How Much Does Spinal Decompression Surgery Cost In India?

Many potential patients for surgery are a concern to Know about Spinal Decompression surgery cost In India? The Average cost of Spinal Decompression Surgery In India usually starts $5500 however, it may go up to as much as $12,000. it depends on the hospital charges and the fee charged by the surgeon. This price usually does not cover the post-operational therapy and medicine. Additional costs also involve the diagnostics before the surgery and pre-operational consultations.

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What is spinal Decompression Surgery ?

Spinal Decompression surgery can be performed anywhere along the spine from the neck ( cervical ) to the lower back (Lumbar). the procedure is performed through surgical incision in the back (posterior). The Limina is the bone that forms the backside of the spinal canal and makes a roof over the spinal cord.removing the lamina and other soft tissuesgive more room for the nerves and allows for removal bone spurs. Depending on the extent of stenosis, one vertebra (single-level) or more (multi-level) may be involved.

Lumbar Spinal Decompression Surgery Cost In India starts:- 5000$

Cervical Spinal Decompression Surgery Cost In India Starts:- 5500$

There are several types of Spinal decompression surgery:

  • Laminectomy:- is the removal of the entire bony lamina, a portion of the enlarged facet joints, and the thickened ligaments overlying the spinal cord and nerves.

  • Laminotomy:- is the removal of a small portion of the lamina and ligaments, usually on one side. Using this method the natural support of the lamina is left in place, decreasing the chance of spinal instability. Sometimes an endoscope may be used, allowing for a smaller, less invasive incision.

  • Foraminotomy:- is the removal of bone around the neural foramen – the canal where the nerve root exits the spine. This method is used when disc degeneration has caused the height of the foramen to collapse and pinch a nerve.

  • Laminaplasty:- is the expansion of the spinal canal by cutting the laminae on one side and swinging them open like a door. It is used only in the neck (cervical) area.

  • Discectomy:- is the removal of a portion of a bulging or degenerative disc to relieve pressure on the nerves.

In some cases, spinal fusion may be done at the same time to help stabilize sections of the spine treated with laminectomy. Fusion uses a combination of bone graft, screws, and rods to connect two separate vertebrae together into one new piece of bone. Fusing the joint prevents the spinal stenosis from recurring and can help eliminate pain from an unstable spine.

Who Needs a Spinal Decompression Surgery?

Spinal decompression surgery is recommended in patients suffering from of spinal stenosis. Spinal stenosis is a condition in which there is narrowing of the spinal canal which can causes chronic pain, numbness, and muscle weakness in the arms or legs. This condition mainly affects the elderly people and is mostly caused by degenerative changes that result in enlargement of the facet joints and thickening of the ligaments.


You may be a candidate for Spinal decompression Surgery if you have:

  • significant pain, weakness, or numbness in your leg or foot
  • leg pain worse than back pain
  • not improved with physical therapy or medication
  • difficulty walking or standing that affects your quality of life.

What are the Benefits of Spinal Decompression surgery In India?

There are many benefits to minimally invasive spinal decompression surgery. These include:

  • Short recovery time
  • Small incision less than an inch
  • Outpatient procedure that
  • takes about 30-60 minutes
  • Less damage to muscles
  • Decreased need for pain medications.

Diagnosis for spinal decompression surgery in India?

If you have the symptoms of spinal decompression Surgery (stenosis), your Surgeon will start by taking a medical history, performing a physical exam, and observing your movements. Your Surgeon may also order tests to confirm a suspected diagnosis, such as:

  • Blood tests
  • X-ray, MRI scan, or CT scan to view images of your spine
  • electromyelogram to check the health of spinal nerves
  • bone scan to look for damage or growths in your spine

What are the risks of spinal decompression surgery?

The risks associated with spinal decompression surgery include:

  • Infection
  • Bleeding
  • Blood clots
  • Nerve or tissue damage
  • Allergic reaction to anesthesia
  • Paralysis
  • Damage to the surrounding
  • soft tissue
  • Deep Vein Thrombosis (DVT)
  • Bone graft migration

Who performs the Spinal Decompression Surgery?

A neurosurgeon or an orthopedic surgeon can perform spinal decompression surgery. Many spine surgeons have specialized training in complex spinal decompression surgery.

Before Spinal Decompression surgery?

  • Patient’s medical history (allergies, medicines/vitamins, bleeding history, anesthesia reactions, and previous surgeries) is taken.

  • Patient is advised to stop taking all non-steroidal anti-inflammatory medicines (Naprosyn, Advil, Motrin, Nuprin, Aleve, etc.) and blood thinners (Coumadin, aspirin, etc.) one week prior to the surgery.

  • Patient is also advised to stop smoking, chewing tobacco, and drinking alcohol one week prior and 2 weeks after the surgery, as these can cause bleeding problems.

  • Patient is hospitalized on the same day of the procedure. And is advised not to have any food or drink past midnight the night before surgery. An intravenous (IV) line is placed in the arm.

During Spinal Decompression Surgery

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Step 1: prepare the patient
You will lie on your back on the operative table and be given anesthesia. Once asleep you will be rolled over onto your stomach with your chest and sides supported by pillows. The area where the incision will be made is cleansed and prepped. If a fusion is planned and you have decided to use your own bone, the hip area will be prepped to obtain a bone graft. If you’ve decided to use donor bone, a hip incision is not necessary.

 

Step 2: incision:- is made down the middle of your back over the appropriate vertebrae. length of the incision depends on how many laminectomies are to be performed. back muscles are split down the middle and moved to either side exposing the lamina of each vertebra.


Step 3: laminectomy or laminotomy
Once the bone is exposed, an X-ray is taken to verify the correct vertebra. accordingly proceducre will performed by your Surgeon.

 

Step 4: decompress the spinal cord
Once the lamina and ligamentum flavum are removed the protective covering of the spinal cord (dura mater) is visible. Your surgeon can gently retract the protective sac of the spinal cord and nerve root to remove bone spurs and thickened ligament.

Step 5: decompress the spinal nerve
The facet joints, which are directly over the nerve roots, may be undercut (trimmed) to give the nerve roots more room. where the spinal nerves exit the spinal canal. If a herniated disc is causing compression your surgeon will perform a discectomy

Step 6: fusion (if necessary) 

If you have spinal instability or have laminectomies to multiple vertebrae, a fusion may be performed. Fusion is the joining of two vertebrae with a bone graft held together with hardware such as plates, rods, hooks, pedicle screws, or cages.

The topmost layer of bone is removed with a drill to create a bed for the bone graft to grow. Bone graft, taken from the top of your hip, is placed along the posterolateral bed.

Step 7: closure
The muscle and skin incisions are sewn together with sutures or staples.

Recovery from spine decompression surgery:

Recovery and hospital stay varies from patient to patient and is drastically reduced in MISS and ESS. Patients undergoing traditional open surgery stay in the hospital for 3 to 5 days at least whereas, minimally invasive and endoscopic procedures allow the patient to get discharged on the same day or in 1 to 2 days.

Back To Ward after Spinal Decompression Surgery

  • You will be allowed to sit up and out of bed when you are ready after coming back to the ward. The physios and nurses will indicate when they feel you are ready to stand and start walking after the procedure (if you have an incidental durotomy (see above) you will be expected to stay flat). You will be given something to eat when you are ready.

  • The next day, if you are walking safely and all is well, you will be allowed to go home. Occasionally patients require a second day to get over the anaesthetic.

  • The area around the operation site can give discomfort to varying levels for up to six weeks after the procedure. The team will ensure you have adequate painkillers to take home.

  • Ensure you have spare dressings to take with you as well. The dressing is kept on unless there is wound fluid (diluted blood) coming through.

Results after Spinal Decompression Surgery

Most people report measurable improvement in their symptoms after Spine Decompression, particularly a decrease in pain that radiates down the leg or arm. But this benefit may lessen over time if you have a particularly aggressive form of arthritis. Surgery is less likely to improve pain in the back itself.

Discharge instructions:

Discomfort

  • Take pain medication as directed by your surgeon.
  • Narcotics can be addictive and are used for a limited period of time.
  • Narcotics can also cause constipation. Drink lots of water and eat high-fiber foods. Laxatives and stool softeners such as Dulcolax, Senokot, Colace, and Milk of Magnesia are available without a prescription.
  • Ice your incision 3-4 times per day for 15-20 minutes to reduce pain and swelling.

Restrictions

  • Avoid bending, lifting or twisting your back for the next 2 weeks.
  • Do not lift anything heavier than 5 pounds for 2 weeks after surgery.
  • No strenuous activity for the next 2 weeks including yard work, housework and sex.
  • Do not drive for 2 weeks after surgery or until discussed with your surgeon.
  • Do not drink alcohol for 2 weeks after surgery or while you are taking narcotic medication.
  • If you have had a fusion, do not use non-steroidal anti-inflammatory drugs (NSAIDs) (e.g., aspirin; ibuprofen, Advil, Motrin, Nuprin; naproxen sodium, Aleve) for six months after surgery. NSAIDs may cause bleeding and interfere with bone healing.
  • Do not smoke, vape, dip, chew or use nicotine products. It delays healing and prevents new bone growth.

Activity

  • You may need help with daily activities (dressing, bathing) for the first few weeks. Fatigue is common. Let pain be your guide.
  • Get up and walk 5-10 minutes every 3-4 hours. Gradually increase your walking time, as you are able.
  • If you were given a brace, where it at all times unless you are sleeping or showering.

Bathing/Incision Care

  • Wash your hands thoroughly before and after cleaning your incision to prevent infection.
  • If you have Dermabond (skin glue) covering the incision, you may shower the day after surgery. Gently wash with soap and water. Pat dry.
  • If you have staples or steri-strips, you may shower 2 days after surgery. Remove the dressing and gently wash with soap and water. Pat dry.
  • Replace dressing if there is drainage.
  • Do not submerge or soak the incision in water (bath, pool or tub).
  • Do not apply lotions or ointments to incision.
  • Some drainage from the incision is normal. A large amount of drainage, foul smelling drainage, or drainage that is yellow or green should be reported to your surgeon’s office.
  • Staples or steri-strips will be removed at your follow-up appointment.

Frequently asked questions (Spinal Decompression Surgery)

What is the success rate of Spinal Decompression Surgery In India?

The Success rate for decompression spine surgery is high, with approximately 95-97% of patients getting relief from the leg pain after Spinal Decompression surgery in India.

What is spinal Decompression Surgery (stenosis)?

Spinal Decompression Surgery (stenosis) is a narrowing of your spinal canal that puts pressure on your spinal nerves and sometimes your spinal cord, causing them to become swollen and inflamed and, can lead to chronic pain, numbness, and muscle weakness in your arms or legs.


Spinal decompression surgery (stenosis) may be caused by osteoarthritis, enlarged joints, thickened ligaments and, bony overgrowths.

Best Surgeon For Spinal Decompression Surgery In India?

Dr Sandeep Vaishya

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Dr. Harnarayan Singh. Best doctors in India

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