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 Hospital in India

Overview

Spinal fusion is surgery to for good connect two or a lot of vertebrae in your spine, eliminating motion between them.
Spinal fusion involves techniques designed to mimic the normal healing method of broken bones. tspinal-fusion-surgery-1hroughout spinal fusion, your surgeon places bone or a bonelike material among the area between two spinal vertebrae. Metal plates, screws and rods could also be used to hold the vertebrae together, in order that they will heal into one solid unit.
Because spinal fusion surgery immobilizes parts of your spine, it changes the means your spine will move. This places additional stress and strain on the vertebrae above and below the fused portion, and should increase the rate at that those areas of your spine degenerate.

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).neck-pain-los-angeles
  • 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.

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Best Spinal Fusion Surgery Hospital in India

Minimally Invasive Cervical Disc Replacement Surgery in India

Minimally invasive cervical disc replacement surgery entails inserting an artificial cervical disc between two cervical vertebrae after the inter- vertebral disc has been surgically neck-surgery-750x750removed in the process of decompressing the spinal cord or a nerve root. The intent of the device is to preserve motion at the disc space. It is an alternative to the use of bone grafts, plates and screws in pursuit of a fusion following procedures such a disc removal, which necessarily eliminates motion at the operated disc space in the neck.

ADR Surgical Procedure

Patient has to take supine position i.e. lying on the back. During surgery, anesthesia is given & ‘endotracheal’ a breathing tube is placed & patient breathes with the help of ventilator. Antibiotics are given through vein or intravenous. Region which has to be operated is cleansed with cleaning solution. Surgical team maintains a bacteria free environment by wearing sterile attires, gloves& putting surgical drapes.

A transverse or oblique incision which is 3- 8 centimetre is made on the left portion of belly button & abdominal muscles are gently moved. tumblr_inline_oeq3a5Cwtn1tbj48f_1280The peritoneal sacis are pulled back to the side because they are large blood vessels. Special retractors are used by the surgeon for visualizing the anterior part of intervertebral disc.  Later an X-ray helps to confirm the level of spine.

Then with special surgical instruments (like pituitary rongeur, Kerrisonrongeur, & curettes) intervertebral disc is removed. A distractor instrument restores the normal height of disc & also determines the appropriate size of artificial disc that is to be implanted. Prosthesis is carefully adjusted & placed in the disc space with instrument. To confirm its position whether it’s correct or not, Fluoroscopic x-rays are taken.

Later, sterile water containing antibiotics is used to wash out & clean wound area. Strong sutures are used to close deep fascial layer & subcutaneous layers & special surgical glue is used to close the skin. This leaves minimal scar & require no bandage. Surgery usually takes 3-4 hours which again depends on the number of discs to be replaced.

How long is the recovery after artificial disc replacement surgery?

Most people spend one or two nights in the hospital. You may require an extra day or two if for some reason you’re having extra pain or unexpected difficulty. Patients generally recover quickly after an artificial disc replacement. You should be able to get out of bed and walk within a few days. Some people wear a corset or brace for support. As you recover in the hospital, a physical therapist may see you to start you on a few gentle exercises.

You’ll also start a walking program that you are encouraged to continue when you get back home. When you leave the hospital, you should be safe to sit, and walk. Your surgeon will see you within a month to do an X-ray to make sure the disc is in place and holding steady. However, you should avoid lifting things for at least four weeks. You can often return to work after your surgeon has evaluated you, as long as your job does not include heavy lifting. It should be noted that a successful result of the disc replacement means that back symptoms are better but not necessarily perfect. Most studies show that 70 to 80 percent of patients have significantly less back pain and greatly improved function with the operation.

After Surgery Benefits Include

  • Motion is restored to normal
  • Artificial disc performs the same function as original one like absorption of stress
  • There is no need of complex bone graft which has a risk of infection transmission
  • Adjacent spinal discs won’t have to bear stress in cervical disc replacement
  • Patients recover more quickly in ADS than spinal fusion
  • Fewer or rare chances of revision surgical procedure
  • Fewer chances of device failures
  • Patients who undergo cervical disc replacement hardly need a hard collar surgery
  • Quick healing time

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Minimally Invasive Cervical Disc Replacement Surgery 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

Scoliosis Surgery in India

What is Scoliosis Surgery?

Our spine is an engineering marvel that supports our weight and ties our body along. The spinal column consists of a stack of little bones that aim size from 2-3 inches to 5-6 inches in diameter. once viewed from the front, the spine seems to be straight, however once checked out from the facet, the normal spine has two mild S-curves.

Scoliosis is an abnormal curvature of the spine. In scoliosis, the spine curves to the side once viewed from the front, and every vertebra conjointly twists on subsequent one in a very corkscrew fashion.scoliosis-surgery-india
Scoliosis surgery is one in every of the longest and most complicated orthopedic surgical procedures performed on youngsters or adult. The operation takes close to six hours. Hospitalization will last many days and activities are restricted for many months. scoliosis is best treated once found early and might be detected throughout a routine school screening.

Scoliosis surgery is meant to reduce the patient’s curvature and fuse the spine to prevent any more progression of the deformity. Surgery for adolescents with scoliosis is barely recommended once their curves are larger than forty to forty five degrees and continued to progress, and for many patients with curves that are larger than fifty degrees. Severe curvatures (greater than fifty degrees) are additional probably to progress in adulthood. If a curve is allowed to make seventy – ninety degrees, it’ll not only end in a really disfiguring deformity, however can begin to end in cardiopulmonary compromise. each other, forming a C or S form within the spine.

What are Types of Scoliosis?

There are several types of scoliosis. Each of them are named and defined according to the age, cause of scoliosis and spinal curvature. There are two basic types of scoliosis:

1.  Structural: is caused by neuromuscular diseases, certain infections, birth defects, injury, connective tissue disorders, metabolic diseases, rheumatic diseases, tumors and other unknown factors

2.  Nonstructural: or functional scoliosis is reasoned by underlying conditions such as a difference in leg length, muscle spasms, or inflammatory conditions including appendicitis.

3.   Idiopathic scoliosis: is the most common type of scoliosis based on age. It affects about 4% of the population, commonly females. The reasons may include differences in leg length, hereditary conditions, injury, infections and tumors. It is subdivided into three categories:

1. Infantile scoliosis: extends from birth to age three

2. Juvenile scoliosis: is caused between the ages three and nine

3. Adolescent scoliosis: scoliosis extends from 10 to 18

The Common Procedures for Scoliosis Surgery in India

1.Posterior Approach (Back): The posterior approach has been the gold standard for years to treat scoliosis and continues to be a surgical procedure applicable to most patients. The procedure usually involves implanting two metal rods (stainless steel or titanium) to correct the abnormal curvature. Sometimes more than two rods are needed. A combination of screws, hooks and wire may be used to anchor the rods to the spine. A spinal fusion procedure helps to weld the bone grafts and vertebral of the spinal column into a solid mass. Thoracoplasty involves rib resection (partial or total removal) to decrease the size of the rib hump caused by scoliosis. The rib bone can be used as a source of bone graft used in the fusion procedure. Today, with pedicle screw fixation, Thoracoplasty is less commonly performed than previously. The average hospital stay for most operations ranges from four to seven days.

2.Spinal fusion with instrumentation: Spinal fusion is the most widely performed surgery for scoliosis. In this procedure, bone (either harvested from elsewhere in the body autograft or from a donor allograft) is grafted to the vertebrae so that when it heals they will form one solid bone mass and the vertebral column becomes rigid. This prevents worsening of the curve, at the expense of some spinal movement. This can be performed from the anterior (front) aspect of the spine by entering the thoracic or abdominal cavity or, more commonly, performed from the back (posterior). A combination is used in more severe cases. Originally, spinal fusions were done without metal implants. A cast was applied after the surgery, usually under traction to pull the curve as straight as possible and then hold it there while fusion took place. Unfortunately, there was a relatively high risk of pseudarthrosis (fusion failure) at one or more levels and significant correction could not always be achieved.

3 Thoracoplasty: A complementary surgical procedure a surgeon may recommend is called Thoracoplasty (also called costoplasty). This is a procedure to reduce the rib hump that affects most scoliosis patients with a thoracic curve. A rib hump is evidence that there is some rotational deformity to the spine. Thoracoplasty may also be performed to obtain bone grafts from the ribs instead of the pelvis, regardless of whether a rib hump is present. Thoracoplasty can be performed as part of a spinal fusion or as a separate surgery, entirely. Thoracoplasty is the removal (or resection) of typically four to six segments of adjacent ribs that protrude. Each segment is one to two inches long. The surgeon decides which ribs to resects based on either their prominence or by determining those which are unlikely to be realigned by correction of the curvature alone. The ribs grow back, and will grow back straight.

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Scoliosis Surgery in India

Laminoplasty Spine Surgery in India

Laminoplasty Surgery in India

Laminoplasty is a surgical procedure carried out usually in the vertebrae of the neck region to decompress the spinal cord in case of narrowing of the spinal canal in this region. The procedure is usually performed in the neck region but can also be performed in the thoracic (mid back region) or the lumbar region(low back region).It is also called “Open Door Laminoplasty” as the back of the vertebrae is made to swing open like a door (hinged at one end and open at the other end).

Laminoplasty aims at decompressing the spinal cord and the spinal nerves, by hinging open the vertebrae posteriorly. The lamina (flat arch on the backside of the vertebral body) is cut open on one side and grooved on the other side to keep it hinged to the main body of the vertebra. laminoplasty-surgery-in-india1This creates more room for the spinal cord and nerves. Any compressing structure like a herniated or fragmented disc, or bony spurs, thickened ligament etc are also removed in this procedure. The advantage of this procedure is that the stability of the spine is maintained as the amount of bone and muscle tissue that is removed is very less, and any fusion surgery of the spine is avoided.

 When is Laminectomy recommended?

Laminectomy is recommended when one or more of the following symptoms and disorders that affect the lower back are seen in the body:

  • Ankylosing spondylitis
  • Degenerative disc disease
  • Herniated disc
  • Sciatica
  • Spinal stenosis
  • Spondylosis (also known as spinal osteoarthritis)

How is Laminoplasty done?

A laminoplasty is performed via an incision in the back of the neck which is called a posterior approach. During surgery, the patient lies on the back under anesthesia.

Specialized monitoring devices are used to check the spinal cord during the surgery to ensure that there is no damage to the spinal cord during the surgery. The bone overlying the spinal cord (the “lamina”) is partially cut on both the right and left sides. This creates a hinge on one side of the lamina and a small opening on the other side. The lamina is then moved into the “open” position by elevating the lamina on the open side, which increases the space available for the spinal cord and takes the pressure off of it.

The spinal cord can move away from whatever was compressing it including disc herniations or bone spurs and the spinal fluid can then flow around the spinal cord more normally. A spacer made out of bone, metal, or plastic, is usually inserted to hold the spinal canal open. The final position resembles an open door being help open with a door stop, and many surgeons refer to this technique as an “open-door” laminoplasty

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Laminoplasty Spine Surgery in India

Minimally Invasive Cervical Discetomy Spine Surgery in India

What is Cervical Discectomy?

Cervical Spine Surgery is a procedure to eliminate or reduce pain, weakness, numbness of the cervical spine. Cervical refers to the neck portion of our body. We often tend to ignore neck pain but if not taken care of, it may cause serious damage to the cervical region.

Who may require Cervical Discectomy ?

Those patients who suffer from persistent neck pain, one or both arm pain and weakness, instability while walking and lack of bowel and bladder control in spite of taking conservative treatment methods such as rest, medication, physical therapy are ideal candidates for this procedureconditionsanterior-cervical-discectomy-and-fusion-acdf.

The disc may herniate backwards to compress upon the cord or it may bulge sideways to compress upon the nerve. Cord compression may lead to numbness and weakness of both arms and in severe case may affect the bowel and bladder function. This procedure aims to remove the complete disc or its fragments in order to relieve compression of the cord or nerve and restore their function.

Minimally invasive cervical discectomy surgery in India

Cervical discectomy is a surgical procedure which relieves compression on the nerve roots and/or the spinal cord because of a herniated disc or a bone spur. This procedure involves making an incision on the front side of the neck (anterior cervical spine), followed by the removal of disc material and/or a portion of the bone around the nerve roots and/or spinal cord to relieve the compression on neural structures and provide them with additional space.

Cervical discectomy is also referred to as decompressive spinal procedure as the surgeon removes compression on nerve roots by removing the total or a part of the disc and/or bony material that is causing pain. Your surgeon may choose a minimally invasive approach based on your condition and the specific surgical goals.

Minimally invasive cervical discectomy involves a small incision(s) and muscle dilation to separate the muscle fibers surrounding the spine, unlike conventional open spine surgery which requires muscles to be cut or stripped.

The advantages of Minimally invasive cervical Discectomy surgery :

  • Maintaining normal neck motion
  • Reducing degeneration of adjacent segments of the cervical spine
  • Eliminating the need for a bone graft
  • Early postoperative neck motion
  • Faster return to normal activity

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Minimally Invasive Cervical Discetomy Spine Surgery in India

Disc Nucleoplasty Surgery in India

Nucleoplasty is a minimally invasive procedure designed to treat back pain or leg pain caused by contained disc herniations. It works by decompressing the nucleus of the disc. Similar to letting air out of a tire, removing tissue from the center of a disc causes a reduction of pressure within the disc.thumb_280_220_disc_nucleoplasty_resizedn2dh This in turn leads to a reduction in the pressure that the disc applies to other parts of the body, such as nerve roots or the spinal cord.

 

 

Candidates for Disc Nucleoplasty :-

If you have back or leg pain from a contained disc herniation or protrusion that does not respond to less invasive or more conservative therapies, you might benefit from a nucleoplasty procedure. Most back or leg pain from a contained disc herniation or protrusion gets better on its own in the first month or two, so typically physicians do not consider nucleoplasty until at least a month after the onset of back or leg pain. Also, if your back or leg pain is not severe enough to limit your activities, you probably should not have nucleoplasty.

How does the Disc Nucleoplasty procedure work?

The procedure is generally performed on an outpatient basis using a gentle, relaxing medicine and local anesthetic. The technique is as follows:

  • Cannula  insertion

After the doctor injects some anesthetic to numb the area where the incision is to be made, he inserts a thin needle known as a cannula through the back and into the herniated disc. He uses an X-ray imaging technique to guide the placement of the cannula.

  • Treating Disc Nucleus

A small radiofrequency probe is inserted into the disc through the cannula. The device sends pulses of radio waves to dissolve small portions of disc nucleus. Since the doctor removes enough disc material to reduce the pressure inside the disc, the spine regains stablilty.

  • Relieving from Herniation

The hollow created enables the disc to reabsorb the herniation. The surgeon uses heat to seal the disc.  

  • Post-surgery recovery

After the physician removes the treatment equipment, the insertion area is covered with a small bandage. Since no muscles or bone are cut during the procedure, recovery is fast. The patient may need a day’s bed rest after the procedure and some physical therapy, and is ready to return to normal daily activities within one to six weeks.

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Disc Nucleoplasty Surgery in India

Spine Tumor Removal Surgery in India

Spine Tumor Removal Surgery

Tumor iimages12s abnormal mass of rapidly growing cells without any physiological function. That means it does not perform any function for the body but derives its nutrition from the body. It can occur anywhere in the body. The cause is unknown. Those tumors that are found in and around the spinal cord are known as spinal tumors. They may be primary tumors whose cells of origin is the spinal tissue, or they may be secondary tumors which have spread (metastasize) via blood stream from some other focus in the body. The spinal cord is covered by a layer of protective tissue called as meninges. The entire spinal cord is encased within the vertebral column.

Following are different types of Spinal tumors based on their cancerous or non-cancerous behavior.

Benign bone tumors are of following types:

  • Giant Cell Tumor: Usually found in the sacrum
  • Hemangioma: Usually found in the thoracic spine
  • Osteoid Osteoma: Usually found to affect the lumbar spine’s posterior spinal column
  • Osteoblastoma: Usually found to affect the spine’s posterior spinal column

Malignant bone tumors are classified as follows:

  • Chordoma: Affects the sacrum and coccyx in the midline
  • Osteosarcoma: affect the anterior vertebral body and it may also invade the Posterior spinal elements.

Malignant cartilage tumor:

  • Chondrosarcoma; Found primarily in the thoracic, lumbar, and sacral spine

Malignant plasma cell tumors:

  • Plasmacytoma is cancer of the white blood cells (plasma cells) which effects the thoracic spine and may also involve the spinal cord ot the nerve roots.
  • Lymphomas are cancer of the body’s lymphatic system that may spread to the spine .Usually the anterior part (front) of the spinal column is affected

Ewing’s Sarcoma: It affects the Sacrum or the nerves.

Symptoms of Spinal Tumour

Tumor may cause generalized symptoms in the body (like persistent low energy levels, unexplainable weight loss, lump formation, enlargement of lymph nodes, malaise, irregularities of menstruation in females etc as well as symptoms pertaining to the affected organ in the body.

Why surgery for Spine Tumor Removal?

• When the tumor is removed (partially or completely) pain and neurologic problems may clear up.

• To restore and preserve neurological function and provide spinal stability.

• Spinal Tumor surgery is generally indicated in case there is a localized tumor which can be removed with minimum damage to nerve and spinal cord,

• There is persistent neurological deficit and pain which is unresponsive to non operative treatment

• Surgery may include resection (partial removal) or excision (complete removal) of tumor.

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Spine Tumor Removal Surgery in India