What is Spinal Reconstruction?
Spinal reconstruction refers to complex surgical procedures that go beyond standard decompression or single-level fusion — restoring structural integrity, alignment, and neurological function in cases where the spine has been severely damaged, deformed, or destabilised. These are among the most technically demanding procedures in spine surgery, requiring extensive training, advanced implant systems, and intraoperative neurophysiological monitoring (IONM).
Dr. Chugh has subspecialty training in complex spinal reconstruction and deformity surgery, including scoliosis correction, post-traumatic kyphosis, vertebral column resection, and revision of failed prior surgery (failed back surgery syndrome).
Indications for Spinal Reconstruction
Key Techniques Used
- Pedicle Subtraction Osteotomy (PSO) — wedge resection of a vertebra to correct sagittal imbalance; can correct up to 30–35° of kyphosis per level
- Vertebral Column Resection (VCR) — complete removal of one or more vertebrae for severe rigid deformity
- Smith-Petersen Osteotomy (SPO) — posterior column resection; 10–15° correction per level; multiple levels possible
- Expandable Titanium Cage (ETC) — replaces resected vertebral bodies; adjustable intraoperatively
- Intraoperative Neurophysiological Monitoring (IONM) — real-time MEP/SSEP monitoring to protect the spinal cord throughout surgery
What to Expect
Complex spinal reconstruction requires careful pre-operative planning including long-cassette full-spine X-rays, CT, and MRI. Surgery may last 4–8 hours depending on complexity. ICU admission overnight may be required. Hospital stay 5–10 days. Full recovery 6–18 months.
Dr. Chugh works in a multidisciplinary team including interventional radiologists, neurovascular surgeons, and intensivists for the safest possible outcomes in complex cases.