At Fakeeh University Hospital, we provide world-class expertise across the entire spectrum of spinal surgery — from advanced minimally invasive techniques to the most demanding complex and revision procedures.
Revision spine surgery requires exceptional experience, precision, and strategic planning. Patients who have undergone previous spinal operations may develop persistent pain, hardware complications, deformity, instability, or progressive neurological symptoms. These situations demand a highly specialized approach that carefully analyzes prior surgeries, current anatomy, and the true underlying cause of symptoms.
Dr. Darwish is recognized for his expertise in failed back surgery cases and complex spinal reconstruction, transforming challenging situations into carefully tailored surgical solutions. Each treatment plan is individualized, designed around the patient’s specific spinal condition, functional needs, and long-term goals.
At Fakeeh University Hospital, we offer comprehensive second opinions, providing patients with clear guidance, honest assessment, and advanced treatment strategies. Our philosophy is built on precision, integrity, and patient-centered care — never a one-size-fits-all approach, but individualized solutions aimed at achieving the best possible outcome.
Even the most complex spinal complications can often be successfully addressed with the right expertise and surgical strategy.
One patient presented after previous cervical spine surgery performed elsewhere with severe drop head syndrome. She was unable to lift her head and had to support it with her hand to maintain a forward gaze.
Through meticulous reconstructive planning and minimally invasive surgical precision, We restored her horizontal gaze, spinal alignment, and independent mobility. The procedure was completed without complications, allowing the patient to regain not only proper posture but also a significantly improved quality of life.
A patient underwent a thoracoscopic disc surgery at the level Th11/12 in another clinic. Shortly after the procedure, she developed severe back pain accompanied by progressive weakness in both legs and loss of bladder control.
In response to the worsening symptoms, a stabilization procedure of the affected spinal segment was performed at the same clinic. However, despite the additional surgery, the patient’s neurological condition continued to deteriorate.
She was subsequently referred to our clinic as an emergency case. Advanced imaging and laboratory investigations revealed a severe postoperative infection at the Th11/12 level involving the previously implanted instrumentation.
After careful imaging evaluation and meticulous surgical planning, we performed revision surgery. During the procedure, the infected implants were removed and the infected portions of the spine were carefully debrided using minimally invasive surgical techniques. The spine was then re-stabilized to restore structural integrity and protect neurological function.
Following surgery and appropriate medical treatment, the patient showed significant neurological recovery. She was able to walk independently again and regained a substantial degree of bladder control, with marked improvement in her overall condition.
This case demonstrates the importance of early recognition and specialized management of postoperative spinal infections, as well as the effectiveness of modern minimally invasive revision techniques in restoring spinal stability and neurological function.
A 60-year-old patient from Germany underwent a lumbar spinal fusion procedure at another clinic. Shortly after the operation, he developed severe lower back pain, fever, and markedly elevated infection markers in laboratory tests.
Advanced imaging studies revealed a significant postoperative spinal infection in the form of spondylodiscitis, with progressive destruction of the L4 vertebral body and the adjacent disc space.
Given the severity of the infection and the risk of further spinal instability and neurological complications, the patient underwent revision spine surgery.
During the procedure, the infected disc space was carefully debrided and curetted, removing infected tissue. The previously implanted hardware was exchanged, and new pedicle screws and rods were inserted using a minimally invasive technique to stabilize the affected spinal segment.
Following surgery and targeted antibiotic therapy, the patient experienced significant pain relief and recovery of mobility. He was able to ambulate again shortly after the procedure, with gradual improvement in his clinical condition.
This case illustrates how timely diagnosis, precise surgical management, and modern minimally invasive techniques can successfully treat complex postoperative spinal infections while restoring spinal stability and patient function.
Book an appointment at Fakeeh University Hospital Dubai to receive expert evaluation and personalized treatment from our spine consultants.
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