Spine Surgery Scoliosis Specialist Cochin Kerala India

Key Takeaway: Repairing an incidental dural tear in tight, restricted surgical corridors during spine surgery requires precise closure techniques. Dr. Krishna Kumar R demonstrates the application of non-penetrating titanium vascular clips to achieve a secure, watertight repair in the late dural dural sleeve without compromising tissue integrity. Surgical Overview: Managing Dural Tears in Restricted Corridors An incidental dural tear (durotomy) is a known intraoperative occurrence during complex spine operations. When tears occur in hard-to-reach locations—such as the lateral aspect of the dural sleeve—conventional direct primary suturing can be technically challenging due to limited exposure and narrow access angles. Advantages of Non-Penetrating Titanium Vascular Clips Using non-penetrating titanium vascular clips offers key technical advantages in minimally invasive and restricted-access spine procedures: Avoids Secondary Needle Hole Leaks: Traditional suture needles p...

Intraoperative neuromonitoring (IONM) is a real-time nerve-monitoring technology used during spine surgery to detect early warning signs of spinal cord or nerve injury before they become permanent. A 2026 global survey of 529 spine surgeons across five continents — published in the Global Spine Journal — found that most surgeons hold a positive view of IONM and use it consistently for high-risk, spinal cord–level surgery, but nearly 1 in 10 surgeons worldwide have no access to it at all, and economic and logistical barriers remain the biggest obstacles to wider adoption. Why This Study Matters For decades, intraoperative neuromonitoring has been recognized as valuable in high-risk spine surgery, but until now, there has been little global data on how consistently it's actually available, who interprets the readings, and how surgeons respond when something goes wrong during a procedure. To close that gap, the AO Spine Knowledge Forum Deformity conducted a cross-sectional global surv...

🏆 Kerala's First — Adult Scoliosis Correction with O-Arm Navigation · Institute of Spine and Scoliosis Surgery, VPS Lakeshore · Kochi Institute of Spine and Scoliosis Surgery · VPS Lakeshore Hospital · Kochi, Kerala Kerala's First Adult Scoliosis Correction Surgery Using O-Arm Technology — A Milestone at Institute of Spine and Scoliosis Surgery, VPS Lakeshore By Dr. Krishna Kumar R  ·  June 18, 2026  ·  8 min read A schoolteacher who had spent decades standing before students now stands differently — upright, pain-free, and with a spine corrected by one of the most advanced surgical techniques available anywhere in the world. Her surgery, performed at the Institute of Spine and Scoliosis Surgery at VPS Lakeshore Hospital, Kochi, is a first for Kerala: the first adult scoliosis correction surgery performed using O-Arm intraoperative CT navigation technology in this state. One year on from her operation, with confirmed solid ...

  Why Early School Scoliosis Screening is Vital for Preventing Adult Spinal Deformities ​As a spine surgeon, my mission has always extended far beyond the walls of the operating theater. While correcting an advanced structural spinal deformity via a complex surgery is deeply rewarding, our primary goal in public health should always be early detection and prevention . ​This is exactly why our department actively runs comprehensive School Scoliosis Screening Programs across the region. Idiopathic scoliosis—an abnormal sideways curvature of the spine—most commonly develops during adolescence. The true danger is that it often progresses silently, accelerating rapidly during rapid adolescent growth spurts when a child's body is changing fast. ​ The Hidden Danger of Delayed Detection ​When scoliosis is missed during school-age years, the curve can stiffen and worsen over time. What could have been managed proactively can eventually evolve into rigid, complex adult deformities that...

June is  awareness month  ഭാരമുള്ള സ്കൂൾ ബാഗ് ഇട്ടാൽ സ്കോളിയോസിസ് വരുമോ? അമ്മയുടെ നട്ടെല്ല് വളഞ്ഞതാണെങ്കിൽ കുട്ടിക്ക് വളവുണ്ടാകുമോ? ഇന്ന് അന്താരാഷ്ട്ര സ്കോളിയോസിസ് ദിനമാണ്... മാതൃഭൂമി ഓൺലൈൻ ഇതിനെപ്പറ്റിയുള്ള എൻറെ ലേഖനത്തിന്റെ ചില വിവരങ്ങൾ താഴെ ചേർക്കുന്നു....  ഇത്തരം സംശയങ്ങൾ സ്വാഭാവികമാണ്. പൊതുജനങ്ങൾക്കിടയിൽ ലേഖകന്റെ നേതൃത്വത്തിൽ നടത്തിയ സർവ്വേ പ്രകാരം 38 ശതമാനം ആൾക്കാർ കരുതുന്നത് താരമേറിയ സ്കൂൾ ബാഗ് സ്കോളിയോസിസ് ഉണ്ടാക്കുമെന്നാണ്. 25 ശതമാനം ആൾക്കാർ വിചാരിക്കുന്നത് സ്കോളിയോസിസ് പാരമ്പര്യമായി കുടുംബങ്ങളിൽ കൊണ്ടുവരാൻ സാധ്യതയുള്ള ഒരു അസുഖമാണെന്നും അമ്മയ്ക്ക് ഉണ്ടെങ്കിൽ കുട്ടിക്കും വരുമെന്നുമാണ്. എന്നാൽ ഇത്തരം സംശയങ്ങൾക്ക് ഉള്ള ഉത്തരം അടിവരയിട്ട് പറയട്ടെ, ഭാരമേറിയ സ്കൂൾ ബാഗ് ഇട്ടാൽ നട്ടെല്ലിന് സ്കോളിയോസിസ് വരില്ല. പാരമ്പര്യ സ്വഭാവമുള്ള ഒരു അസുഖമല്ല സ്കോളിയോസിസ്. അമ്മയ്ക്ക് നട്ടെല്ലിന്റെ വളവുണ്ടെന്ന് കരുതി കുട്ടികൾക്ക് ഉണ്ടാകണമെന്നില്ല. കുട്ടികൾ നേരെ ഇരിക്കാത്തതു കൊണ്ടോ കിടക്കാത്തതു കൊണ്ടോ നട്ടെല്ലിന് കൂന് വരില്ല. പലപ്പോഴും കുട്ടികൾക്ക് അവരുടെ മാതാപിതാക്കളിൽ നിന്നും ടീച്ചർ...

What are the early signs of scoliosis in teens? While idiopathic scoliosis typically develops during the rapid growth spurts of early adolescence, it rarely causes pain in its initial stages. Because of this, the condition can easily go unnoticed until the spinal curve becomes more pronounced. For parents, regular posture checks at home are the best way to catch the signs early. ​The most common visual warning signs of scoliosis in teenagers include: ​Uneven Shoulders: One shoulder blade may appear visibly higher or stick out more prominently than the other. ​Asymmetrical Waistline: The waist may look uneven, or one hip might appear higher or stick out more to one side. ​Leaning to One Side: The teenager's entire body might seem slightly tilted or shifted to the left or right. ​Uneven Clothing Fit: You might notice that necklines, hems, or sleeves consistently hang unevenly or drape strangely. ​A rib hump: When bending forward from the waist, one side of the upper back appears rais...