STEM CELL THERAPY FOR SPINAL CORD INJURY - Spine Treatment in India

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.

Minimally Invasive Spinal Tumor Removal Surgery in India

Some Spinal Tumors, benign or malignant, require surgical intervention before or after non-operative treatments. When pain is unresponsive to non-operative treatment, neurologic deficit progresses, a specimen is needed, neural elements (e.g. nerves) are compressed, vertebral destruction exists, or when spinal stabilization is necessary - surgery is considered. The primary goals in surgery are to reduce pain caused by the spinal tumor, restore or preserve neurologic function, and provide spinal stability. The spinal tumor may be approached surgically from the front (anterior) or back (posterior) of the body.

Surgery may include tumor resection (partial removal) or excision (complete removal). When the tumor is removed (partially or completed) pain and neurologic problems may clear up. Spinal instrumentation and Fusion are procedures used to reconstruct and stabilize the spine. These procedures join and solidify the level (or levels) where a spinal element (e.g. vertebral body) has been damaged or removed.

Following are different types of Spinal tumours based on there cancerous or non-cancerous behavior.

• Benign bone tumors are of following types:
• Giant Cell Tumor: Usually found in the sacrum
• Hemangioma: Usually found in the thoracic spine
• Osteoid Osteoma: Usually found to affect the lumbar spine's posterior spinal column
• Osteoblastoma: Usually found to affect the spine's posterior spinal column
• Malignant bone tumors are classified as follows:
• Chordoma: Affects the sacrum and coccyx in the midline
• Osteosarcoma: affect the anterior vertebral body and it may also invade the Posterior spinal elements.
• Malignant cartilage tumor:
• Chondrosarcoma; Found primarily in the thoracic, lumbar, and sacral spine
• Malignant plasma cell tumors:
• Plasmacytoma is cancer of the white blood cells (plasma cells) which effects the thoracic spine and may also involve the spinal cord ot the nerve roots.
• Lymphomas are cancer of the body's lymphatic system that may spread to the spine .Usually the anterior part (front) of the spinal column is affected
• Ewing's Sarcoma: It affects the Sacrum or the nerves.

Symptoms of Spinal Tumour

Tumor may cause generalized symptoms in the body (like persistent low energy levels, unexplainable weight loss, lump formation, enlargement of lymph nodes, malaise, irregularities of menstruation in females etc as well as symptoms pertaining to the affected organ in the body.

There are various ways in which spine tumour may exhibit, but the most common symptoms of spinal tumour are as follows:

• Back pain radiating to the other parts of the body..
• Loss of sensation and muscle weakness especially in the legs.
• Difficulty in walking, sometimes leading to falling
• Loss of bowel or bladder function

Why surgery for Spine Tumor Removal?

• When the tumor is removed (partially or completely) pain and neurologic problems may clear up.
• To restore and preserve neurological function and provide spinal stability.
• Spinal Tumor surgery is generally indicated in case there is a localized tumor which can be removed with minimum damage to nerve and spinal cord,
• There is persistent neurological deficit and pain which is unresponsive to non operative treatment
• Surgery may include resection (partial removal) or excision (complete removal) of tumor.

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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

Minimally Invasive spine surgery in India - (Percutaneous Endoscopic Lumbar Discectomy)

A percutaneous discectomy is a surgical procedure in which the central portion of an intervertebral disc is accessed and removed through a cannula. The percutaneous surgical procedure is for safe and sparing excision of herniated disc material. Even sequestered disc material - regardless of its size and level - that slipped into the spinal channel can be removed with this minimal invasive method.

The discectomy is performed through a cannula inserted through the back into the center of the vertebral disc under local anesthetic using a stylet. After the position of the stylet is confirmed to be correct using AP and Lateral X-ray views it is removed leaving the cannula in place. The disc material may be removed using surgical tools such as the Dekompressor or traditional manual surgical tools, however the manual instruments require a larger cannula and more disruption to the surrounding structures. Both the automated and manual percutaneous discectomy procedures produce similar results and reduction in disc height and pressure on the nerves to result in pain reduction.

What does the procedure involve?

Percutaneous Endoscopic Lumbar Discectomy is a minimal invasive spine surgery. It is an endoscopic surgical procedure which is conducted under local anaesthesia with mild sedation. The patient is made to lie on his/her front and the exact entry point is mapped on patient’s body using image intensifier X-ray system. A small incision of about 8-10 cm is made from the midline on the posterior part of the body. There are two different ways in which the inter-vertebral disc material can be removed:

•            Manual procedure also known as Automated Percutaneous Discectomy involves insertion of a long spinal needle from the side of the back, directly into the disc, by-passing other bone and ligaments. Through this needle, guide wire is passed and after making a 5 mm incision, a dilator and working cannula are passed, through which an endoscope is inserted. The prolapsed part of disc is removed with the guidance of the camera and monitor attached to the endoscope.

•            The laser surgery, referred to as Percutaneous Laser Discectomy (PLD), uses an external imager called the fluoroscope to direct the probe. The probe delivers laser energy which vaporizes a part of the inter-vertebral disc material and decompresses the nerve root. The most frequently used laser for treatment is Holmium Yttrium-Aluminum-Garnet (YAG) laser.

Advantaages of PELD (Percutaneous Endoscopic 

Lumbar Discectomy)

• ·         Surgery done under local anesthesia with conscious sedation
• ·         Very good technique for old and medically compromised patients.
• ·         No muscle, ligament or normal tissue damage
• ·         It saves the time and the costs. 75% of the patients discharged on the same.
• ·         Due to rapid recovery, comparing to open surgeries, it is recommendable for the workers or students with the desire of early return-to-work.
• ·         Even prolapsed, migrated, extra-foraminal, recurrent discs can be removed.
• ·         Very good technique for old and medically compromised patients.
• ·         Even prolapsed, migrated, extra-foraminal, recurrent discs can be removed.

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

Is surgery for Neck or Back pain necessary ?

Is surgery for neck or back pain necessary? The answer is: sometimes. It is reasonable to consider spine surgery if the pain has not diminished after several months of non-surgical treatment, if your pain does not respond to narcotic medications, or if you are unable to complete basic daily activities. But fear not - there's a wide array of surgery options. Some are minimally invasive procedures (e.g. microdiscectomy for a herniated disc) allow for a quick recovery, while other types of surgery (e.g. a posterolateral fusion for degenerative) are more extensive and have a much longer recovery time.

The primary purpose of back surgery or neck surgery is to correct an anatomical lesion in individuals who fail to show improvement with conservative (nonsurgical) treatment. Surgery is not an option for patients when an anatomical lesion accounting for their pain cannot be identified.

Surgery is only useful to change a patient’s anatomy (e.g. remove a disc herniation). There is almost never any reason to consider exploratory surgery to “look” for a cause of pain.

Failing conservative treatment is not in and of itself an indication for surgery. An identifiable anatomic lesion is also necessary.

Advancements in Spine Surgery

Modern spine surgery has made major advancements in both technique and

spinal instrumentation/implants over the past couple of decades, but by far the most significant advancement in spine surgery has been better preoperative imaging techniques, which have greatly improved the ability of surgeons to identify accurately and correctly an anatomic lesion as a cause of pain.

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 Spine surgery to Invasive Spine Surgery:

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

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

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Cost of Disc Nucleoplasty in India at Best Spine surgery Hospitals in India

Nucleoplasty is a relatively new advancement in the field of spine surgery. It is a procedure used to reduce disc pressure in patients suffering from discogenic (disc related) backache. It is a percutaneous procedure in which some of the disc material is disintegrated to relieve the intra discal pressure using a low temperature resistor. As it does not require any incision over the body, it is beneficial for patients complaining of back pain with disc pathology and unwilling to undergo full fledged discectomy.

The intervertebral discs are soft, cushion like structures between two adjacent vertebral bones in the human spine. Their main function is shock absorption. These discs are hydrated and are made up of a central structure called the nucleus pulposus and a surrounding structure called as annulus fibrosis. But with age they lose their water content and the disc becomes hard and begins to degenerate.

The wear and tear process is aggravated by faulty spine movements, faulty posture, lack of exercise, obesity etc. The inner disc material pushes the outer annulus wall causing it bulge. This bulge can be large enough to compress the surrounding structures like the spinal cord and the spinal nerves resulting in severe back pain and radiating pain in the arm or leg. This condition can affect the cervical (neck) or lumbar (low back) region of the spine. 

Candidates for Disc Nucleoplasty

You are a candidate for disc nucleoplasty if:

• If you are suffering from chronic back pain, back fatigue and rest, medications, medical interventions like steroid injections and physical therapy has not been of help.
• If you suffer from disc herniation
• If you suffer from contained spinal disc herniation, i.e, pain radiating down the leg or arm accompanied by back pain not improving with medication and physical therapy.
• Inflammation and chronic pain, particularly in cases where the nerve roots are pinched or irritated.

Details of the Procedure

This is a minimally invasive procedure performed under local anesthesia and is completed within 30-45 minutes. It performed on an out patient basis and the patient is allowed to go home after the procedure on the very same day.

Under fluoroscopy, a needle is advanced into the involved disc. A specialized catheter is then introduced through the needle into the disc and positioned where the ablation is desired. The catheter has a low-temperature resister at its tip which generates a plasma field. This plasma field disintegrates disc material into its hydrogen and oxygen constituents which escape through the needle. The tissue ablation and thermal treatment create a series of channels within the disc, reducing the pressure from the contained disc herniation or the nerve root and other pain generating structures. The patient is relieved immediately after the procedure .

If The Disc Nucleoplasty Does Not Work, Will It Cause A Problem If I Then Need An Open Spine Surgery? 

No. If the nucleoplasty is not effective, there will be no problem if the patient decides or ultimately requires an open spine surgery. The nucleoplasty does not damage or alter the tissue around the spine, nor does it change the internal spine anatomy except for the expected and desired changes inside the disc itself. 


If I Have Had Previous Spine Surgery, Can I Still Have A Disc Nucleoplasty? 

Maybe. If there has been previous spinal fusion at the level of concern, it will be difficult, if not impossible, to perform a nucleoplasty. If the disc in question is outside the area of previous spine surgery, it is quite possible that a nucleoplasty can be performed. 


Who Should Not Have A Disc Nucleoplasty? 

If you are on a blood thinning medication, if you have an active infection, or if you have poorly controlled diabetes or heart disease, you should not have the procedure. Also, if you have a large extruded disc without an intact disc wall or disc rim, nucleoplasty may not be helpful. 

Benefits of DiscNucleoplasty for herniated or slipped disc, chronic lower back pain, Sciatica

• Outpatient procedure done under local anaesthesia and thus no risks associated with general anaesthesia
• Procedure time is less than an hour
• Minimally invasive
• No scars
• Minimal pain and discomfort to the patient
• Quick recovery
• Quick relief

Cost of Disc Nucleoplasty in India at Best Spine surgery Hospitals in India

The all inclusive cost of Disc Nucleoplasty spine surgery in India varies between $5500- $7000.

The Cost includes 4 days stay in a Private Room where a Companion can stay with the patient, surgeon's fee, medicines and consumables, nursing care, food and Airport Pick & Drop.

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