Spine DRx

Spine DRx Bringing "Back health" - Dr Ramachandran is an expert in managing all spinal problems and will help in regaining spinal health

What is augmented reality and it's application in spine care? Augmented reality (AR) is a technology that overlays digit...
20/09/2025

What is augmented reality and it's application in spine care?

Augmented reality (AR) is a technology that overlays digital information—such as 3D images, navigation cues, or anatomical models—onto the real-world environment, enhancing a user's perception and interaction with physical space. In spine care, AR is revolutionizing surgical precision by allowing spine surgeons to visualize internal anatomy in real time through head-mounted displays or screen-based systems. This enables more accurate placement of pedicle screws, reduces attention shifts during surgery, and minimizes radiation exposure by integrating navigation directly into the surgeon’s field of view. AR also supports minimally invasive procedures by projecting virtual guides onto the operative field, improving workflow efficiency and potentially lowering complication rates.





*Times of India :* https://timesofindia.indiatimes.com/city/bengaluru/from-us-to-bengaluru-how-a-techie-got-her-life-back-with-mixed-reality/articleshow/123417503.cms

*The Economic Times* - https://economictimes.indiatimes.com/news/new-updates/how-a-bedridden-techie-found-hope-in-bengaluru-mixed-reality-surgery-turns-3d-hologram-into-a-second-chance-at-life/articleshow/123431167.cms?from=mdr

*Moneycontrol* - https://www.moneycontrol.com/news/trends/bengaluru-doctors-heal-bedridden-us-techie-with-rare-condition-now-she-plays-volleyball-13476104.html

What is a TLIF/ Banana cage in spine surgery ?A Banana TLIF cage is a curved spinal implant used in Transforaminal Lumba...
11/09/2025

What is a TLIF/ Banana cage in spine surgery ?

A Banana TLIF cage is a curved spinal implant used in Transforaminal Lumbar Interbody Fusion (TLIF) surgery to treat conditions like degenerative disc disease, spondylolisthesis, and chronic back pain. Its banana-like shape allows precise placement in the disc space, restoring spinal alignment, relieving nerve pressure, and promoting fusion between vertebrae. This minimally invasive technique offers faster recovery, reduced blood loss, and long-term pain relief.



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What is chalk stick fracture?A chalk stick fracture is a serious spinal injury commonly seen in patients with Ankylosing...
04/09/2025

What is chalk stick fracture?

A chalk stick fracture is a serious spinal injury commonly seen in patients with Ankylosing Spondylitis (AS), a condition that causes the spine to become rigid and fused over time. Due to this fusion and underlying osteoporosis, even minor trauma can lead to a clean break across the vertebrae—much like snapping a piece of chalk. These fractures often occur in the cervical spine and may result in neurological symptoms if not treated promptly. If you or a loved one is living with Ankylosing Spondylitis, regular spine health checkups and early intervention are key to preventing complications like chalk stick fractures.



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What is whiplash injury?Whiplash injury refers to the rapid back-and-forth motion of the neck—much like the cracking of ...
03/09/2025

What is whiplash injury?

Whiplash injury refers to the rapid back-and-forth motion of the neck—much like the cracking of a whip—typically caused by rear-end car collisions. In individuals with cervical spinal stenosis, this sudden movement can compress the spinal cord within an already narrowed canal. Even low-impact trauma can trigger symptoms such as limb weakness, numbness, gait disturbances, or new-onset myelopathy. While whiplash is often benign, pre-existing stenosis demands prompt MRI evaluation and, in some cases, surgical decompression to prevent lasting neurological damage.



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What is Knuckle Deformity in the Spine?  Knuckle deformity is a sharp, angular kyphotic curve caused by collapse of a si...
30/08/2025

What is Knuckle Deformity in the Spine?

Knuckle deformity is a sharp, angular kyphotic curve caused by collapse of a single vertebra—commonly due to spinal tuberculosis (Pott’s spine) in India, or less often from trauma, tumors, or infections. Clinically, it presents as a prominent hump over the spine where the damaged vertebra stands out.

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What makes the thoracic vertebral lamina special?The thoracic spine has a strong bony covering at the back called the la...
27/08/2025

What makes the thoracic vertebral lamina special?

The thoracic spine has a strong bony covering at the back called the lamina, which acts like a protective shield for the spinal cord. Its spinous process (the bony part you can feel when you touch your back) points sharply downward—almost like the trunk of Lord Ganesha. The transverse processes (side projections) are more visible here than in the lower back, and they connect to the ribs, resembling Ganesha’s ears. These bones are tightly packed together, leaving almost no gaps, which adds extra protection to the spinal cord.



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What Is Gibbus Deformity of the Spine?Gibbus deformity is a sharp, angular form of kyphosis caused by collapse or damage...
27/08/2025

What Is Gibbus Deformity of the Spine?

Gibbus deformity is a sharp, angular form of kyphosis caused by collapse or damage to two or more vertebral bodies, resulting in a visible hump on the back. This spinal abnormality often resembles a camel’s hump and may arise due to spinal tuberculosis (TB), traumatic fractures, congenital hemivertebra, or spinal tumors.



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What are spinal expandable cages ?Spinal expandable cages are advanced implants used in procedures like interbody fusion...
24/08/2025

What are spinal expandable cages ?

Spinal expandable cages are advanced implants used in procedures like interbody fusion and vertebrectomy to reconstruct and stabilize the spine after damaged discs or vertebrae are removed. These cages are inserted in a compact form and then expanded inside the spine—similar to a car jack—to restore proper height, alignment, and curvature. They are especially beneficial in spinal tumor surgeries, degenerative disc disease, and severe spinal deformities.



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What Is Carpal Tunnel Syndrome?  Carpal Tunnel Syndrome (CTS) occurs when the median nerve—responsible for sensation and...
23/08/2025

What Is Carpal Tunnel Syndrome?

Carpal Tunnel Syndrome (CTS) occurs when the median nerve—responsible for sensation and muscle control in the palm—is compressed at the wrist. This leads to tingling, numbness, and hand fatigue. Common causes include hypothyroidism, diabetes, obesity, and hormonal changes. Severe cases may require surgical release to relieve pressure and restore function.











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What is “shoulder presentation” in a disc prolapse?In disc prolapse, the nerve root exits the dural sac much like an arm...
08/08/2025

What is “shoulder presentation” in a disc prolapse?

In disc prolapse, the nerve root exits the dural sac much like an arm extending from the body. When the disc herniates, it often pushes out just to the side of where the nerve joins the dural sac—this is called a shoulder presentation.

Because the disc material presses on the side of the nerve at this junction, it causes pain. To reduce this pressure, the body naturally tilts away from the affected side, helping to relieve discomfort.



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Why do some people lean forward while walking, especially as they age?When the lumbar spinal canal becomes narrowed—a co...
27/07/2025

Why do some people lean forward while walking, especially as they age?

When the lumbar spinal canal becomes narrowed—a condition known as spinal stenosis—it can compress nerves and lead to pain or cramping in the legs, particularly after walking a short distance. This symptom is called neurogenic claudication. The more severe the narrowing, the shorter the distance a person can walk comfortably.

Interestingly, leaning or bending forward increases the space within the spinal canal, temporarily relieving the pressure on the nerves. That's why many people instinctively adopt a forward-flexed posture while walking—it helps them go farther with less discomfort.








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What Is Mushroom-Type OPLL in Cervical Myelopathy?Mushroom-type OPLL (ossification of the posterior longitudinal ligamen...
21/07/2025

What Is Mushroom-Type OPLL in Cervical Myelopathy?

Mushroom-type OPLL (ossification of the posterior longitudinal ligament) is a unique spinal condition where excess bone growth protrudes into the spinal canal, resembling a mushroom on CT or MRI scans. This can lead to spinal cord compression, resulting in symptoms such as numb hands, difficulty walking, stiffness (spasticity), and cervical myelopathy.

Early diagnosis of OPLL in the cervical spine is crucial for effective management. Advanced surgical techniques may be required depending on the severity of compression.



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