Spinal Fusion Surgery in India
Spinal fusion is surgery to permanently join together two or more bones in the spine so there is no movement between them. These bones are called vertebrae. It is also called neurosurgical or orthopedic surgical technique .In this surgery supplementary bone tissue—either from the patient (autograft) or a donor (allograft)—or artificial bone substitutes in conjunction with the body’s natural bone growth (osteoblastic) processes to fuse two or more adjoining vertebrae. Spine surgery is typically done to relieve pain and other symptoms by decreasing pressure on a compressed nerve or by stabilizing the spine.
Spinal fusion treats a variety of pathological conditions to eliminate abnormal motion of the vertebrae that causes pain, neurological deficit, or spinal deformity. Common conditions incorporating spinal fusion in their surgical treatment are spinal stenosis, spondylolisthesis, cervical discopathy, spinal fractures, scoliosis, and kyphosis.
Types of Spinal Fusion Surgery
There are several types of spinal fusion surgery options. The most commonly employed surgical techniques include:
- Posterolateral gutter fusion – the procedure is done through the back
- Posterior lumbar interbody fusion (PLIF) – the procedure is done from the back and includes removing the disc between two vertebrae and inserting bone into the space created between the two vertebral bodies
- Anterior lumbar interbody fusion (ALIF) – the procedure is done from the front and includes removing the disc between two vertebrae and inserting bone into the space created between the two vertebral bodies
- Anterior/posterior spinal fusion – the procedure is done from the front and the back
- Transforaminal lumbar interbody fusion (TLIF) – Similar to the PLIF, this procedure is also done from the back of the spine
- Extreme Lateral Interbody Fusion (XLIF) – an interbody fusion in which the approach is from the side
Cervical Spine Surgery
Cervical spine surgery ocuses on relieving tingling, pain, weakness and numbness that are connected to the cervical spine and aims at restoring the level of nerve function and also correcting the abnormalities associated with the function of the spine..Iis generally performed on an elective basis to treat either:
- Nerve/spinal cord impingement (decompression surgery)
- Spinal instability (fusion surgery).
The types of cervical procedures-
- Discectomy : It removes a part or the entire herniated disc
- Laminoplasty : It reconstructs the lamina in order to create more space for the spinal cord
- Foraminotomy : It creates a big space in the vertebrae
- Corpectomy : In this, the whole vertebral body is removed to gain a complete access to the disc
- Facetectomy : It removes the joint of the facet to relieve the pressure on a nerve
- Laminoplasty : It constructs Lamina again to make more space for the spinal cord
Spinal Laser Surgery
Spinal Laser surgery is a process in which herniated intervertebral disc are treated by decrease of intradiscal presuure through laser energy.Under local anesthesia and fluoroscopic monitoring a needle is inserted into the nucleus pulposus.
The treatment options available for spinal laser surgery are-
- Spinal Fusion
- Laminectomy :
Cost of spinal laser surgery
Lesser time, low cost, modern equipments and best doctors for spine laser surgery makes india most favored destinatio
Artificial Disc Replacement Surger
In this surgery An artificial disc (also called a disc replacement, disc prosthesis or spine arthroplasty device) is a device that is implanted into the spine to imitate the functions of a normal disc (carry load and allow motion). The artificial disc is specially designed in such way so as to maintain the natural flexibility of the spine. There are many artificial disc designs classified into two general types: total disc replacement and disc nucleus replacement. As the names imply, with a total disc replacement, all or most of the disc tissue is removed and a replacement device is implanted into the space between the vertebra. With a disc nucleus replacement, only the center of the disc (the nucleus) is removed and replaced with an implant. The outer part of the disc (the annulus) is not removed. Artificial discs are usually made of metal or plastic-like (biopolymer) materials, or a combination of the two. It is one of the newest procedures is considered as the other option (alternative) to spinal fusion surgery
Scoliosis and Kyphosis Surgery
Scoliosis and kyphosis are sideways and forward deformities of the spine that can lead to both aesthetic and functional issues for patients. Patients who suffer from scoliosis or kyphosis stand stooped forward or leaning to the side and may have difficulty with day to day activities due to mechanical pain and/or nerve irritation. Kyphosis is the result of the spine’s abnormal forward bending. While Scoliosis is the result of spine’s sideward bending
treatment for kyphosis may include:
- Exercise and anti-inflammatory medication to ease pain or discomfort
- Wearing a back brace
- Surgery to correct severe spine curvature and congenital kyphosis
- Exercises and physical therapy to increase muscle strength
Treatment for scoliosis may include:
- Observation. If there is a slight curve your doctor may choose to check your back every four to six months to see if the curve gets worse.
- Bracing. Depending on the degree of the curve, a back brace is sometimes prescribed for kids and adolescents who are still growing. Bracing can help prevent the curve from getting worse.
- Surgery. If the curve is severe and is getting worse, surgery is sometimes needed
Spinal Stenosis Surgery
Spinal stenosis occurs when bulging discs, arthritic spurs, and thickened tissues combine to “compress” the nerves traveling through the spinal canal.
The most common symptom of spinal stenosis is pain, numbness and/or tingling in legs that is pronounced when standing or walking. Leg pain and numbness may inhibit walking and the spine may lose the lumbar curve and appear flat.
treatment options for spinal stenosis?
- Taking non-steroidal anti-inflammatory drugs (NSAIDs) for relief.
- Receiving cortisone injections directly into the spinal column to provide short-term relief.
- Engaging in exercise and physical therapy that focuses on strengthening the back and abdominal muscles as well as stretching
If the above treatment options do not ease the pain and your ability to engage in everyday activities is inhibited, you should consider surgical treatment. The goal of spinal stenosis surgery is to permanently decompress the spinal canal.
Cost of Spinal Fusion Surgery
The cost of spinal fusion surgery is low cost in India as compared to other parts of the world. India is known all over the world as best destination for its medical facilities and services.