A comprehensive clinical evaluation led by Dr. Manoj Kumar Deo, Senior Consultant, Neurosurgery (M&HS), revealed a Grade II Dislocation of the Cervical Spine at the C4-C5 level, a life-threatening condition. If untreated, the dislocation could have resulted in permanent paralysis, respiratory failure, pressure sores, and eventual death. After detailed consultation with the patient’s mother and elder brother, and upon receiving informed consent, a high-risk surgery was undertaken. Dr. Deo, supported by a multidisciplinary team, successfully performed a complex spinal fixation surgery from both anterior and posterior approaches over the course of approximately 9 hours. Anaesthesia support was provided by Dr. Sanjukta Panigrahi, Additional CMO, Anaesthesia & ICU, and Dr. Smita Kujur, Senior Consultant, Anaesthesia. The operation theatre was managed by Brother Kamalakar and Sister Lipia, while post-operative care was diligently handled by Sister Gouri, Sister Sasmita, Sister Ekta, and other nursing staff.

In light of the patient’s financial constraints, AMRIT Pharmacy facilitated the timely provision of essential surgical implants and medicines at subsidized rates, enabling this life-saving intervention.

In the post-operative phase, the patient showed remarkable recovery. Within a week of the surgery, he regained movement in his right leg, experienced increased strength in all limbs, and was able to sit up and stand with support. He showed approximately 40% functional improvement during his hospital stay and continues to progress under medical supervision.

The successful complex medical intervention reaffirms IGH’s commitment to delivering high-end healthcare services to the people of this region.

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After initial management at Rourkela Government Hospital for four days, he got himself reviewed  at IGH on 07-05-2025  and was admitted under the Ayushman Bharat scheme. While being admitted in the hospital the patient was found to be suffering with severe stiffness of the body, inability to stand or walk independently, difficulty in rising from bed, dressing and eating.

Under the care of Dr. Manoj Kumar Deo, Senior Consultant Neurosurgery (M&HS) comprehensive evaluation including MRI and X-ray of the cervical spine revealed the cause of his condition: cervical disc disease coupled with abnormal mobility of the cervical vertebrae.

The prognosis and surgical requirement were thoroughly explained to the patient and his wife. Upon receiving informed consent, the surgical team led by Dr. Manoj Kumar Deo, Senior Consultant Neurosurgery successfully performed the procedure. The anaesthesia care was administered  by Dr. Sanjukta Panigrahi, Additional CMO, Anaesthesia and ICU. The operating theatre was efficiently managed by Sister Archana, while dedicated post-operative care was provided by Sister Gouri, Sister Sasmita, Sister  Ekta, and other committed nursing staff.

In the post-operative period, the patient exhibited significant recovery. Initially requiring support from two people to walk, he progressed to walking with assistance from only one person. Overall, he showed approximately 40% improvement during his hospital stay and continues to improve with ongoing care.

This case marks the sixth such complex cervical spine surgery conducted at the IGH  within the last 10 months, a notable achievement given the rarity of such procedures in the region in the past.

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