Minimally Invasive Spine Surgery – Anil Kesani MD

Dr. Anil Kesani explains that minimally invasive spine surgery (MISS) is spine  surgery performed with the aim of minimizing soft tissue disruption through smaller incisions.  Anil Kumar Kesani, M.D founder of SpineMD is an expert in minimally invasive and motion preserving spine surgery such as disc replacement as well as other latest treatments in spine surgery.  Dr. Anil Kesani is a graduate of University College London and is a practicing orthopedic surgeon in Texas.

Minimally invasive techniques allows surgery to be done through smaller incisions to cause less collateral damage to the spine and surrounding soft tissues compared to traditional open surgery.  With this approach, rather than cutting through and stripping the muscles off the spine, specialized instruments are used to gently spread the muscles and allow surgery.

Most commonly in MISS, a small incision is made and a tubular retractor or portal is inserted into it. This device pushes aside all the soft tissue, giving the surgeon access to the spine. Then, small tools are inserted through the tubular retractor one at a time to perform the necessary steps required during the surgery. 

Multiple incisions and retractors are sometimes necessary to treat a complicated spinal issue. The entire procedure is often done with the aid of a loope magnification, microscope and/or fluroscopy, because the tools and working area is so small.

Purpose of Lumbar Laminectomy – Anil Kesani MD

Dr. Anil Kesani explains that the purpose of lumbar laminectomy is to  decompress pinched nerves within the spine.  Laminectomy involves the removal of the back part of a vertebra or lamina to relieve pressure on the spinal cord and or spinal nerves.  Anil Kumar Kesani, M.D is the founder of SpineMD and specializes in minimally invasive spine surgery to treat various neck and back problems or spinal conditions.  Dr. Kesani is fellowship trained in spine surgery and certified by the American Board of Orthopedic Surgery.  Anil Kesani, MD, is well-versed in numerous interventions, including lumbar laminectomies.

There are a number of causes that can lead to increased pressure within the spinal canal and pinched nerves.  These include disc herniation or slipped discs, bone spurs within the spinal canal as well as instability or spondylolisthesis.  It often occurs in people who have arthritis of the spine, and it can be extremely painful. A rarer cause is tumors that occur within the spine.

Initially medications, physical therapy, and injections are attempted to provide relief before surgery. If the symptoms don’t improve or they continue to worsen, surgery may become the only option. The purpose of lumbar laminectomy is to remove the pressure off the nerves and un-pinch the nerve roots.  Occasionally the pressure on the spinal nerves or spinal cord is especially severe and in addition to causing pain it can lead to difficulty walking, weakness and even loss of bladder or bowel control. For more information on this and other surgical spine interventions, please visit SpineMD website here.

Office Work Related Back Pain & Problems – Anil Kesani MD. 

Back pain is a huge problem with 31 million Americans experiencing back pain right at this moment. 50% of all Americans will have back pain each year and 80% of them will experience back pain at some point in their lives. But it’s not just an American issue. Globally, back pain is the single leading cause of disability and will cause more than 264 million lost workdays in a year in the United States alone. Dr. Anil Kesani shares below some common causes of back pain related to office work.

Following a residency in orthopedic surgery and a combined neurosurgery and orthopedic surgery spine fellowship, Anil Kesani, MD, spent several years as a spine surgeon with a private practice in Illinois. Dr. Kesani then moved to the Dallas area in Texas and founded his own clinic, SpineMD, in Texas.  SpineMD serves patients in the Dallas Fort Worth (DFW) and surrounding areas.  Dr. Anil Kesani performs surgical and nonsurgical procedures to correct spinal problems, 

Office workers can spend hours at a time in a sitting position. Poor posture while working at a desk is one of the leading reasons people develop back problems. This can put extra pressure on the spine and back muscles. Other positions such as leaning forward to look at a computer screen or holding a phone by the ear with one shoulder can also contribute to muscle strains and uneven pressure on the back.

Desk workers can help to prevent spinal issues by sitting straight up, keeping the shoulders level and not rotating the pelvis forward. In addition, it helps to take frequent short breaks that require movement. For example, stand up every half an hour for water, coffee, or simply take a short walk around the office.