Dr. Verma offers revision spine surgery for patients still experiencing pain or limited mobility after a prior spinal operation.
His UCSF fellowship prepared him for the most challenging reconstruction cases, and he operates with computer-assisted imaging that guides every instrument placement.
Years of Orthopedic Experience
Peer-Reviewed Publications
Star Patient Rating Across 300+ Reviews
Detailed review of your surgical history and current imaging
Precision-guided techniques that protect surrounding tissue
Intraoperative CT imaging for accurate hardware placement
Correcting a spine that has already undergone surgery is a complicated procedure.
Scar tissue develops along previous surgical corridors and hardware from the first operation may interfere with new corrections.
A revision spine surgery specialist like Dr. Verma accounts for these when planning your correction.
He studies your operative reports, analyzes updated imaging, and pinpoints the source of persistent symptoms before proposing a surgical plan.
Dr. Verma performs revision procedures for patients experiencing ongoing symptoms after prior spine surgery.
Common situations include:
Dr. Verma starts with a comprehensive evaluation to understand what happened during your first surgery.
He reviews your complete medical and surgical histories, then completes a physical examination to assess your current condition.
Diagnostic testing may include nerve studies, X-rays, CT scans, or MRIs to identify the source of ongoing pain.
Dr. Verma explains his findings and discusses every available option before recommending revision surgery.
Dr. Verma offers a full range of revision procedures, from targeted corrections to complex reconstruction.
Spinal fusion joins vertebrae that failed to heal properly during a prior procedure or addresses instability at adjacent levels.
Traditional growing rods correct severe spinal curves in children while allowing continued growth, with periodic surgical lengthening as needed.
Magnetically controlled growing rods lengthen through external magnets without repeated surgeries, and revision addresses rods that have malfunctioned.
Vertebral column resection removes entire vertebrae to correct rigid deformities that standard fusion can’t address.
Pedicle subtraction osteotomy restores spinal alignment by removing posterior bone in fixed sagittal deformities.
Dr. Verma performs advanced reconstruction for severe, multi-planar, or previously treated spinal deformities that require comprehensive correction.
Vertebral body tethering corrects spinal curvature while preserving flexibility, and revision addresses broken tethers or curves that have progressed.
Expanding rods accommodate spinal growth in pediatric patients, and revision corrects rods that require adjustment or have stopped functioning.
Corticosteroid injections deliver anti-inflammatory medication directly to irritated spinal nerves or joints to manage pain and reduce swelling.
Discectomy removes disc material that has re-herniated or was incompletely removed during a previous surgery.
Disc replacement substitutes a damaged artificial disc or addresses adjacent level degeneration with a motion-preserving implant.
A laminectomy relieves pressure on the spinal cord or nerves by removing bone that has caused recurrent stenosis.
Foraminotomy widens the openings where nerves exit the spine to relieve compression that returns after prior decompression.
Decompression surgery relieves pressure on the spinal cord or nerves caused by scar tissue, bone overgrowth, or recurrent disc problems.
Hardware revision removes, repositions, or replaces screws, rods, or plates that have loosened, shifted, or broken.
You should consider evaluation for revision surgery if you experience:
Symptoms that came back: Relief that lasted weeks or months before pain returned.
Discomfort arising at spinal levels different from the original surgery.
Abnormal sensations spreading into the arms or legs.
Reduced strength affecting grip, gait, or coordination.
A sense of looseness or protrusion near previous implant sites.
Visible leaning, stooping, or loss of normal spinal curves.
Stiffness or reduced flexibility that limits everyday tasks.
Electric sensations radiating along nerve pathways.
Reach out to an Orange County revision spine surgery specialist if discomfort continues beyond your expected recovery window.
Pay attention to symptoms that improved after your first surgery but have gradually resurfaced.
New nerve-related complaints, including tingling, weakness, or shooting pain, shouldn’t be dismissed.
Early diagnosis keeps more corrective options available to you.
Board-certified in orthopedic spine surgery with an MD from NYU, and a UCSF fellowship in complex deformity.
Years spent correcting prior spine surgeries using methods acquired during specialized fellowship training.
Real-time CT and computer-assisted navigation that confirm precise screw and rod placement amid scar tissue.
Extended consultations, transparent communication, and personal calls from Dr. Verma during your recovery.
Surgery is recommended only when other options have been considered, and revision is likely to produce the best results.
View results from patients who underwent revision spine surgery with Dr. Verma.
“This patient found me in Southern California after 8 years. I treated him in Seattle when I was a professor at UWMC. At that time he was in a wheelchair and unable to walk. We performed a small surgery on him and he was able to walk again. He was so happy, in fact, that he insisted on speaking to my parents and thanked them as well. When he moved to Southern California, he looked me up and found me once again. I love this story and the pictures. Welcome back to our practice!”
“This lovely patient is 7 years postop from a minimally invasive fusion performed in 2018. In fact, he was my first minimally invasive fusion that I performed in Los Angeles. He has done really well with minimal back or leg pain up to this point. I m always thrilled to see my postop patients many years later. This allows surgeons to see how their interventions hold up over time. In our practice most simple pathology is managed with minimally invasive surgery and often with disc replacement rather than fusion. In either surgery, the procedures involve small incisions and are mostly done outside the hospital setting.”
“Wonderful day of clinic. This lovely patient, 7 years postop dropped by to tell me how well she has done. She reminded me and my staff that I took her to surgery on a weekend with severe pain and weakness. She couldn t even walk at that time. I had totally forgotten the circumstances of her surgery and I was so grateful that she dropped by to give me a hug and make my day. This job is very unique and I am always so grateful for my patients.”
Not always. Many patients develop new conditions years after a successful operation. Dr. Verma will clarify what is causing your current symptoms.
They typically are. Scar tissue, changed anatomy, and existing implants increase complexity. Dr. Verma’s fellowship prepared him specifically for these demanding cases.
You’ll discuss your surgical history, undergo a physical examination, and review imaging studies. Dr. Verma will share his conclusions and explain whether revision surgery could benefit you.
Healing timelines depend on the procedure performed. Targeted repairs may allow a return to activity within weeks, while extensive reconstructions can require several months.
When the clinical situation permits, Dr. Verma employs minimally invasive methods that involve smaller incisions and promote faster healing.
Request a consultation with an Orange County revision spine surgery specialist who carefully reviews your prior procedures and current symptoms.
Dr. Verma recommends treatment based on your diagnosis and surgical history.
At Advanced Spine Care, patients receive attentive care focused on addressing unresolved issues from prior surgery.
