Best Lumbar Laminectomy Surgery Cost in India

How Much Does Lumbar Laminectomy Surgery Cost in India?

  • The Average Lumbar Laminectomy Cost in India is approximately USD 3000-8000 USD. depends on hospitals facilities and surgeon charges.

  • The Success rate of Lumbar Laminectomy operation is 95-98 percent.

  • The essential stay in the hospital 5 days and outside the hospitals around 2 weeks.

  • Tests needed before the operation comprises Blood Tests, X-Ray, and MRI.
Lumbar Laminectomy Surgery Cost in india

Overview

A lumbar laminectomy is a surgical procedure performed by a spine surgeon to relieve pressure on a spinal nerve in the low back. Another term for a laminectomy is spinal decompression meaning it removes tissue that is compressing a nerve. Tissues that may compress a nerve in the lumbar spine include bone (eg, osteophyte) and/or disc material (eg, herniated disc).

Who needs a Lumbar Laminectomy?

Lumbar Laminectomy is suggested for patients who face back and leg pain caused by nerve root compression that has not responded to conservative treatment. Nerve root compression places pressure on nerve roots in the lower spine.

  • It is also suggested for patients who have spinal stenosis. Spinal stenosis is a condition that causes the spinal canal to narrow, which puts pressure on the spinal cord and nerve roots.
  • Lumbar Laminectomy is also suggested to relieve pressure on spinal cord caused by degenerative discs, tumors, bone spurs, or disc fragments.

Types of Lumbar Laminectomy for Spinal Stenosis

Depending on the amount of lamina removed or the technique used to relieve neural compression, a lumbar laminectomy can be of the following types:

  1. Bilateral laminectomy: Both sides of the lamina of the affected vertebra are removed with or without widening of the intervertebral foramina and/or removal of adjacent tissue and bone.
  2. Unilateral laminotomy: A part of or the entire lamina on one side of the affected vertebra is removed with or without adjacent tissues.
    Unilateral laminotomy may also be performed by using an endoscope (a small tube), which is minimally invasive and requires a smaller incision compared to open surgery. While minimally invasive techniques may preserve more tissue and bone and reduce healing time, the overall success rates of open and minimally invasive decompression are usually the same.3-4

In some lumbar vertebrae, the facets may be partially or completely removed. In such cases, a fusion of the vertebrae is considered to retain stability.

Lumbar Laminectomy Risks and Complications?

All operations have risks. Complications occur rarely, but include the following:

  • Nerve damage
  • Blood clots
  • Spinal fluid leak
  • Bleeding
  • Infection
  • Worsening of the chronic back pain
  • Risks associated with anesthesia

Minimally Invasive Lumbar Laminectomy

Using a minimally invasive laminectomy, the location of the incision is often established by an intraoperative X-ray, using fluoroscopy. A skin incision about 1 inch in length is made to one side of the middle of the back at the surgical level. Dilators are placed sequentially to split the muscle down to the lamina, the back part of the spine. In contrast to traditional open back surgery that requires a large incision causing more damage to muscles and tissues, minimally invasive spine surgery has become the leading way to treat spine problems. Minimally invasive spine surgery also lessens the hospital stay, (many procedures can be performed as day surgery or 23 hour stay), reduces pain, results in less operative blood loss, allows for faster return to work and activities, and reduces the risk of infection than with traditional open back surgery.

How Do I Prepare for a Lumbar Laminectomy?

  • Weeks before your surgery is scheduled, both your doctor and a Spine Surgeons or Orthopedic Surgeons will examine you to make sure you are healthy enough for the surgery.
  • A few days before the surgery, you will meet with the anesthesiologist to discuss your options. Usually you will have either a general anesthesia or spinal anesthesia.
  • You should give the surgeon and anesthesiologist a list of all prescriptions and over-the-counter medications you are taking.
  • The doctor may instruct you to stop taking anti-inflammatory medications such as aspirin and ibuprofen (Advil, Motrin) before surgery.
  • If you smoke, you should stop or at least cut down before surgery.
  • Imaging tests such as X-rays and MRIs will be done. Many hospitals and surgeons require other tests such as ECGs (a heart tracing) and routine blood work before surgery. Depending on your age and medical conditions, these tests can vary.
  • You will be instructed to take no food or drink by mouth after midnight on the day of surgery. Most surgeons do allow you to brush your teeth and take medicine.

What Happens During a Lumbar Laminectomy?

  • Usually you will be placed on your abdomen, in a kneeling position to reduce the weight of your abdomen on your spine.
  • The surgeon will make a straight incision over the desired vertebrae and down to the lamina, the bony arches of your vertebrae.
  • The doctor removes the ligament joining the vertebrae along with all or part of the lamina. The goal is to see the involved nerve root.
  • The doctor gently moves the nerve root back toward the center of your spinal column and removes the disk or part of the disk.
  • The doctor closes the incision. Your large back muscle now protects your spine or nerve roots.
  • The surgery takes one to three hours. You lose very little blood.

After Lumbar Laminectomy

  • After the surgery, the patient will be moved to a recovery room and carefully monitored by the health care for any complications of anaesthesia and surgery.
  • The doctor may prescribe the pain relief medication and advice to go home the next day whereas in some cases a short hospital stay is required.
  • The doctor also recommends physical therapy after the surgery to improve the flexibility.
  • Strenuous activities such as lifting heavy objects, bending and standing for a long time may not be done for several months after the surgery.

Frequently Asked Questions regarding Lumbar Laminectomy

Q. Will I need rehabilitation or physical therapy?
A. Physical therapy may be useful for strengthening the lower back and increasing its range of motion. It may be begun after the follow-up visit 4-6 weeks after surgery.

Q. Will I have any long-term limitations due to lumbar laminectomy?
A. There are no long-term limitations due to lumbar laminectomy.

Q: Who usually treats the lumbar spine disease?
A: A neurosurgeon or orthopaedic surgeon who are qualified and having expertise in spine surgery can treat the disease.

Q: How long will be the hospital stay after the surgery?
A: The patient will usually be discharged in 24 hours. If Laminectomy procedure is combined with spinal infusion, the hospital stay may be up to 3 to 5 days.

Q: What are the benefits of the surgery?
A: After the surgery the patients will get relief from pain and be able to perform normal activities. However, in some cases there are chances of reoccurrence in the same disc or adjacent disc depending on the underlying cause.

Q: Does the surgery remove the entire disc?
A: The ruptured and damaged portion of the disc is only removed during the surgery which accounts for 10 to 20% depending on the extent of stenosis.

Q: How long it will take to go back to the work?
A: The hospital stay is usually 24 hours and the patient can return to work within a week or two depending on the pain with some instructions. Strenous activities such as bending and lifting objects should be avoided up to 6 months.

Q: What are the Risks of Laminectomy?
A: Laminectomy is associated with risks of any operative procedure and some risks specific to the procedure. There are some short and long term risks of the procedure:

  • Bleeding and infection at the site of surgery
  • Damage to the spinal cord
  • Loss of bladder and bowel control
  • Numbness of the legs
  • Persistent back pain
  • Spinal cord damage
  • Tear in spinal cord may leads to leakage of cerebrospinal fluid

 

Q: What will be the after care of Laminectomy?
A: The surgeon recommends post operative mobility as soon as the patient gets stabilized which is usually after 24 hrs. Walking will be the first exercise after surgery followed by physical therapy exercises.

 

Q: What are the Types of Laminectomy?
A: Laminectomy can be done by three different procedures such as

  1. Laminotomy- Treatment for nerve compression in the spinal cord
  2. Hemilaminectomy – Removal of lamina of the spinal canal of only one side
  3. Open Laminectomy- Removal of small portion of lamina to relieve pressure on spinal cord

 

Q: What is the rate of success for laminectomy?
A: After the surgery, according to the medical literature, 80% of the patients got improvements in their function. In most of the patients, the pain and discomfort was remarkably reduced after the surgery.

 

Q: What is the percentage rate of mortality after Laminectomy?
A: The mortality rate for laminectomy is 0.8% to 1% according to the medical reports.

 

Q: Is Laminectomy a safe procedure? What are the chances of spinal damage during the process?
A: Laminectomy is a low risk surgery with more satisfying results. The risk of bowel, bowel inconvenience is very low. Surgery and patient recovery is very safe.

 

Q: What are the eligibility requirements for a medical visa to India and advantages of doing the surgery in India?
A: A valid passport and visa should be required for medical treatment in India. The medical treatment in India offers low cost, excellent panel of doctors who are highly skilled in Laminectomy surgery and excellent recovery assistance. Patient can be accompanied by two attendants who are blood relatives on the same visa which will be valid up to one year with a maximum of 3 entries.

Top Lumbar Spine Surgeons in India?

  1. Dr. Sandeep Vaishya
  2. Dr. Arun Saroha
  3. Dr. Manoj Sharma
  4. Dr. V. K. Rajoria
  5. Dr. Amitabh Goel
  6. Dr Hitesh Garg
  7. Dr. Rajagopalan Krishnan
  8. Dr. Bipin Walia
  9. Dr. Prakash Singh
  10. Dr. Manoj Miglani
  11. Dr. Harsh Bhargava
  12. Dr. Sachin Kandhari
  13. Dr. Saurabh Verma
  14. Dr. Saurabh Rawall

Top 14 Spine Surgeons In India

Top Lumbar Spine Hospitals in India?

  1. Fortis Memorial Research Institute, Gurgaon
  2. BLK Super Speciality Hospital, New Delhi
  3. Indian Spinal Injuries Center, New Delhi
  4. Medanta – The Medicity, Gurgaon
  5. Indraprastha Apollo Hospital, New Delhi
  6. Artemis Hospital, Gurgaon
  7. Max Super Speciality Hospital, Saket, New Delhi
  8. Manipal Hospitals Dwarka, Delhi
  9. Asian Institute of Medical Sciences, Faridabad
  10. IBS Institute of Brain and Spine, New Delhi

Top 10 Spine Hospitals In India

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