Performed by Dr. Hari Prakash at Dr Hariprakash
Spine surgeries are performed to treat conditions affecting the vertebrae, discs, nerves or spinal cord. These procedures may be recommended when conservative treatments have not provided relief or when there is significant nerve compression, instability or deformity. Dr Hariprakash evaluates each case individually to determine if surgery is appropriate.
We believe in honest, upfront disclosure so you can make an informed decision.
A step-by-step look at what happens during this procedure.
An incision is made over the affected area of the spine, and muscles are carefully moved aside to expose the vertebrae and surrounding structures.
If nerve compression is present, the surgeon removes bone spurs, herniated disc material or thickened ligaments pressing on the nerves.
In cases of instability or after decompression, vertebrae may be fused together using bone graft and metal hardware such as screws, rods or plates.
Once the necessary correction is achieved, the incision is closed in layers with sutures or staples.
The patient is monitored in a recovery area, then transferred to a ward where vital signs and neurological status are regularly assessed.
A structured, patient-first approach from first consultation to full recovery.
Dr Hariprakash reviews clinical history, performs a physical examination and studies imaging to understand the exact spinal problem and determine if surgery is warranted.
Based on the diagnosis, a surgical approach is selected—this may involve decompression, fusion, instrumentation or a combination—specific to the patient's condition.
During surgery, careful technique is used to access the spine, protect neural structures and perform the necessary corrections with attention to minimising tissue damage.
After surgery, Dr Hariprakash coordinates wound care, pain management and physiotherapy to support healing and restore function as safely as possible.
What to expect at each stage of your recovery journey.
The first few days involve rest, wound care and careful mobilisation under supervision. Pain medication is provided and physiotherapy begins gently to prevent stiffness.
Over the first few weeks, patients gradually increase activity while avoiding heavy lifting, bending or twisting. Follow-up appointments monitor healing and any signs of complications.
Structured physiotherapy continues for several weeks to months, focusing on strengthening, flexibility and safe movement patterns. Return to work or normal activities depends on individual progress and the nature of the surgery.
Many patients experience reduction in radiating pain, numbness or weakness when nerve pressure is successfully relieved. The extent of improvement varies and depends on the duration and severity of nerve damage before surgery.
Fusion procedures aim to stabilise unstable segments, which may reduce mechanical back pain. However, fusion limits motion at the treated level and does not restore the spine to its original condition.
If nerves were significantly damaged before surgery, some numbness, weakness or pain may remain even after decompression. Surgery addresses mechanical pressure but cannot always reverse chronic nerve injury.
Over time, segments next to a fused area may experience increased stress, which could lead to new problems. This is a recognised long-term consideration rather than a guaranteed outcome.
The right choice depends on your diagnosis, risks and circumstances — discussed with you at your consultation.
Strengthening and flexibility exercises can help manage many spinal conditions, especially when symptoms are mild to moderate. This is often the first approach tried before considering surgery.
Pain relievers, anti-inflammatory drugs and sometimes nerve-pain medications can control symptoms without surgery. This may be suitable when there is no severe nerve compression or structural instability.
Injections near the affected nerve roots can reduce inflammation and provide temporary relief. They may be used when conservative measures are insufficient but surgery is not yet indicated.
Let's clear up some of the most common myths about spine surgeries.
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