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       
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Spinal Fusion Surgery in India at World Best Hospitals

Hospitals in India have established an international reputation for spinal fusion surgery. The hospital provides the very highest standards of clinical skills and nursing care in a comfortable relaxing setting. India has developed as a medical hub for the patients coming from other countries like the U S, Europe, the Middle East and more. India is one of the best destinations for medical treatment because of its world-class standards of medical care, highly trained surgeons and undeniably diverse tourist attractions. Health access international offers a premium service for patients wishing to benefit from the high quality of Indian medical services. Patients gain access to Indian medical expertise, superior healthcare, and the latest medical technology.

What is spinal fusion surgery?

If the cause of your back pain seems to be motion between segments of your vertebrae, spinal fusion may be a way to prevent motion and stop the pain. Spinal fusion surgery, also known as spondylodesis or spondylosyndesis, is a surgical technique used to combine two or more vertebrae. Spinal fusion is surgery to fuse spine bones (vertebrae) that cause you to have back problems. Fusing means two bones are permanently placed together so there is no longer movement between them.  Supplementary bone tissue either autograft or allograft is used in conjunction with the body's natural osteoblastic processes. This procedure is used primarily to eliminate the pain caused by abnormal motion of the vertebrae by immobilizing the vertebrae themselves.

Conditions where spinal fusion surgery is used:

Spinal fusion is done most commonly in the lumbar region of the spine, but it is also used to treat cervical and thoracic problems.

Conditions for which spinal fusion is most commonly done:

• degenerative disc disease
• discogenic pain
• spinal tumor
• vertebral fracture
• scoliosis
• spondylolisthesis
• spondylosis
• other degenerative spinal conditions
• any condition that causes instability of the spine

 

Types of spinal fusion:

There are two main types of spinal fusion, which may be used in conjunction with each other:

Posterolateral fusion places the bone graft between the transverse processes in the back of the spine. These vertebrae are then fixed in place with screws and/or wire through the pedicles of each vertebrae attaching to a metal rod on each side of the vertebrae.

Interbody fusion places the bone graft between the vertebrae in the area usually occupied by the intervertebral disc. In preparation for the spinal fusion, the disc is removed entirely. The fusion then occurs between the endplates of the vertebrae. This procedure may be done through the abdomen (Anterior Lumbar Interbody Fusion or ALIF) or through the back (Posterior Lumbar Interbody Fusion or PLIF).

Using both types of fusion in conjunction yields the highest chances of successful fusion. This is known as 360-degree fusion.

Spinal fusion Surgery procedure:

Spinal fusion surgery requires general anesthesia. The procedure may take from two to 12 hours, depending on how extensive the surgery is and the technique your surgeon uses. Surgery may involve a large incision, or may be done using newer techniques with smaller incisions. To fuse the spine doctor needs small pieces of extra bone to fill the space between two vertebrae. This bone may come from your own body (autogenous bone), usually from a pelvic bone. Or, it may come from another person (allograft bone) by way of a bone bank. If the front of spine is fused, the disk is removed first. Bone graft substitutes, such as genetically engineered proteins, are being developed as alternatives to using bones from body or a bone bank. Sometimes, doctors also use wires, rods, screws, metal cages or plates.

Benefits of Spinal Fusion Surgery:

Any procedures done to reduce pain and improve mobility in patients are a benefit. Undergoing a spinal fusion might decrease pain in the back and legs, as well as reduce spine curvatures like scoliosis. Spinal fusion procedures are often recommended to those who suffer from severe back pain due to slippage of bones, causing misalignment. Other ailments a spine fusion might help improve are recurrent disc herniation, traumatic injury to the spine and fractures.

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Questions and Answers about Scoliosis in Children - Treatment Options for Scoliosis

Scoliosis is a condition in which the spine—in addition to the normal front to back curvature—has an abnormal side-to-side “S-” or “C”-shaped curvature. The spine is also rotated or twisted, pulling the ribs along with it to form a multidimensional curve.

Three to five children out of every 1,000 develop spinal curves that are considered large enough to require treatment. Idiopathic scoliosis does tend to run in families, although no one genetic link has been confirmed.

Scoliosis occurs, and is treated, as three main types:

• idiopathic scoliosis: the most common form, with no definite cause, mainly affecting adolescent girls, but existing in three age groups:
• adolescent idiopathic scoliosis
• juvenile idiopathic scoliosis
• infantile (early-onset) idiopathic scoliosis
   
• neuromuscular scoliosis: associated with a neuromuscular condition such as cerebral palsy, myopathy or spina bifida
   
• congenital scoliosis: present at birth, caused by a failure of the vertebrae to form normally—the least common form

In general, curves measuring 25 to 50 degrees are considered large enough to require treatment. Curves greater than 50 degrees will likely need surgery to restore normal posture.

What will make the spine go back to being straight again?

A scoliosis curve will not get straight on its own. Bracing will help it from getting worse. Surgery — a spinal fusion — is the only thing that will straighten out the spine, but it will not make it completely straight.

What happens if my child has just a slight curve?

Children who have mild curves (less than 20 degrees) or who are already full grown, will be monitored to make sure the curve is not getting worse. Your doctor will check your child's spine every 6 months and schedule follow-up x-rays about once a year.

Will having so many x-rays cause future health problems?

X-rays are necessary to follow the progression of the curve. There can be small negative effects with frequent x-rays, but these effects are minimized by using protective shields over certain body parts to protect the child from unnecessary exposure.

What happens if no treatment is done? Will the curve get worse?

Two factors can strongly predict whether a scoliosis curve will get worse: young age and a larger curve at the time of diagnosis. Children younger than 10 years with curves greater than about 35 degrees tend to get worse without treatment.

Once someone is done growing, it is very rare for a curve to progress rapidly. We know from studies that once someone is fully grown, scoliosis less than 30 degrees tends not to get worse, while those curves greater than 50 degrees can get worse over time, by about 1 to 1 1/2 degrees per year.

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Spinal Anatomy for Low Back pain and Neck Pain- Spine Treatment in India

The spinalcolumn is one of the most vital parts of the human body, supporting our trunks and making all of our movements possible. When the spine is injured and its function is impaired the consequences can be painful and even disabling.

The spine has three major components:
• The spinal column (i.e., bones and discs)
• Neural elements (i.e., the spinal cord and nerve roots)
• Supporting structures (e.g., muscles and ligaments)

 The spinal column consists of:
• Seven cervical vertebrae (C1–C7) i.e. neck
• Twelve thoracic vertebrae (T1–T12) i.e. upper back
• Five lumbar vertebrae (L1–L5) i.e. lower back
• Five bones (that are joined or "fused," together in adults) to form the bony sacrum

Spinal anatomy is a remarkably intricate structure of strong bones, flexible ligaments and tendons, extensive muscles and highly sensitive nerves and nerve roots. Without question, the composition and function of the spine is a marvel of nature, providing us with a unique combination of:

• Structure to allow us to stand upright and move with precision
• Protection for the spinal cord and nerve roots to safely relay messages to and from the brain and the rest of the body
• Shock absorption accepts jolts and stress as we move about
• Flexibility, especially in the lower and upper spine, allowing us to bend and twist in a full variety of movements
• Strength provided by the bones, discs, joints and supportive muscles and connective tissue

Once back pain starts, however, the many benefits of this intricate anatomical construct can quickly be lost. Here are the basics of anatomical causes of spine pain:

Neck pain

The cervical spine (neck) supports the weight of your head and protects the nerves that come from your brain to the rest of the body. This section of the spine has seven vertebral bodies (bones) that get smaller – and provide more rotation - as they get closer to the base of the skull.
Most episodes of acute neck pain are due to a muscle, ligament or tendon strain, which is usually caused by a sudden force (e.g. whiplash) or from straining the neck (e.g. sleeping in the wrong position).

Upper backpain

The 12 vertebral bodies in the upper back that are attached to the rib cage make up the thoracic spine (middle or upper back) are firmly attached to the rib cage at each level, providing a great deal of stability and structural support, protecting the heart, lungs and other important organs within the chest.
Because there is little motion in the upper spine, it is rare to have pain caused by a herniated or degenerated thoracic disc. More common causes of upper back pain include irritation of the large back muscles and shoulder or joint dysfunction.

Lower back pain

Because the lower back carries the most load with the least structural support, it is the most likely to wear down or suffer injury.
Most episodes of lower back pain are caused by muscle strain. Even though this doesn't sound like a serious injury, the pain can be severe. Strong abdominal muscles and back muscles are important to provide support for this area of the spine and avoid injury.

Pain at the bottom of the spine

The iliac bones are part of the pelvis, and the sacrum is connected to this part of the pelvis by the sacroiliac joints. Pain can occur in the sacroiliac joints (where the sacrum connects to the pelvis), called sacroiliac joint dysfunction, and in the coccyx (tailbone), called coccydynia. Both of these conditions are more common in women than men.
The spine is an anatomically complicated structure. Knowing the basics can help you have a more meaningful discussion with your spine care provider.

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Most Advanced Minimally Invasive Spine Surgery in India

Spine surgery is traditionally done as "open surgery," meaning the area being operated on is opened with a long incision to allow the surgeon to view and access the anatomy. In recent years, however, technological advances have allowed more back and neck conditions to be treated with a minimally invasive surgical technique.Because minimally invasive spine surgery (MISS), does not involve a long incision, it avoids significant damage to the muscles surrounding the spine. In most cases, this results in less pain after surgery and a faster recovery.

Spine surgery is typically recommended only when a period of nonsurgical treatment — such as medications and physical therapy — has not relieved the painful symptoms caused by your back problem. In addition, surgery is only considered if your doctor can pinpoint the exact source of your pain, such as a herniated disk or spinal stenosis. 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.

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

Comparing Minimal type of Invasive pine surgery to Invasive Spine Surgery:

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.

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 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