Who may require Lumbar Disc Replacement Surgery ?

Whomay require Lumbar Disc Replacement Surgery 

All those individual suffering from discogenic back pain as diagnosed by a combination of clinical symptoms of back pain, and radiating leg pain and diagnostic tests supported by radiological evidence of degenerative disc disease are ideally suited for this procedure. These patients must also have undertaken conservative treatment (bed rest, traction, physical therapy, medication) for a considerable period of time with no satisfactory results. 

Details of the Surgery

Disc replacement surgery is done to stop the symptoms of degenerative disc disease. Discs wear out or degenerate as a natural part of aging and from stress and strain on the spine. Eventually, the problem disc collapses, which causes the vertebra above to sink toward the one below. This loss of disc height affects nearby structures - especially the facet joints.

When the disc collapses it no longer supports its share of the load in the spine. The facet joints of the spine begin to support more of the force that is transmitted between each vertebra. This increases the wear and tear on the articular cartilage that covers the surface of the joints. The articular cartilage is the smooth, slippery surface that covers the surface of the bone in any joint in the body. Articular cartilage is tough, but it does not tolerate abnormal pressure well for long. When damaged, articular cartilage does not have the ability to heal. This wear and tear is what is commonly referred to as arthritis.

Shrinking disc height also reduces the size of the neural foramina, the openings between each vertebral pair where the nerve roots leave the spinal column. The arthritis also results in the development of bone spurs that may protrude into these openings further narrowing the space that the nerves have to exit the spinal canal. The nerve roots can end up getting squeezed where they pass through the neural foramina.

Replacing the damaged disc with an artificial disc, or implant, called a prosthesis can restore the normal distance between the two vertebrae. The artificial disc sits between the two vertebrae and distracts or jacks up the upper vertebra. Enlarging the disc space relieves pressure on the facet joints. It also opens up the space around the spinal nerve roots where they pass through the neural foramina.

Another benefit of the artificial disc replacement is that it mimics a healthy disc. Natural motion is preserved in the spine where the new disc is implanted. And it helps maintain stability in the spinal joints above and below it.  

 

Who can benefit from this procedure?

For many years, the standard of care for chronic pain from a degenerated disc has been spinal fusion surgery. Bone graft donated by a bone bank or taken from your pelvic bone is used to fuse two or more vertebral bones together. The spine is stabilized but you will lose motion at that level. The increased stress on the next lumbar vertebra can cause problems later. 

The artificial disc replacement is used to reduce or eliminate the pain while still allowing motion. One advantage of the artificial disc is that it may also prevent premature breakdown of adjacent levels of the lumbar spine. 

You may be a good candidate for a lumbar artificial disc replacement if you have chronic pain and disability from lumbar disc degeneration despite nonoperative treatment for at least six months. The artificial disc replacement provides an alternative to spinal fusion. The device helps restore the normal space between two vertebrae. You will still have movement at the level where the ADR is implanted. 

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Most Advanced Technology for Spinal Tumor at World Best Hospitals in India

Spinal Tumor RemovalSurgery

Advanced medical technology has enabled surgeons to remove spinal tumors that were previously inaccessible due to potential damage and death caused by spinal surgery. Today, neurosurgeons are able to use laser-assisted and high-powered microscopes in a field called microsurgery. 

Using such technology, doctors are now able to distinguish between healthy and unhealthy tissue as well as to view microscopic blood vessels and nerves within the operating field. Throughout the spinal surgery procedure, doctors can test the function of nerves using electrodes that helps to prevent nerve damage. Advancements in spinal surgery technologies also employ the use of sound waves that effectively disintegrate tumors. Special suctioning tools remove the fragments.

Surgery : - This is often the first step in treating tumors that can be removed with an acceptable risk of nerve damage. 

Newer techniques and instruments allow neurosurgeons to reach tumors that were once inaccessible. The high-powered microscopes used in microsurgery make it easier to distinguish tumors from healthy tissue. Doctors also can test different nerves during surgery with electrodes, thus minimizing nerve damage. In some instances, they may use sound waves to break up tumors and remove the remaining fragments. 

Even with advances in treatment, not all tumors can be removed completely. Surgical removal is the best option for many intramedullary and intradural-extramedullary tumors, yet large ependymomas at the end of the spine may be impossible to extricate from the many nerves in this area. Although noncancerous tumors in the vertebrae can usually be completely removed, metastatic tumors are less likely to be operable. When a tumor has spread to the spine, radiation alone is usually the treatment of choice. 

However, research has found that surgery combined with radiation may be more effective at preventing loss of nerve function in people who are healthy enough to tolerate an operation and who have tumors that have spread from an unknown location, have some evidence of nerve injury, have tumors resistant to radiation or have recurrent tumors that were previously irradiated. 

Recovery from spinal surgery may take weeks or months, depending on the procedure, and you may experience a temporary loss of sensation or other complications, including bleeding and damage to nerve tissue.

Recovery post SpinalTumor Surgery

Recovery post Spinal Tumor surgery depends on patient’s health before surgery. The patient’s care is monitored by periodical office visits and re-evaluation by the treating physician. This is important because some tumors, benign or malignant, may reoccur. Usually when the treatment period has ended, the symptoms clear up. Analgesics are given to control post-operative pain and cancer pain. Cancer pain may be difficult to control (e.g. ‘break through pain’). A pain management specialist may provide assistance if conventional drugs (e.g. pill, skin patch) do not provide relief. 

Any surgery, radiation treatment or chemotherapy can drain the patient nutritionally. Therefore, a proper diet is important to regain strength, lost weight, and a measure of health. A professional nutritionist can provide guidance. Depending on the extent of the surgery and the patient’s medical status, a course of physical therapy may be prescribed. Through exercise and modalities the patient can build strength, endurance and flexibility.

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.

Advanced Minimally Invasive Treatment at World Class Hospital in India - Spinal Fusion Surgery in India

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.

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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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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Leg Pain and Numbness: What Might These Symptoms Mean? - Spinal Stenosis Surgery in India

Common Symptoms of SpinalStenosis

Leg pain with walking (claudication) can be caused by either arterial circulatory insufficiency (vascular claudication) or from spinal stenosis (neurogenic or pseudo-claudication). Leg pain from either condition will go away with rest, but with spinal stenosis the patient usually has to sit down for a few minutes to ease the leg and often low back pain, whereas leg pain from vascular claudication will go away if the patient simply stops walking.

Although occasionally the leg pain and stenosis symptoms will come on acutely, they generally develop over the course of several years. The longer a patient with spinal stenosis stands or walks, the worse the leg pain will get.

 Leg Pain and Numbness: What Might These Symptoms Mean?

Flexing forward or sitting will open up the spinal canal and relieve the leg pain and other symptoms, but they recur if the patient gets back into an upright posture. Numbness and tingling can accompany the pain, but true weakness is a rare symptom of spinal stenosis. An older person leaning over the handle of their shopping cart while making short stumbling steps often has spinal stenosis.

Spinal Stenosis Diagnosis

Diagnostic imaging studies for patients with cervical stenosis or lumbar stenosis include either an MRI scan or a CT scan with myelogram (using an x-ray dye in the spinal sack fluid), and sometimes both. CT scans that are plain or not enhanced are of limited value unless made with very fine segmental scan slices.

It can be shown that each form of spinal stenosis has a dynamic (changing) effect on nerve compression, such as when bearing weight. Due to this changing compression, spinal stenosis symptoms vary from time to time and the physical examination generally will not show any neurological deficits or motor weakness. Some recent scanning methods allow the upright body position to study the effects of spinal loading.

Cervicalforaminal stenosis can be pinpointed not only by the CT and MRI scans, but by injecting the suspicious nerve with a small volume of about 2 dozen drops of local anesthetic (selective nerve root block). After the injection a remission of the symptoms of cervical spinal stenosis when walking, along with true temporary weakness of the limb, is clinically diagnostic and helps the patient decide about stenosis surgery.

Since spinal stenosis at two or even three levels (sub-laminar, foraminal and far lateral) can affect a single emerging nerve, a combination of anatomical and clinical clarification is needed if spinal stenosis surgery is contemplated in order to make sure that one surgical procedure will address all contributing components of that particular case.

Many conditions can lead to spinal stenosis, age being the most common. Others include Osteoarthritis, disk degeneration and thickened ligaments.

The first line of treatment is usually medication; non steroidal anti inflammatory drugs are prescribed. Studies have shown that even anti depressants also help in relieving pain. If the pain is severe, narcotics are also prescribed. Physical therapy and steroid injections also help in relieving the pain. However, if these options don’t work, surgery is recommended.

The surgery for spinal stenosis works by relieving pressure on the spinal cord and nerves. Laminectomy is the most commonly performed procedure to treat the symptoms associated with spinal stenosis. 

Laminectomy removes the lamina or the back portion of one or more vertebrae which creates space and relieves the pressure. In many cases, the surgeon would fuse two vertebrae together to maintain the strength of the spine and the procedure is called spinal fusion.

Laminectomy with spinal fusion is the most commonly performed procedures to treat spinal stenosis. The results of the operation are quite gratifying. The surgery helps reduce pain and improve the functioning.

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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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Laminotomy is a Surgical Procedure that Helps to Decompress the Spinal Cord

Laminotomy

Laminotomy is a surgical procedure performed to relieve spinal cord and/or nerve root compression.  To help you understand the term, let’s separate laminotomy into two: lamina and otomy.

• Lamina – Located at the back of the spine, the lamina are thin bony plates between each facet joint in the cervical (neck), thoracic (mid back), and lumbar (low back) spine.  The laminar plates are part of the bony wall that covers and protects the spinal canal.  Within the spinal canal are the spinal cord and nerve rootlets.
• Otomy means to partially remove.

Your spinous processes are bones that project off the back of your spine.  You can feel the end of most of your spinous processes by moving your hand up or down your spine.

Purpose

The purpose of a laminotomy is to decompress—take pressure off the spinal cord and nerve roots.  During a laminotomy, part of the lamina is removed to open the spinal canal and access the spinal cord and nerve roots.  A laminotomy allows your neurosurgeon to access your spine from behind; your posterior side.

• A laminotomy may be part of another surgical procedure called a discectomy.  Sometimes a herniated disc encroaches into the spinal canal and presses on the spinal cord and nerve roots.
• Degenerative spinal disorders may contribute to thickening of spinal ligaments.  The ligamentum flavum is a yellow ligament that vertically connects your spinal column.  Thickening of this ligament can cause it to buckle and press on the spinal cord and nerve roots.

Causes of spinal cord and/or nerve root compression includes:

• Cervical spinal stenosis
• Cervical herniated disc
• Cervical radiculopathy
• Degenerative disc disease
• Lumbar herniated disc
• Lumbar spinal stenosis
• Spondylosis
• Tumor, infection (uncommon)
  
  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

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.

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