The estimated cost of Disc Replacement Surgery In India usually starts $6000 however, it may go up to as much as $12000. it depends on the hospital charges and the fee charged by the surgeon. This price usually does not cover the post-operational physiotherapy program. Additional costs also involve the diagnostics before the surgery and pre-operational consultations.
[Verified by:- Dr Sandeep Vaishya, Director , MBBS, MS, MCh, Fellowship 20 Years of Experience Gurgaon, India.
Disc replacement surgery (arthroplasty) involves replacing a damaged intervertebral disc of the spinal column with an artificial disc to restore the normal function and mobility of the spine.
The main objective of disc replacement surgery is to reduce back pain and provide stability without limiting the patient’s range of motion following the procedure. It can be performed on the cervical (upper) or lumbar (lower) spine. The disc prosthesis is designed to re-establish the original disc height and emulate the natural biomechanics and movement of the spine.
Disc replacement is an option for certain patients when non-surgical measures have failed to resolve or reduce symptoms. It is an alternative to the traditional anterior discectomy, decompression and fusion techniques.
Your Surgeon will take a medical history and perform a physical examination. to determine if you are a good candidate for disk replacement Surgery, your surgeon may require a few tests, including:
With the help of these tests will also help your surgeon the exact source of your back pain.
Artificial disk replacement Surgery is not suitable for all patients with low back pain. In Usually, a good candidates for disk replacement Surgery have the following characteristics:
The Benefits of total disc replacement surgery over traditional fusion surgery includes:
There are many artificial disc designs classified into two general types:
1. Total disc replacement: As the names imply, with a total disc replacement, all or most of the disc tissue is removed and a replaced with a device is implanted into the space between the vertebras.
2. Disc nucleus replacement: With a disc nucleus replacement, only the center of the disc is removed and replaced with an implant. while the outer part of the disc is not replaced.
Non-surgical treatment options for discogenic back pain include medications to relieve pain, physical therapy (including traction therapy), spinal injections, bracing, alternative therapies (such as acupuncture) and lifestyle modifications.
You will meet to your surgeon to discuss your pre-admission process, and to ensure you are fit to go ahead with the procedure.
Please inform the team if you are:
You must also inform us prior to attending if you are taking any of the following medications:
Tell your Surgeon about all prescription and over-the-counter medicines and any vitamins, herbs, and supplements that you are taking. Some of medicine can affect things like healing and blood clotting, so you may need to stop taking them before the Disc replacement surgery.
If you smoke, it is important you stop well before Spinal Fusion surgery and avoid smoking for a period of at least 6 months afterwards, as this will impede proper healing.
You will be given instructions and supplies to cleanse your lower back area the day prior to your procedure.
Bring a list of your medications with you. When you arrive at the hospital, Medicare Spots will complete your admission details and checked by nurse that you are fit for your procedure.
You will see your surgeon on the ward prior to being taken down to theatre. You will be asked to sign a consent form, which details the risks and benefits of the procedure, and you will have an opportunity to ask any further questions you may have at this time. You will get a ‘mark’ on your back with a pen. Though the site of the operation is obvious, this is still a requirement.
Important Reminder:- Ensure that you do not have anything to eat after midnight the night before your surgery. You may drink water only till 2 am.
You will have an IV line put into a vein in your hand or arm through which an anesthetic is given. The medicine will put you into a deep sleep and keep you from feeling pain during the surgery. You will be lying on your back for disc replacement surgery.
Your surgeon will approach your lower back from the front through an incision in your abdomen. With this approach, the organs and blood vessels must be moved to the side. This allows your surgeon to access your spine without moving the nerves. Usually, a vascular surgeon assists the spine surgeon with opening and exposing the disk space.
During the procedure, Your surgeon will remove the damaged disk replaced with new artificial Implant. Your organs and blood vessels are put back in place and the incision will be closed.
You will be taken to a recovery area for close monitoring until you are awake from the anesthesia. You will still have an IV line and may also have a catheter in your bladder to make urination easier. When you are fully awake and alert, you will be taken to your hospital room.
An artificial disc is a implant that is inserted into the damaged disc space between the vertebrae to simulate the movement of a normal disc.
There are a number of different disk designs. Each is unique in its own way, but all maintain a similar goal: to reproduce the size and function of a normal intervertebral disk.
Artificial discs are made of metal or plastic or a combination of metal and plastic. Medical grade plastic (polyethylene) and medical grade cobalt, chromium or titanium alloy are the materials used for disc design.
Generally disk replacement surgery some risks. A disk replacement surgery requires greater access to the spine than standard lumber fusion surgery. This also makes it a riskier procedure.
Some of the potential risks of Disc Replacement surgery include:
There may be other risks, depending on your specific medical condition. Be sure you understand the risks and benefits of disk replacement Surgery and discuss any concerns with your surgeon before the procedure.
After disc replacement surgery the hospital stay is usually 2 to 4 days depending on your progress. You should be able to walk and stand by the first day after surgery. A brace or corset may be prescribed for support. Basic exercises such as walking and stretching are usually initiated during the first several weeks after surgery. However, hyperextension activities should be avoided.
A. Artificial disc replacement Surgery is known to have a higher success rate than similar surgery to treat lower back pain. More than 95% of patients are able to return to their normal life after Disc Replacement surgery In India.
A. You have to stay in the hospital for a few days after the surgery, usually around 3 days. Therefore, you should plan to stay in India for 7 to 14 days because you will need to attend follow-up hospital checkups where your surgeon monitors your healing and removes your stitches.
A. for the neck, you might qualify for an artificial disc replacement surgery after suffering a herniated disc which has affected the nerve. For the lower back, you might qualify if you’ve been told you need a fusion due to severe pain which hasn’t responded to other treatments or as a result of recurrent pain from a previous disc replacement surgery.
A. Patient, if completely treated and healed with artificial disk replacement Surgery, usually will last for the life long. Patients who develop problems after artificial disk shall need physician supervision.
A. Depending on the complexity of the surgery, most of the patients will have pain in the surgical site for five to seven days. This pain is gradually improving, and patients are asked to take pain medications for the same. Even after a week, there is some residual pain which takes four to six weeks to completely resolve.
A. If the patient has a superficial infection, few days of antibiotics will help heal these infections. Occasionally patient may develop deep infection. In these patients may need IV antibiotics for a longer period. If despite all efforts or in patients with rapid deterioration due to infection, surgery may be needed to help clean off the infection.
Director , MBBS, MS, MCh, Fellowship 20 Years of Experience Gurgaon, India
Surgeon Consultant , MBBS, MS 13 Years of Experience Gurgaon, India
Spine Surgery, 15 Years Experience, New Delhi, India