Prime Med Tours offers comprehensive spine care to patients, including neurosurgery and orthopedic spine surgery, physical and rehabilitation medicine, and alternative medicine therapies. Our experienced staff consists of fellowship-trained orthopedic spine surgeons who provide state-of-the-art surgical interventions. They are highly skilled in treating various spine conditions, including those affecting the cervical, thoracic, lumbar, and sacral spine.

For spine-related pain, we initially explore conservative treatments such as rest, physical therapy, medications, therapeutic injections, and alternative therapies. However, if these methods prove ineffective, surgery may be necessary.

Our expertise covers a wide range of spine procedures, from basic disc herniation to disc replacement and motion preservation. We are well-equipped to handle complex spine cases, including patients who have not found success with previous treatments. We also welcome patients who have been told that their condition is too complex for surgery or who have experienced failed surgery in the past, providing them with surgical opinions and options for further treatment.

Spine Surgeries

Scoliosis

Scoliosis is a sideways curvature of the spine, commonly diagnosed in adolescents. While the cause of most childhood scoliosis is unknown, it can also occur in individuals with conditions like cerebral palsy and muscular dystrophy.

In many cases, scoliosis is mild and may not require treatment. However, some curves can worsen over time, leading to more severe forms of the condition. Severe scoliosis can have a significant impact, including reduced lung function due to decreased space in the chest.

For children with mild scoliosis, close monitoring with X-rays is usually sufficient to track the progression of the curve. Treatment may not be necessary in these cases. However, some children may need to wear a brace to prevent the curve from worsening. In more serious cases, surgery may be recommended to straighten the spine.

Scoliosis surgery aims to achieve several goals. Firstly, it aims to halt the progression of the curve, preventing it from getting worse. Secondly, it aims to reduce the deformity by correcting both the lateral curve and abnormal spinal twisting, typically achieving a correction of around 50% to 70%. This can help improve posture and reduce the prominence of a rib hump in the back. Finally, the surgeon also considers overall trunk balance, striving to maintain the natural curvature of the spine while ensuring the hips and legs are as even as possible.

Kyphosis is a condition characterized by an excessive forward rounding of the upper back. It can be caused by weakness in the spinal bones, spinal malformation, or wedging of the spinal bones over time.

Mild cases of kyphosis may not cause significant problems, while severe kyphosis can lead to pain and noticeable deformity. The treatment approach for kyphosis depends on factors such as age, the cause of the curvature, and its effects on the individual. Non-surgical treatments, including physical therapy, are typically attempted before considering surgery.

If non-surgical treatments fail to alleviate pain and other symptoms after several months, surgery may be recommended. The decision for surgery takes into account various criteria, including the severity and progression of the curve, balance issues, and the presence of neurological symptoms such as weakness or numbness.

The main goals of surgery for abnormal kyphosis are to reduce deformity, alleviate pain and neurological symptoms, and prevent further worsening of the curve. Different surgical techniques may be employed, such as osteotomy, spinal instrumentation, fusion, or a combination of approaches. Osteotomy involves cutting the bone to correct angular deformities, while spinal instrumentation and fusion stabilize the spine and promote bone fusion. The surgical approach (anterior, posterior, or a combination) is determined based on the location and severity of the kyphotic curve.

In some cases of kyphosis caused by spinal fractures, a minimally invasive procedure called balloon kyphoplasty may be considered. This procedure involves inserting a balloon into the collapsed vertebra, inflating it to restore height, and filling the void with surgical cement to stabilize the fracture.

It is important to note that surgery is not mandatory, and patients have the right to seek a second opinion and make an informed decision about their treatment. Surgical procedures carry inherent risks, including nerve injury, non-healing of the fusion, failure to improve, instrumentation issues, infection, and pain at the bone graft site.

After surgery, patients can expect some pain and discomfort, which can be managed with medication. Physical therapy plays a crucial role in the recovery process, focusing on gradually restoring strength, flexibility, and range of motion. The duration of physical therapy varies, and patients may also be given exercises to continue at home.

Kyphosis

What you need to do before surgery

To prepare for your surgery, it's important to discontinue all unnecessary medications and support pills, such as aspirin, hormonal drugs, vitamins, and birth control, at least two weeks prior to your scheduled surgery. Additionally, you should avoid substances that may increase bleeding. If you are receiving ongoing treatment for heart conditions, hypertension, thyroid disorders, or diabetes, please inform us of your situation.

The healthier you are before surgery, the faster your recovery time will be. It's crucial to avoid smoking and alcohol for at least three days before your surgery and consume mainly fruits and vegetables to promote speedy recovery.

On the day of surgery, please remove any jewelry, hearing aids, contact lenses, makeup, and other accessories that may be on your body. Comfortable clothing is recommended for the day of surgery.

Depending on the procedure you have chosen, it will be performed under either local anesthesia with sedation or general anesthesia. You will be required to fast for up to eight hours prior to your surgery.

What you need to do after surgery

From the moment you arrive at the airport, we will be with you every step of the way, providing guidance and support. Our team will ensure that you receive excellent care, assist you with communication, monitor your recovery, and oversee your after-surgery medication.

It's normal to experience soreness and discomfort after surgery. We recommend that you get plenty of rest to help alleviate any discomfort.

It's important to attend all of your scheduled check-ups and cleanings, as well as complete any medication given to you after surgery.

To promote a speedy recovery and achieve optimal results, it's crucial to avoid smoking and alcohol consumption for at least four weeks following your surgery.