Lumbar Laminectomy for Leg Pain and Back Pain Relief - Laminectomy Surgery in India

A lumbar laminectomy is also known as an open decompression and typically performed to alleviate pain caused by neural impingement that can result from lumbar spinal stenosis.

A condition that primarily afflicts elderly patients, spinal stenosis is caused by degenerative changes that result in enlargement of the facet joints. The enlarged joints then place pressure on the nerves, and this pressure may be effectively relieved with the laminectomy.

The lumbar laminectomy is designed to remove a small portion of the bone over the nerve root and/or disc material from under the nerve root to give the nerve root more space and a better healing environment

The surgical results of a lumbar laminectomy are particularly effective for leg pain (sciatica) caused by spinal stenosis, which can be severe. Unfortunately laminectomy surgery is not nearly as reliable for relief of lower back pain.

This is because lumbar stenosis is often created by the facet joints becoming arthritic, and much of the low back pain is from the arthritis.

Although removing the lamina and part of the facet joint can create more room for the nerve roots, it does not eliminate the arthritis. Unfortunately, the symptoms may recur after several years as the degenerative process that originally produced the spinal stenosis continues.

How does the procedure work?

Laminectomy is performed under general anesthesia, in this the patient is usually positioned lying on the side or stomach. Then a small straight incision is made over the damaged vertebra. And then a retractor is used to spread apart the muscles and the fatty tissues covering the spine. When the laminae have been reached, the bony arch is cut in order to get to the ligamentum flavum (which is a band of yellow tissue attached to the vertebra that helps to support the spinal column). Thereby an opening is made in the ligamentum flavum to reach the spinal canal and then to the compressed nerve. At this point the cause of compression will be visible (that may be a herniated disk, tumour, fragmented disk etc) which is then rectified. This Surgery is completed in one to three hours.

Minimally Invasive Spine Laminotomy Surgery in 

India - Laminotomy Surgery at Best Spine Surgery 

Hospitals 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

Low Cost Minimally Invasive Spine Surgery in India

MINIMALLYINVASIVE SPINE SURGERY  - Preserves  musculoskeletal structures as the surgery involves small incisions, shortened hospital  stay and faster return to normal activities Procedures include endoscopic repair of herniated disc, spinal decompressions and fusions, deformity correction (listhesis and scoliosis), minimally Invasive corpectomies  and tumor removal, percutaneous bone augmentation in osteoporosis and fractures (Vertebroplasty) and percutaneous spinal stabilization. Advanced telescopes (endoscopes) & Instrumentation

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:

• Minimally Invasive Tubular Microdiscetomy
• Minimally Invasive Lumbar Laminectomy
• Cervical laminoforaminotomy
• Endoscopic Discectomy
• Minimally Invasive Transforaminal Interbody Lumbar Fusion (TILF)
• Minimally Invasive Transforaminal Interbody Lumbar Fusion (TILF)
• Minimally Invasive eXtreme Lateral Interbody Fusion (XLIF)
• Minimally Invasive eXtreme Lateral Interbody Fusion (XLIF)
• Microsurgical Discectomy
• Posterior Lumbar Interbody Fusion (PLIF)
• Kyphoplasty
• Nucleoplasty or Percutaneous Discectomy

WORLD CLASS TECHNOLOGY - The latest technology has a major role to play in diagnosing and assisting the advanced surgical procedures.

INTRA OPERATIVE MRI SURGERY SUITE- is an advanced operating theatre with capability of intra-operative MR imaging and MR guided surgery. Surgeon can perform a high resolution MRI during the surgery to assess the degree of tumor removal as well as to avoid normal tissues.

BIPLANE NEUROENDOVASCULAR ANGIOGRAPHY - Latest flat panel Biplane DSA (digital subtraction laboratory) provides ultrahigh resolution (2048 matrix) of cranial and spinal blood vessels. This unit is one of the most advanced units installed in this part of the world. The features include.

ADVANCED DYNA CT  and S - 7 NAVIGATION SYSTEM : the angiographic suite has a built in CT scan like facility for early detection of any complication.  Latest generation of Navigational equipment with integrated minimal access capabilities allows Real-time Navigational and imaging ability for better visualization of normal anatomy and the disease process allows preservation of normal anatomical structures and completeness of removal of the disease.

MULTIDISCIPLINARYNEUROSCIENCES  TEAM EFFORT

• Neurologists – who diagnose and treat conditions of the nervous system focusing on specific area such as stroke, epilepsy,headache, movement disorders and other diseases.
• Neurosurgeons - - having specific areas of interest such as brain tumor, spine surgery, endoscopic surgery, endovascular surgery, epilepsy surgery, Deep Brain Stimulation (DBS)
• Intervention Neuroradiologists - use a nonsurgical, catheter based approach – similar to cardiac catheterization for heart disease – to treat vascular (blood vessel) diseases that affect the nervous system

 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.

WORLD’sLOWEST COST  SPINE SURGERY PACKAGES -  All the above spine services come at a very attractive cost which is a fraction of the cost of similar services anywhere else in America and Europe.  Most  surgery packages can be availed of in less than 10000 US Dollars and that includes stay in a private  room where a companion can stay with the patient, surgeon fee, medicines and consumables, nursing care, patient’s food and airport pick up etc. etc.

Computer Guided Techniques in Spine Surgery - Cervical Disc Replacement Surgery in India

Cervical discectomy is surgery to remove one or more discs from the neck. The disc is the pad that separates the neck vertebrae; ectomy means to take out. Usually a discectomy is combined with a fusion of the two vertebrae that are separated by the disc. In some cases, this procedure is done without a fusion. A cervical discectomy without a fusion may be suggested for younger patients between 20 and 45 years old who have symptoms due to a herniated disc.

Different Approaches to treat Cervical Discectomy Spine Problem :-

• 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

Minimally invasive cervical disc replacement surgery entails inserting an artificial cervical disc between two cervical vertebrae after the inter- vertebral disc has been surgically removed 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.

Cervical disc replacement surgery is most typically done for patients with cervical disc herniations that have not responded to non-surgical treatment options and are significantly affecting the individuals' quality of life and ability to function.

The advantages of Minimally invasive cervical disc replacement 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
• Postoperative neck braces are not required for disc replacement operations.

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.

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 benefits of minimally invasive spine surgery in India

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 surgery (MISS) is sometimes called less invasive spine surgery. In these procedures, doctors use specialized instruments to access the spine through small incisions.

In a traditional, open surgery, the doctor makes an incision that is 5 to 6 in. long and moves the muscles to the side in order to see the spine. With the muscles pulled to the side, the surgeon can access the spine to remove diseased and damaged bone or intevertebral disks. The surgeon can also easily see to place screws, cages, and any bone graft materials necessary to stabilize the spinal bones and promote healing.

What are the benefits ofminimally invasive spine surgery?

Minimally invasive spine surgery offers several advantages over open surgery, which typically requires large incisions, muscle stripping, more anesthesia, a long hospital stay, and a long recuperation period. The benefits of spine surgery include:

§  A few tiny scars instead of one large scar

§  Shorter hospital stay – a few days instead of a week

§  Reduced postoperative pain

§  Shorter recovery time – a few months instead of a year – and quicker return to daily activities, including work

§  Less blood loss during surgery

§  Reduced risk of infection

Comprehensive SpineSurgery and Treatment at World Class Neurosurgery Hospitals in India:

Dedicated team of International trained and vastly 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.

§  Use of most advanced Surgical techniques for treatment of spinal ailments with focus on Minimal Access Micro Endoscopic spine surgeries, Functional spine preservation techniques and Spinal Arthroplasty for all( disc diseases) as well as instrumentation. Minimally Invasive Surgery ensures quicker recovery and return to active life.

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

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

Why Endovascular NeuroSurgery at Best Hospital in India

Conditionsin which Endovascular Neurosurgery is performed

Cerebral or Spinal Angiography
DSA (Digital Subtraction Angiography) is considered as the 'gold standard' investigation to diagnose diseases of blood vessels and is performed when a vascular disease is suspected.

Intracranial Aneurysms
Aneurysms are focal swelling of blood vessels, which can burst and cause bleeding in the brain. Endovascular coiling can treat these aneurysms, thus avoiding open surgery. Studies have shown that coiling treatment leads to better outcomes as compared to open surgical clipping.

Angioplasty or Stent Placement
This procedure is done to treat stenosis in arteries of brain (including carotid, vertebral, intracranial arteries). Many cases of stroke occur due to stenosis in arteries leading to brain. They can be treated non-invasively by endovascular route with an angioplasty or stenting procedure. Many of these procedures are performed under local anesthesia with reduced morbidity.

Stroke or Brain attack, including Intra-ArterialThrombolysis
Acute stroke or brain attack usually occurs due to blockage of arteries of the brain. Appropriate patients can be treated by placing a micro-catheter at the site of blockage followed by administration of thrombolytic drugs, which dissolve the blocking material. Mechanical clot removal can be done in patients even who come many after the stroke.

Arteriovenous Malformation
Arteriovenous Malformation (AVMs) of brain are malformed swollen blood vessels, which can cause bleeding in brain, seizures and headache. AVMs can be treated by injecting "glue" or "onyx" through a microcatheter placed precisely into these abnormal blood vessels.

Tumour Embolisation
One of the major problems in surgical removal of intracranial tumour is bleeding during the surgery. Interventional Neuroradiologist can help the surgeon by preoperative endovascular occlusion of the blood vessels supplying the tumour. This will reduce the bleeding and facilitate the surgery.

Vertebroplasty and Kyphoplasty
With age, bones become weak and collapse of bones (vertebrae) in the spine is one of the major causes of severe back pain in the elderly. Vertebroplasty is a revolutionary treatment in which "bone cement" is injected through a needle placed into the broken bone so as to stabilize the vertebra and to reduce the pain.

Percutaneous Sclerotherapy
Many superficial vascular malformations such as Haemangioma (malformation of the blood vessels) or Lymphangiomas (malformation of lymphs) can be treated by puncturing through a needle, followed by injection of 'Sclerosant Material' which causes obliteration of the malformation.

Advantages of Endovascular Neurosurgery/ Interventional Neuroradiology

1) The endovascular approach ensures minimal injury to normal brain.

2) It has fewer complications, better outcome and ensures shorter hospital stay.

3) Enables treatment of diseases, which could be treated in the past.

4) Acute stroke patients can be treated even many hours after the stroke.

Why Endovascular NeuroSurgery at World Best Hospital in India

• Use of Bi-plane technology - visualization in 2 planes simultaneously and 3D imaging of blood vessels
• Advanced Dyna CT capability enhances the ability of Endovascular surgeon to perform most accurately in delicate vascular areas like brain
• Minimal incision similar to cardiac treatment, such as angioplasty or stent placement
• Very thin catheters or wires placed through groin are navigated in to the blood vessels of the brain
• Diagnostic (Cerebral or Spinal Angiography) or Therapeutic procedures for Intracranial Aneurysms, Arterial Stenosis, Stroke (Brain attack), Arteriovenous Malformations, Vertebroplasty and Percutaneous Sclerotherapy
• Tumour Embolisation is done to reduce bleeding during surgery

 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