SACOA has teamed with the highest quality medical service providers located around the world. Such teaming partners will provide the following procedures and treatment :
- Arthroscopic and Reconstructive Technique
- Major Joint Replacement
- Hip Resurfacing
- Shoulder Surgery
- Hand Surgery
• Oral & Maxillofacial and Dental Surgery -
- Cosmetic Jaw Surgery (Orthognathic surgery)
The purpose of orthognathic surgery/ corrective jaw surgery is to correct functional and cosmetic problems that are due to underlying jaw deformities. Orthognathic surgery is often the treatment solution in cases where the bite problem is so severe that orthodontic braces alone aren’t enough to correct the problem, or where orthodontics alone would compromise your facial appearance.
One of the most rewarding aspects of orthognathic surgery is improved beauty and self-esteem.
Severe bony deformities caused by jaw mismatch in size and position may cause serious problems. For example, extremely small lower jaw may result in snoring and sleep apnea, which can consequently cause many health problems. In cases of short upper lip and vertical excess of the upper jaw, the lips are usually open as they fail to close without efforts due to increased lower third of the face. Consequently, it may stimulate undesirable mouth breathing which further worsens occlusion. Frequently malocclusion can have strong negative effect on speech function and often it can be accompanied by jaw joint pain.
And last but not least, occlusion and the position of jaws define the height of the lower third of the face to the greatest extent, hence the aesthetics of the facial profile as well. Convex ‘bird face’ or concave ‘mature face’ profiles are considered anesthetic, therefore severe anomalies can cause social problems if left untreated.
Scientists have been on the way in seeking an answer to this question for years trying to find which part of the face is playing the greatest role in the attractiveness of the face, and surgeons – trying to “attack” those parts, thus hoping to make the face more attractive by changing particular features. Do we look at the eyes, at the smile, the symmetry of the face or at the combination of several features like nose, cheeks, eyebrows or eyes when assessing facial attractiveness?
Orthognathic surgery is surgery performed on the bones of the jaws to change their positions. Orthognathic surgery is corrective facial surgery where deformities of the jaw exist. It may be indicated for functional, cosmetic, or health reasons. It is surgery commonly done on the jaws in conjunction with orthodontic treatment, which straightens the teeth.
- Fractures of Jaws and Facial Bones
• Spine Disorders and their Treatment
- Spondylosis, Degenerative Disc Disease
If you suffer from Spondylosis and spinal fusion and or artificial disc replacement has been prescribed for you, we will help you. If you cannot afford the out of pocket expenses of this surgery, you do not have to suffer. Our teaming partnership will position you at Aditya Birla and work with you carrier to ensure that all of you cost are covered.
- Slipped Disc
Many Americans are forced to suffer chronic back pain because they cannot afford the deductible on their insurance policies. SACOA offers you the Aditya Birla medical solutions.
- Keyhole Surgery
Also known as microdiscectomy spine surgery, it is typically performed when there is a prolapsed disc in the lumbar (lower back) region which is pressing against a nerve.
- Disc replacement
An artificial disc is a device that is implanted into the spine to imitate the functions of a normal disc (carry load and allow motion). Artificial discs are usually made of metal or plastic-like (biopolymer) materials, or a combination of the two. The disc replacement for prolapsed disc is done in the cervical (neck) spine.
Spondylolisthesis is a Greek term meaning slipping of the spine. It is the abnormal forward movement of one vertebra over the vertebra below. Most often, this forward slip of the vertebra occurs in the lumbar area of the spine. This slippage and herniation of the disc causes pressure on the nerve roots associated with the affected vertebrae, causing pain and dysfunction. There are various types of spondylolisthesis.
-Type 1 - Congenital spondylolisthesis
An individual is born with the abnormality of the posterior bony arch of the spine, which causes the slippage. This is usually seen at the L5-S1 level and often associated with abnormality of the facet joints. Patients usually present with back pain during the adolescent growth spurt. CT and MRI scans are required to diagnose the dysplasia (abnormal bone formation).
-Type 2 - Isthmic spondylolisthesis
Isthmic spondylolisthesis is caused by a defect in a part of the bone called the pars interarticularis. The pars bone connects the upper joint of one vertebra to the lower joint. The defect is usually caused by a stress fracture in individuals with a hereditary predisposition (some minor abnormality or weakness of the pars at birth). In certain individuals a defect may exist without any forward slip, referred to as spondylolysis. This itself can be painful.
-Type 3 - Degenerative spondylolisthesis
Degenerative spondylolisthesis is a forward slippage secondary to arthritis of the spine. Spinal stenosis is usually associated with this process. This is due to a long standing degenerative disc leading to weak facet joints in the back of the spine. This is usually seen at L4-L5 level.
In degenerative spondylolisthesis, surgery is indicated if slippage progressively worsens or if back pain does not respond to nonsurgical treatment and begins to interfere with activities of daily living. In the congenital and high dysplastic group, surgery is done at early stages to prevent neurological complications.
The spine has normal curves if seen from the sides and is seen as a straight column from the front. But in certain conditions the spine shows curvatures from the front and it is called scoliosis. The abnormal forward bending of the spine is called kyphosis.
Scoliosis is a term taken from a Greek word meaning curvature. During the 19th Century physicians thought poor posture was the primary cause of scoliosis. Today scoliosis is known to be either congenital (present at birth) or developmental and may be hereditary. The disease causes the spine to curve to the side usually in the shape of an "S" or "C". The curvature is measured in degrees.
Adolescent Idiopathic Scoliosis is the most common type of spinal curvature. It occurs around the onset of puberty in otherwise healthy boys and girls. It is more common in girls. Physical signs may include uneven shoulders, one hip lower than the other, a rib hump when bent over at the waist and leaning to one side.
Whatever the patient's age, the goal is to stabilize the spine to prevent additional curvature. Some patients with scoliosis are pain free and do not seek treatment until the deformity is noticed. Unfortunately, at that point it may be too late to treat the disease. The size of the curve is measured in degrees on an X-ray. The progression of scoliosis is monitored by periodic x-ray studies. When scoliosis is severe it may cause the spine to rotate, which can cause spinal spacing to narrow on the opposite side of the body.
While minor deformities may be treated non-operatively, more severe and progressive ones require surgery.
- Surgical Management of Scoliosis
Surgical treatment of scoliosis is employed if the curvature at detection is of greater magnitude. The aim of surgical correction is to achieve a well-balanced spine in which the patient's head, shoulders and trunk are centered over the pelvis. This is done by using instrumentation to reduce the magnitude of the deformity and obtaining fusion in order to prevent future curve progression.
- Usage of Staples
A more recent development in the treatment of Scoliosis is the use of staples on the convex side of the curve, which correct and maintain the curve till the patient is skeletally mature. These staples allow differential growth to take place i.e. less growing speed on the stapled side than the concave side thereby correcting the curve as the child grows.
Special spinal implants made from Nitinol - a titanium based alloy has been studied extensively and is being employed clinically in a few centers in USA and Europe. The staples are in the shape of 'C' when they are manufactured at room temperature. When the staples are cooled to below freezing point the prongs become straight but clamp down into the bone in a 'C' shape when the staple returns to body temperature providing secure fixation. These are called Shape Memory Alloy (SMA) staples. As no fusion is done the child grows normally and even the residual deformity tends to improve with growth.
• Spinal Tumors
A spinal tumor or a growth of any kind - whether cancerous or not, can impinge on nerves, leading to pain, neurological problems and sometimes paralysis. The symptoms include loss of sensation or muscle weakness, especially in the legs, difficulty in walking, sometimes leading to falls and loss of bowel or bladder function.
Newer techniques and instruments enable surgeons to reach tumors or treat delicate injuries even in the most inaccessible areas. High-powered microscopes are used during surgery and in some instances even intradural tumors are removed. In select patients, Total Spondylectomy - removal of the entire vertebra is done as a definitive cure.
Patients will enjoy the most advanced medical equipment which includes:
• Computer navigation,
• Imaging equipment,
• State of the art robotics and assisted technology.