Revision Spine Surgery

Revision spine surgery presents unique challenges, often addressing recurrent pathology, hardware complications, or failed previous interventions. Dr Naveen Pandita is adept at navigating these complexities with a meticulous, patient-centered approach. Initial evaluation involves a detailed review of prior operative reports, radiographic studies—including EOS imaging for full-body alignment assessment—and advanced modalities such as CT myelography to pinpoint sources of pain or neurologic deficit. Dr Pandita collaborates closely with radiologists and pain specialists to refine the diagnosis and optimize perioperative planning.

During revision procedures, Dr Naveen Pandita emphasizes preserving viable anatomy while correcting structural failures. His expertise includes removal and exchange of hardware, extension of fusion constructs, and innovative salvage techniques like cortical bone trajectory screws and expandable interbody cages. He utilizes multimodal intraoperative monitoring and stereotactic navigation to enhance accuracy and safety, particularly when operating in scarred or altered tissue planes. His strategies for managing pseudarthrosis, adjacent segment disease, and instrumentation failure reflect his deep understanding of spinal biomechanics and healing biology.

Postoperatively, Dr Pandita coordinates a comprehensive rehabilitation plan that addresses residual deficits, pain management, and functional restoration. By incorporating nutrition optimization, bone health assessment, and advanced physical therapy protocols, he supports optimal fusion and long-term spinal stability. Patients entrust Dr Naveen Pandita with their most challenging spinal conditions, benefiting from his unwavering commitment to excellence and innovation in revision spine care.