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 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

Hip Replacement Surgery in India

Total Hip Replacement Surgery (THR)

Hip replacement may be a surgical procedure within which the hip joint is replaced by a prosthetic implant. Hip pain is caused by osteoarthritis, fracture, rheumatoid arthritis, and aseptic bone necrosis. typically these conditions improve, however there’s no cure for joint pain and severe cases cannot invariably be controlled by medication and rehabilitation. once this happens, some patients have issue in walking and also the impaired movement hinders everyday activities.Hip-Replacement-Surgery-india These patients typically pick hip replacement surgery. This entails removal of the broken hip and replacement with prosthesis. The prosthetic hip is sometimes made from a combination of metal and plastic.

 

When is it recommended?

Total Hip Replacement is recommended when the patient is suffering from Rheumatoid Arthritis, Osteonecrosis, Injury of the hip joint, or some bone tumors have been diagnosed that are adversely affecting the hip joint. Additionally, if the patient has any of the following conditions then hip replacement is required:

  • Hip arthritis (Primary osteoarthritis)
  • Secondary osteoarthritis (more common in India)
  • Femoral neck fractures with preexisting osteoarthritis
  • Femoral neck fracture, Non unionship
  • Malunited hip socket and ball fractures
  • Avascular necrosis(AVN)
  • Protrusio acetabuli (deep socket)
  • Slipped upper femoral epiphysis
  • Perthes disease
  • Rheumatoid arthritis
  • Ankylosing spondylitis

What are the types of Hip Replacement Surgery?

Following are the various types of Hip Replacement Surgeries:

  • Total Hip Replacement
  • Partial Hip Replacement
  • Hip Resurfacing
  • Minimally Invasive Hip Replacement
  • Double Hip Replacement
  • Revision Hip Replacement

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Hip Replacement Surgery in India

Carpal Tunnel Release Surgery in India

What is the carpal tunnel?

The carpal tunnel could be a narrow canal within the wrist. very cheap and sides of the tunnel are shaped by a semi-circle of bones called carpal bones. a powerful tissue, called a ligament, forms the highest of the tunnel. The median nerve and tendons pass through this narrow area. carpel(The tendons are “rope-like” structures that connect muscles within the forearm to bones within the hand.) Tendons enable the fingers and thumb to bend and straighten. Conditions that further narrow the carpal tunnel or cause the tendons that meet up with this tunnel to swell cause carpal tunnel syndrome by compression the median nerve.

What is carpal tunnel syndrome?

The wrist comprises of several small bones collectively known as the carpal bones. The carpal bones are interconnected via strong ligaments and connective tissue known as the flexor retinaculum. Collectively, this arrangement forms a space known as the carpal tunnel .The carpal tunnel contains numerous flexor tendons from the muscles of the forearm allowing them to attach to the wrist and fingers via the carpal tunnel. In addition, a nerve known as the median nerve lies within the carpal tunnel . The median nerve is responsible for supplying some sensation and motor control to the hand.

Occasionally, the carpal tunnel may narrow resulting in compression of the median nerve. When this occurs, the condition is known as carpal tunnel syndrome. Carpal tunnel syndrome normally occurs following damage to the flexor tendons within the carpal tunnel. This results in swelling and inflammation of the tendons, thereby reducing the dimensions of the carpal tunnel, compressing the median nerve.

Damage to the flexor tendons usually occurs due to overuse of the forearm flexors. During contraction of the forearm flexors, tension is placed through the flexor tendons within the carpal tunnel. When this tension is excessive due to too much repetition or high force, damage to the tendons may occur. This is usually due to gradual wear and tear associated with overuse, however, it may also occur traumatically due to a specific incident. Although carpal tunnel syndrome can occur at any age, it is commonly seen in patients greater than 50. Carpal tunnel syndrome is also more common in women

Symptons :-

The Most Common Symptons of Carpal Tunnel Syndrome Include :-

  • Numbness, tingling, and pain in the handsigns-symptoms-img1
  • An electric shock-like feeling mostly in the thumb, index, and long fingers
  • Strange sensations and pain traveling up the arm toward the shoulder

Symptoms usually begin gradually, without a specific injury. In most people, symptoms are more severe on the thumb side of the hand.

What are the Aims and Benefits of Carpal Tunnel Release Surgery?

  • Relief from Neural Compression
  • Pain Reduction
  • Prevention of Further Deterioration

The chance of obtaining a significant benefit from surgery depends upon a wide variety of factors. Your neurosurgeon will give you an indication of the likelihood of success in your specific case.

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Carpal Tunnel Release Surgery in India

Vertebroplasty Surgery in India

Vertebroplasty in India

Approximately 85% fractures in old age are caused by osteoporosis (a condition in which total mass of the bones decrease) and remaining 15% are caused by bone weakness caused by other conditions or spread of cancer to the bones. Out of these one third patients may present with significant pain in spite of non-operative measures like bed rest, hospitalization, pain killer medications or bracing.

Vertebroplasty is a procedure in which a special medical-grade cement mixture is injected into a fractured vertebra. The vertebrae are the small bones that make up the spine. When they become fractured, you will often experience pain and a loss of mobility. When vertebroplasty is successful,maxresdefault the cement mixture injection stabilizes the vertebra and allows you to return to normal activity after a recovery period. Reasons for the procedure The main reason you would need a vertebroplasty is treat a fractured vertebra in your spine that’s causing pain and reduced function. Not all people with fractured vertebrae are candidates for a vertebroplasty, however. Your doctor may try other, more conservative methods of treating the pain first: bed rest, pain relievers, muscle relaxants, back braces, or physical therapy. These are reasons that your doctor may consider a vertebroplasty for your fractured vertebra:
• Traditional methods of treating your fractured vertebra or back pain fail.
• You suffer from severe or prolonged pain or immobility.
• The fractured vertebra has led to more serious complications, such as deep vein thrombosis, acceleration of osteoporosis, respiratory problems, loss of height, or other emotional or social issues.

Risks of the procedure.

The vertebroplasty procedure is generally well-tolerated, with a low risk for side effects. The complication rate of vertebroplasty is about 1 to 3 percent, and most of these complications are minor. Here are the risks factors associated with receiving a vertebroplasty:
• Hemorrhaging
• Rib or other surrounding bone fractures
• Fever
• Nerve root irritation
• Infection

In a small number of people, vertebroplasty can actually worsen the pain for a few hours as the cement sets up. This complication is rare, however, and passes after a short time. There may be other risks, depending on your specific medical condition. Be sure to discuss any concerns with your doctor before the procedure.

Advantages of Vertebroplasty

Vertebroplasty is considered for patients with painful compression fractures in the spine, often caused by osteoporosis. Because the treatment often results in a dramatic decrease in pain, the advantages are numerous.

Decreased pain. A compression fracture causes sharp and debilitating pain. Those suffering from these fractures are often prescribed bed rest and pain medication. Vertebroplasty reduces and in some cases eliminates the need for pain medication, and it also restores mobility in many patients.

Increased functional abilities. The pain from a compression fracture is usually sharp and debilitating, leaving people unable to perform everyday tasks. Vertebroplasty stabilizes the fracture, decreases pain dramatically and allows a return to the previous level of activity.

Prevention of further vertebral collapse. The cement fills spaces in bones made porous by osteoporosis, strengthening the bone so that it is less likely to fracture again.

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Vertebroplasty Surgery in India