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Dean Mistry - Orthopaedic Spine Surgeon

Private Service, Orthopaedics, Spinal

Description

Dean graduated from Auckland Medical School in 1999 and was admitted as a Fellow of the Royal Australasian College of Surgeons in 2009.

Dean underwent extensive subspecialty training in spine surgery at both the Spinal Unit at Royal North Shore Hospital in Sydney and at the British Columbia Children’s Hospital in Vancouver, Canada. He returned home to Auckland where he has been in practice since 2013.

Dean has interests in all aspects of spinal pathology and treatment, both operative and non-operative. He performs procedures on lumbar, thoracic and cervical spine pathology such as microdiscectomy, open and minimally invasive instrumented fusions, ACDF, cervical disc replacement and laminoplasty.

You can read more about spine problems here.

Dean is available to see new referrals, and is happy to discuss any patient or issue with you. He is based in Newmarket, 96E Carlton Gore Road, and now holds satellite clinics in Silverdale and Manukau. Dean is able to offer patients surgery at Brightside and Mercy hospitals.

Consultants

Referral Expectations

You need to bring with you to your appointment:

  • your GP, physiotherapist or other healthcare professional referral letter
  • any additional letters or reports from your doctor, physiotherapist, previous surgeons or hospitals
  • any X-Rays, CT or MRI films and reports
  • all medicines you are taking including herbal and natural remedies
  • your ACC number, if you have one. Also date of injury, plus ACC referral letter.
 
During your consultation it may be necessary to perform an examination of the neck, arms, lower back and legs. Please dress appropriately.
Read more about what to expect during your appointment here.

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. Read more here

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.

Read more here

Spine Deformities

The spine or backbone provides stability to the upper part of our body. It helps to hold the body upright. It consists of a series of irregularly shaped bones appearing in a straight line. The spine has two gentle curves when viewed from the side and appears to be straight when viewed from the front. When these curves are exaggerated, pronounced problems can occur such as back pain, breathing difficulties and fatigue. Read more here

The spine or backbone provides stability to the upper part of our body. It helps to hold the body upright. It consists of a series of irregularly shaped bones appearing in a straight line. The spine has two gentle curves when viewed from the side and appears to be straight when viewed from the front. When these curves are exaggerated, pronounced problems can occur such as back pain, breathing difficulties and fatigue.

Read more here

Lumbar Stenosis

Lumbar stenosis is the compression of spinal nerves caused by narrowing of the spinal canal and it is one of the common causes of low back pain. Spinal stenosis can also affect the spine in the neck region. The symptoms include back pain, burning or aching type of pain in the buttocks that radiates to the legs (sciatica), weakness in the legs or "foot drop”. One of the causes for spinal stenosis is ageing and other causes include Paget’s disease, achondroplasia, spinal tumours and spinal injuries. As age advances the chances of developing osteoarthritis, disc degeneration and thickening of ligaments may increase and these conditions can all cause spinal stenosis. Read more here

Lumbar stenosis is the compression of spinal nerves caused by narrowing of the spinal canal and it is one of the common causes of low back pain. Spinal stenosis can also affect the spine in the neck region. The symptoms include back pain, burning or aching type of pain in the buttocks that radiates to the legs (sciatica), weakness in the legs or "foot drop”. One of the causes for spinal stenosis is ageing and other causes include Paget’s disease, achondroplasia, spinal tumours and spinal injuries. As age advances the chances of developing osteoarthritis, disc degeneration and thickening of ligaments may increase and these conditions can all cause spinal stenosis.

Read more here

Cervical Stenosis

Cervical spine refers to the neck portion of the spine, and cervical spine conditions may result from overuse injuries, trauma and certain diseases. Cervical stenosis refers to the narrowing of the spinal canal that protects the spinal cord and its branching nerves. The condition causes neck pain radiating to arms and hands, numbness or weakness in the legs. This condition causes cervical myelopathy and cervical radiculopathy. The abnormal pressure placed on the spinal cord causes damage and results in spinal cord dysfunction. This condition is known as myelopathy. Cervical radiculopathy occurs when the nerve root connecting the spinal cord is injured or pinched as they exit the spinal canal. Myeloradiculopathy occurs when there is damage to the spinal cord and nerve roots. Read more here

Cervical spine refers to the neck portion of the spine, and cervical spine conditions may result  from overuse injuries, trauma and certain diseases. Cervical stenosis refers to the narrowing of the spinal canal that protects the spinal cord and its branching nerves. The condition causes neck pain radiating to arms and hands, numbness or weakness in the legs. This condition causes cervical myelopathy and cervical radiculopathy. The abnormal pressure placed on the spinal cord causes damage and results in spinal cord dysfunction. This condition is known as myelopathy.  Cervical radiculopathy occurs when the nerve root connecting the spinal cord is injured or pinched as they exit the spinal canal. Myeloradiculopathy occurs when there is damage to the spinal cord and nerve roots.

Read more here

Scoliosis

Scoliosis is a condition characterised by abnormal curvature of the spine causing a deviation to one side. It causes a physical deformity making the spine look like the letter “C” or “S” instead of the letter “I”. Scoliosis can affect either the mid or the lower back but scoliosis of the mid back is more common. Scoliosis can occur at any age. Read more here

Scoliosis is a condition characterised by abnormal curvature of the spine causing a deviation to one side. It causes a physical deformity making the spine look like the  letter “C” or “S” instead of the letter “I”. Scoliosis can affect either the mid or the lower back but scoliosis of the mid back is more common.  Scoliosis can occur at any age.

Read more here

Ankylosing Spondylitis

The term ankylosis stands for loss of mobility of the spine, whereas spondylitis means inflammation of the spine. Therefore, ankylosing spondylitis is a condition where chronic inflammation of spine and sacroiliac joint results in complete fusion of the vertebrae leading to pain and stiffness in the spine. Sacroiliac joints are present in the lower back where the sacrum part of the vertebrae joins the iliac bones. Ankylosing Spondylitis is a systemic disease affecting other tissues and organs throughout the body. It can cause inflammation of faraway joints and organs such as the eyes, heart, lungs and kidneys. Read more here

The term ankylosis stands for loss of mobility of the spine, whereas spondylitis means inflammation of the spine. Therefore, ankylosing spondylitis is a condition where chronic inflammation of spine and sacroiliac joint results in complete fusion of the vertebrae leading to pain and stiffness in the spine. Sacroiliac joints are present in the lower back where the sacrum part of the vertebrae joins the iliac bones.

Ankylosing Spondylitis is a systemic disease affecting other tissues and organs throughout the body. It can cause inflammation of faraway joints and organs such as the eyes, heart, lungs and kidneys.

Read more here

Spine Trauma

Spine trauma is damage to the spine caused from a sudden traumatic injury caused by an accidental fall or any other physical injury. Spinal injuries may occur while playing, performing normal activities, operating heavy machines, lifting heavy objects, driving automobiles, or when you suffer a fall. Injury to spine may cause various conditions including fractures, dislocation, partial misalignment (subluxation), disc compression (herniated disc), hematoma (accumulation of blood) and partial or complete tears of ligaments. Read more here

Spine trauma is damage to the spine caused from a sudden traumatic injury caused by an accidental fall or any other physical injury. Spinal injuries may occur while playing, performing normal activities, operating heavy machines, lifting heavy objects, driving automobiles, or when you suffer a fall. Injury to spine may cause various conditions including fractures, dislocation, partial misalignment (subluxation), disc compression (herniated disc), hematoma (accumulation of blood) and partial or complete tears of ligaments.

Read more here

Sciatica

Sciatica is a painful condition caused by irritation of the sciatic nerve. The sciatic nerve is the longest nerve in our bodies. It begins in the lower back and extends through the buttocks down the back of each leg to the thighs and feet. Sciatica can be acute (short term) lasting a few weeks or chronic (long term) persisting for more than 3 months. It is important to understand that most sciatica will resolve itself within a few weeks or months and rarely causes permanent nerve damage. Read more here

Sciatica is a painful condition caused by irritation of the sciatic nerve. The sciatic nerve is the longest nerve in our bodies. It begins in the lower back and extends through the buttocks down the back of each leg to the thighs and feet.

Sciatica can be acute (short term) lasting a few weeks or chronic (long term) persisting for more than 3 months. It is important to understand that most sciatica will resolve itself within a few weeks or months and rarely causes permanent nerve damage.

Read more here

Spondylolisthesis

Spondylolisthesis is the displacement of vertebral disc from the spinal column. Outward (forward) displacement is termed as anterolisthesis and inward (backward) displacement is termed as retrolisthesis. This condition is often preceded by spondylolysis, a degenerative condition of the vertebra. Read more here

Spondylolisthesis is the displacement of vertebral disc from the spinal column. Outward (forward) displacement is termed as anterolisthesis and inward (backward) displacement is termed as retrolisthesis. This condition is often preceded by spondylolysis, a degenerative condition of the vertebra.

Read more here

Adult Kyphosis

Kyphosis is a condition of abnormal curvature of the spine that causes rounding of the upper back or a hunchback. The thoracic portion of the spine normally has a “C”-shaped curve, but excessive forward curve in the spine leads to kyphosis. In adults, kyphosis may develop as a result of degenerative diseases such as arthritis, disc degeneration, osteoporotic fractures, traumatic injuries and slippage of vertebral disc. Kyphosis most commonly affects the thoracic spine, but can involve the cervical and lumbar portions too. The symptoms of adult kyphosis may vary based on the severity, ranging from minor change in the shape or appearance of your back to more severe nerve problems and long lasting back pain. There may be weakness in the legs because of the pressure exerted on the spinal cord and nerve from the spinal curvature. Difficulty in breathing may also develop as a result of pressure over the lungs. Read more here

Kyphosis is a condition of abnormal curvature of the spine that causes rounding of the upper back or a hunchback. The thoracic portion of the spine normally has a “C”-shaped curve, but excessive forward curve in the spine leads to kyphosis. In adults, kyphosis may develop as a result of degenerative diseases such as arthritis, disc degeneration, osteoporotic fractures, traumatic injuries and slippage of vertebral disc. Kyphosis most commonly affects the thoracic spine, but can involve the cervical and lumbar portions too.

The symptoms of adult kyphosis may vary based on the severity, ranging from minor change in the shape or appearance of your back to more severe nerve problems and long lasting back pain. There may be weakness in the legs because of the pressure exerted on the spinal cord and nerve from the spinal curvature. Difficulty in breathing may also develop as a result of pressure over the lungs.

Read more here

Travel Directions

Please see our website, www.spinesurgeon.co.nz, for maps and directions to our clinics.

Parking

96E Carlton Gore Road
Newmarket

Parking and Directions

Some free parking is available in the carpark behind the row of buildings we are part of. Please enter the carpark next 96A and drive to near the end of the parking lot. Look for the signs that say 'Auckland Spine Surgery Centre Patient Parking'. Otherwise there is street parking and a Wilson's carpark at the end of Kingdon Street.

Please see our website www.spinesurgeon.co.nz for parking map and further details

Contact Details

This page was last updated at 8:20AM on September 14, 2023. This information is reviewed and edited by Dean Mistry - Orthopaedic Spine Surgeon.