DRPRAMODSAINI https://www.spineclinicnoida.com

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Endoscopic Spine Surgery, also known as Keyhole Spine surgery is a most recent and advanced surgical technique for disc herniation. its done in two ways - Interlaminar approach and Transforaminal approach.Interlaminar approach is done under general anaesthesia. A small half an inch cut is made in the back to remove the disc. this approach can also be used for lumbar canal stenosis but only in selected cases.Transforaminal approach is done under local anaesthesia with slight sedation. Patient is conscious throughout the surgery and can tell about leg pain if the surgeon is working near the nerve therefore increasing the safety of surgery. However, the surgery may last fro 30 minutes to 2 hours and patient has to be cooperative and not move during the surgery without telling surgeon. Beauty of transforaminal approach is that patient is walking 30 mins after surgery. But this approach is indicated for only disc herniations without much migration and is not suitable for stenosis.

Minimally Invasive Spine SurgeryTraditional spinal surgeries usually require large incisions and stripping away the muscles of the spinal column just to get to a herniated disc. Now, new technology allows these complex procedures to be performed with the help of a microscope to magnify and illuminate the damaged area. Instead of stripping away the muscle, your surgeon can use a microscope to view the area through a much smaller incision and create a tunnel to the disc. This is done by splitting the muscle to pass the instrument through.Minimally invasive procedures result in less visible scars and shorter recovery times. A discectomy, or removal of the disc, can often be performed this way.However Not all patients are candidates for MIS. Whether the patient an undergo minimally invasive surgery or not is decided on the basis of clinical examination and MRI findings.

Spinal fusion is a surgical procedure used to link together vertebrae, often because of a severely damaged disc. Discs can be damaged from rupturing, slipping, natural degeneration or injury. The damaged disc can cause severe leg and back pain and may require surgery if the pain is not relieved by conservative treatment. Pt with spondylolisthesis and spinal instability also require fusionDuring spinal fusion surgery, bone growth is stimulated and then used to link the vertebrae together to stop the painful movement in the area. Titanium metal screws or a titanium metal cage can be used to fuse the bone together.

Meet our doctor

Dr. Pramod Saini

Spine Surgeron


Dr Pramod Saini is an Orthopaedic surgeon with special interest & training in spine surgery.He is One of the few Spine surgeons in Delhi NCR who are regularly deformity surgeries like scoliosis and minimally invasive Spine surgeries. He attained clinical and surgical expertise through Senior Residency at AlIMS, New Delhi and Fellowship in Spine surgery at PD Hinduja Hospital, Mumbai & Indian Spinal Injury Centre, New Delhi. He is one of the best spine surgeons inGhaziabad, Noida and around Delhi NCR. His primary aim has always been to treat patients with nonsurgical methods like medicines and physical therapy. However, if non surgical treatment fails or the problem warrants surgical management, he provides expertise for all spinal surgeries like Microdiscectomy, Spinal fusion, Disc replacement and failed back surgeries. Dr Pramod Saini is a Fellowship trained, Board certified Spine surgeon. Currently, He is associated with Jaypee Hospital, Noida as Consultant in Department of Spine Surgery. He is a dynamic Spine surgeon with specialization in managing all spine related disorders. He has more than 10 years of experience and is extensively trained in performing spine surgeries for disc prolapse, Lumbar canal stenosis, spondylolisthesis, fixation, fusion and spine trauma surgeries. Dr Saini received his undergraduate training at prestigious Grant Medical College, Mumbai. He did Masters in Orthopaedics from Sawai Man Singh Medical College, Jaipur followed by DNB Orthopaedics from National Board of examinations, New Delhi. After his post graduation, he joined AIIMS, New Delhi as Senior Resident in Department of Orthopaedics where he developed interest in Spine surgery. To pursue his Interest further he went to PD Hinduja Hospital & Medical research centre, Mumbai for a two year Spine fellowship which is conducted by National Board of examinations, New Delhi. During his fellowship he trained extensively in Spinal diseases and performed different spinal surgeries, both independently and under supervision. At end of fellowship he was awarded with degree of FNB Spine surgery which is a MCI recognized qualification. Subsequently he joined Indian spinal injuries centre, New Delhi where he further trained in management of spine trauma and rehabilitation. In addition to Jaypee hospital, He practices at his personal clinic in Indirapuram, Ghaziabad in Evening from 7 pm to 9 pm. Dr Saini has an interest in academics and research and has many international publications to his credit. He is a member of Association of Spine Surgeons of India and AO spine. Surgeries Performed by Dr Saini Micro-Endoscopic Laminotomy & Decompression with MetRx system for Lumbar Canal Stenosis (Spinal Stenosis). Anterior Cervical Decompression & Fusion for Cervical Radiculopathy, Cervical Myelopathy, Spinal Tumors, Spinal Trauma, etc. Micro-Endoscopic Discectomy with MetRx system for Prolapsed Intervertebral Disc (PID). Laminectomy +/- Instrumented Fusion for Lumbar Canal Stenosis Cervical Laminectomy and fusion for Spinal Trauma, Cervical Myelopathy, Spinal Tumors, etc. Spinal Fusion for Chronic Spinal Tumors, Low Back Pain, Spinal Trauma, Spondylolisthesis, Spinal Infections, etc. Cervical Laminoplasty for Cervical Myelopathy. Occipitocervical Fusion for Tumors, Trauma, Compression, etc. around the craniovertebral junction. Atlantoaxial Fixation and Fusion for Atlantoaxial Instability (secondary to Rheumatoid Arthritis, Developmental causes, Trauma).. Deformity Correction- Kyphosis (due to Post-infective, Scheuermann’s disease, Post-tubercular, Ankylosing spondylitis, Post-traumatic, Osteoporosis, etc. and Scoliosis (Paediatric & Adult). Posterior Spinal Decompression & Fusion at all levels- Cervical, Thoracic & Lumbar Anterior Spinal Decompression & Fusion at Cervical Spine Metastasis to the Spine, Vertebroplasty & Kyphoplasty for Osteoporotic Vertebral Fractures, etc. Surgeries for Spinal Tumors. Surgeries for Spinal Trauma. Transforaminal Epidural Injections. Facet joint injections. Sacroilliac joint Injections


A gentle and Humble Doctor. Thanks to his treatment I am better and hope to get well soon.


Patient from Congo, Visited for treatment of Spinal Tuberculosis

A lot of Thanks and prise to Doctor for Successfl treatment of My Spine.


Patient From Iraq Visited for Spinal Fusion

Latest Update

Dorsal Myelopathy due to Ossified Ligamentum Flavum and Dorsal LaminectomyA 79 year old male presented to us with Imbalance on walking with tightness in legs. His MRI showed OLF with Spinal cord comp

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Address: Jaypee Hospital Rd, Goberdhanpur, Sector 128, , Uttar Pradesh

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