SPINAL FUSION SURGERY HOSPITALS IN INDIA

A spinal fusion surgery is designed to stop the motion at a painful vertebral segment, which in turn should decrease pain generated from the joint.spinal 52

There are many approaches to lumbar spinal fusion surgery, and all involve the following process:

  • Adding bone graft to a segment of the spine
  • Set up a biological response that causes the bone graft to grow between the two vertebral elements to create a bone fusion
  • The boney fusion – which results in one fixed bone replacing a mobile joint – stops the motion at that joint segment

For patients with the following conditions, if abnormal and excessive motion at a vertebral segment results in severe pain and inability to function, a lumbar fusion may be considered:

  • Lumbar Degenerative Disc Disease
  • Lumbar Spondylolisthesis (isthmic, degenerative, or postlaminectomy spondylolisthesis)

Other conditions that may be treated by a spinal fusion surgery include a weak or unstable spine (caused by infections or tumors), fractures, scoliosis, or deformity.

How Spinal Fusion Works

At each level in the spine, there is a disc space in the front and paired facet joints in the back. Working together, these structures define a motion segment and permit multiple degrees of motion.

Two vertebral segments need to be fused together to stop the motion at one segment, so that an L4-L5 (lumbar segment 4 and lumbar segment 5) spinal fusion is actually a one-level spinal fusion.

Working together, these structures define a motion segment and permit multiple degrees of motion.

Two vertebral segments need to be fused together to stop the motion at one segment, so that an L4-L5 (lumbar segment 4 and lumbar segment 5) spinal fusion is actually a one-level spinal fusion.

An L4-L5, L5-S1 fusion is a 2-level fusion.

  • Read more about the L4-L5 and L5-S1 spinal segments

A spine fusion surgery involves using bone graft to cause two vertebral bodies to grow together into one long bone. Bone graft can be taken from the patient’s hip (autograft bone) during the spine fusion surgery, harvested from cadaver bone (allograft bone), or manufactured (synthetic bone graft substitute).

  • See Bone Graft Options for Spine Fusion

In addition to choices about which/how many levels to fuse and which bone graft to choose, there are many types of spinal fusion, including fusions with surgical approaches from the front (anterior), the back (posterior), both front and back, and/or from the side.

  • Looking to relieve your pain? Find a surgeon or doctor in your area today

There are several types of spinal fusion surgery options. The most commonly employed surgical techniques include:

  • Posterolateral gutter fusion – the procedure is done through the back
  • Posterior lumbar interbody fusion (PLIF) – the procedure is done from the back and includes removing the disc between two vertebrae and inserting bone into the space created between the two vertebral bodies
  • Anterior lumbar interbody fusion (ALIF) – the procedure is done from the front and includes removing the disc between two vertebrae and inserting bone into the space created between the two vertebral bodies
  • Anterior/posterior spinal fusion – the procedure is done from the front and the back
  • Transforaminal lumbar interbody fusion (TLIF) – Similar to the PLIF, this procedure is also done from the back of the spine
  • Extreme Lateral Interbody Fusion (XLIF) – an interbody fusion in which the approach is from the side

It is important to note that with any type of spine fusion, there is a risk of clinical failure (meaning that the patient’s pain does not go away) despite achieving a successful fusion.

Multilevel Spinal Fusion

In the vast majority of cases, a lumbar spinal fusion surgery is most effective for those conditions involving only one vertebral segment. Most patients will not notice any limitation in motion after a one-level spine fusion.

When necessary, fusing two levels of the spine may be a reasonable option for treatment of pain. However, spinal fusion of more than 2 levels is unlikely to provide pain relief because it removes too much of the normal motion in the lower back and places too much stress across the remaining joints.

Lumbar Spinal Fusion Surgery

Spinal fusion surgery is designed to stop the motion at a painful vertebral segment, which in turn should decrease pain generated from the joint.

There are many approaches to lumbar spinal fusion surgery, and all involve the following process:

  • Adding bone graft to a segment of the spine
  • Set up a biological response that causes the bone graft to grow between the two vertebral elements to create a bone fusion
  • The boney fusion – which results in one fixed bone replacing a mobile joint – stops the motion at that joint segment

For patients with the following conditions, if abnormal and excessive motion at a vertebral segment results in severe pain and inability to function, a lumbar fusion may be considered:

  • Lumbar Degenerative Disc Disease
  • Lumbar Spondylolisthesis (isthmic, degenerative, or postlaminectomy spondylolisthesis)

Other conditions that may be treated by a spinal fusion surgery include a weak or unstable spine (caused by infections or tumors), fractures, scoliosis, or deformity.

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SPINAL FUSION SURGERY HOSPITALS IN INDIA

Advanced Treatment of Spinal Fusion Surgery Hospitals in India

What is Spinal Fusion ?

The operation of spinal fusion is performed to correct issues related to the little bones of the spine. The fusion is primarily in deep trouble eliminating the pain that has been caused by abnormal motion of the vertebrae.2526

Spinal fusion is essentially performed within the body part region of the spine and is additionally wont to treat pectoral and cervical issues. fusion relieves symptoms of many back issues that includes –

 

 

• Infection
• Degenerative disk disease
• Tumor
• Spondylolisthesis
• Fracture
• Scoliosis
• Spinal stenosis

The basic role of spinal fusion with Instrumentation & Stabilization is to produce further spinal stability whereas setting-up associate surroundings for fusion. numerous types of medical instrumentation devices are developed to assist successful spinal fusion as bones tend to fuse effectively during a stabilised atmosphere with very little motion. Instrumentation may be a style of ingrained medical device that helps fusion set-up by limiting motion at the united phase. Sometimes manufactured from titanium or stainless steel, instrumentation devices usually are available in several shapes & sizes to suit specific set-ups.

Uses of Spinal Fusion

Spinal fusion is performed to treat or relieve symptoms of many spinal problems. The procedure removes mobility between the two treated vertebrae. This may decrease flexibility, but it’s useful for treating spinal disorders that make movement painful. These disorders include:

  • tumors
  • spinal stenosis
  • herniated “bulging” disks
  • degenerative disk disease
  • fractured vertebrae that may be making your spinal column unstable
  • scoliosis (curvature of the spine)
  • kyphosis (abnormal rounding of the upper spine)

spinal weakness or instability due to severe arthritis, tumors, or infections spondylolisthesis (a condition in which one vertebra slips onto the vertebra below it, causing severe pain)

A spinal fusion procedure may also include a diskectomy. When performed alone, a diskectomy involves removing a disk due to damage or disease. When the disk is removed, bone grafts are placed into the empty disk space to maintain the right height between bones. Your doctor uses the two vertebrae on either side of the removed disk to form a bridge (or fusion) across the bone grafts to promote long-term stability.

When spinal fusion is performed in the cervical spine along with a diskectomy, it’s called cervical fusion. Instead of removing a vertebra, the surgeon removes disks or bone spurs from the cervical spine, which is in the neck. There are seven vertebrae separated by intervertebral disks in the cervical spine.

Preparing for Spinal Fusion

Typically, the preparation for spinal fusion is like other surgical procedures. It requires preoperative laboratory testing. Before spinal fusion, you should tell your physician about any of the following:

cigarette smoking, which may reduce your ability to heal from spinal fusion alcohol use any illnesses you have, including colds, the flu, or herpes any prescription or over-the-counter medications you’re taking, including herbs and supplements.

You’ll want to discuss how the medications you’re taking should be used before and after the procedure. Your doctor may provide special instructions if you’re taking medications that could affect blood clotting. These include anticoagulants (blood thinners), such as warfarin, and nonsteroidal anti-inflammatory drugs (NSAIDs), including aspirin and ibuprofen.

You’ll be given general anesthesia, so you’ll need to fast for at least eight hours before your procedure. On the day of surgery, use only a sip of water to take any medications your physician has recommended. Complications of Spinal Fusion.

Spinal fusion, like any surgery, carries the risk of certain complications, such as:-

  • infection
  • blood clots
  • bleeding and blood loss
  • respiratory problems
  • heart attack or stroke during surgery
  • inadequate wound healing
  • reactions to medications or anesthesia

Spinal fusion also carries the risk of the following rare complications:

  • infection in the treated vertebrae or wound.
  • damage to a spinal nerve, which can cause weakness, pain, and bowel or bladder problems.
  • additional stress on the bones adjacent to the fused vertebrae.
  • persistent pain at the bone graft site.
  • blood clots in the legs that can be life-threatening if they travel to the lungs.

The most serious complications are blood clots and infection, which are most likely to occur during the first weeks following surgery.

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Advanced Treatment of Spinal Fusion 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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Best Spinal Fusion Surgery Hospitals in India

Best Spinal Fusion Surgery Hospitals in India

What Is Spinal Fusion?

Spinal fusion is a surgical treatment during which two or additional vertebrae are for good joined into one solid bone with no area between them. Vertebrae are the tiny, interlocking bones of the spine.spinal 1
In spinal fusion, extra bone is used to fill the area that sometimes exists between the two separate vertebrae. once the bone heals, there’s no longer area between them.

Spinal fusion is also known as:

  • arthrodesis
  • anterior spinal fusion
  • posterior spinal fusion
  • vertebral interbody fusion

Uses of Spinal Fusion

Spinal fusion is performed to treat or relieve symptoms of many spinal problems. The procedure removes mobility between the two treated vertebrae. This may decrease flexibility, but it’s useful for treating spinal disorders that make movement painful. These disorders include:

  • tumors
  • spinal stenosis
  • herniated “bulging” disks
  • degenerative disk disease
  • fractured vertebrae that may be making your spinal column unstable
  • scoliosis (curvature of the spine)
  • kyphosis (abnormal rounding of the upper spine)
  • spinal weakness or instability due to severe arthritis, tumors, or infections
  • spondylolisthesis (a condition in which one vertebra slips onto the vertebra below it, causing severe pain)

A spinal fusion procedure may also include a diskectomy. When performed alone, a diskectomy involves removing a disk due to damage or disease. When the disk is removed, bone grafts are placed into the empty disk space to maintain the right height between bones. Your doctor uses the two vertebrae on either side of the removed disk to form a bridge (or fusion) across the bone grafts to promote long-term stability.

When spinal fusion is performed in the cervical spine along with a diskectomy, it’s called cervical fusion. Instead of removing a vertebra, the surgeon removes disks or bone spurs from the cervical spine, which is in the neck. There are seven vertebrae separated by intervertebral disks in the cervical spine.

Preparing for Spinal Fusion

Typically, the preparation for spinal fusion is like other surgical procedures. It requires preoperative laboratory testing.

Before spinal fusion, you should tell your physician about any of the following:

  • cigarette smoking, which may reduce your ability to heal from spinal fusion
  • alcohol use
  • any illnesses you have, including colds, the flu, or herpes
  • any prescription or over-the-counter medications you’re taking, including herbs and supplements

You’ll want to discuss how the medications you’re taking should be used before and after the procedure. Your doctor may provide special instructions if you’re taking medications that could affect blood clotting. These include anticoagulants (blood thinners), such as warfarin, and nonsteroidal anti-inflammatory drugs (NSAIDs), including aspirin and ibuprofen.

You’ll be given general anesthesia, so you’ll need to fast for at least eight hours before your procedure. On the day of surgery, use only a sip of water to take any medications your physician has recommended.

How Is Spinal Fusion Performed?

Spinal fusion is performed in the surgical department of a hospital. It’s done using general anesthesia, so you won’t be conscious or feel any pain during the procedure.

During the procedure, you’ll be lying down and have a blood pressure cuff on your arm and heart monitor leads on your chest. This allows your surgeon and anesthesia provider to monitor your heartbeat and blood pressure during surgery. The whole procedure may take several hours.spinal 2.jpg

Your surgeon will prepare the bone graft that will be used to fuse the two vertebrae. If your own bone is being used, your surgeon will make a cut above the pelvic bone and remove a small section of it. The bone graft may also be a synthetic bone or an allograft, which is a bone from a bone bank.

Depending on where the bone will be fused, your surgeon will make an incision for placement of the bone.

If you’re having a cervical fusion, your surgeon will often make a small incision in the horizontal fold of the front of your neck to expose the cervical spine. The bone graft will be placed between the affected vertebrae to join them. Sometimes, the graft material is inserted between the vertebrae in special cages. Some techniques place the graft over the back part of the spine.

Once the bone graft is in place, your surgeon will may use plates, screws, and rods so that the spine won’t move. This is called internal fixation. The added stability provided by the plates, screws, and rods helps the spine to heal faster and with a higher rate of success.

Complications of Spinal Fusion

Spinal fusion, like any surgery, carries the risk of certain complications, such as:

  • infection
  • blood clots
  • bleeding and blood loss
  • respiratory problems
  • heart attack or stroke during surgery
  • inadequate wound healing
  • reactions to medications or anesthesia

Spinal fusion also carries the risk of the following rare complications:

  • infection in the treated vertebrae or wound
  • damage to a spinal nerve, which can cause weakness, pain, and bowel or bladder problems
  • additional stress on the bones adjacent to the fused vertebrae
  • persistent pain at the bone graft site
  • blood clots in the legs that can be life-threatening if they travel to the lungs

The most serious complications are blood clots and infection, which are most likely to occur during the first weeks following surgery.

Contact your doctor or seek emergency help if you experience any of theses symptoms of a blood clot:

  • a calf, ankle, or foot that suddenly swells
  • redness or tenderness above or below the knee
  • calf pain
  • groin pain
  • shortness of breath

Contact your physician or seek emergency help if you experience any of the following symptoms of infection:

  • swelling or redness at the edges of the wound
  • drainage of blood, pus, or other liquid from the wound
  • fever or chills or elevated temperature over 100 degrees
  • shaking

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Best Spinal Fusion Surgery Hospitals in India

Minimally Invasive Spinal Fusion Surgery at India

What is Spinal Fusion?

The operation of spinal fusion is performed to correct issues related to the little bones of the spine. The fusion is primarily in deep trouble eliminating the pain that has been caused by abnormal motion of the vertebrae. spine 1spinal fusion is essentially performed within the body part region of the spine and is additionally wont to treat pectoral and cervical issues. fusion relieves symptoms of many back issues that includes –
• Infection
• Degenerative disk disease
• Tumor
• Spondylolisthesis
• Fracture
• Scoliosis
• Spinal stenosis

The basic role of spinal fusion with Instrumentation & Stabilization is to produce further spinal stability whereas setting-up associate surroundings for fusion. numerous types of medical instrumentation devices are developed to assist successful spinal fusion as bones tend to fuse effectively during a stabilised atmosphere with very little motion. Instrumentation may be a style of ingrained medical device that helps fusion set-up by limiting motion at the united phase. Sometimes manufactured from titanium or stainless steel, instrumentation devices usually are available in several shapes & sizes to suit specific set-ups.

Types of Spinal Fusion Surgery:-

Lumbar spinal fusion can be divided into two categories.

Posterolateral Fusion : In the back of the spine, the bone graft is placed in amid the transverse processes. With the help of wires and screws, the vertebrae is carefully fixed throughout the particles of every vertebrae. A rod is made up of metal which is attached on the side of vertebrae.

Interbody Fusion : In this, the graft of the bone is placed in between the vertebrae and the area is generally engaged by the intervertebral disc. The disc is entirely removed in preparing for the spinal fusion. In order to maintain the disc height and spine alignment, a device can be placed in between the vertebrae. This device (intervertebral device) can either be prepared from titanium or plastic.

Then the fusion starts in between the vertebrae’s endplates. Interbody fusion is of 3 types-

o Posterior Lumbar Interbody Fusion (PLIF)

o Transforaminal Lumbar Interbody Fusion (TLIF)

o Anterior Lumbar Interbody Fusion (ALIF)

o Transpsoas Interbody Fusion (XLIF or DLIF)

Posterior Lumbar Interbody Fusion (PLIF)

In Posterior lumbar interbody fusion, the spinal fusion is achieved through a surgical incision made on the posterior (back) aspect of spine. It aims at fusion of two adjacent vertebrae in cases of spinal instability and associated back pain. It is a popular procedure as it gives excellent results. The procedure provides almost complete relief of symptoms in 90-95% of the cases and the patients are able to return to their daily activities within a few weeks. The patients can also return to most of their recreational activities.

Who can perform my spinal surgery?
Both neurosurgeons and orthopedists are trained in spinal surgery and that they each perform the surgery. it’s vital that your doctor has experience in performing arts this sort of surgery.

Procedure for Posterior Lumbar Interbody Fusion (PLIF)

PLIF surgery aims at achieving spinal stability through bony fusion.

The Open PLIF is the traditional technique which is performed using general anesthesia. The patient is made to lie down on his front side on the table with the low back exposed. A 3-6 inch long incision is made on the skin overlying the affected vertebrae. The skin and the fascia are cut open. The underlying muscles are retracted and the affected vertebrae are identified. Fluoroscopic X-ray is used to confirm the exact location of the affected vertebrae. Then a complete laminectomy (removal of the lamina of the vertebrae) followed by bilateral foraminotomy (enlargement of the foramen by removing the bony spurs) and/or discectomy (removal of offending disc) are performed.

This relieves the compression off the spinal nerves, allowing them to come to their normal size and shape. The area is checked for any remaining bony outgrowth or disc fragments that may compress the nerves. Autogenic bone grafts or Metal or plastic implants are fitted in the empty disc space for initiating bone growth.

What should I do when the surgery?
Resume our low-impact activities as shortly as possible, beginning with walking. Walk a trifle farther daily. spinalcordfunctioningOnce your staples are removed, you’ll swim, that is a wonderful variety of exercise for patients with back issues.

 

Could I be paralyzed? 

The probabilities of such injury are terribly low and also the chance of fatal injuries like paralysis, impotence or loss of bladder management is very unlikely.

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Minimally Invasive Spinal Fusion Surgery at India