Spinal Decompression Surgery

Many potential patients for surgery are a concern to Know about Spinal Decompression surgery cost In India? The Average cost of Spinal Decompression Surgery In India usually starts 5500 USD however, it may go up to as much as 12,000. It depends on the hospital charges and the fee charged by the surgeon. This price usually does not cover post-operational therapy and medicine. Additional costs also involve the diagnostics before the surgery and pre-operational consultations.

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When the spinal cord is compressed, it can happen anywhere from the neck (cervical spine) to the lower back (lumbar spine). The spinal cord and its internal nerves can become compressed due to degenerative changes brought on by aging, hernias, trauma, injuries, infections, cancer, aberrant bone development, and hematomas (blood). The patient may have symptoms including limb numbness, neck or back discomfort, loss of foot feeling, or poor hand-eye coordination.

Spine Decompression Surgery Cost in India is much more affordable when compared to that of other developed nations like the US, America, etc. The proficiency of the orthopedic surgeon as well as the cutting-edge medical technology utilized at the top Indian hospitals plays a role in the success of spinal/spine decompression surgery in India.

What is Spine Decompression Surgery

A surgical procedure known as spinal decompression surgery can be carried out either by open surgery, minimally invasive spine surgery, or endoscopic spine surgery (ESS). The symptoms of spinal cord compression, which aggravates the nerves, can be alleviated by a number of methods. 

Several of the methods include

There are several types of Spinal decompression surgery:

• Laminectomy:- is the removal of the entire bony lamina, a portion of the enlarged facet joints, and the thickened ligaments overlying the spinal cord and nerves.
• Laminotomy:- is the removal of a small portion of the lamina and ligaments, usually on one side. Using this method the natural support of the lamina is left in place, decreasing the chance of spinal instability. Sometimes an endoscope may be used, allowing for a smaller, less invasive incision.
• Foraminotomy:- is the removal of bone around the neural foramen – the canal where the nerve root exits the spine. This method is used when disc degeneration has caused the height of the foramen to collapse and pinch a nerve.
• Laminoplasty:- is the expansion of the spinal canal by cutting the laminae on one side and swinging them open like a door. It is used only in the neck (cervical) area.
• Discectomy:- is the removal of a portion of a bulging or degenerative disc to relieve pressure on the nerves.
  

In some cases, spinal fusion may be done at the same time to help stabilize sections of the spine treated with laminectomy. Fusion uses a combination of bone graft, screws, and rods to connect two separate vertebrae together into one new piece of bone. Fusing the joint prevents the spinal stenosis from recurring and can help eliminate pain from an unstable spine.

Who Needs a Spinal Decompression Surgery?

Spinal decompression surgery is recommended in patients suffering from spinal stenosis. Spinal stenosis is a condition in which there is narrowing of the spinal canal which can cause chronic pain, numbness, and muscle weakness in the arms or legs. This condition mainly affects the elderly people and is mostly caused by degenerative changes that result in enlargement of the facet joints and thickening of the ligaments.

You may be a candidate for Spinal decompression Surgery if you have:

• significant pain, weakness, or numbness in your leg or foot
• leg pain worse than back pain
• not improved with physical therapy or medication
• difficulty walking or standing that affects your quality of life.

What are the Benefits of Spinal Decompression Surgery In India?

There are many benefits to minimally invasive spinal decompression surgery. These include:

• Short recovery time
• Small incision less than an inch
• Outpatient procedure that
• takes about 30-60 minutes
• Less damage to muscles
• Decreased need for pain medications.

Diagnosis for spinal decompression surgery

If you have the symptoms of spinal decompression Surgery (stenosis), your Surgeon will start by taking a medical history, performing a physical exam, and observing your movements. Your Surgeon may also order tests to confirm a suspected diagnosis, such as:

• Blood tests
• X-ray, MRI scan, or CT scan to view images of your spine
• electromyogram to check the health of spinal nerves
• bone scan to look for damage or growths in your spine

What are the risks of spinal decompression surgery?

The risks associated with spinal decompression surgery include:

• Infection
• Bleeding
• Blood clots
• Nerve or tissue damage
• Allergic reaction to anesthesia
• Paralysis
• Damage to the surrounding
• soft tissue
• Deep Vein Thrombosis (DVT)
• Bone graft migration

What is included in the cost of Spine Decompression Surgery?

The cost of Spine Decompression includes:

• Preoperative diagnostic tests cost (X-ray or MRI may be done to evaluate the spine) 
• Surgery cost
• Post-Operative cost (depends on the number of follow-up sessions)
• Medicine cost (anti-inflammatory, painkillers, etc.)
• Physiotherapy (approx 10-15 sessions are required in case of spine decompression surgery)
• Patient’s hospital stay

What are the factors affecting the cost of Spine Decompression Surgery?

The overall cost of the procedure also varies based on the patient’s condition and preferences. Some of these factors are:

• Type of hospital and room opted (General, Twin sharing, or Single room)
• The severity of the disease
• Post-surgical complication, if it happens (such as Nerve injury and paralysis)
• Cost of Blood products (if required)
• Age of the patient
• An extended stay at the Hospital
• Cost of accommodation during follow-ups, in case the patient is not a local resident

Who performs Spinal Decompression Surgery?

A neurosurgeon or an orthopedic surgeon can perform spinal decompression surgery. Many spine surgeons have specialized training in complex spinal decompression surgery.

Before Spinal Decompression surgery?

• Patient’s medical history (allergies, medicines/vitamins, bleeding history, anesthesia reactions, and previous surgeries) is taken.
• Patients are advised to stop taking all non-steroidal anti-inflammatory medicines (Naprosyn, Advil, Motrin, Nuprin, Aleve, etc.) and blood thinners (Coumadin, aspirin, etc.) one week prior to the surgery.
• Patients are also advised to stop smoking, chewing tobacco, and drinking alcohol one week prior and 2 weeks after the surgery, as these can cause bleeding problems.
• Patient is hospitalized on the same day of the procedure. And is advised not to have any food or drink past midnight the night before surgery. An intravenous (IV) line is placed in the arm.

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During Spinal Decompression Surgery

Step 1: prepare the patient
You will lie on your back on the operative table and be given anesthesia. Once asleep you will be rolled over onto your stomach with your chest and sides supported by pillows. The area where the incision will be made is cleansed and prepped. If a fusion is planned and you have decided to use your own bone, the hip area will be prepped to obtain a bone graft. If you’ve decided to use donor bone, a hip incision is not necessary.

Step 2: incision:- is made down the middle of your back over the appropriate vertebrae. length of the incision depends on how many laminectomies are to be performed. back muscles are split down the middle and moved to either side exposing the lamina of each vertebra.

Step 3: laminectomy or laminotomy
Once the bone is exposed, an X-ray is taken to verify the correct vertebra. accordingly the procedure will be performed by your Surgeon.

Step 4: decompress the spinal cord
Once the lamina and ligamentum flavum are removed the protective covering of the spinal cord (dura mater) is visible. Your surgeon can gently retract the protective sac of the spinal cord and nerve root to remove bone spurs and thickened ligament.

Step 5: decompress the spinal nerve
The facet joints, which are directly over the nerve roots, may be undercut (trimmed) to give the nerve roots more room. where the spinal nerves exit the spinal canal. If a herniated disc is causing compression your surgeon will perform a discectomy

Step 6: fusion (if necessary) 

If you have spinal instability or have laminectomies to multiple vertebrae, a fusion may be performed. Fusion is the joining of two vertebrae with a bone graft held together with hardware such as plates, rods, hooks, pedicle screws, or cages.

The topmost layer of bone is removed with a drill to create a bed for the bone graft to grow. Bone graft, taken from the top of your hip, is placed along the posterolateral bed.

Step 7: closure
The muscle and skin incisions are sewn together with sutures or staples.

Recovery from spine decompression surgery

Recovery after Spine decompression surgery will depend on your fitness and level of activity prior to surgery. This is why a course of physiotherapy before the operation may be recommended.

• You’ll be encouraged to walk and move around the day after surgery and it’s likely you’ll be discharged 1 to 4 days afterwards.
• It will take about 4 to 6 weeks for you to reach your expected level of mobility and function (this will depend on the severity of your condition and symptoms before the operation).
• When you wake up after spine decompression surgery, your back may feel sore and you’ll probably be attached to 1 or more tubes.

These may include:

• a drip supplying fluids into a vein (intravenous drip), to make sure you don’t get dehydrated
• a drain to take away any fluid from your wound
• a thin, flexible tube inserted into your bladder (urinary catheter), in case you have difficulty urinating
• a pump to deliver painkillers directly into your veins
• The tubes are usually only attached for a short time after your operation.

Frequently Asked Questions

Q. What is spinal Decompression Surgery (stenosis)?

1. Spinal Decompression Surgery (stenosis) is a narrowing of your spinal canal that puts pressure on your spinal nerves and sometimes your spinal cord, causing them to become swollen and inflamed and, can lead to chronic pain, numbness, and muscle weakness in your arms or legs.

Spinal decompression surgery (stenosis) may be caused by osteoarthritis, enlarged joints, thickened ligaments and bony overgrowths.

Q: What does elective spinal surgery mean to you?

A: Almost all spine operations are elective, meaning it’s the discretion of the patient to either to have the surgery or not to have the surgery. Patients should decide to have surgery in consultation with the surgeon, depending on the level of pain and the amount of disability.

Q: What is the length of stay for spine decompression surgery?

A: A hospital stay of 1 to 3 days is expected for the surgery, and recovery takes between 4 and 6 weeks.

Q: What are the outcomes of spine decompression surgery in clinical terms?

A: The outcomes of the procedure are entirely dependent on the patient. It is important to maintain a positive attitude and conduct your physical therapy exercises faithfully. It can dramatically reduce pain by maintaining a weight that is suitable for your height. To prevent re-injury, you need to be careful and use proper posture and lifting techniques.

Q: What is the prognosis for surgery for spine decompression?

A: The decompression spine surgery success rate is high, with approximately 90 percent of patients reporting strong leg pain relief after surgery.

Q: What do vertebrae mean?

A: The 33 bones comprising the spinal column are classified into 7 cervical, 12 thoracic, 5 lumbar, 5 sacral and 4 coccygeal vertebrae.

Q: What does Sciatica mean to you?

A: Sciatica is a condition in which pain caused by pressure on the nerve in the lower back radiates down the leg.

Q: What’s the syndrome of cauda equina?

A: Cauda equina syndrome is an abnormal function of the bladder and intestine, caused by compression of the spinal nerve roots, with a lack of sensation in the buttocks.

Q: What does DVT mean? (Deep Vein Thrombosis )

A: Since blood clots form within the veins of your legs, deep vein thrombosis (DVT) is a potentially serious condition. If the clots break free and move to the lungs, it can be life threatening .

Q: What is the conservative Spine Decompression treatment method?

A: Physiotherapy, medicines, and spinal injections are also provided by conservative care strategies.

Q: What are the drawbacks of surgery with decompression?

A: Stenosis or arthritis is not healed by decompression; it only relieves some of the symptoms that can recur as the degenerative phase progresses.

Q: Who’s going to perform the operation?

A: The operation may be performed by a neurosurgeon or an orthopedic spine surgeon with advanced training 

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IBS Institute of Brain and Spine

About Hospital:

• Established in 2011, IBS Hospital specializes in advanced neurosurgery, neurology, spine surgery, and joint replacement surgeries.
• The hospital receives more than 600 international patients per year.
• It has world-class infrastructure and a dedicated team of specialists and qualified staff.

Fortis Memorial Research Institute

Number of beds:    1000
ICU Beds:                  298
Airport Distance:  17 KMs

Brief About:

• Fortis Memorial Research Institute was established in 2001.
• It is an outstanding multi-speciality quaternary care hospital,having the top-notch infrastructure, advanced equipment, highly qualified and experienced medical professionals and super sub-specialists.
• Fortis Hosptial Gurgaon is an advanced centre of excellence in Robotic Surgery, Neurosciences, Oncology, Renal Sciences, BMT, Organ Transplants, Orthopaedics, Cardiac Sciences and Obstetrics & Gynaecology.

Indraprastha Apollo Hospital

No. of beds: 900
ICU Beds:     262
Airport:  20kms

About Hospital:

• Indraprastha Apollo Hospital is a flagship hospital of India’s foremost healthcare groups,the Apollo Group. It is a highly renowned multi-speciality facility that offers tertiary and quaternary care services to domestic and international patients.
• The 900 bedded hospital is outfitted with the most modern technology for diagnostics as well as therapeutic purposes.
• A team of highly trained medical professionals work under all the 52 specialities at the hospital.

Artemis Hospital Gurgaon

Number of beds:  600
ICU Beds:                185
Airport Distance: 19 Km

Brief About:

• Artemis Hospital, established in 2007, spread across 9 acres, is a 600plus bed; state-of-the-art multi-speciality hospital located in Gurgaon, India.
• Artemis Hospital is the first JCI and NABH accredited hospital in Gurgaon.
• Designed as one of the most advanced hospitals in India, Artemis provides a depth of expertise in the spectrum of advanced medical & surgical interventions, a comprehensive mix of inpatient and outpatient services.

BLK-Max Hospital

Number of beds: 700
ICU Beds:               175
Airport Distance: 13 Km

Brief About:

• BLK Super Speciality Hospital was established by Dr. B.L. Kapur  in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
  
• BLK Super Speciality Hospital was established by Dr. B.L. Kapur  in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
• BLK has a unique combination of the best in class technology, put to use by the best names in the professional circles to ensure world-class health care to all patients.

Max Hospital Saket

Number of beds:   500
ICU Beds:                 267
Airport Distance: 13 KM

Brief About:

• Max Super Speciality Hospital at Saket is one of the topmost healthcare service
• Providers in India. The multi-super speciality hospital has a capacity of over 500 beds, 250 functional beds. It is equipped with state-of-the-art facilities, advanced technologies.
• With the help of over 300 leading specialist Doctors, strong nursing staff, and state-of-the-art innovative medical tools.

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Medanta The Medicity Hospital

Number of beds:  1250
ICU Beds:                300
Airport Distance: 18 KMs

Brief About:

• Medanta – The Medicity is amongst India’s largest and most renowned multi-super speciality healthcare centre with 1250 beds, 29 super speciality units and more than 800 accomplished doctors.
• Supported by state-of-art infrastructure, all the departments in the hospital are fully equipped with cutting-edge technology, modular Operation Theatre and modernized monitoring systems in ICUs.
• The panel of doctors from Medanta, headed by A.S.Soin performed the first successful intestinal transplant in India.

Sanar International Hospital

Number of beds:   130
ICU Beds:                  35
Airport Distance:  20 Km

About Hospital:

• Sanar International Hospital was established in 2018.
• Sanar International Hospital founded by Mr. Naresh Kapoor.
• Sanar International Hospital offers comprehensive advanced surgical care in specialties like Cancer, Heart, Blood and Marrow Transplant, Lung, Liver, and Neurosciences along with other major departments with advanced state-of-the-art facilities.

Jaypee Hospital, Noida

Number of beds:   525
ICU Beds :               150
Airport Distance: 32 KMs

About Hospital:

• The Jaypee Hospital was conceptualized by a revered Founder Chairman, Shri Jai Prakash Gaur in 2014, with the vision of promoting world-class healthcare amongst the masses by providing quality and affordable medical care with commitment.
• Jaypee Hospital at Noida is the flagship hospital of the Jaypee Group, which heralds the group’s noble intention to enter the healthcare space.
• This hospital has been planned and designed as a 1200 bedded tertiary care multi-speciality facility and has commissioned 525 beds in the first phase.

W Pratiksha Hospital Gurgaon

Number of beds: 110
ICU Beds:                 31
Airport Distance: 19 KMs

About Hospital:

• Established in 1995, W Pratiksha Hospital is a 110+ bedded flagship hospital of the Pratiksha group.
• W Pratiksha Hospital in Gurgaon, the flagship hospital of Pratiksha Group is a one-of-its-kind facility in Gurgaon that brings to you 30 years of experience.
• The hospital has treated more than 25,000 people In 2018.
  

Accord Superspeciality Hospital

Number of beds:   380+
ICU Beds:                  41
Airport Distance:  46 Km

About Hospital:

• The story of Accord began with the thought of leveraging the new age technology with the healthcare infrastructure to serve the patients, rightly, effectively, and timely.
• Accord Superspeciality Hospital (A Unit Of SCL Healthcare Pvt. Ltd) is India’s first smart hospital and one of the first of its kind in the world.
• Accord Superspeciality Hospital aims at providing technologically advanced healthcare services to international patients who are looking out for medical tourism in India.

Aakash Health Care Delhi

Number of beds:  230
ICU Beds:                70
Airport Distance: 10 Km

About Hospital:

• Aakash Healthcare Super Speciality Hospital is a tertiary care facility, with 15 Dialysis, and 70 Critical care beds for treating the most complex cases in the National Capital Region (NCR) of Delhi, Dwarka.
  
• The hospital is equipped with state of the art infrastructure, latest technology, competent clinicians and compassionate staff.
  
• Aakash Healthcare Super Specialty Hospital is known for its leading care in Orthopaedic and Joint replacement surgery.
  

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