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Dr W Neethling provides comprehensive neurosurgical care for disorders of the spine, brain, and selected paediatric neurosurgical conditions. His practice focuses on evidence-based, patient-centred management — ranging from conservative treatment strategies to advanced microsurgical and endoscopic procedures where appropriate. Here is an overview of these conditions and procedures.

1 

Spinal Surgery

Degenerative Conditions

  •     Cervical, thoracic and lumbar disc herniations

  •     Spinal canal stenosis; Foraminal stenosis

  •     Radiculopathy; Myelopathy

  •     Degenerative spondylosis; spondylolisthesis

  •     Adjacent segment disease; Failed back surgery syndrome
     

Traumatic Spinal Injuries

  •     Cervical, thoracic and lumbar spine fractures

  •     Traumatic disc herniations
     

Spinal Tumours

  •     Intradural extramedullary tumours (e.g. meningioma, schwannoma)

  •     Intramedullary tumours

  •     Extradural tumours

  •     Metastatic spinal disease
     

Infective and Inflammatory Conditions

  •     Spondylodiscitis

  •     Spinal epidural abscess

  •     Vertebral osteomyelitis
    ​

Surgical Procedures

  •     Microsurgical discectomy

  •     Decompression (laminectomy / laminotomy)

  •     Instrumented spinal fusion

  •     Posterior and anterior cervical procedures

  •     Thoracic decompression and stabilisation

  •     Minimally invasive spinal surgery techniques

2

Brain and Cranial Surgery

Brain Tumours

  •     Primary brain tumours

  •     Gliomas

  •     Meningiomas

  •     Metastatic brain tumours

  •     Posterior fossa tumours
     

  • Cerebrospinal Fluid (CSF) Disorders

  •     Hydrocephalus

  •     Obstructive hydrocephalus

  •     Normal pressure hydrocephalus
     

Traumatic Brain Injury

  •     Acute subdural haematoma

  •     Chronic subdural haematoma

  •     Extradural haematoma

  •     Contusions requiring surgical management

  •     Depressed skull fractures
     

Functional & Other Cranial Conditions

  •     Chiari malformation 

  •     Intracranial cysts

  •     Raised intracranial pressure syndromes
     

Endoscopic & Cranial Procedures

  •     Endoscopic third ventriculostomy (ETV)

  •     Ventriculoperitoneal (VP) shunt insertion and revision

  •     External ventricular drain insertion

  •     Craniotomy for tumour resection

  •     Burr hole drainage for chronic subdural haematoma

3

Paediatric Neurosurgery

  •     Hydrocephalus

  •     Myelomeningocele (MMC) repair

  •     Tethered cord

  •     VP shunt insertion and revision

  •     Endoscopic third ventriculostomy (in selected cases)

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