Choose to not fuse: Advancements in spinal surgery


Spinal column is the best example of a structure which is strong enough to support hundreds of pounds of weight, yet flexible enough to allow nearly 180 degrees of bending, that too in all the planes. Spinal Disorder limits either its supporting ability or flexibility.

Out of the two, loss of spinal stability is least tolerable as it directly affects the neural structures. The same dictum is also followed in management of spinal disorders, as surgeons compromise the flexibility of the spine to provide more stability. Although, it is good for relief of primary symptoms, it results in collateral damage to adjacent regions of spine. This is medically known as “Adjacent Segment Disease”.

The recent surgical advances like dynamic interspinous stabilizers, disc replacement prosthesis and dynamic pedicle screws have opened new avenues for stabilization of diseased spine without compromising its flexibility. These surgical techniques in addition to preserving motion of diseased segment, also minimize stress on adjacent regions which significantly decreases chances of Adjacent Segment Disease.

Any choice of words is insufficient to elaborate the importance of a stable and flexible spine. At Narayana Hospital, Orthopedic doctors specializing in spinal disorders perform all kinds of dynamic spine stabilizations and provide our patients the benefit of “Fusion-less Spine Surgeries”.


The writer, Dr. Rajesh K Verma, is the Director of Orthopaedics – Joint Replacement & Spine Surgery at Narayana Superspeciality Hospital, Gurugram.

(132 Posts)

Leave a Reply

Your email address will not be published. Required fields are marked *