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Anand Segar - Orthopaedic Spine Surgeon

Private Service, Orthopaedics, Paediatrics

Today

8:00 AM to 5:00 PM.

Description

Dr Anand Segar is a New Zealand and internationally trained spinal surgeon focused on delivering patient-centred care. His approach is personable, balanced, and individualised with a holistic view of spinal conditions. He only recommends surgery when necessary through a shared-decision making process.  
Anand splits his time between his public position as a paediatric spinal surgeon at Starship Childrens Hospital and adult and paediatric spinal surgeon in private practice with clinics in Central and South Auckland. Private surgery is performed at MercyAscot Hospitals.

Anand specialises in all aspects of adult and paediatric spinal surgery. This ranges from spinal injections to outpatient minimally invasive procedures to complex adult and paediatric spinal deformity and scoliosis surgery. 

Common diagnoses treated

  • Degenerative disc disease (lumbar and cervical)
  • Disc herniation (lumbar and cervical)
  • Sciatica and radiculopathy
  • Spinal instability
  • Spinal stenosis (lumbar and cervical)
  • Myelopathy
  • Spondylolisthesis
  • Adult spinal deformity
  • Paediatric spinal deformity
  • Scoliosis
  • Kyphosis
  • Flat back

 

What is Orthopaedics?
This is an area that deals with conditions of the musculoskeletal system (disorders of bones and joints of the limbs and spine). The specialty covers a range of different types of conditions starting with congenital (conditions which children are born with) through to degenerative (conditions relating to the wearing out of joints). The field of orthopaedics covers trauma where bones are broken or injuries are sustained to limbs.

Other conditions that sit under the spectrum of orthopaedics are metabolic conditions, neurological and inflammatory conditions.

Consultants

Referral Expectations

You need to bring with you to your appointment:

1.       Any letters or reports from your doctor or hospital.
2.       Any X-Rays, CT or MRI films and reports.
3.       All medicines you are taking including herbal and natural remedies.
4.       Your pharmaceutical entitlement card.
5.       Your ACC number, if you have one.

Fees and Charges Description

Dr Segar is a:

  • Southern Cross Health Society Affilited Provider for consultations
  • nib Health Partner

    

Hours

8:00 AM to 5:00 PM.

Mon – Fri 8:00 AM – 5:00 PM

Procedures / Treatments

Herniated Discs

Between the vertebrae in your spine are flat, round discs that act as shock absorbers for the spinal bones. Sometimes some of the gel-like substance in the center of the disc (nucleus) bulges out through the tough outer ring (annulus) and into the spinal canal. This is known as a herniated or ruptured disc and the pressure it puts on the spinal nerves often causes symptoms such as pain, numbness and tingling. Initial treatment for a herniated disc may involve low level activity, nonsteroidal anti-inflammatory medication and physiotherapy. If these approaches fail to reduce or remove the pain, surgical treatment may be considered. Discectomy This surgery is performed to remove part or all of a herniated intervertebral disc. Open discectomy – involves making an incision (cut) over the vertebra and stripping back the muscles to expose the herniated disc. The entire disc, or parts of it are removed, thus relieving pressure on the spinal nerves. Microdiscectomy – this is a ‘minimally invasive’ surgical technique, meaning it requires smaller incisions and no muscle stripping is required. Tiny, specialised instruments are used to remove the disc or disc fragments. Laminectomy or Laminotomy These procedures involve making an incision down the centre of the back and removing some or all of the bony arch (lamina) of a vertebra. In a laminectomy, all or most of the lamina is surgically removed while a laminotomy involves partial removal of the lamina. By making more room in the spinal canal, these procedures reduce pressure on the spinal nerves. They also give the surgeon better access to the disc and other parts of the spine if further procedures e.g. discectomy, spinal fusion, are required. Spinal Fusion In this procedure, individual vertebrae are fused together so that no movement can occur between the vertebrae and hence pain is reduced. Spinal fusion may be required for disc herniation in the cervical region of the spine as well as for some cases of vertebral fracture and to prevent pain-inducing movements.

Between the vertebrae in your spine are flat, round discs that act as shock absorbers for the spinal bones. Sometimes some of the gel-like substance in the center of the disc (nucleus) bulges out through the tough outer ring (annulus) and into the spinal canal. This is known as a herniated or ruptured disc and the pressure it puts on the spinal nerves often causes symptoms such as pain, numbness and tingling.

Initial treatment for a herniated disc may involve low level activity, nonsteroidal anti-inflammatory medication and physiotherapy. If these approaches fail to reduce or remove the pain, surgical treatment may be considered. 

Discectomy

This surgery is performed to remove part or all of a herniated intervertebral disc.

Open discectomy – involves making an incision (cut) over the vertebra and stripping back the muscles to expose the herniated disc. The entire disc, or parts of it are removed, thus relieving pressure on the spinal nerves.

Microdiscectomy – this is a ‘minimally invasive’ surgical technique, meaning it requires smaller incisions and no muscle stripping is required. Tiny, specialised instruments are used to remove the disc or disc fragments.

Laminectomy or Laminotomy

These procedures involve making an incision down the centre of the back and removing some or all of the bony arch (lamina) of a vertebra.

In a laminectomy, all or most of the lamina is surgically removed while a laminotomy involves partial removal of the lamina.

By making more room in the spinal canal, these procedures reduce pressure on the spinal nerves. They also give the surgeon better access to the disc and other parts of the spine if further procedures e.g. discectomy, spinal fusion, are required. 

Spinal Fusion

In this procedure, individual vertebrae are fused together so that no movement can occur between the vertebrae and hence pain is reduced. Spinal fusion may be required for disc herniation in the cervical region of the spine as well as for some cases of vertebral fracture and to prevent pain-inducing movements.

Spinal Tumours

Tumours may be found within the spinal cord itself, between the spinal cord and its tough outer covering, the dura, or outside the dura. They may be primary (they arise in the in the spine or nearby tissue) or metastatic (they have originated in another part of the body and traveled to the spine, usually via the bloodstream). Spinal tumours may be treated by any combination of surgery, radiotherapy and chemotherapy. Surgery may be performed to take a small sample of tissue to examine under the microscope (biopsy) or to remove the tumour. Typically, the patient will be lying face downwards and a procedure known as a laminectomy is performed (the bone overlying the spinal cord is removed). This gives the surgeon access to the spinal cord and allows removal of the tumour.

Tumours may be found within the spinal cord itself, between the spinal cord and its tough outer covering, the dura, or outside the dura. They may be primary (they arise in the in the spine or nearby tissue) or metastatic (they have originated in another part of the body and traveled to the spine, usually via the bloodstream).

Spinal tumours may be treated by any combination of surgery, radiotherapy and chemotherapy. Surgery may be performed to take a small sample of tissue to examine under the microscope (biopsy) or to remove the tumour. Typically, the patient will be lying face downwards and a procedure known as a laminectomy is performed (the bone overlying the spinal cord is removed). This gives the surgeon access to the spinal cord and allows removal of the tumour.

Osteotomy

The division of a crooked or bent bone to improve alignment of the limb. These procedures normally involve some form of internal fixation, such as rods or plates, or external fixation which involves external wires and pins to hold the bone. The type of procedure for fixation will be explained when the surgery is planned.

The division of a crooked or bent bone to improve alignment of the limb.
 
These procedures normally involve some form of internal fixation, such as rods or plates, or external fixation which involves external wires and pins to hold the bone. The type of procedure for fixation will be explained when the surgery is planned.

Parking

  • Free parking is available in the carpark behind our row of buildings .
  • Please enter the carpark next  to 96A Carlton Gore Rd (look for the big red "Client Parking" sign, up on the side of the building) and drive to near the end of the parking lot.
  • Look for the signs that say 'Auckland Spine Surgery Centre Patient Parking'.
  • PLEASE NOTE:  There is no entry from the carpark.  You will have to walk back out to the street.

There is also metered street parking outside the building and a Wilson's carpark at the end of Kingdon Street.

Pharmacy

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Website

Contact Details

8:00 AM to 5:00 PM.

Northern Specialist Centre
5 Painton Road
Silverdale
Auckland 0312

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Street Address

Northern Specialist Centre
5 Painton Road
Silverdale
Auckland 0312

Postal Address

96E Carlton Gore Road
Newmarket
Auckland 1023

Auckland Spine Surgery Centre, 96E Carlton Gore Road, Newmarket, Auckland

Central Auckland

8:00 AM to 5:00 PM.

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This page was last updated at 10:30AM on August 12, 2024. This information is reviewed and edited by Anand Segar - Orthopaedic Spine Surgeon.