Dr Tshilidzi Sadiki

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Services includes :

• Craniotomy
  A craniotomy is vital for the treatment of brain tumours, abscesses, arteriovenous malformation, hydrocephalus and hematomas. A craniotomy is also a way of biopsy to extract cells for analysis. The procedure is used to implant external devices to drain excess cerebrospinal fluid. Because of the build-up of fluid, pressure in the brain increases and as a result, it cannot function properly. The neurosurgeon drills tiny holes into the scalp. He uses a saw to cut between the openings to create a bone flap. He cuts into the protective membrane covering and inserts a microscope to treat the condition.
• Craniectomy
  A craniectomy involves the removal of a piece of skull to relieve brain pressure. A craniectomy is a life-saver, especially after a traumatic brain injury as it lowers high intracranial pressure and stops bleeding. If left untreated, excessive fluid or blood can compress the brain and force it to push against the brain stem. Dr Sadiki drills tiny holes into the skull and uses a saw to cut into the holes and remove the scalp. He makes small incisions in the membrane of the brain and treats the affected region.
• Cranioplasty
  A cranioplasty repairs a bone defect in the skull. A defect may occur due to trauma or as a result of an injury. During a cranioplasty, the neurosurgeon lifts the scalp and uses a graft to contour the skull. The graft may be either made of natural or synthetic material—usually, titanium substitutes for a portion of the skull. Before the neurosurgeon fits the implant in place, he cleans the borders of nearby bone. He then uses screws and plates to secure the implant.
• External ventricular drain
  An external ventricular drain or EVD is a soft plastic tube that drains excess cerebrospinal fluid to a bag outside the body. CSF accumulates in the passageways or ventricles of the brain as a result of a brain tumour, infection or abscess. Too much cerebrospinal fluid raises intracranial pressure and can be detrimental to one’s health. The EVD attaches to drainage system
• Ventriculoperitoneal shunt
  A ventriculoperitoneal or VP shunt lowers high intracranial pressure and treats hydrocephalus. Hydrocephalus occurs when CSF builds up in one of the hallways (ventricles) of the brain. The cerebrospinal fluid protects the brain from injury, delivers nutrients to the brain and filters out waste. A VP shunt is for people who suffer from hydrocephalus because of poor absorption or blockages in the brain—the neurosurgeon drills a tiny hole in the skull to pass the catheter through. CFS drains via the abdominal cavity.
• Intracranial pressure monitor insertion
  The intracranial pressure monitoring system is for patients who have suffered brain trauma as a result of a car accident or head injury. The neurosurgeon stops the system as soon as one’s intracranial pressure becomes stable within 48 hours. Intracranial pressure monitor insertion reduces high intracranial pressure due to hydrocephalus, brain tumours, and oedema or bleeding. Dr Sadiki drills a small hole in the skull through which he inserts a catheter through. He places a monitor probe in the brain that’s attached to a recorder to measure the patient’s intracranial pressure.
• Endoscopic third ventriculostomy
  An endoscopic third ventriculostomy treats obstructive hydrocephalus in adult and paediatric patients. For this procedure, the neurosurgeon creates a bypass for cerebrospinal fluid to flow throughout the brain. An endoscopic third ventriculostomy eliminates the need for a VP shunt. Dr Sadiki drills a tiny hole into the skull and inserts a bendable tube known as an endoscope through the opening to find the blockage. He makes an incision in the brain’s tissue to drain cerebrospinal fluid.
• Endoscopic endonasal transsphenoidal surgery
  Endoscopic endonasal transsphenoidal surgery removes tumours in the pituitary gland. The pituitary gland secretes vital hormones. When a tumour grows in the cells of the pituitary gland, it affects the endocrine system and results in excessive or limited production of hormones. The neurosurgeon makes a tiny incision beneath the upper lip. He inserts an endoscope through the throat, nose or ear which he guides to the sphenoid sinus. Dr Sadiki opens up the sphenoid sinus and directs the instrument to the backend of it. He removes the pituitary tumour piece by piece and packs the nose after surgery.
• Posterior fossa craniotomy/craniectomy
  A posterior fossa craniotomy/craniectomy extracts tumours in the posterior fossa. The posterior fossa is a tiny space beneath the skull that’s close to the cerebellum and brainstem. This area is prone to tumours. A tumour in the posterior fossa restricts the flow of cerebrospinal fluid and increases spinal cord and intracranial pressure. The neurosurgeon cuts into the scalp to access the skull and inserts miniaturised tools through the opening to resect the tumour.
• Anterior cervical discectomy and fusion
  Anterior cervical discectomy and fusion relieve back pain. Chronic neck or back pain arises when there’s a problem with the intervertebral discs. Healthy spinal column discs ensure smooth and swift movements. These discs can, however, lose strength and durability as a result of wear and tear due to age or injury. An anterior cervical discectomy and fusion are needed for the removal of a worn-out, slipped or damaged disc. In the process, the neurosurgeon also removes bony growths.
• Anterior cervical corpectomy and fusion
  An anterior cervical corpectomy and fusion remove vertebral discs to relieve pain. The neurosurgeon reaches the cervical spine from the front region of the neck. This procedure is ideal for patients who suffer degenerative disc disease in the cervical spine. Due to age or trauma, patients face a high risk of slipped discs and spinal stenosis, which occurs when the spinal canal begins to narrow and increase pressure on the nerve roots. Dr Sadiki makes an incision on the front part of the neck to reach the vertebrae. He removes damaged and adjacent discs to relieve spinal cord pressure. After decompression, he replaces the missing vertebrae with a graft from natural or synthetic material and uses screws and plates to fix it in place.
• Laminectomy
  A laminectomy treats spinal cord pressure due to an injury or slipped disc. The neurosurgeon removes some or all of the lamina to relieve spinal cord pressure. A laminectomy is necessary when physical therapy, medication and other non-invasive treatments fail to provide relief. The neurosurgeon makes an incision over the affected vertebrae and removes the bony arch to ease pressure on the spinal cord and nerves. He also removes bone spurs or a piece of the vertebral disc.
• Laminotomy
  A laminotomy removes some of the lamina and ligaments to relieve spinal cord pressure. When the neurosurgeon removes a piece of the lamina, he makes more room for the spinal cord and nerves. Increased pressure on the nerve roots causes pain as well as pins and needles sensation in the extremities. A laminotomy treats persistent back pain as a result of degenerative disc disease, spinal stenosis and disc herniation.
• Spinal fusion
  Spinal fusion connects vertebrae and eliminates gaps between them. The neurosurgeon uses natural bone or synthetic graft to join the vertebrae. A spinal fusion resolves spinal issues and reduces friction between the affected vertebrae. Although after spinal fusion, there's diminished flexibility, it's necessary to treat pain. Dr Sadiki makes an incision over the neck to reach the spine. He places a graft from the pelvic bone or bone bank to connect the vertebrae. Screws and plates help fix the graft in place.
• Back pain intervention
  Most people experience back pain. Often this pain can be so excruciating that one is forced to miss work and cannot perform regular activities. Back pain can become worse when one bends, stands or walks. The back comprises of bones, vertebral discs, muscles and ligaments that ensure it works well, but when something goes wrong with any of these structures, back pain occurs. Spinal tumours, osteoporosis, fractures, disc degenerative disease and trauma, are some of the reasons for back pain. Dr Sadiki administers cortisone and Botox injections to relieve back pain. When non-invasive treatments don’t work, he performs rhizotomy to numb the sensory nerves.
• Foraminotomy
  A foraminotomy enlarges a specific region in the spinal column to treat symptoms of spinal stenosis. A foraminotomy relieves pressure in the spinal nerve roots and protects the spinal cord from injury. Types of blockages may cause the spinal canal to constrict or obstruct the intervertebral foramen. During a foraminotomy, the neurosurgeon cuts above the injured vertebrae to access the intervertebral foramen. He removes any blockages, bulging discs or bone spurs.
• Lumbar microdiscectomy
  Lumbar microdiscectomy is decompression surgery to relieve back pain from sciatica. The neurosurgeon performs surgery at any point in the lower back. He cleanses and preps the area before he makes an incision. Dr Sadiki cuts into the lower back and inserts a fluoroscope through the opening to find the injured disc and vertebrae. He removes herniated discs, bone growths and cysts to relieve pressure. Spinal fusion helps stabilise the spine after the removal of ruptured discs or fragments of bone.
• Costotransversectomy
  Costotransversectomy involves corpectomy, spinal fusion and other related procedures to treat back pain due to nerve compression. This procedure is also performed to remove spinal tumours, lesions and bone spurs. It’s also used to drain abscesses in tuberculosis patients and relieve rib pain. The neurosurgeon makes an incision over the spinal bone and moves muscles to reach the spinal cord and costotransverse joint. He removes a piece of the rib and spinal bone to take out tumours or abscesses and relieve pressure.
• Transforaminal lumbar interbody fusion
  Transforaminal lumbar interbody fusion is spinal fusion surgery. This procedure reinforces the vertebrae. The surgery is performed on the lower back to extract an intervertebral disc. The neurosurgeon uses screws and a cage to connect and strengthen the two vertebrae. This procedure involves decompression of compressed nerves as well as intervertebral disc and facet joint removal. Lastly, fusion helps stabilise the spine. Transforaminal lumbar interbody fusion treats degenerative disc disease, spinal fractures, tumours and spinal stenosis. Spinal tumour resection: Spinal tumours arise from mutated cells near the spinal column and cord. These tumours are classified as either primary or metastasised cancer. Spinal tumour resection is the removal of benign and cancerous tumours to relieve spinal cord pressure. Even if a tumour is harmless, it can grow and increase spinal pressure which is why it needs to be taken out. Spinal tumour resection aims to extract tumours, treat back pain and improve the patient’s quality of life.
• Cranial procedures
  
• Spinal procedures