Best Total Knee Replacement Surgery Hospitals in India

The best hospitals for knee replacement surgery in India have a world class and patient friendly infrastructure with the national and international certifications and accreditation. The hospitals have highly advanced technology which helps using the minimally invasive techniques that helps in lesser pain, lesser blood loss and reduced risks of infection, better surgery outcomes and faster recovery. The top Knee replacement surgery hospitals in India are located at Delhi, Ahmedabad, Mumbai, Nagour, Chennai, Bangalore, Noida, Gurgaon, Hyderabad,etc.

The best knee replacement surgeons in India are highly skilled and have a vast experience of working with the best hospitals across the world and many of them have been trained at some of the finest medical institutions across the world.

knee Replacement Surgery

Knee replacement surgery additionally called knee arthroplasty is procedure to switch the weight-bearing surfaces of the knee joint to relieve the pain and disability of osteoarthritis. it should be performed for alternative knee diseases like rheumatoid arthritis and  psoriatic  arthritis. knee 27
The procedure has been proven to assist people come back to moderately difficult activities like golf, bicycling, and swimming. Total knees don’t seem to be designed for jogging, or sports like lawn tennis and athletics (although there actually are people with total knee replacements that participate in such sports).
Knee replacement may be a routine surgery performed on over 600,000 people worldwide annually. Over ninetieth of individuals WHO have had Total Knee Replacement experience associate improvement in knee pain and performance.

Knee Replacement treatment in India

India is the most preferred medical destination by the patients coming from various parts of the world for knee replacement treatment. The reasons include the low cost advantage for knee replacement treatment along with the best quality as catered in the developed nations of US and UK.

List all types of Knee Replacement surgeries offered in India.

  • Knee Replacement
  • Unilateral Knee Replacement
  • Bilateral Knee Replacement
  • Total Knee Replacement
  • Unicondylar Knee Replacement
  • Partial Knee Replacement
  • High Flex Knee Replacement
  • Both Knee Replacement Together
  • Minimally Invasive Knee Replacement
  • Revision Knee Replacement

Who needs a knee replacement surgery?

A knee replacement is major surgery and is mostly preferred if other treatments, such as physiotherapy or steroid injections, haven’t helped in reducing pain or improve mobility. Most common reasons for undergoing this surgery are:

  • Osteoarthritis-This is age related arthritis which develops due to inflammatory breakdown of cartilage of the knee joint.
  • Rheumatoid Arthritis- This is a chronic arthritis which results in soreness and stiffness of the knee joint.
  • Post traumatic Arthritis Caused due to severe knee injury.
  • Hemophilia
  • Gout

How you prepare

An orthopedic surgeon performs knee replacement procedures. Before the procedure, the surgeon takes your medical history and performs a physical examination to assess your knee’s range of motion, stability and strength. X-rays can help determine the extent of knee damage.

Knee replacement surgery requires anesthesia to make you comfortable during surgery. Your input and personal preference help the team decide whether to use general anesthesia, which makes you unconscious, or spinal or epidural anesthesia, which leaves you awake but unable to feel pain from your waist down.

Your doctor or anesthesiologist might advise you to stop taking certain medications and dietary supplements before your surgery. You’ll likely be instructed not to eat anything after midnight before your surgery.

Plan for your recovery

For several weeks after the procedure, you might need to use crutches or a walker. Make arrangements for transportation home from the hospital and help with everyday tasks, such as cooking, bathing and doing laundry. If you live alone, your surgeon’s staff or hospital discharge planner can suggest a temporary caretaker.

To make your home safer and easier to navigate during recovery, consider making the following improvements:

  • Create a total living space on one floor since climbing stairs can be difficult.
  • Install safety bars or a secure handrail in your shower or bath.
  • Secure stairway handrails.
  • Get a stable chair with a firm seat cushion and back, and a footstool to elevate your leg.
  • Arrange for a toilet-seat riser with arms if you have a low toilet.
  • Try a stable bench or chair for your shower.
  • Remove loose rugs and cords.

What you can expect

During the procedure, your knee is in a bent position to expose all surfaces of the joint. After making an incision about 6 to 10 inches (15 to 25 centimeters) long, your surgeon moves aside your kneecap and cuts away the damaged joint surfaces.

After the joint surfaces are prepared, the surgeon attaches the pieces of the artificial joint. Before closing the incision, he or she bends and rotates your knee, testing and balancing it to ensure that it functions properly. Expect knee replacement surgery to last about two hours.

After knee replacement surgery

After surgery, you’re wheeled to a recovery room for one to two hours. You’re then moved to your hospital room, where you typically stay for a couple of days. You might feel pain, but medications prescribed by your doctor should help control it.

During the hospital stay, you’re encouraged to move your foot and ankle, which increases blood flow to your leg muscles and helps prevent swelling and blood clots. You might need to receive blood thinners and wear support hose or compression boots to further protect against swelling and clotting.

The day after surgery, a physical therapist shows you how to exercise your new knee. During the first few weeks after surgery, a good recovery is more likely if you follow all of your surgeon’s instructions concerning wound care, diet and exercise. Your physical activity program needs to include:

  • A graduated walking program — first indoors, then outdoors — to increase your mobility
  • Slowly resuming other household activities, including walking up and down stairs
  • Knee-strengthening exercises you learned from the hospital physical therapist, performed several times a day

Results

  • For most people, knee replacement provides pain relief, improved mobility and a better quality of life. Talk with your doctor about what you can expect from knee replacement surgery.
  • Three to six weeks after surgery, you generally can resume most daily activities, such as shopping and light housekeeping. Driving is also possible at around three weeks if you can bend your knee far enough to sit in a car and if you have enough muscle control to operate the brakes and accelerator.
  • After you’ve recovered, you can enjoy a variety of low-impact activities, such as walking, swimming, golfing or biking. But you should avoid higher impact activities — such as jogging, skiing, tennis and sports that involve contact or jumping. Talk to your doctor about your limitations.

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Best Total Knee Replacement Surgery Hospitals in India

Best Pediatric Heart Surgery Hospitals in India

Pediatric Heart Surgery

The news that your kid needs heart surgery isn’t easy to listen to. we tend to understand that you simply can have several queries and concerns about the surgical process and what you’ll expect.pediatric-cardiac  The expert cardiac surgeons and specially-trained staff at Sacred Heart Children’s Hospital can support your family through every turn.
Our pediatric cardiac surgeons are highly regarded for his or her experience in a very broad vary of congenital repairs.
Your child’s viscus surgery are going to be performed by pediatric cardiac surgeons in one in all the nation’s most advanced surgery centers. Providence Sacred Heart could be a leader within the treatment of heart disease and our extremely trained team offers a wealth of experience in traditional procedures, still as innovative techniques.
As a partner in your child’s cardiac care, we are going to work closely together with your referring physician to help ensure coordinated care throughout your lodge in the hospital and once you come back home.

Why the Procedure is Performed

Some heart defects need repair soon after birth. For others, it is better to wait months or years. Certain heart defects may not need to be repaired.

In general, symptoms that indicate that surgery is needed are:

  • Blue or gray skin, lips, and nail beds (cyanosis). These symptoms mean there is not enough oxygen in the blood (hypoxia).
  • Difficulty breathing because the lungs are “wet,” congested, or filled with fluid (heart failure).
  • Problems with heart rate or heart rhythm (arrhythmias).
  • Poor feeding or sleeping, and lack of growth and development of the child.

Risks for any surgery are:

  • Bleeding during surgery or in the days after surgery
  • Bad reactions to medicines
  • Problems breathing
  • Infection

Additional risks of heart surgery are:

  • Blood clots (thrombi)
  • Air bubbles (air emboli)
  • Pneumonia
  • Heartbeat problems (arrhythmias)
  • Heart attack
  • Stroke

Before the Procedure

If your child is talking, tell them about the surgery. If you have a preschool-aged child, tell them the day before what will happen. Say, for example, “We are going to the hospital to stay for a few days. The doctor is going to do an operation on your heart to make it work better.”

If your child is older, start talking about the procedure 1 week before the surgery. You should involve the child’s life specialist (someone who helps children and their families during times like major surgery) and show the child the hospital and surgical areas.

Your child may need many different tests:

  • Blood tests (complete blood count, electrolytes, clotting factors, and “cross match”)
  • X-rays of the chest
  • Electrocardiogram (EKG, or ECG)
  • Echocardiogram (ECHO, or ultrasound of the heart)
  • Cardiac catheterization
  • History and physical

Always tell your child’s health care provider what medicines your child is taking. Include drugs, herbs, and vitamins you bought without a prescription.

During the days before the surgery:

  • If your child is taking blood thinners (drugs that make it hard for blood to clot), such as warfarin (Coumadin) or heparin, talk with your child’s provider about when to stop giving these drugs to the child.
  • Ask which drugs the child should still take on the day of the surgery.

On the day of the surgery:

  • Your child will most often be asked not to drink or eat anything after midnight the night before the surgery.
  • Give your child any drugs you have been told to give with a small sip of water.
  • You will be told when to arrive at the hospital.

After the Procedure

Most children who have open-heart surgery need to stay in the intensive care unit (ICU) for 2 to 4 days right after surgery. They most often stay in the hospital for 5 to 7 more days after they leave the ICU. Stays in the intensive care unit and the hospital are often shorter for people who have closed-heart surgery.

During their time in the ICU, your child will have:

  • A tube in the airway (endotracheal tube) and a respirator to help with breathing. Your child will be kept sleeping (sedated) while on the respirator.
  • One or more small tubes in a vein (IV line) to give fluids and medicines.
  • A small tube in an artery (arterial line).
  • One or 2 chest tubes to drain air, blood, and fluid from the chest cavity.
  • A tube through the nose into the stomach (nasogastric tube) to empty the stomach and deliver medicines and feedings for several days.
  • A tube in the bladder to drain and measure the urine for several days.
  • Many electrical lines and tubes used to monitor the child.

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Best Pediatric Heart Surgery Hospitals in India

Advanced Breast Cancer Treatment Hospital in India

Overview

Breast cancer is cancer that forms within the cells of the breasts.
After skin cancerSentinel-lymph-node-biopsy-article.__v20048088, breast cancer is that the most typical cancer diagnosed in women within the us. breast {cancer|carcinoma} can occur in each men and women, however it’s far a lot of common in women.
Substantial support for breast cancer awareness and analysis funding has helped improve the screening and diagnosing and advances within the treatment of breast cancer. breast cancer survival rates have increased, and also the range of deaths steadily has been declining, that is basically attributable to variety of things like earlier detection, a brand new personalized approach to treatment and a better understanding of the disease.

Breast Cancer Signs and Symptoms:-

Knowing how your breasts normally look and feel is an important part of breast health. Finding breast cancer as early as possible gives you a better chance of successful treatment. But knowing what to look for does not take the place of having regular mammograms and other screening tests. Screening tests can help find breast cancer in its early stages, even before any symptoms appear.

The most common symptom of breast cancer is a new lump or mass. A painless, hard mass that has irregular edges is more likely to be cancer, but breast cancers can be tender, soft, or rounded. They can even be painful. For this reason, it is important to have any new breast mass or lump or breast change checked by a health care provider experienced in diagnosing breast diseases.

Other possible symptoms of breast cancer include:

  • Swelling of all or part of a breast (even if no distinct lump is felt)
  • Skin irritation or dimpling
  • Breast or nipple pain
  • Nipple retraction (turning inward)
  • Redness, scaliness, or thickening of the nipple or breast skin
  • Nipple discharge (other than breast milk)

Sometimes a breast cancer can spread to lymph nodes under the arm or around the collar bone and cause a lump or swelling there, even before the original tumor in the breast tissue is large enough to be felt. Swollen lymph nodes should also be checked by a health care provider.

Although any of these symptoms can be caused by things other than breast cancer, if you have them, they should be reported to a health care provider so that he or she can find the cause.

Because mammograms do not find every breast cancer, it is important for you to be aware of changes in your breasts and to know the signs and symptoms of breast cancer.

Diagnosing breast cancer

Tests and procedures used to diagnose breast cancer include:

  • Breast exam. Your doctor will check both of your breasts and lymph nodes in the armpit, feeling for any lumps or other abnormalities.
  • Mammogram. A mammogram is an X-ray of the breast. Mammograms are commonly used to screen for breast cancer. If an abnormality is detected on a screening mammogram, your doctor may recommend a diagnostic mammogram to further evaluate that abnormality.
  • Breast ultrasound. Ultrasound uses sound waves to produce images of structures deep within the body. Ultrasound may be used to determine whether a new breast lump is a solid mass or a fluid-filled cyst.
  • Removing a sample of breast cells for testing (biopsy). A biopsy is the only definitive way to make a diagnosis of breast cancer. Biopsy samples are sent to a laboratory for analysis where experts determine whether the cells are cancerous. A biopsy sample is also analyzed to determine the type of cells involved in the breast cancer, the aggressiveness (grade) of the cancer, and whether the cancer cells have hormone receptors or other receptors that may influence your treatment options.
  • Breast magnetic resonance imaging (MRI). An MRI machine uses a magnet and radio waves to create pictures of the interior of your breast. Before a breast MRI, you receive an injection of dye.

Staging breast cancer

Once your doctor has diagnosed your breast cancer, he or she works to establish the extent (stage) of your cancer. Your cancer’s stage helps determine your prognosis and the best treatment options.

Complete information about your cancer’s stage may not be available until after you undergo breast cancer surgery.

Tests and procedures used to stage breast cancer may include:

  • Blood tests, such as a complete blood count
  • Mammogram of the other breast to look for signs of cancer
  • Breast MRI
  • Bone scan
  • Computerized tomography (CT) scan
  • Positron emission tomography (PET) scan

Not all women will need all of these tests and procedures. Your doctor selects the appropriate tests based on your specific circumstances and taking into account new symptoms you may be experiencing.

Breast cancer stages range from 0 to IV with 0 indicating cancer that is noninvasive or contained within the milk ducts. Stage IV breast cancer, also called metastatic breast cancer, indicates cancer that has spread to other areas of the body.

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Advanced Breast Cancer Treatment Hospital in India

Best Hip Replacement Surgery Hospitals in India

What Is a Hip Replacement?

Hip replacement, or arthroplasty, is a surgical procedure in which the diseased parts of the hip joint are  removed and replaced with new, artificial parts. These artificial parts are called the prosthesis. The goals of hip replacement surgery include increasing mobility, improving the function of the hip joint, and relieving pain.

About Hip Joint Replacement Surgery

Our hip joint is called a ball and socket joint because of its structure. It is formed by the head of the Femur (thigh bone) and the acetabulum of the pelvis (the hip bone).hip123 The dome-shaped head of the femur for acetabulum. The hip joint is a very strong joint, due to the tight fitting of the bones and the strong surrounding ligaments and muscles. Some conditions may cause severe pain in hip joint and may affect the mobility.

Some of the most common causes for a hip pain are arthritis, Trochanteric Bursitis, Tendonitis, Osteonecrosis, Lumbar Pain, Snapping Hip Syndrome, Muscle Strains, Hip Fracture and Stress Fracture. The most common cause for a Hip Replacement surgery is the arthritis.

Risks of hip replacement surgery

  • Complications of a hip replacement can include:
  • hip dislocation
  • infection at the site of the surgery
  • injuries to the blood vessels or nerves
  • a fracture
  • differences in leg length

Diagnosis
The diagnosis of a hip pain starts with medical history taking by your doctor. Here the doctor tries understanding the cause for pain as well as reviewing any other underlying complaints. Observation of the hip at rest and while standing or walking, palpation (or feeling) of the hip and surrounding structures, testing for range of motion and strength, and checking for sensation and pulses all may be done. Few blood tests may also be ordered.
The most common imaging technique used in the diagnosis of a hip pain is X-ray. Other imaging like CT scan or a MRI scan may also be used.

Type of Total Hip Replacement (THR)

Conventional total hip replacement is a prosthesis that is anchored in the upper part of femur (thighbone).

In a short stem hip replacement, the prosthesis on the femoral side is very small in comparison. It is anchored only in the spongy bone. It is uncemented. This is a bone preserving hip replacement.

Anchorage method can be either cemented or uncemented. Prostheses that are anchored with bone cement are cemented hip replacements. Those prostheses, which rely on natural bony ingrowth for anchorage, are uncemented hip replacement. Natural bone in growth is encouraged by various coatings to the stem.

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Best Hip Replacement Surgery Hospitals in India

Best Prostate Cancer Surgery Hospitals in India

What Means Of Prostate Cancer

Prostate cancer is that the cancer that happens in prostate gland in men. prostate gland is accountable to transfers sperm. it’s one amongst the foremost common kinds of cancer. cost-of-prostate-cancer-treatment-in-indiaThe cancer sometimes grows slowly and confined to the gland whereas it’s going to spread resulting in advanced stage. If the cancer is diagnosed at an early stage, it will be treated with success.

 

 

 

Risk factors for the prostate cancer

Age – Prostate cancer is rare in men under 40 years of age and the risk increases rapidly as a man reaches 50 years of age.
Family history – Men who have a family history of prostate cancer (father or brother)have a higher chance of developing it themselves. The risk is more in case of an effected brother than father.
Genes – Inherited mutated genes form a small number of cases.
Smoking – It can not only increase the chances of prostate cancer but also slightly increase the risk of death due to prostate cancer.
Inflammation and Infections (prostatitis) can also increase the chance of one getting prostate cancer.
High fat diet and obesity have also been shown to put men at high risk of prostate cancer.

Signs and symptoms of prostate cancer.

Frequency – urinating much more often than normal.
Urgency – having a sensation that you need to urinate immediately.
Nocturia – getting up to urinate multiple times during the night.
Hesitancy – difficulty starting the urine stream. Other less common symptoms can be blood in urine, blood with semen, impotence, bone pain in back, hips or ribs and loss of bladder control.

Diagnosis & Tests

How Is Prostate Cancer Diagnosed?

Two initial tests are commonly used to look for prostate cancer in the absence of any symptoms. One is the digital rectal exam, in which a doctor feels the prostate through the rectum to find hard or lumpy areas known as nodules. The other is a blood test used to detect a substance made by the prostate called “prostate-specific antigen” (PSA). When used together, these tests can detect abnormalities that might suggest prostate cancer.

Neither of these initial tests for prostate cancer is perfect. Many men with a mildly elevated PSA do not have prostate cancer, and men with prostate cancer may have normal levels of PSA. Also, the digital rectal exam does not detect all prostate cancers, as it can only assess the back portion of the prostate gland.

The diagnosis can only be confirmed by examining prostate cells under a microscope. This is done by performing a biopsy in a urologist’s office. A small sample of tissue is taken from the prostate for testing and evaluation under a microscope.

Your doctor is likely to discuss your medical history with you. Answering questions about any history of genital or urinary disease in your family can help your doctor make an accurate diagnosis. Your doctor may also ask about any changes in your pattern of urinating.

Prostate Cancer – Treatment

Different doctors are usually involved in the treatment of prostate cancer (urologist, radiation oncologist, medical oncologist). These specialists discuss prostate cancer cases in so call tumor boards.
Several factors will be considered for each patient’s individual treatment plan:

  • size of the tumor
  • whether it is limited to the prostate or has already spread
  • aggressiveness of the tumor
  • age and general life expectancy of the patient
  • other diseases and tumor associated symptoms

Prevention of prostate cancer

No exact method to prevent prostate cancer is known. To lower the risk of prostate cancer one must be watchful of the weight, include fruits and vegetables in diet especially (tomatoes, cruciferous vegetables, soy, beans, and other legumes) or fish, exercise regularly and include Vitamin E supplements in consultation with a medical practitioner.

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Best Prostate Cancer Surgery Hospitals in India

Best Brain Tumor Surgery Hospitals in India

What is Brain Tumor

A brain tumor is a growth of abnormal cells in the tissues of the brain. Brain tumors can be benign, with no cancer cells, or malignant, with cancer cells that grow quickly. cancer123Some are primary brain tumors, which start in the brain. Others are metastatic, and they start somewhere else in the body and move to the brain.

Brain tumors can cause many symptoms. Some of the most common are

  • Headaches, often in the morning
  • Nausea and vomiting
  • Changes in your ability to talk, hear, or see
  • Problems with balance or walking
  • Problems with thinking or memory
  • Feeling weak or sleepy
  • Changes in your mood or behavior
  • Seizures

Doctors diagnose brain tumors by doing a neurologic exam and tests including an MRI, CT scan, and biopsy. Treatment options include watchful waiting, surgery, radiation therapy, chemotherapy, and targeted therapy. Targeted therapy uses substances that attack cancer cells without harming normal cells. Many people get a combination of treatments.

Brain Tumor Treatment

Treatment for brain tumors depends on a number of factors including the type, location and size of the tumor as well as the patient’s age and general health. Treatment methods and schedules differ for children and adults.

Brain tumors are treated with surgery, radiation therapy and chemotherapy. Our doctors also are studying a vaccine for treating a recurrent cancer of the central nervous system that occurs primarily in the brain, known as glioma.

Depending on your needs, several methods may be used. Our team includes neurosurgeons, medical oncologists, radiation oncologists, nurses, a dietitian and a social worker, who work together to provide the best possible care.

Before treatment begins, most patients are given steroids, drugs that relieve swelling or edema. Your may receive anticonvulsant medicine to prevent or control seizures.

If hydrocephalus is present, you may need a shunt to drain cerebrospinal fluid. A shunt is a long, thin tube placed in a ventricle of the brain and then threaded under the skin to another part of the body, usually the abdomen. It works like a drainpipe. Excess fluid is carried away from the brain and is absorbed in the abdomen. In some cases, the fluid is drained into the heart.

Surgery as the way of Treatment

Surgery is normally the exclusion of the cancerous tumor and adjoining tissues during the process of operation. There are several sorts of surgery available for brain cancer, and the most helpful option frequently depends on the phase and malignancy of the brain cancer.

Additional treatment options for high-grade tumors include:

  • Radiation therapy: X-rays and other forms of radiation can destroy tumor cells or delay tumor growth.
  • Chemotherapy: The use of drugs to kill rapidly dividing cells. It can be taken orally or intravenously.
  • Targeted therapy: The focus on a specific element of a cell, such as molecules or pathways required for cell growth, in order to use them as a target.
  • Tumor Treating Fields: (A wearable device) locally or regionally delivered treatment that produces electric fields to disrupt the rapid cell division exhibited by cancer cells by creating alternating, “wave-like” electric fields that travel across their region of usage in different directions. Because structures within dividing cells have an electric charge, they interact with these electric fields.

Diagnosis of Brain Tumor:-

Most of the brain is separated from the blood by the blood-brain barrier (BBB) exerting a limiting control for any substance to pass. Hence, most tracers would be able reach brain tumors only with the disruption of the BBB. The disruption of the BBB (blood-brain-barrier) can be detected by a MRI and CT.

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Best Brain Tumor Surgery Hospitals in India

Best Spinal Fusion Surgery Hospitals in India

Lumbar spinal fusion is surgery to join, or fuse, two or more vertebrae in the low back.

Spinal fusion is major surgery, usually lasting several hours. There are different methods of spinal fusion.

  • Bone is taken from the pelvic bone or from a bone bank. The bone is used to make a bridge between vertebrae that are next to each other. This bone graft helps new bone grow.images (1)
  • Metal implants are usually used to hold the vertebrae together until new bone grows between them.

 

 

Why it’s done

Spinal fusion permanently connects two or more vertebrae in your spine to improve stability, correct a deformity or reduce pain. Your doctor may recommend spinal fusion to treat the following spine problems:

  • Broken vertebrae. Not all broken vertebrae require spinal fusion. Many heal without treatment. But if a broken vertebra makes your spinal column unstable, spinal fusion surgery may be necessary.
  • Deformities of the spine. Spinal fusion can help correct spinal deformities, such as a sideways curvature of the spine (scoliosis) or abnormal rounding of the upper spine (kyphosis).
  • Spinal weakness or instability. Your spine may become unstable if there’s abnormal or excessive motion between two vertebrae. This is a common side effect of severe arthritis in the spine. Spinal fusion can be used to restore spinal stability in such cases.
  • Spondylolisthesis. In this spinal disorder, one vertebra slips forward and onto the vertebra below it. Spinal fusion may be needed to treat spondylolisthesis if the condition causes severe back pain or nerve crowding that produces leg pain or numbness.
  • Herniated disk. Spinal fusion may be used to stabilize the spine after removal of a damaged (herniated) disk.

Risks

Spinal fusion is generally a safe procedure. But as with any surgery, spinal fusion carries the potential risk of complications.

Potential complications include:

  • Infection
  • Poor wound healing
  • Bleeding
  • Blood clots
  • Injury to blood vessels or nerves in and around the spine
  • Pain at the site from which the bone graft is taken

Beyond the immediate risks of the procedure, spinal fusion surgery changes how your spine works by shifting stress from the fused vertebrae to adjacent areas of your spine. This added stress may accelerate the process of wear and tear in the vertebral joints on either side of the fusion, causing further damage and possibly chronic pain.

How you prepare

Preparation before surgery may involve trimming hair over the surgical site and cleaning the area with a special soap or antiseptic. Your doctor will give you specific instructions. Tell your doctor about any medications you are taking. You may be asked not to take some medications before the surgery.

During spinal fusion

Surgeons perform spinal fusion while you’re under general anesthesia so you’re unconscious during the procedure. Surgeons have developed a variety of techniques for performing spinal fusion surgery. The technique your surgeon uses depends on the location of the vertebrae to be fused and the reason for the spinal fusion.

Generally, the procedure involves the following:

  • Incision. To gain access to the vertebrae being fused, the surgeon makes an incision in one of three locations: in your neck or back directly over your spine, on either side of your spine, or in your abdomen or throat so that your surgeon can access the spine from the front.
  • Bone graft preparation. The bone grafts that actually fuse two vertebrae together may come from a bone bank or from your own body, usually from your pelvis. If your own bone is used, the surgeon makes an incision above your pelvic bone, removes a small portion of it and then closes the incision.
  • Fusion. To fuse the vertebrae together permanently, the surgeon places the bone graft material between the vertebrae. Metal plates, screws or rods may be used to help hold the vertebrae together while the bone graft heals.

In selected cases, some surgeons use a synthetic substance instead of bone grafts. These synthetic substances help promote bone growth and speed the fusion of the vertebrae.

After spinal fusion

A hospital stay of two to three days is usually required following spinal fusion. Depending on the location and extent of your surgery, you may experience some pain and discomfort but the pain can usually be well-controlled with medications.

After you go home, contact your doctor if you exhibit signs of infection, such as:

  • Redness, tenderness or swelling
  • Wound drainage
  • Shaking chills
  • Fever higher than 100 F (38 C)

It may take several months for the affected bones in your spine to heal and fuse together. Your doctor may recommend that you wear a brace for a time to keep your spine aligned correctly. Physical therapy can teach you how to move, sit, stand and walk in a manner that keeps your spine properly aligned.

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