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

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

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

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