Spinal Fusion Surgery Types, Why It's Done ?

Medical professionals in India have recently given a new hope of life to all those patients suffering from chronic lower back pain  and who have not responded to physical therapy or  medical intervention. Most low back pain can be effectively managed with a variety of helpful interventions. Like Physical therapy, weight loss, smoking cessation and  medication  injections.

In case the above treatments do not work, the  best long-term outcome could be achieved with a Lumbar Fusion.

Lumbar Spinal Fusion (Arthrodesis)

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.
• Metal implants are usually used to hold the vertebrae together until new bone grows between them.

Doctors at MedWorld India affiliated Hospitals in India have expertise and vast experience in performing  Spinal Fusion - an Advanced minimally invasive surgery  is designed to stop the motion at a painful vertebral segment, which in turn should decrease pain generated from the joint. A severely degenerated disc between two vertebral bones or to a "slippage" of the spine bones (which is referred to as "spondylolisthesis"). Slippage of the bones results in misalignment of the spine and possible entrapment of the spinal nerves.

There are many approaches to lumbar spinal fusion surgery, and all involve adding bone graft to an area of the spine to set up a biological response that causes the bone graft to grow between the two vertebral elements and create a fusion, thereby stopping the motion at that segment. Other circumstances exist in which a fusion may best treat the source of back and leg pain. A lumbar fusion may be recommended for diagnoses such as a recurrent disc herniation, scoliosis or curvature of the spine, or for a traumatic injury of the spine such as a fracture. All of these different conditions can cause back and leg pain.

The procedure is performed in an advanced surgical center with Intra-operative MRI  guidance. The patient is monitored with an electrocardiogram, blood pressure cuff and blood oxygen-monitoring device.

Medical evaluation includes a physical exam. Diagnostic tests such as MRI (magnetic resonance imaging), steroid injection or discography may be conducted to diagnose and locate the symptomatic disc herniation and determine if the procedure is appropriate.

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Spinal Disc Protrusions do not require Open Spine Surgery

Percutaneous Disc Nucleoplasty is minimally invasive surgery to reduce the volume of a bulging or herniated disc. In both cases the spinal disc puts pressure on a nerve root or the spinal cord and causes back pain or sciatic pain.

Spinal Disc Protrusions do not require open spine surgery

Many patients with back pain show no clear indication of a herniated disc. However with MRI investigation protrusion of the intervertebral discs can be diagnosed. This protrusion can put pressure on nerves or the spinal cord and can cause persistent, or stress-related chronic back pain. Normally this kind of back pain (lumbar or cervical), responds well to conservative treatment options.

When will your neurosurgeon consider Nucleoplasty?

If after six weeks, conservative treatment has not been successful, your spine specialist should consider an intradiscal procedure: The disc protrusion can be reduced by treating the liquid core of the spine simply by using an injection needle. This needle (cannula) allows a radiofrequency instrument to enter the core of the disc, thereby avoiding all the surgical risks associated with open back surgery. This is essentially the principle of the Nucleoplasty.

Nucleoplasty, as a minimally invasive treatment, covers only smaller disc herniations or disc bulges that have not yet broken through the solid fibre ring of the disc and are therefore are not accessible via an open surgical procedure (surgical removal of the disc material).

Endoscopic Nucleoplasty is safe for patients and is a minimally invasive procedure, which produces very good outcomes, without the risks and postsurgical complications associated with open back surgery.

Disc Nucleoplasty is performed on an outpatient basis, with minimal anesthesia requirements. Fluoroscopic guidance is employed as an introducer needle is placed at the nucleus/annulus junction. A SpineWand is introduced through the passage way, and advanced into the disc nucleus. Using Coblation, tissue is then removed by either creating channels (lumbar spine) or spheres (cervical spine). After sufficient tissue is removed, a bandage is placed on the skin and the patient is discharged home. Patients are then usually placed on a routine rehabilitation program.

Nucleoplasty is recommended for patients who have not responded to rest, medical intervention (including steroid injection), and/or physical therapy.

There are many people across the world who suffers from slipped disc problem. In 90 per cent of these cases, the disc prolapsed is contained or limited to the disc space and are not suitable for the traditional discectomy surgery involving the complete removal of the diseased disc. The open surgery is an overkill leading to unsatisfied results, more complications and costly procedure.

In such clinical circumstances, percutaneous treatment also known as disc nucleoplasty has emerged as the best alternative. Moreover the cost of Disc Nucleoplasty at Medworldindia affiliated hospitals in India is minimal. Conventionally the disc prolapse is treated with bed rest and analgesics but with limited relief.

Many successful Nucleoplasty procedures have been performed in India. This minimally invasive approach to treating contained disc herniations has helped most of the International patients return to active and productive lives with effective cost savings. 

Expert Neuro and Spine Surgeons in India who have ample experience in performing this procedure said that, “Spinal Surgery is fast becoming a major sub-speciality in neurosurgery”. Disc nucleoplasty is an innovative percutaneous method of healing disc disease. Disc prolapse can occur in lumbar as well cervical region causing low back pain, radiating pain and neck pain respectively. Related symptoms are excruciating pain, numbness, tingling sensation in hands and legs, burning and weakness of the limbs. The patient will have restricted movement, walking, bending and doing normal day to day activities becomes very difficult. The severe pain results in incapacitation leading to loss of man hours.

GET BEST RESULT- STEM CELL THERAPY FOR SPINAL CORD INJURY

A spinal cord injury usually begins with a sudden, traumatic blow to the spine that fractures or dislocates vertebrae. The damage begins at the moment of injury when displaced bone fragments, disc material, or ligaments bruise or tear into spinal cord tissue. Some injuries will allow almost complete recovery. Others will result in complete paralysis.

There are several types of treatment in the short term for a spinal cord injury. First, the spine in the area of the injured spinal cord is immobilized (held in place so it can’t move) to prevent further injury to the cord. For injuries to the neck, immobilizing the spine may include placing the head in a “halo” (a device that prevents the head from moving). For spinal cord injuries in the back, casts, braces and straps may be temporarily used to keep the back from moving.

To reduce swelling in the spinal cord caused by injury, steroid medication is usually given during the first 24 hours following injury. Other medical treatment is often necessary, depending on complications that may develop.

Treatment options

Spinal injury is a devastating event that occurs suddenly and whose consequences range from minimal symptomatic pain to a tragic quadriplegia (total paralysis of all four limbs). The key element in management is prevention of secondary neurological damage occurring during transportation, so whenever a family physician sees a patient with suspected spinal injury the first thing to be done is immobilize the spine which is done with  cervical collar and belts for thoracic and lumbar spine.

Treatment:

1. At the site of accident / clinic of the family physician :mainly deals with immobilization & proper transportation to the hospital.

2. In the hospital: Resuscitaion, haemodynamic stabilization, basic corrective surgery (if required), physiotherapy.

3. Surgeries: basic aims of surgery are decompression of the neural elements, reduction of malalignment and restoration of spinal stability.

    a.    Anterior /posterior

    b.    Decompression / stabilization

Improved emergency care for people with spinal cord injuries and aggressive treatment and rehabilitation can minimize damage to the nervous system and even restore limited abilities. Rehabilitation programs combine physical therapies with skill-building activities and counseling to provide social and emotional support.

STEM CELL THERAPY FOR SPINAL CORD INJURY

Cell therapy, in particular, stem cell implantation has become a feasible therapy for spinal cord injury. Embryonic stem cells and fetal stem cells are the forefathers of the field of stem cell therapy. Extraction ,separation & processing of specific populations of adult stem cells in the laboratories has evolved  such that  they can be converted to various types of specialized cells (eg.neurons, liver cells, heart cells). Thus, adult stem cells will transcend ethical concerns, technical difficulties, and probably immunorejection.

Spinal Surgery at India Best Spine Surgery Hospital in India

Our network hospitals have the most advanced spine surgery facilities. The spine surgeons 

here use minimally invasive and computer guided techniques in spine surgery. In a 

Minimally Invasive spine surgery the surgeon makes a few small incisions unlike the open 

surgery where a single large incision is made. Minimally Invasive spine surgery has several 

important benefits for the patients. If you have been advised spine surgery your first choice 

should be the latest minimally invasive technique developed by our world best hospitals in 

India. Most advanced Technology like Intra Operative MRI, Brain Suite and Computer 

Assisted Navigation System are deployed by highly trained surgeons for accurate and safe 

Spine Surgeries through a small incision.

Why should you choose to get Indian hospitals offer the best spinal surgery treatment 

in India at affordable prices. MedWorld india associated best spine surgery hospitals in 

India have the latest technology and infrastructure to offer the most advanced spine 

surgery at low cost.

Salient features of these hospitals are:

• Comprehensive management of spine disorder from birth defects to degeneration of tumor and trauma.
• Dedicated team of International trained and vastly experienced Spine Surgeons, Rheumatologists, Neurologist, Physicians and Physiotherapist.
• Expert evaluation of spinal problems by dedicated team of experienced spine Surgeons, Rheumatologists, Neurologist, Physicians and Physiotherapist.
• Latest Generation Diagnostic and Imaging facilities including dynamic digital X rays, Spiral CT scanning , MRI and Electrophysiology unit all under one roof.
• Physiotherapy and Rehabilitation by experts after the surgery help you regain functional abilities quickly helping in vastly improved overall results.

Benefit from Microsurgical Discectomy : Spine Surgery Hospital in india

A microsurgical discectomy, microdiscectomy or micro decompression spine surgery involves removal of a small portion of the bone/disc over or under nerve root to relieve nerve pinching and provide more room for the nerve to heal.

A microsurgical discectomy is typically performed for a herniated lumbar disc or spinal stenosis and is actually more effective for treating leg pain (commonly known as radiculopathy) than lower back pain.

Pressure on the nerve root (Neural impingement) can cause substantial leg pain. While it may months for the nerve root to heal completely and any numbness or weakness to get better, patients normally feel relief from leg pain almost immediately after a microdiscectomy lumbar spine surgery.

Microsurgical Discectomy is considered to be more reliable compared to the closed procedures like percutaneous procedures. Here the surgeon can directly view the disc fragments. After moving the muscles of the back and excising a bit of bone tissue, the surgeon can directly look into the spinal canal. The microsurgical discectomy involves the use of an operating microscope which allows magnification of the spinal disc material and further allows greater maneuverability to the operating surgeon. This allows quicker post operative healing of the wound and hastens recovery.

Who can benefit from Microsurgical Discectomy?

A microsurgical discectomy is typically recommended for patients who have:

•     Experienced leg pain for at least six weeks
•     Not found sufficient pain relief with conservative treatment (such as oral steroids, NSAID’s, and physical therapy).
•     In cases of severe disc herniation, causing weakness, pain, numbness and in cases of loss of control of bowel/bladder (Clauda Equina Syndrome) or worsening neurological symptoms. It is recommended to conduct the surgery immediately as conservative care is not expected to provide relief.

Prior to deciding the surgical intervention on the patient, it is crucial that conservative treatment is tried. Conservative care includes NSAIDS, physical therapy with exercises for pelvic stabilization. Occasionally traction may be required

Some patients may benefit from epidural steroid injections, directly into the spinal canal, to alleviate the irritation caused due to inflamed nerve roots.

Usually the conservative treatment is tried for about 2 months before considering surgery.

The Microsurgical Discectomy Surgery:

Before the disc material is removed, a small piece of bone (the lamina) from the affected vertebra may be removed. This is called a Laminotomy or Laminectomy It allows the surgeon to better see the herniated disc.

Microdiscectomy uses a special surgical microscope to view the disc and nerves. This surgical microscope is mounted on a flexible stand and lets the surgeon to view with both eyes. This larger well lit view allows the surgeon great flexibility and to operate using a smaller incision. Usually the incision is less than 2 inches. This causes less damage to surrounding tissue. Upon the initial incision the back muscles are stretched out rather than being cut to allow the surgery. This step aids greatly in post surgical recovery.

The surgeon then uses a special high speed surgical drill to remove a small portion of facet joint. The nerve is very carefully moved to the side. Then the surgeon removes the part of the disc that is herniated and is pushing into the spinal canal. Any loose fragments of disc are also removed. The nerve is then moved back and the incision is closed with sutures or surgical tape. This surgery is carried out under general anesthesia and in some cases might involve overnight stay in the hospital.

Minimal Invasive Spine surgery comes with more benefice than invasive spine surgery.

• Less scar tissue is created thereby not leaving the patient to recover with huge and ugly scar marks.
• Pain associated with this procedure is effectively less severe as small incisions are made. Also less soft tissues are damaged.
• Less blood is lost and therefore the patients don’t have to be at a medication for long periods of time
• Procedure is more accurate and leaves the patient with better results.
• The cost for such a surgery is quite lesser as compared to an Invasive Spinal surgery.

The Post Surgical care after Micro Surgical Discectomy:

The patient will be given antibiotics to prevent infection and pain relievers to help with post operative pain.

The patient will be mobilized within 24 hours. Some studies noted no extra risk of re herniation in the patients who resumed normal activities sooner.  Everyday activities can be resumed within few days while high intensity activities should wait 2-3 months.

The patient will receive physical therapy to regain the spine strength and encouraged to walk on a regular scheduled regimen. The brisk walking is shown to improve the post surgical outcome and lower back stabilization.

Most Advanced Minimally Invasive Spine Surgery in India

Our network hospitals have the most advanced spine surgery facilities. The spine surgeons here use minimally invasive and computer guided techniques in spine surgery. In a Minimally Invasive spine surgery the surgeon makes a few small incisions unlike the open surgery where a single large incision is made. Minimally Invasive spine surgery has several important benefits for the patients. If you have been advised spine surgery your first choice should be the latest minimally invasive technique developed by our world best hospitals in India. Most advanced Technology like Intra Operative MRI, Brain Suite and Computer Assisted Navigation System are deployed by highly trained surgeons for accurate and safe Spine Surgeries through a small incision.

Why should you choose to get Indian hospitals offer the best spinal surgery treatment in India at affordable prices. MedWorld india associated best spine surgery hospitals in India have the latest technology and infrastructure to offer the most advanced spine surgery at low cost.

Salient features of these hospitals are:

• Comprehensive management of spine disorder from birth defects to degeneration of tumor and trauma.
• Dedicated team of International trained and vastly experienced Spine Surgeons, Rheumatologists, Neurologist, Physicians and Physiotherapist.
• Expert evaluation of spinal problems by dedicated team of experienced spine Surgeons, Rheumatologists, Neurologist, Physicians and Physiotherapist.
• Latest Generation Diagnostic and Imaging facilities including dynamic digital X rays, Spiral CT scanning , MRI and Electrophysiology unit all under one roof.
• Physiotherapy and Rehabilitation by experts after the surgery help you regain functional abilities quickly helping in vastly improved overall results.

For more information visit:          http://www.medworldindia.com      
                    https://www.facebook.com/medworld.india

Please scan and email your medical reports  to us at care@medworldindia.com and we shall get you a Free Medical Opinion from India’s Best Doctors.

Call Us : +91-9811058159

Mail Us : care@medworldindia.com

Most Advanced Laser Spine Treatment and Surgery in India

Laser therapy is the use of monochromatic light emission from a low intensity laser diode (250 milliwatts or less) or an array of high intensity super luminous diodes (providing total optical power in the 1000-2000 milliwatt range). Conditions treated include musculoskeletal injuries, chronic and degenerative conditions and wounds. The light source is placed in contact with the skin allowing the photon energy to penetrate tissue, where it interacts with various intracellular biomolecules resulting in the restoration of normal cell morphology and function. This also enhances the body's natural healing processes. The following chart outlines some of the specific effects of Low Intensity Laser Therapy. 

The underlying science behind cold laser therapy is sound. Studies have shown that light of certain wavelengths can reduce pain and inflammation. Lasers can offer very focused beams of light which can be used to target specific areas, which means that in theoretical use, a low intensity laser calibrated to emit light of a specific wave length could potentially be used very effectively to treat areas of inflammation on the body. However, like all medical devices, cold lasers need to be carefully evaluated for safety and efficacy.

Doctors generally recommend cold laser therapy as part of an overall pain management program. For people dealing with chronic pain, cold laser therapy is an option which could be used to reduce the pain, while people with persistent inflammations may also benefit. However, this therapy should not be undertaken without medical supervision, and it is generally not recommended as a replacement for other forms of medical treatment, such as the use of physical therapy to manage chronic pain.

Some practitioners of acupuncture have suggested that cold laser therapy could be used much like acupuncture and acupressure, with the beams of the laser targeting specific points on the body. These practitioners of alternative medicine rely on their training and experience to support their beliefs about the use of cold laser therapy. Stimulation of pressure points can be used to treat a number of conditions treatable with acupuncture.

A number of terms are used to refer to cold laser therapy, including low power laser therapy (LPLT), low level laser therapy (LLLT), biostimulation, soft laser, and laser acupuncture. In all cases, the technique involves exposing the skin to targeted laser beams for set periods of time and at set intervals. The light in the laser is supposed to stimulate damaged cells to promote healing and a reduction in inflammation and pain. The "cold" refers not the temperature of the laser, but to the fact that the laser is of low intensity, rather than high intensity lasers, which can burn the skin.

Our network hospitals have the most advanced spine surgery facilities. The spine surgeons here use minimally invasive and computer guided techniques in spine surgery. In a Minimally Invasive spine surgery the surgeon makes a few small incisions unlike the open surgery where a single large incision is made. Minimally Invasive spine surgery has several important benefits for the patients. If you have been advised spine surgery your first choice should be the latest minimally invasive technique developed by our world best hospitals in India. Most advanced Technology like Intra Operative MRI, Brain Suite and Computer Assisted Navigation System are deployed by highly trained surgeons for accurate and safe Spine Surgeries through a small incision.

Why should you choose to get Indian hospitals offer the best spinal surgery treatment in India at affordable prices. MedWorld india associated best spine surgery hospitals in India have the latest technology and infrastructure to offer the most advanced spine surgery at low cost.

Salient features of these hospitals are:

• Comprehensive management of spine disorder from birth defects to degeneration of tumor and trauma.

• Dedicated team of International trained and vastly experienced Spine Surgeons, Rheumatologists, Neurologist, Physicians and Physiotherapist.

• Expert evaluation of spinal problems by dedicated team of experienced spine Surgeons, Rheumatologists, Neurologist, Physicians and Physiotherapist.

• Latest Generation Diagnostic and Imaging facilities including dynamic digital X rays, Spiral CT scanning , MRI and Electrophysiology unit all under one roof.

• Physiotherapy and Rehabilitation by experts after the surgery help you regain functional abilities quickly helping in vastly improved overall results.

For more information visit:          http://www.medworldindia.com       
                    https://www.facebook.com/medworld.india

Please scan and email your medical reports  to us at care@medworldindia.com and we shall get you a Free Medical Opinion from India’s Best Doctors.

Call Us : +91-9811058159

Mail Us : care@medworldindia.com

What are the advantages of minimally invasive lumbar spinal fusion?

Lumbar fusion surgery is a procedure used to treat a variety of conditions of the lumbar spine (lower back). This article will focus on minimally invasive lumbar fusion, although open lumbar fusion incorporates some of the same steps. 

Conditions Treated with Minimally Invasive Lumbar Fusion Surgery

Lumbar fusion may be used to treat a variety of conditions. These include lumbar instability, spondylolisthesis, degenerated lumbar discs, back pain, fracture, tumor, recurrent herniated discs, and failed back syndrome, among others. The most common levels in the spine requiring treatment are L4-5 and L5-S1. Many patients requiring lumbar fusion surgery also have pinched nerves from herniated discs or spinal stenosis. As a result, the surgery is often performed in conjunction with micro lumbar discectomy or lumbar laminectomy. 

Lumbar spinal fusion is a common technique to help patients with back pain, who have failed non-operative treatment. Once you and your physician have decided that you need fusion of your lumbar spine, you should realize that there are many different ways this procedure can be done. The choice of which technique is best for you is dependent on what is wrong with your spine. Your surgeon may have more experience with fusion techniques from the front of the spine (anterior), the back of the spine (posterior), or some of the newer, less invasive approaches. These newer techniques are often called Minimally Invasive Spinal (MIS) surgery. The goals of all these techniques remain the same, to achieve a lumbar fusion, and lessen the patient's pain.

The most common method of spinal fusion involves the posterior approach, with an incision along the back of the patient's spine. Often, this procedure is used if bone spurs, thickened ligaments, or disc ruptures need to be removed to alleviate pressure on the nerves. The fusion procedure then involves placement of metal screws, rods and bone graft. Anterior spinal fusions require an incision through the abdomen. After removal of the degenerated disc, a metal cage with bone graft is usually placed between the spinal bones (vertebral bodies). Some patients will require both front and back procedures.  There are many new surgical techniques that are being developed to improve the results of lumbar fusions. Minimally invasive spine surgery for lumbar fusion is one of these newer techniques. MIS procedures have smaller incisions, cause less trauma to the surrounding normal tissues, and hopefully results in a faster recovery for the patient. One of these MIS techniques is a procedure known as extreme-lateral lumbar interbody fusion (XLIF). During the XLIF procedure the lumbar spine is approached from the side through a small skin incision. The surgery is performed through a muscle that lies next to the lumbar spine known as the psoas muscle.

With the XLIF procedure, approximately 2/3 of the disc can be safely removed. After the disc is removed, an artificial graft is placed in between the vertebrae, to allow the bones to fuse together. For a single level XLIF procedure, the surgery can be usually be performed in about an hour. Most patients stay in the hospital for 24 hours following the procedure, and do not require a brace. Occasionally, weakness may be noticed while lifting your leg after surgery. This psoas muscle weakness should return to normal fairly soon after surgery.

Not everyone is a candidate for this surgery, once conservative (non-operative) treatments have failed, you should consult a surgeon to see if you are an appropriate candidate.

What are the advantages of minimally invasive lumbar spinal fusion?

The major advantage of all of these minimally invasive techniques is that there is less damage caused to the surrounding tissues. Unfortunately, in traditional spinal surgery it is necessary to cut through muscles and move them out of the way in order to reach the spine. This can cause a large amount of pain following surgery, and it can lengthen the recovery time. Instead of cutting and moving muscles, the minimally invasive techniques can more gently spread through the muscles to allow access to the spine. This is much less painful for the patient, and it does not require as long of a recovery period for the muscle to heal.  Another benefit of less muscle damage is less blood loss and thus a reduced need for blood transfusions using the minimally invasive techniques. There is often less need for narcotic pain medications following this form of surgery, and a shorter hospital stay.

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Please scan and email your medical reports  to us at care@medworldindia.com and we shall get you a Free Medical Opinion from India’s Best Doctors.

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Scoliosis Surgery has Several Advantages over the Posterior Approach

Surgery for adolescents with scoliosis is only recommended when their curves are greater than 40 to 45 degrees and continuing to progress, and for most patients with curves that are greater than 50 degrees.

Unlike back braces, which do not correct spinal curves already present, surgery can correct curvature by about 50%. Furthermore, surgery prevents further progression of the curve.

There are several approaches to scoliosis surgery, but all use modern instrumentation systems in which hooks and screws are applied to the spine to anchor long rods. The rods are then used to reduce and hold the spine while bone that is added fuses together with existing bone.

Once the bone fuses, the spine does not move and the curve cannot progress. The rods are used as a temporary splint to hold the spine in place while the bone fuses together, and after the spine is fused, the bone (not the rods) holds the spine in place. However, the rods are generally not removed since this is a large surgery and it is not necessary to remove them. Occasionally a rod can irritate the soft tissue around the spine, and if this happens the rod can be removed.

Two Approaches to Scoliosis Surgery

There are two general approaches to the scoliosis surgery - a posterior approach (from the back of the spine) and an anterior approach (from the front of the spine). Specific surgery is recommended based on the type and location of the curve.

1. ScoliosisSurgery from the Back (Posterior Surgical Approach)

This approach to scoliosis surgery is done through a long incision on the back of the spine (the incision goes the entire length of the thoracic spine).

·         After making the incision, the muscles are stripped off the spine to allow the surgeon access to the bony elements in the spine

·         The spine is then instrumented (screws are inserted) and the rods are used to reduce the amount of the curvature

·         Bone is then added (either the patient's own bone, taken from the patient's hip, or cadaver bone), inciting a reaction in which the bones in the spine begin fusing together

·         The bones continue to fuse after surgery is completed. The fusion process usually takes about 3 to 6 months, and can continue for up to 12 months

For patients who have a severe deformity and/or those who have a very rigid curvature, another procedure may be required prior to this surgery. A surgeon may recommend an anterior release of the disc space (removal of the disc from the front), which involves approaching the front of the spine either through an open incision or with a scope (thoracoscopic technique) and releasing the disc space.

After the discs at the appropriate levels of the spine have been removed, bone (either the patient's own bone and/or cadaver bone) is added to the disc space to allow it to fuse together.

Removing the discs allows for a better reduction of the spine and also results in a better fusion. These two factors are especially important if the patient is a young child (10 to 12 years old) and has a lot of skeletal growth left.

Without the anterior release procedure, the anterior column (the part of the spine facing the front of the body) can continue to grow, eventually twisting around the fused, non-growing posterior spinal column, forming a new scoliosis curve (called "crankshafting"). Fusing the spine anteriorly prevents this process.

2. Scoliosis Surgery from the Front (Anterior Surgical Approach)

For curves that are mainly at the thoracolumbar junction (T12-L1), the scoliosis surgery can be done entirely as an anterior approach.

·         This approach to scoliosis surgery requires an open incision and the removal of a rib (usually on the left side). Through this approach, the diaphragm can be released from the chest wall and spine, and excellent exposure can be obtained for the thoracic and lumbar spinal vertebral bodies.

·         The discs are removed to loosen up the spine.

·         Screws are placed in the vertebral bodies and rods are put in place to reduce the curvature.

·         Bone is added to the disc space (either the patient’s own bone, taken from the patient's hip, or cadaver bone), to allow the spine to begin to fuse together.

·         This fusion process usually takes about 3 to 6 months, and can continue for up to 12 months.

If this surgery is applicable because of the type of curvature, the anterior approach to scoliosis surgery has several advantages over the posterior approach.

·         Not as many lumbar vertebral bodies will need to be fused and some additional motion segments can be preserved

·         Saving motion segments is especially important for lower back curves (lumbar spine), because if the fusion goes below L3 there is a higher risk of later back pain and arthritis

·         Saving lumbar motion segments also helps prevent loading all the stress on just a few motion segments

·         This approach can sometimes allow for a better reduction of the curve and a more favorable cosmetic result.

  MEDWORLD INDIA

Our network hospitals have the most advanced spine surgery facilities. The spine surgeons here use minimally invasive and computer guided techniques in spine surgery. In a Minimally Invasive spine surgery the surgeon makes a few small incisions unlike the open surgery where a single large incision is made. Minimally Invasive spine surgery has several important benefits for the patients. If you have been advised spine surgery your first choice should be the latest minimally invasive technique developed by our world best hospitals in India. Most advanced Technology like Intra Operative MRI, Brain Suite and Computer Assisted Navigation System are deployed by highly trained surgeons for accurate and safe Spine Surgeries through a small incision.

Why should you choose to get Indian hospitals offer the best spinal surgery treatment in India at affordable prices. MedWorld india associated best spine surgery hospitals in India have the latest technology and infrastructure to offer the most advanced spine surgery at low cost.

Salient features of these hospitals are:

• Comprehensive management of spine disorder from birth defects to degeneration of tumor and trauma.
• Dedicated team of International trained and vastly experienced Spine Surgeons, Rheumatologists, Neurologist, Physicians and Physiotherapist.
• Expert evaluation of spinal problems by dedicated team of experienced spine Surgeons, Rheumatologists, Neurologist, Physicians and Physiotherapist.
• Latest Generation Diagnostic and Imaging facilities including dynamic digital X rays, Spiral CT scanning , MRI and Electrophysiology unit all under one roof.
• Physiotherapy and Rehabilitation by experts after the surgery help you regain functional abilities quickly helping in vastly improved overall results.
  
  
  

For more information visit:          http://www.medworldindia.com      
                    https://www.facebook.com/medworld.india

• 
  
  Please scan and email your medical reports  to us at care@medworldindia.com and we shall get you a Free Medical Opinion from India’s Best Doctors.
  
  
  Call Us : +91-9811058159
  Mail Us : care@medworldindia.com
•