Cervical Disectomy from Best Hospitals in India

Cervical Disectomy in India

Who may require Cervical Discectomy?

Those patients who suffer from:

  • Constant neck pain that worsens as the day progresses.
  • Neck pain that radiates to the head causing headache.
  • Pain, numbness tingling and weakness in one or both arms.
  • Loss of balance while standing or walking.
  • Loss of bowel and bladder control.
  • Neck pain not cured by conservative means like medications and physiotherapy.


In Cervical Discectomy, disc can be accessed via Anterior or Posterior approach.

22709-hospital2The Anterior approach is more popular with the surgeons as the access to disc is very easy with little muscle tissue on the way and complete disc removal is possible with no recurrence of disc herniation. This approach also provides a good exposure to all cervical vertebrae from C2 to cervicothoracic junction. The limited amount of muscle division or dissection helps to limit postoperative pain following the spine surgery. The main postoperative problem most patients face is difficulty swallowing for 2-5 days due to retraction of the esophagus.

Posterior approach is slightly complicated as too many tissues have to be traversed to reach the disc. There are chances of injury to spinal cord and nerve roots while accessing the disc. Also since complete removal of disc is not possible, re-herniation can occur. But the positive aspect of this approach is that spinal fusion is not required so natural spine movement is preserved.

  • Anterior Approach:The patient is made to lie down on his back under general anesthesia. A horizontal incision is made just 2 inches above the clavicle on either left or right side. The thin muscle layer is cut and the trachea and esophagus are shifted to one side along with the nerves and vessels. The surgeon has a clear view of the cervical vertebrae. An X-ray is done to confirm the involved disc. An operating microscope can also be used to get a better picture of the operating field. The anterior longitudinal ligament is gently removed to reach the osteophytes and the disc fragments. The osteophytes are scraped off and the intervertebral disc is dissected. Once the disc is removed the vertebral bodies are gently distracted to their original distance to fill the space with bone graft. This helps to relieve the compression from the nerves as the diameter of the intervertebral foramen is enlarged. Sometimes cervical discectomy is followed by spinal stabilization using screws and plates.
  • Posterior Approach:The patient is sedated under general anaesthesia and made to lie on his abdomen. The neck is slightly bent and head is supported on the head rest. An incision is made on the back of the neck in the midline. The skin, fascia and muscles are retraced to reach the vertebrae. An X-ray is done to confirm the level of affected disc. Edges of the lamina are shaved off to give a clearer vision. Incase of central herniation, both lamina may have to be removed in order to get full view of the fragmented disc. The posterior longitudinal ligament is incised and a small hole is made in the ligamentum flavum. The surgeon now uses a surgical microscope to magnify the operating area and the disc fragments and bony spurs are carefully removed. The muscles fascia and skin are stitched back together.

Outcome and Recovery

The patients report an immediate relief in their symptoms after the surgery. The patient is allowed to go home in 1-2 days and allowed to begin gradually with his normal activities. Gentle stretching and strengthening exercises for neck muscles are progressed gradually and general body endurance program is initiated.

Vigorous neck movements should be avoided to allow proper healing of the graft. The physical therapist will advise on how to perform various activities without straining the neck.

 

Advertisements
Cervical Disectomy from Best Hospitals in India

Kyphoplasty Surgery in India- Best Spine Surgery Hospital India

What is Kyphoplasty

bart2-BBKyphoplasty is used to treat pain caused by vertebral compression fractures in the spine. Vertebral fractures occur in thousands of people each year. The main cause of these fractures is osteoporosis. Osteoporosis causes bone to lose strength and become more susceptible to fractures. Kyphoplasty should be completed within eight weeks of when the fracture occurs, this is for the maximum probability of restoring the spinal bone to its standard height.

To confirm the presence of a compression fracture following tests needs to be done after a physical examination:

  • Blood tests,
  • Spine x-rays
  • Radioisotope bone scan or
  • MRI

How is Kyphoplasty Performed?

Kyphoplasty is performed under local or general anesthesia. Using image guidance x-rays, two small incisions are made and a probe is placed into the vertebral space where the fracture is located. The bone is drilled and a balloon, called a bone tamp, is inserted on each side. These balloons are then inflated with contrast medium until they expand to the desired height and removed. The balloon does not remain in the patient. It simply creates a cavity for the cement and also helps expand the compressed bone.

The spaces created by the balloons are then filled with PMMA, the same orthopaedic cement used in vertebroplasty, binding the fracture. The cement hardens quickly, providing strength and stability to the vertebra, restoring height, and relieving pain.

Recovery from kyphoplasty

Pain relief wihappyPatientPosesll be immediate for some patients. In others, elimination or reduction of pain is reported within two days. At home, patients can return to their normal daily activities, although strenuous exertion, such as heavy lifting, should be avoided for at least six weeks.

Patients should see their physician to begin or review their treatment plan for osteoporosis, including medications to prevent further bone loss.

Candidates for kyphoplasty

Kyphoplasty cannot correct an established deformity of the spine, and certain patients with osteoporosis are not candidates for this treatment. Patients experiencing painful symptoms or spinal deformities from recent osteoporotic compression fractures are likely candidates for kyphoplasty. The procedure should be completed within 8 weeks of when the fracture occurs for the highest probability of restoring height.

Benefits of Kyphoplasty

Limitations in the traditional treatments of vertebral compression fractures have led to the refinement of such procedures as kyphoplasty. This procedure provide new options for compression fractures and are designed to relieve pain, reduce and stabilize fractures, reduce spinal deformity, and stop the “downward spiral” of untreated osteoporosis.

Additional benefits of kyphoplasty include

  • Short surgical time
  • Only general or local anesthesia required
  • Average hospital stay is one day (or less)
  • Patients can quickly return to the normal activities of daily living
  • No bracing required

Kyphoplasty utilize a cement-like material that is injected directly into the fractured bone. This stabilizes the fracture and provides immediate pain relief, in many cases. Kyphoplasty has the additional advantage of being able to restore height to the spine, thus reducing deformity. After either procedure, most patients quickly return to their normal daily activities

About MyMedOpinion.com

MyMedOpinion.com  affiliated   Best hospitals in India provide an medical opinion from experienced surgeons and the treatment cost includes companion stay  , surgeon fee, medicines and consumables, nursing care, patient’s food and airport pick up & drop etc. etc. We offer free, no obligation assistance to international patients to find world class medical treatment in India. We offer support and services to facilitate the care you require. We can help you find the best hospital in India

Send us a Medical Report to Get FREE Medical Opinion from India’s Top Doctors

MyMedOpinion.com  is the hub of Surgeons and specialists for major diseases. We give you a chance to speak to our doctors and discuss your health issues directly.

Kyphoplasty Surgery in India- Best Spine Surgery Hospital India

Most Advanced Minimally Invasive Spine Surgery in India | Best Spine Hospital India

Minimally Invasive Spine Surgery in India

Spine surgery is traditionally done as “open surgery,” meaning the area being operated on is opened with a long incision to allow the surgeon to view and access the anatomy. In recent years, however, technological advances have allowed more back and neck conditions to be treated with a minimally invasive surgical technique.Because minimally invasive spine surgery (MISS), does not involve a long incision, it avoids significant damage to the muscles surrounding the spine. In most cases, this results in less pain after surgery and a faster recovery.
Spine surgery is typically recommended only when a period of nonsurgical treatment — such as medications and physical therapy — has not relieved the painful symptoms caused by your back problem. In addition, surgery is only considered if your doctor can pinpoint the exact source of your pain, such as a herniated disk or spinal stenosis. Minimally invasive techniques are beginning to be used for a wider range of spine procedures, and have been used for common procedures like decompression and spinal fusion since the 1990s. Decompression relieves pressure put on spinal nerves by removing portions of bone or a herniated disk. Spinal fusion corrects problems with the small bones of the spine (vertebrae). The basic idea is to fuse together the painful vertebrae so that they heal into a single, solid bone. This article focuses on decompression and fusion with a minimally invasive technique.
Minimally Invasive Spine Procedures
There is a rapid increase in technology that allows the MIS physician to treat patients with minimally invasive spine surgery procedures. Some of these techniques are now well established, while others remain new and continue to evolve. The best MIS (Minimally Invasive Spine Surgery) technique will depend on the specific character of the problem. While the list of MIS (Minimally Invasive Spine Surgery) techniques continues to expand, the most commonly employed today include:
Comparing Minimal type of Invasive spine surgery to Invasive Spine Surgery:
Minimal Invasive Spine surgery comes with more benefice than invasive spine surgery.

Candidates
People with back pain, numbness or weakness in upper or lower limbs who are not responding to non surgical treatments like pain killers, non steroidal anti inflammatory drugs and physiotherapy can consider surgery. They need further investigations like X-ray/ CT scan/ MRI to confirm bulging or protruding disc which can be corrected by surgery.
Surgery for herniated disc should be considered emergency if there are symptoms of pressure on the spinal cord or on the cauda equine or cases involving serious or increasing paralysis
Expected Results
The results of herniated disc surgery are good. A successful surgery relieves the symptoms of herniated or slipped disc in up to about 90% of the patients.
Recovery
Recovery is different for each patient. However, it is normal to feel pain at the site of surgery for the first few days which can be controlled with medication. You would be advised to start physical therapy after a week of the surgery for rehabilitation. You would be able to return to normal activities in about two weeks while full recovery may take few weeks to months. Your treating surgeon would advise you about the rehabilitation and when to start rigorous activities.
Most Advanced Minimally Invasive Spine Surgery in India | Best Spine Hospital India

Why You Should Always Have a Second Medical Opinion?

Not every doctor will have the same opinion when it comes to diagnosis and treatments options. A doctor’s opinion is guided by several factors such as available technology, their education and their own experience dealing with a particular health condition.

Many patients have been in the difficult position of querying their doctor’s medical opinion. And in many cases, it is only natural to have medical questions like:

  • Is my diagnosis correct?
  • Is my treatment plan correct?
  • Do I need this surgery or do I have other options?

At these times it is valuable to have access to an affordable, unbiased second opinion so that patients can explore alternative options and gain complete confidence in their healthcare.

Second Medical OpinionOn line second opinion is a boon for people who live in remote areas or who are otherwise unable to travel to the physical location of the hospital due to geographic or financial constraints.

Patients can seek specialists’ advice and also relevant treatment suggestions, all within the comfort of their homes.One of the most important areas where online doctor consultation can be of immense benefit is seeking a Second Medical Opinion. Many people do not explore alternatives simply because they do not know how to go about it, or because they think it might be very expensive or inconvenient to consult another specialist whose clinic may be thousands of kilometres away. Imagine the financial implications, the hassle of travelling while you are sick, finding suitable accommodation and many other inconveniences.

Utilizing the power of internet, we are connecting patients around the globe with some of the world’s best doctors. We’re completely online, right at your fingertips. No unnecessary tasks such as driving or sitting in a waiting room, you remain in the comfort of your own home or office. It’s simple. Just fill in the inquiry form and upload your medical reports for our Expert’s review and we will take care of the rest, leaving no stone unturned until you receive your accurate and reliable second opinion.

Why You Should Always Have a Second Medical Opinion?

As patients are expected to make more decisions about their care, they must have access to the best information about those decisions. Seeking out multiple sources of expert advice is one of the best ways to gather this information before proceeding with a treatment plan. Don’t think of it as an end-run around your doctor: think of it as assembling the best team possible to guide you through some critical, potentially life-altering choices.

Second Opinions Save Lives

You might be surprised to learn that medical errors are now considered to be the third leading cause of death. More specifically, diagnostic errors are the most common, most expensive and deadliest of all medical errors. With so many errors occurring, a second opinion can save your life.

Be In Charge of Your Medical Care

As a patient, you have an important say in who provides your health care and where you receive it. Our mission is to maximize the quality of patient care by providing you with important resources to make the most informed decisions. We give you the information and confidence you need to help you and your physician make the best treatment decisions, without the delays, expense and inconvenience traditionally associated with such requests.

For The Peace of Mind

Medical doctors have different personalities, different experiences and different training. Some physicians are more conservative and others are more aggressive. It might be a good idea to get a different perspective. Get a second opinion for your peace of mind!

Increased Medical Complexity

The medical and especially imaging industry knowledge base has dramatically expanded with the advent of such technologies as MRI, multi detector-row CT (MDCT), PET/CT, and many new treatment options and surgeries. Keeping up with the latest advances is becoming a challenge for all doctors. No one can be an expert in everything, so medical subspecialists have evolved.

How a Second Opinion May Help?

A second opinion may provide the following information:

  • • Confirmation of a diagnosis
  • • Additional details about the type of disease
  • • Perspective from experts in different disciplines
  • • Other treatment options, in situations in which the doctor disagrees with the original diagnosis or the proposed treatment plan
  • • Help you find out if there are less invasive and less expensive treatment options available.
  • • A second opinion can also serve a general quality check – to make sure you’re really getting the most up to date, most effective treatment.
  • • Helps you to save time and money by avoiding extra diagnosis.
Why You Should Always Have a Second Medical Opinion?

Spinal Cord Injury Treatment and Surgery in India

The bone used for this procedure is usually taken from another bone in the body, most often from the hip. This does not damage the hip and makes the fusion more stable. If needed, a small surgery on the hip will be performed at the same time as the spine surgery.

 It is very common to need a cervical collar or other brace after surgery. The brace keeps you from putting stress on the healing muscles and bones. It will allow you to start getting out of bed about a day after surgery. If needed, physical and occupational therapists will also be able to work with you. 

Spinal cord injury is damage to the spinal cord that results in a loss of function such as mobility or feeling. Frequent causes of damage are trauma (car accident, falls, diving etc.) or disease (polio, spina bifida, Friedreich’s Ataxia etc.).

Quadriplegia (also referred to as tetraplagia) is loss of function below the neck.

Paraplegia is loss of function below the chest.

A fusion procedure involves attaching metal screws, plates or other devices to the bones of the spine to help keep them properly aligned. This is usually done when two or more of the spinal bones, also called vertebrae, have been injured. Small pieces of bone may also be attached to the injured bones to help them fuse into one solid piece. 

The spinal cord does not have to be severed in order for a loss of functioning to occur. In fact, in most people with spinal cord injury, the spinal cord is intact, but the damage due to compression or bruising to it results in loss of functioning. Spinal cord injury is very different from back injuries such as ruptured disks, spinal stenosis or pinched nerves.

A person can “break their back or neck” yet not sustain a spinal cord injury if only the bones around the spinal cord (the vertebrae) are damaged, but the spinal cord is not affected. In these situations, the individual may not experience paralysis if bone damage is treated correctly.

What is the spinal cord and the vertabrae?

The adult spinal cord is about 50 centimetres long and extends from the base of the brain to about the waist. It is the major bundle of nerves that carry messages between the brain and the rest of the body. Nerves within the spinal cord (upper motor neurons) carry messages back and forth from the brain to the spinal nerves along the spinal tract. Lower motor neurons branch out from the spinal cord to the other parts of the body, carrying sensations (from the skin and other body parts and organs to the brain) and instructions (to the various body parts to initiate actions such as muscle movement).

Injury to the spinal cord causes loss of function of the nerves, limbs and organs below the site of the injury.

The spinal cord lies within vertebrae. These rings of bones are together called the spinal column or back bone. In general, the higher in the spinal column an injury occurs, the more dysfunction a person will experience.

There are seven vertebrae in the neck—the Cervical Vertebrae—C1 (at the top) to C7. Injury in this region usually causes loss of function to the arms and legs (quadriplegia or tetraplegia).

There are twelve Thoracic Vertebrae. The highest (T1) is where the top rib attaches. Injury to the thoracic region affects the chest and the legs.

Between the thoracic vertebrae and the pelvis lie the 5 Lumbar Vertebrae. The 5 Sacral Vertebrae run from the pelvis to the end of the spinal column. Injury to nerves in the lumbar and sacral vertebrae generally results in loss of functioning in the hips and legs.

Loss of function in the chest, hips and legs is Paraplegia.

What are the types of spinal cord injury?

Quadraplegia occurs in case of any kind of physical trauma that crushes and compresses the vertebrae in the neck. This type of apine injury can cause irreversible damage at the cervical level of the spinal cord and below. This type of spinal cord injury may even cause paralysis of most of the body including the arms and legs. 

Paraplegia occurs mostly in cases of car or bike accidents. In this type of spine injury the middle back i.e. thoracic or lumbar spine

Surgery to stabilize the spine can be performed from the back of the spine, called posterior spine surgery, or from the front of the spine, called anterior spine surgery. In some cases, both approaches may be needed, usually in two separate operations. 

Spinal Cord Injury Treatment and Surgery in India