The advanced medical treatments available in India have made it a popular destination for medical tours. People, who cannot afford the cost of spine surgeries in the West, or patients from underdeveloped countries where advanced medical facilities are not available, head for the super specialty hospitals in India to avail the cost effective and quality treatments offered. At the Joint Commission International accredited Hospitals in India, the Department of Neuro and Spine Surgery offers the latest in craniotomy, Tran’s sphenoid operations, treatments for brain and neck tumors and lesions, and more. Indian Hospital provides comprehensive medical and surgical care for patients with disorders of the brain, spinal cord and peripheral nervous system. Both invasive and non invasive procedures for treating back, neck pain and correcting spinal deformities are deployed.
In India the latest techniques like minimally invasive spine surgery, Expandable devices for Lumbar Spine Fusion are routinely carried out with results at par with the best centers globally.
Indian expert Neurologists and Neurosurgeons are supported by the most extensive neuro-diagnostic and imaging facilities including Asia’s most advanced MRI and CT technology. Along with providing general diagnostic X-ray imaging, Indian Brain and Spine Hospitals offers a magnitude of imaging services like EEG, EMG, Sensation 10 CT Scanner, Functional MRI with Spectro-scopy, OPMI Multivision etc.
What is Spinal Fusion?
A spinal fusion is simply the uniting of two bony segments, whether a fracture or a vertebral joint. The reason for instrumentation with rods and screws is to act as and ‘internal cast’ to stabilize the vertebra until the fusion, or bony re-growth, can occur.
Spinal fusion is a “welding” process by which two or more of the small bones (vertebrae) that make up the spinal column are fused together with bone grafts and internal devices such as metal rods to heal into a single solid bone. The surgery of Spinal Fusion eliminates motion between vertebrae segments, which may be desirable when motion is the cause of significant pain. It also stops the progress of a spinal deformity such as scoliosis. A spinal fusion takes away some of the patient’s spinal flexibility. Most spinal fusions involve relatively small spinal segments and thus do not limit motion very much.
Spinal fusion is used to treat:
o Injuries to spinal vertebrae.
o Protrusion and degeneration of the cushioning disk between vertebrae (sometimes called slipped disk or herniated disk).
o Abnormal curvatures (such as scoliosis or kyphosis).
o Weak or unstable spine caused by infections or tumors.
The important back pain symptoms could signal nerve damage or other serious medical problems. There are many other conditions that could be causing these problems, but an early and accurate diagnosis is vital for successful treatment. Low back pain can often be attributed to complex origins and symptoms, and it does not discriminate. It can originate from identified muscle trauma, or an unknown non-traumatic event. Low back pain can also begin in other regions of the body and eventually attack the muscles or other structures in the lower back. Sometimes low back pain can even begin in the nerves or nervous system. Other origins for low back pain are post neural difficulties, congenital disorders, trauma, infections, degenerative disorders, inflammatory diseases, circulatory disorders or any of other 30 additional causes.
Different types of spinal fusion surgery.
Anterior interbody spinal fusion is performed via an incision in a patient’s abdomen. The vertebral bodies are approached from the front and a femoral ring (cadaver bone), or cylindrical cage, is placed between the two vertebral bodies. The femoral ring or cage instrumentation is filled with bone graft usually obtained from the patient’s hip (iliac crest). If fusion is successful, motion between the vertebrae will stop and any pain caused by abnormal motion between those vertebrae will no longer exist.
Posterior spinal fusion, sometimes referred to as a poster lateral spinal fusion, is performed from an incision made in the back. The procedure entails roughening the surfaces of the transverse processes and inserting bone graft between the transverse processes. The bone is usually obtained from a patient’s hip. If fusion is successful, motion between the vertebrae will stop and any pain caused by abnormal motion between those vertebrae will no longer exist. Because of the limited supply of a patient’s own bone and possible donor site pain or morbidity, there is a continuing search for ideal bone graft substitute
How Is Spinal Fusion surgery done?
There are many surgical approaches and methods to fuse the spine, and they all involve placement of a bone graft between the vertebrae. The spine may be approached and the graft placed from the back (posterior approach), from the front (anterior approach) or by a combination of both. In the neck, the anterior approach is more common; lumbar and thoracic fusion is usually performed posteriorly.
The ultimate goal of fusion is to obtain a solid union between two or more vertebrae. Fusion may or may not involve use of supplemental hardware (instrumentation) such as plates, screws and cages. Instrumentation is sometimes used to correct a deformity, but usually is just used as an internal splint to hold the vertebrae together to while the bone grafts heal.
Whether or not hardware is used, it is important that bone or bone substitutes be used to get the vertebrae to fuse together. The bone may be taken either from another bone in the patient (autograft) or from a bone bank (allograft). Fusion using bone taken from the patient has a long history of use and results in predictable healing. Autograft is currently the “gold standard” source of bone for a fusion. Allograft (bone bank) bone may be used as an alternative to the patient’s own bone. Although healing and fusion is not as predictable as with the patient’s own bone, allograft does not require a separate incision to take the patient’s own bone for grafting, and therefore is associated with less pain. Smoking, medications you are taking for other conditions and your overall health can affect the rate of healing and fusion, too.
Currently, there is promising research being done involving the use of synthetic bone as a substitute for either autograft or allograft. It is likely that synthetic bone substitutes will eventually replace the routine use of autograft or allograft bone.
With some of the newer “minimally invasive” surgical techniques currently available, fusion may sometimes be done through smaller incisions. The indications for minimally invasive surgery (MIS) are identical to those for traditional large incision surgery; however, it is important to realize that a smaller incision does not necessarily mean less risk involved in the surgery.
Spinal Fusion Surgery in India:
India is a country where several traditional systems of health care have been in use for centuries. Even today these systems form a living and continuing tradition. Hospitals in India offer world-class treatment at very reasonable prices. India offers medical tourism packages. You can travel around India and also avail of the medical services at Hospitals in India.
India Profile now offers the option of combining your holiday in India with a medical package. Travel to India for the festive season, and combine your visit to family and friends and a tour of scenic attractions, with a medical checkup. You can easily combine your tour of India with short-term medical procedures, such as a Spine Surgery or Neuro Surgery.
Have an enjoyable holiday in India, take a Golden Triangle Tour or celebrate the New Year on the beaches of Goa. While you’re in India, you can spare some time and have an annual medical check up or get some medical treatment at a world-class Indian hospitals. The International treatment comes at very economical prices. Combine your fun-filled vacation with economical medical treatment on your holiday in India. Indian Holiday will take care of all your travel arrangements.