How O-Arm Technology Makes Spine Surgery Safer

Kauvery Hospital

Advancements in medical technology are transforming the way surgeries are performed - and O-Arm technology is leading the way in making spine surgeries safer, more precise, and faster.  In this episode, Dr. G. Balamurali, Senior Consultant – Spine and Neurosurgery, Kauvery Hospital Alwarpet, explains how O-Arm imaging enhances surgical accuracy, reduces complications, and ensures better recovery outcomes for patients.   This video is for educational purposes only. Individual conditions may vary. Please consult your doctor/treating physician for your personalized medical advice.

Transcript

00:00So, what new technologies are going to be doing in the surgery?

00:04The spine is the most important thing to see that

00:07the operation will be able to solve a safe operation,

00:10and be able to solve a problem.

00:12But, that is why it will happen.

00:15So, if you do an operation in the spine,

00:18if you do an operation in the spine,

00:20it will not be able to do damage.

00:22So, the patient will become paralyzed.

00:24So, the advanced technology with navigation, robotics, O-Arm,

00:32endoscopy, keyhole surgery, minimally invasive surgery.

00:36So, the technology will improve.

00:42What are the advantages of O-Arm Guided Procedure?

00:45So, how it works?

00:46Why do we need to do a CT scan or MRI scan?

00:49Now, the CT scan is in the operation.

00:52The CT scan will be able to do the CT scan.

01:02Is this better outcome with the O-Arm Guided Procedure?

01:06So, it is a nice.

01:07So, if we do the O-Arm Guided operations,

01:10there are complications.

01:12The operations will be able to do keyhole surgery.

01:15Let's do the endoscope.

01:17So, what is the advantage of that?

01:22Welcome to another episode of Kaveri Podcast.

01:26We will be able to do spine surgery.

01:28So, we welcome Dr. Balamurli, Senior Consultant,

01:30Spine Surgeon Kaveri Hospital, Alvaped.

01:32He is going to guide us through new techniques involved in spine surgery.

01:34Panakkam, sir.

01:35Panakkam.

01:36Panakkam.

01:37Sir.

01:38Sir.

01:39Panakkam.

01:40Sir.

01:41I am worried about spine surgery.

01:42I am worried about spine surgery.

01:43I am worried about spine surgery.

01:44So, do you have any new techniques to make it safer?

01:45Okay.

01:46So, to make it safer?

01:47So, I am worried about spine surgery.

01:48I am worried about spine surgery.

01:49I am worried about spine surgery.

01:50I am worried about spine surgery.

01:51You have any new techniques to make it safer?

01:52Any new techniques to make it safer?

01:55So, what is a problem for spine surgery?

02:00In the last 20 to 30 years, it is a problem.

02:05Spine surgeries have been bad results.

02:09The patient's operation is paralyzed.

02:12They can't come to the hospital.

02:15There are many reasons for this.

02:17I don't think we have advanced technology for 10 years.

02:21But in the last 10 years, there are many advances.

02:26So, our spine is easy to do.

02:30Because of better diagnostics, MRI scan, CT, etc.

02:34The second is technology for surgery.

02:37That is improved.

02:39So, there are many advanced technology with navigation, robotics, oarm, endoscopy, keyhole surgery, minimally invasive surgery.

02:48So, this technology is improved.

02:51So, we have better results.

02:54But it takes 10 to 20 years to change that myth.

02:59So, at the end, it is safe for spine surgery.

03:03So, if you are safe and you have done surgery, you will need to do it.

03:05So, this is the reason why we are concerned about it.

03:07So, why are we worried about it?

03:08Why are we worried about it?

03:09So, spine surgery is a speciality for the last 10 years.

03:10So, there are a speciality for spine surgery in the last 10 years.

03:16So, there are some neurosurgeons and orthopedic doctors.

03:21But the doctors are less than two.

03:24Now, if you are in the hospital, you will be trained in neurosurgery or orthopedic surgery.

03:30And your colleagues will be trained in that.

03:33So, when we are in the two stages, we have an advantage.

03:38So, the advantage is that the outcomes are better.

03:42So, the problem is that the spine surgery is better.

03:48If we are in the specialized centers,

03:51if you are doing these operations,

03:53the outcomes are better.

03:56So, there are a lot of small teams in India.

04:00So, if you are in the village,

04:03there are 5 or 6 teams of people.

04:05But if you are doing operations, you will be able to do it.

04:07But if you are doing this, you will be able to do it.

04:08But if you are doing this spine surgery,

04:11So, that's what happens if you are doing this,

04:13it's obscure.

04:14Therefore, the results are bad.

04:16So, that's the bad results.

04:17So, for the best results,

04:19if you want to talk about negative effects,

04:22it's a bad thing to talk about.

04:24You will learn more about the result of the situation,

04:26So, to talk about good things,

04:28it's a bad thing to talk about.

04:30So, we are also trying to get to your spine surgery,

04:32to be able to go on,

04:33to go on, to start and get off,

04:35to go on, to go on,

04:36to get there.

04:37So, the problem is that

04:39and the results are better.

04:43That's another issue.

04:45So, early detection,

04:47if we are doing a secret,

04:49results are better.

04:51But if we are doing a lot of results,

04:53results are better.

04:55So, this is a issue.

04:57There are many reasons,

04:59but in the next school,

05:01technology is improving,

05:03doctors are better opportunities

05:05for training,

05:07but the outcomes are much better.

05:09So, patients are not afraid.

05:11Thank you, sir.

05:13The reason is that

05:15surgery is safe.

05:17So, what new technologies are going to happen now, sir?

05:21Yes.

05:23So, now,

05:25everyone in the spine

05:27will be able to solve safe operations

05:29and be able to solve the problem.

05:31But that is why

05:33there is no problem.

05:35In the spine,

05:37there are two bones.

05:39The two are spinal cord.

05:41In the spinal cord,

05:43there are nerves.

05:45In the bones,

05:47there will be damage to the spinal cord.

05:49In the spinal cord,

05:51there will be disability.

05:53So, if you do it,

05:55if you do it in the spine,

05:57there will be damage to the spinal cord.

05:59So, the patient will become paralyzed.

06:01So, the patient will become paralyzed.

06:03So, the patient will have pain.

06:05We can't do anything,

06:07we can't do anything,

06:09we can't do anything.

06:11So, we need safety.

06:13So, we need a nice microscope,

06:15endoscope,

06:17to visualize it.

06:19Now, the spine will be removed.

06:21There will be screws,

06:23and then,

06:24you need to inspect it.

06:25Now, the next step is

06:27accurately,

06:28the navigation.

06:30For the navigation,

06:31the advanced form is

06:33a robotic guide.

06:35Then, we need to inspect it.

06:36This is the Neuromonitoring.

06:40Neuromonitoring is the Neuromonitoring.

06:43In the operation, we will monitor the nerves.

06:46It is an electrical monitoring.

06:48If the nerves are not damaged,

06:51we will not touch the nerves,

06:54we will have some problems.

06:57In this situation, there is a technology.

07:01Microscope, Endoscope, Navigation, O-Arm, Robotics.

07:07These are very difficult.

07:09This is why we are able to do a small operation.

07:14The results will be very difficult.

07:18The outcome is very good.

07:19Patients come to the hospital,

07:22hospital stay, complications come,

07:26outcomes are better.

07:28And the revision operation,

07:29or the therapy operation,

07:30one of the wife is coming out.

07:32You told us about O-Arm Guided Procedure.

07:34What are the advantages of O-Arm Guided Procedure?

07:37How it works?

07:38Can you please explain to us, sir?

07:40In the O-Arm process,

07:42this is a CT based imaging technique.

07:47So, do we need to do a CT scan,

07:51MRI scan?

07:53The CT scan is a operation.

07:54We will do the CT scan and do the CT scan.

07:55This is the O-A-M scan.

07:56This is the operation.

07:57If the CT scan is done,

07:58the CT scan will do the CT scan.

08:00This is a CT scan.

08:01The O-Arm will do a rear view.

08:03It will be a operation.

08:05It will be a patient.

08:07The patient has been on the tunnel.

08:09So we will take lots of images and the images will be navigated by a tracking system

08:17The patient will be able to see how the patient will be screwed, how the plate will be

08:25We will see it by millimetres difference

08:30If the spine has a small gap, there is a gap between 5-6 millimetres

08:40If we have 2 millimetres, it will be damaged in the middle

08:45If you are damaged in the middle, the patient will be paralyzed

08:48So how do we correct it by a few millimetres?

08:52That is the curve of the OAM

08:55The OAM is the navigation

08:58How do you navigate it?

09:00If you are here, you can go to the beach

09:02If you don't know where to go

09:04How do you navigate it?

09:06Use GPS technology

09:07The GPS technology is connected to your satellite

09:11If you have a satellite, you can navigate the location

09:15Then navigate it

09:17This is the same technology

09:19This is the navigation and OAM

09:21If we edit a film

09:24We track the film

09:26Then navigate the instruments

09:29We can navigate it

09:30That is correct

09:32We have a lot of checks and alarms

09:35If you have 2 millimetres, there will be a beep beep

09:38If you are correct, there will be a sound

09:40This is the safety

09:42So the safety

09:44Now the outcomes are better

09:46So complications are very low

09:48Paralysis is very low

09:50Patients are very clear

09:52Patients are going to take care of their treatment

09:54Sir, you can explain to your guided procedures

09:57What are the patients

09:59What are the patients

10:01So this is

10:02In our spine

10:04There is a fracture

10:07That is

10:08Then we fix the rod and screw

10:10We can fix the fracture

10:12If we have a small plate

10:14We can fix the plate

10:16If we open it

10:17We can do it correctly

10:19But in the spine

10:20We can do it

10:22There are a lot of risks

10:24Complications

10:25So the recovery is slow

10:28So we can do it

10:29So we can use the keyhole navigation

10:31We can do it

10:33We can use the OAM Guided

10:35That is the disc problems

10:37Back pain

10:39So it can be a spinal fusion procedure

10:43So we can use the two wounds

10:46So we have two wounds

10:48We will use the fusion operation

10:51That is also the rod screw

10:53Scoliosis

10:54So as you can see

10:55Deformity

10:56So if you look at the rod

10:57You have to see the rod

10:58You may be a blade

10:59Or a bend

11:01So they have a bone

11:03They have a bone

11:04They have a bone

11:05That is a bone

11:06A bone

11:07The bone

11:08They have a bone

11:09It is very complicated

11:10They have a bone

11:12You have a bone

11:13They have a bone

11:14So they have a bone

11:15See the bone

11:16So the screws

11:17The bone

11:18Thats are technically

11:19Challenging

11:20So, if you use these things, you can use these things.

11:23If you use these things, like brain, spinal cord,

11:26if you use these things, you can use these things.

11:29If you use these things, you can use these things.

11:34For example, with this,

11:37pediatric surgery.

11:39They have a long operation,

11:42or a long operation.

11:45So, we use these things.

11:47In the endoscopic surgery, we can see the endoscopic surgery in the endoscopic surgery.

11:51We can see the operation and scan in the operation.

11:58Whether the OAM is correct or the cut is correct.

12:04If we do not, we can do it.

12:07If we do it immediately, we can wipe the wipe.

12:11These are the benefits of OAM.

12:16This is a better outcome with OAM Guided Procedure.

12:21If we do the OAM Guided, we can do the complications.

12:27We can do the keyhole surgery with the endoscopic surgery.

12:32The advantage is that we can open a small disc.

12:37If we open it, we can open it to the hospital.

12:41We can do the pain.

12:42We can cut the muscles.

12:44We can cut the bone.

12:46We can do it in a small building.

12:48We can do it in a small building.

12:52If we do it, we can do the outcomes better.

12:55We can go to the hospital.

12:56We can go to the hospital.

12:57We can go to the hospital.

12:58We can leave.

12:59We can do the pain.

13:00We can do it in a small building.

13:01We can do it in the hospital.

13:02If we do it in a small building, we can do it in the hospital.

13:04We can do it in a small building.

13:06All the advantages of the patient is now over weight.

13:13Over weight is a bit complicated.

13:18If they have 10 centimeters of fat, they have 10 centimeters.

13:25The operation is quite complicated.

13:28Wound healing, wound complications, etc.

13:32They have more advantages.

13:35The operation is very small.

13:39The navigation is going to be a revolution.

13:43The complications are less.

13:47If they have less complications, they will be able to do the spine.

13:53They will be able to do the spine.

13:56They will be better at work.

13:59The spine problem is that they will be able to do the spine.

14:05In the future, they will be sedentary.

14:09They will be able to do back problems.

14:11The back problems are very difficult.

14:13They will be able to do the operation.

14:17They will be able to do the operation.

14:19The operation is very difficult.

14:21They will be able to do the operation.

14:23They will be able to do normal life.

14:25They will be able to do the operation.

14:27They will be able to do the operation.

14:31They will be able to do the operation.

14:33They will be able to do the spine.

14:35They will be able to do the spine.

14:37They will be able to do the operation.

14:43Thank you, sir.

14:44You have beautifully explained us about OAM guided procedures and its benefits.

14:48We will move on to the next session.

14:50I am going to ask you a few set of questions.

14:53You tell me which and all is a spine sinner and which and all is a spine saver.

14:57What does that mean, sinner and saver?

14:59Spine sinner is something which is not good for our spine.

15:03And spine saver is something which is good for our spine.

15:06Very good. Interesting.

15:07Yeah.

15:08Okay.

15:09You tell us which is good and not good and with a small explanation.

15:12Okay.

15:13Let's try.

15:14Working from bed with laptop on chest.

15:16That's a sinner.

15:17So the current position everybody is called a Netflix position.

15:21Where you have a mobile phone in one hand, Netflix on your hand and your laptop on your lap.

15:26This is a definite no.

15:28It's going to give you problems.

15:29Cracking your own back for relief.

15:32Oh, definite sinner.

15:34You have to have relief in the short term.

15:37But as soon as possible, you will be able to get it.

15:40Carrying wallet in the back pocket while sitting.

15:43Oh, sinner.

15:44You told me that I am.

15:45I have to keep my wallet on one side.

15:47So you can keep it here.

15:49You can keep it here.

15:50You can keep it here.

15:51So you can keep it better.

15:53Sleeping with three pillows.

15:55Definitely, sinner.

15:56You can keep it here.

15:57You can keep it here.

15:58You can keep it in a normal position.

15:59You can keep it in a neutral position.

16:03So that position is very bad.

16:05Investing in a good chair instead of a vacation.

16:08You can keep it in the hospital.

16:10Stretching for five minutes every morning.

16:23So the spine likes to be strong.

16:25And the core muscles are stronger.

16:27And the daily stretching, exercise.

16:29If you are in a young age, you will be able to get better.

16:34Lifting heavy grocery bags with one hand.

16:36With one hand.

16:38Definite sinner.

16:39So you can keep it in one side.

16:41Using phone at eye level instead of looking down.

16:46That's a saver.

16:49So romanaal you can use phone.

16:52You can keep it in the middle.

16:54So if you use the phone a little bit.

16:55If you are using the phone, you will have to be better.

16:57Without a phone.

16:58You can keep it in the middle.

16:59Wearing high heels daily?

17:01It's a sinner.

17:02So with the hair, it's glamorous.

17:05It's a thinness.

17:06So you can keep it in the middle.

17:08So you can keep it in the middle.

17:10Sleeping on firm mattress.

17:12That's a saver.

17:13So, when you come to the mattress, it is hard and firm.

17:19If you take the mattress in the house, you will get the spine full and sag.

17:28So, the mattress is firm and firm.

17:30Thank you sir.

17:32So, we have a great wish for our spine surgery and spine surgery.

17:41So, I think these insights are very useful for us.

17:47Hope we follow it everyday. Keep following us. Thank you.

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