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Lumbar Decompression Surgery in India Treatment in India

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Spinal Stenosis or narrowing of the spinal canal can put pressure on the spinal cord and the nerves within the spine. The condition often arises due to age-related wear and tear. Conditions like osteoarthritis, enlarged joints, and thickened ligaments lead to stenosis. Spinal Stenosis can cause chronic pain, numbness and muscle weakness in the arms or legs.

The solution to this condition is Spinal Decompression. This surgical procedure involves bone removal  to release nerves trapped due to narrowing of the spinal canal. This in turn will provide relief to the pain and neurological symptoms.

Initially the doctor can recommend anti-inflammatory medication, physiotherapy or steroid injection to relieve the symptoms. But if these steps stop giving relief and the patient’s  symptoms become more severe as to impair quality of living then one can opt for Spinal Decompression surgery.

In the following sections you will know about:
  1. Types and Diagnosis for Spinal Decompression surgery
  2. Procedure  and Complications of Spinal Decompression surgery
  3. Factors affecting cost of the procedure.
  4. Leading doctors and hospitals for Spinal Decompression surgery
  5. Frequently Asked Questions

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Recommened Hospitals

  • New Delhi
  • Bangalore

Recommened Doctors for Treatment

  • Neurology & Spine, Lumbar decompression and fixation one levelPET CT ScanSpinal Fusion Surgery Director, MBBS, DM, 29 years of experience
  • Neurology & SpineOrthopaedic, Elective CraniotomyElective Craniotomy and tumor decompressionHysterectomyKyphoplastyLaminectomyLumbar decompression and fixation one levelMinimally Invasive Knee ReplacementSingle level Cervical Disc replacement (motion implant)Single level Cervical Discectomy and instrumentation/ stabilization/ fusionSingle level micro/ microtubular discectomy// decompression onlySingle level Posterior Decompression and instrumentation/ stabilization/ fusionSingle level TLIF/ PLIF (with Cage)Spinal Fusion SurgerySpinal Fusion SurgeryTwo level Cervical Discectomy and instrumentation/ stabilization/ fusionTwo level micro/ microtubular discectomy// decompression onlyTwo level Posterior Decompression and instrumentation/ stabilization/ fusionTwo level TLIF/ PLIF (with Cage) Consultant, MBBS, MS, 11 years of experience
  • CardiologyGeneral Surgery, Lumbar decompression and fixation one levelSpinal Fusion SurgerySpinal tumor excision Chairman, MBBS, MS, MCh, Fellowship, 36 years of experience
  • Neurology & Spine, Lumbar decompression and fixation one levelSpinal Fusion SurgerySpinal tumor excision Consultant, MBBS, MD, 41 years of experience
Types of Spine Decompression Surgery

There are several options for a spine decompression surgery….

  • Microdiscectomy –This procedure is also called as microdecompression or microdiskectomy. It is  a minimally invasive procedure performed for leg  pain (scaiatica) from lumbar herniated disc. The surgeon in this procedure will make a relatively small incision and remove portions of the herniation or herianated disc that is in contact with the nerve root.

 

  • Lumbar Laminectomy (open decompression)-This procedure is performed to primarily alleviate leg pain due to lumbar spinal stenosis. Also known as decompression surgery in this procedure, the lamina (the bone in the back of the vertebra) at one or more segments is removed. The goal or aim is to reduce pressure on the spinal cord or nerves.

 

  • Corpectomy – This procedure is mostly used in cases of cervical surgery. This operation involves removing part of the vertebra in order to decompress or relieve pressure on spinal nerves.

 

  • Laminotomy – This surgical procedure is essentially the same as Laminectomy. The exception is that a hole is made in the lamina and a small portion of the lamina and ligaments is removed. The removal is usually on one side so  that the natural support of the lamina is left in place which lessens  the chance of postoperative spinal instability.

 

  • Foraminotomy – This procedure involves the removal of bone around the neural foramen to release the pinched nerve. This method is used when the height of the foramen has collapsed due to disc degeneration.
Diagnosis for Decompression surgery :
  • There is significant pain, weakness, or numbness in the leg; Even with physiotherapy or medication neurological symptoms does not improve
  • There is difficulty in walking or standing that affects the quality of life
  • Diagnostic tests like MRI, CT, Myelogram confirming  that the condition is severe
  • Cauda equina syndrome
Pre-operative Assessment
  • General health check is conducted to ascertain fitness for surgery;  past medical and surgical history is also checked
  • Blood Tests
  • X-ray , MRI scan
During Operative  procedure
  • Anesthesia -procedure performed under general anaesthesia which means that the patient will be unconscious during the operation
  • Incision– A skin incision is made down the middle of the patients back over the appropriate vertebrae. The length of the incision is determined by how many laminectomies are to be performed.
  • To expose the lamina of each vertebrae the strong back muscles are split down the middle and moved to either side.
  • Laminectomy or Laminotomy– Once the bone is exposed, an X-ray is taken to verify the correct vertebra and accordingly the lamina at one or more segments is removed.
  • Decompress of the spinal nerve is done
  • Closure– The muscle and skin incisions are sewn together with sutures or staples.
  • The length of stay in the hospital depends on the degree of decompression performed. Typically the surgery requires a hospital stay from one to three days.
  • Recovery time taken is between four to six weeks.
  • Stitches or staples will be removed ten – fourteen days post the operation.
Post operative Restrictions :
  • Avoid sitting for long periods of time
  • Do not lift anything heavier than 10 pounds
  • Do not bend or twist at the waist
  • Do not smoke as smoking delays the healing process
 Complications Of  Spine Decompression Procedure

As in any surgery there can be complications:

  • Pain
  • Bleeding
  • Chances of blood clots (DVT)
  • Infection
  • Continued pain or numbness
  • Loss of bladder or bowel control
  • Infection in the spine
  • Nerve damage or persistent pain.Any operation on the spine comes with the risk of damaging the nerves or spinal cord. Damage can lead to numbness or even paralysis.
  • Leaking of spinal fluid
Factors Affecting Cost Of Spinal Decompression Surgery

The cost to the patient depends on a variety of factors like:

  • The hospital chosen by the patient
  • Category of Room taken and number of nights. There are different prices for standard single room, deluxe room or a super deluxe room. This could also include nursing fee, meals, room rate and room service
  • Fee for the team of doctors and OT charges
  • Cost of  medications
  • Standard Tests and diagnostic procedures.
  • Cost of the follow –up care required after the procedure
  • Cost of the Physiotherapist

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