results of critical high demand spine
interventions. Deformities including Scoliosis, kyphosis & listhesis
are corrected with far greater predictability and assurance. Revision
surgeries are much safer Minimal invasive procedures are done with
greater precision and reduction of radiation hazards.
Intra-operative Spinal Cord Monitoring:
Intra-operative Somato-Sensory Evoke Potentials (SSEP). Motor Evoke
Potentials (MEP) and Electromyographic (EMG) monitoring with expert
Total Intra-venous Anaesthesia (TIVA) makes Spine Surgery Safest
Monitors the functioning of the spinal cord and nerves and protects
from paralysis, warning the surgeon of actual / impending damage to
the spinal cord or nerves during surgery.
Cutting-edge tools for Minimally Invasive surgery:
Specialized retractor systerns for minimal access and advanced
Image Intensifier for ideal imaging make the surgical experience most
comfortable and precise.
Neuro-navigation:
Neuro-navigation tools based on either pre-operative CT Scans and/
or Intra-operative fluoroscopy guides screw placement and helps
eliminate human error in spine instrumentation surgery, It has been
observed that 4.9% of non-navigated screws need to be revised intra-
operatively as compared to only 0.6% of navigated screws.
Pin Hole Laser Spine Surgery:
LASER disc surgery for contained discs not responding to non-surgical
care is an excellent option for early return to function in disabling
slipped disc patients.
SURGICAL PROCEDURES
Spinal Micro Decompression / Discectomy:
A microsurgical/ Minimally Invasive Procedure for disc excision results
in less post operative pain and early rehabilitation and discharge from
hospital.
Spinal Fixation and Fusion:
Fixation is required to stabilise spine for instability or provide support to
a vertebra affected by diseases like infections. e.g tuberculosis of spine.
This can also be done by minimally invasive technique. Navigation
guided screw placement makes the surgery safer than routine
techniques.
Dynamic Stabilization of Lumbar Spine:
Done in a selected group of patient to preserve motion at the lumbar
spine. This implants allow guided motion and can benefit selected

5. group of patients who are otherwise being considered for a fusion
surgery.
Spinal Fracture Decompression and Stabilization:
Treatment of spinal fractures and post-operative rehabilitation is
taken care by an expert panel comprising of doctors, physiotherapists,
counsellor and a social worker.
Scoliosis Correction:
Scoliosis means sideways bending of spine. Seen most commonly in
school going children (girls more commonly affected), this can give
rise to severe cosmetic problems. The spine unit at AHNM is capable of
handling both simple and complex deformity cases. A combined team
effort makes it safer with better results.
Kyphosis correction:
Means bending of spine in forward direction is most commonly caused
as a result of spine TB in young children or congenital anomalies. The
newer technology makes the surgery safer than before.
Spondylolisthesis Reduction & Fusion:
Spondylolisthesis means slipping of vertebra. Commonly seen in
adolescent age group. With the availability of minimally invasive
surgery, neuro-navigation and neuro-monitoring the surgery is less
painful and safer than before.
Spinal Osteotomies:
Very stiff deformities require a cutting, realignment and stabilization
of the spinal column. The intra operative neuromonitoring reduces the
chances of paralysis in such complex surgeries.
Anterior thoracolumbar decompression/ fixation:
Our surgeons are well trained in performing anterior spinal (from front)
surgeries. Such procedures can be very useful to patients of lumbar
scoliosis where anterior surgery can save vertebral levels preserving
flexibility as lesser spinal levels are fused.
Growth Rods:
Scoliosis in growing children (less than 8-10 years) can be treated with
guided growth rods. The special spinal implants allow guided growth of
spine which is essential to develop child’s lung and chest volume.
Open Biopsy and Fixation for Spinal Infections:
Spinal infections like tuberculosis both in children and adults can
be treated at Apollo Hospitals. The frozen section facilities help the
surgeons to know the diagnosis on the spot as the tissue gets examined
and reported in a few minutes after sample is being taken out. This
results in better planning and execution of surgery.
Cervical Disc Replacement:
This is an option to preserve motion at the cervical (neck) vertebra in
younger patients. Who otherwise need a fusion/fixation surgery Instead
of fixing the cervical (neck) spine with screw and plates, the disc can be
replaced preserving movement at the surgical level.
Occipito Cervical Surgeries:
Highly complex surgeries at the head neck junction requires utmost
care and expertise. With the combined team effort along with safety
measures like intra operative neuromonitoring and Neuro-navigation,
the surgery is safer than before.
Kyphoplasty:
This procedure is done to augment the strength of an osteoporotic
fractured spine by inflating a balloon inside the vertebra. This restores
height and also reduces chances of cement leakage, significant one of
the most common problem with cement injection.
Spinal Biopsy (Percutaneous & Open):

6. Percutaneous CT guided biopsy
allows the operating surgeon to
reach the exact diseased area
and get the desired sample for
testing. This is usually done on an
outpatient basis.
MINIMALLY INVASIVE SPINE
SURGERY
• Key hole Procedures
• Minimally Invasive Cosmetic
Spine Surgery
• Pin-Hole Laser Surgery
• Minimal Access decompression/
fusion/fixation surgery
Minimally Invasive Spine Surgery
(MISS) is performed through
multiple ports using specialized
instruments and equipment. Using
MISS, screws, bone grafts and
cages are inserted with much
smaller incisions.
To decrease X-Ray radiation
during surgery, Image guided
Neuro-navigation is used for
correct placement of implants.
Real time Spinal Cord and Neuro-
Monitoring makes the spine
surgery extremely safe, specific and targeted.
Advantages:
• Less post-operative pain
• Smaller incisions (rather than one leg incision)
• Less soft tissue and muscle damage
• Reduced blood loss during surgery
• Quicker recovery
• Shorter hospital stay
PIN-HOLE SPINE SURGERY

7. In few specific conditions Lumbar & Cervical
disc herniations (slipped disc) can be
treated by Pin Hole LASER procedures
CONDITIONS THAT ARE MANAGED AT
APOLLO HOSPITALS, NAVI MUMBAI:
• Low Back and Neck Pain
• Lumbago
• Spondylosis
• Slipped Disc
• Sciatica
• Spinal Cord Compression - Spinal
Instability
• Fracture Spine
• Scoliosis and Kyphosis
• Spinal TB and other infections
• Spinal Tumours
• Congenital (Birth defect) Spinal
Abnormalities
• Revision Spine Surgery
• Osteoporotic Spine Fractures
• Geriatric Spine Issues
• Piriformis syndrome, Text-Neck,
Fibromyalgia etc.
• Lifestyle/ Ergonomic Spine Issues
PAIN MANAGEMENT
• Root Blocks
• Facet Blocks
• Epidural Injections
• Vertebroplasty
ROBOTIC SPINE SURGERY SYSTEM:
Utilizing Robot in spine surgery can improve the execution and
outcomes, in a wide variety of procedures, including: minimally-invasive
and percutaneous pedicle screw fixation for complex spinal deformity,
and vertebral augmentation. Surgical treatment of the spine requires
careful planning and precision. accounting for the patient’s own unique
anatomy. With Robotics, 3D planning, the surgeon creates a highly-
personalized surgical plan prior to the surgery, During the procedure,
the surgeon uses mechanical guidance to perform the procedure
with unparalleled precision-providing consistent results and optimal
outcomes for all patients.
ADVANTAGES:
Patient Outcomes
Perioperative course and accuracy of screw positioning in conventional,
open robotic-guided and percutaneous robotic-guided, pedicle screw
placement.
Promotes Faster Recovery
Patients can experience faster recovery time, allowing them to return to
their daily activities in less time than those who received surgeries via
traditional methods.
Reduced Post-Operative Pain

8. Clinical studies have shown patients may experience less pain following
spine procedures performed with the assistance of the Robotics.
Lower Complication Rates
Clinical studies based on surgeries performed with Robotics System
have shown increased favorable patient outcomes, including lower
surgery complication rates.
Increased Accuracy
With the help of Robotics, spine surgery accuracy is increased 3D
planning software maps out the procedure, while the Robotic System
quides the surgeon’s tools within 1.5mm accuracy
For appointments:
- +254 748 830976/+254 789 150890
- info@apolloinformationcentre.com