ACDF Surgery Cost In India

ANTERIOR CERVICAL DISCECTOMY WITH FUSION TWO LEVELS

Anterior Cervical Discectomy with Fusion, One Level may be performed when a herniated disc pinches a nerve in the neck and non-surgical treatment has not resulted in sufficient relief. The primary symptoms of an Anterior Cervical Discectomy are usually numbness, weakness and/or pain in the arm and neck. The goal of the Anterior Cervical Discectomy with Fusion is to remove the disc that is pinching the nerve, eliminating the cause of pain and numbness. 2 level ACDF is where the procedure involves the removal of Two Discs.

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What is an anterior cervical discectomy & fusion?

Healthy discs act as a flexible cushion between bones, allowing your neck to bend and rotate. Wear and tear on discs can cause herniation or thinning that pinch the nerves (Fig. 1).
Discectomy literally means “cutting out the disc.” A discectomy can be performed anywhere along the spine from the neck (cervical) to the low back (lumbar). The surgeon reaches the damaged disc from the front (anterior) of the spine through the throat area. By moving aside the neck muscles, trachea, and esophagus, the disc and bony vertebrae are exposed. Surgery from the front of the neck is more accessible than from the back (posterior) because the disc can be reached without disturbing the spinal cord, spinal nerves, and the strong neck muscles. Depending on your particular symptoms, one disc (single-level) or more (multi-level) may be removed.
After the disc is removed, the space between the bony vertebrae is empty. To prevent the vertebrae from collapsing and rubbing together, a spacer bone graft is inserted to fill the open disc space. The graft serves as a bridge between the two vertebrae to create a spinal fusion. The bone graft and vertebrae are fixed in place with metal plates and screws. Following surgery, the body begins its natural healing process and new bone cells grow around the graft. After 3 to 6 months, the bone graft should join the two vertebrae and form one solid piece of bone. The instrumentation and fusion work together, similar to reinforced concrete.
After fusion you may notice some range of motion loss, but this varies according to neck mobility before surgery and the number of levels fused. If only one level is fused, you may have similar or even better range of motion than before surgery. If more than two levels are fused, you may notice limits in turning your head and looking up or down.
Artificial disc replacement has emerged as an alternative to fusion. Similar to knee replacement, the artificial disc is inserted into the damaged joint space and preserves motion, whereas fusion eliminates motion. Outcomes for artificial disc compared to ACDF are similar, but it is not for those with facet joint arthritis or weak bones. Talk with your surgeon about whether ACDF or artificial disc replacement is appropriate for you.

Preparation before surgery

You may be scheduled for presurgical tests (blood test, electrocardiogram, chest X-ray) several days before surgery. In the doctor’s office, you will sign consent and other forms so that the surgeon knows your medical history (allergies, medicines, vitamins, bleeding history, anesthesia reactions, and previous surgeries). Discuss all medications (prescription, over-the-counter, and herbal supplements) you are taking with your healthcare provider. Some medications need to be continued or stopped the day of surgery. Stop taking all non-steroidal anti-inflammatory medicines (Naprosyn, Advil, Motrin, Nuprin, Aleve, etc.) and blood thinners (Coumadin, Plavix, etc.) 1 to 2 weeks before surgery as directed by the doctor. Additionally, stop smoking, chewing tobacco, and drinking alcohol 1 week before and 2 weeks after surgery because these activities can cause bleeding problems. No food or drink is permitted past midnight the night before surgery.

Anterior Cervical Discectomy with Fusion, Two Level Surgery

Anterior Cervical Discectomy with Fusion, Two level procedures the incision is made in the front of the spine through the throat area. After the disc is removed, a bone graft is inserted to fuse together the bones above and below the disc space.Discectomy literally means “cutting out the disc.” A discectomy can be performed anywhere along the spine from the neck (cervical) to the low back (lumbar). The surgeon reaches the damaged disc from the front (anterior) of the spine through the throat area. By moving aside the neck muscles, trachea, and esophagus, the disc and bony vertebrae are exposed. Surgery from the front of the neck is more accessible than from the back (posterior) because the disc can be reached without disturbing the spinal cord, spinal nerves, and the strong neck muscles. Depending on your particular symptoms, one disc (single-level) or more (multi-level) may be removed. After the disc is removed, the space between the bony vertebrae is empty. To prevent the vertebrae from collapsing and rubbing together, a spacer bone graft is inserted to fill the open disc space. The graft serves as a bridge between the two vertebrae to create a spinal fusion.The bone graft and vertebrae are fixed in place with metal plates and screws.

Recovery:

Following surgery the body begins its natural healing process and new bone cells grow around the graft. After 3 to 6 months, the bone graft should join the two vertebrae and form one solid piece of bone. The instrumentation and fusion work together, similar to reinforced concrete.
You must wear your collar at all times except to shower, and you may remove it briefly for personal hygiene (shaving). While the collar is off, you may look forward or slightly downward, but you must not look up.  This motion extends your neck and can cause the bone graft to dislodge.  Most people will need to wear the collar until the first post-operative appointment.  At that time, I will determine if you are able to stop using the collar.  In most cases, a collar will be worn for about 3-4 weeks. Some patients may have to continue to wear the collar for a longer period of time depending on their situation
You must wear your collar at all times except to shower, and you may remove it briefly for personal hygiene (shaving). While the collar is off, you may look forward or slightly downward, but you must not look up. This motion extends your neck and can cause the bone graft to dislodge.  Most people will need to wear the collar until the first post-operative appointment.  At that time, I will determine if you are able to stop using the collar.  In most cases, a collar will be worn for about 3-4 weeks.Some patients may have to continue to wear the collar for a longer period of time depending on their situation

What are the results?

Anterior cervical discectomy is successful in relieving arm pain in 92 to 100% of patients [3]. However, arm weakness and numbness may persist for weeks to months. Neck pain is relieved in 73 to 83% of patients [3]. In general, people with arm pain benefit more from ACDF than those with neck pain. Aim to keep a positive attitude and diligently perform your physical therapy exercises.
Achieving a spinal fusion varies depending on the technique used and your general health (smoker). In a study that compared three techniques: ACD, ACDF, and ACDF with plates and screws, the outcomes were [3]:
67% of people who underwent ACD (no bone graft) achieved fusion naturally. However, ACD alone results in an abnormal forward curving of the spine (kyphosis) compared with the other techniques.
93% of people who underwent ACDF with bone graft placement achieved fusion.
100% of people who underwent ACDF with bone graft placement and plates and screws achieved fusion.

Risks:

Anterior cervical discectomy and fusion (ACDF) is generally a safe and effective surgery.  However, as with any surgical procedure, there are potential risks.  Risks of the operation include, but are not limited to: infection, anesthesia complications, injury to the nerves and spinal cord, hoarseness, injury to the esophagus, incomplete resolution of pain, and dislodgement of the graft.  General medical complications include pneumonia, heart attack, stroke and blood clots.  These complications are uncommon, and many precautions are taken to prevent or minimize risks but because human biology is at times unpredictable, no surgery is risk-free.

ACDF Surgery Cost in India

The overall cost of ACDF (anterior cervical discectomy and fusion) surgery ranges from 4800 USD to 6800 USD. This given cost range is arbitrary and depends on various factors, such as the severity of the condition, the number of vertebrae being fused, etc. 
The total cost of the treatment also depends on where you are getting your treatment, your surgeon’s experience and qualifications, the type of surgery, etc. If you want to know a more exact estimate of the cost of your spinal fusion surgery, you should consult an expert spine specialist for a physical examination and thorough diagnosis.

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IBS Institute of Brain and Spine

About Hospital:

• Established in 2011, IBS Hospital specializes in advanced neurosurgery, neurology, spine surgery, and joint replacement surgeries.
• The hospital receives more than 600 international patients per year.
• It has world-class infrastructure and a dedicated team of specialists and qualified staff.

BLK-Max Super Speciality Hospital

Number of beds: 700
ICU Beds:               175
Airport Distance: 13 Km

Brief About:

• BLK Super Speciality Hospital was established by Dr. B.L. Kapur  in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
  
• BLK Super Speciality Hospital was established by Dr. B.L. Kapur  in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
• BLK has a unique combination of the best in class technology, put to use by the best names in the professional circles to ensure world-class health care to all patients.

Indraprastha Apollo Hospital

No. of beds: 900
ICU Beds:     262
Airport:        20kms

Brief About:

• Indraprastha Apollo Hospital is a flagship hospital of India’s foremost healthcare groups,the Apollo Group. It is a highly renowned multi-speciality facility that offers tertiary and quaternary care services to domestic and international patients.
• The 900 bedded hospital is outfitted with the most modern technology for diagnostics as well as therapeutic purposes.
• A team of highly trained medical professionals work under all the 52 specialities at the hospital.

Max Super Specialist Hospital Saket

Number of beds:   500
ICU Beds:                 267
Airport Distance: 13 KM

About Hospital:

• Max Super Speciality Hospital at Saket is one of the topmost healthcare service
• Providers in India. The multi-super speciality hospital has a capacity of over 500 beds, 250 functional beds. It is equipped with state-of-the-art facilities, advanced technologies.
• With the help of over 300 leading specialist Doctors, strong nursing staff, and state-of-the-art innovative medical tools.

Artemis Hospital Gurgaon

Number of beds:  600
ICU Beds:                185
Airport Distance: 19 Km

Brief About:

• Artemis Hospital, established in 2007, spread across 9 acres, is a 600plus bed; state-of-the-art multi-speciality hospital located in Gurgaon, India.
• Artemis Hospital is the first JCI and NABH accredited hospital in Gurgaon.
• Designed as one of the most advanced hospitals in India, Artemis provides a depth of expertise in the spectrum of advanced medical & surgical interventions, a comprehensive mix of inpatient and outpatient services.

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Medanta The Medicity Hospital

Number of beds:  1250
ICU Beds:                300
Airport Distance: 18 KMs

Brief About:

• Medanta – The Medicity is amongst India’s largest and most renowned multi-super speciality healthcare centre with 1250 beds, 29 super speciality units and more than 800 accomplished doctors.
• Supported by state-of-art infrastructure, all the departments in the hospital are fully equipped with cutting-edge technology, modular Operation Theatre and modernized monitoring systems in ICUs.
• The panel of doctors from Medanta, headed by A.S.Soin performed the first successful intestinal transplant in India.

Fortis Memorial Research Institute

Number of beds:    1000
ICU Beds:                  298
Airport Distance:  17 KMs

Brief About:

• Fortis Memorial Research Institute was established in 2001.
• It is an outstanding multi-speciality quaternary care hospital,having the top-notch infrastructure, advanced equipment, highly qualified and experienced medical professionals and super sub-specialists.
• Fortis Hosptial Gurgaon is an advanced centre of excellence in Robotic Surgery, Neurosciences, Oncology, Renal Sciences, BMT, Organ Transplants, Orthopaedics, Cardiac Sciences and Obstetrics & Gynaecology.

Sanar International Hospital

Number of beds:   130
ICU Beds:                  35
Airport Distance:  20 Km

About Hospital:

• Sanar International Hospital was established in 2018.
• Sanar International Hospital founded by Mr. Naresh Kapoor.
• Sanar International Hospital offers comprehensive advanced surgical care in specialties like Cancer, Heart, Blood and Marrow Transplant, Lung, Liver, and Neurosciences along with other major departments with advanced state-of-the-art facilities.

W Pratiksha Hospital

Number of beds: 110
ICU Beds:                 31
Airport Distance: 19 KMs

About Hospital:

• Established in 1995, W Pratiksha Hospital is a 110+ bedded flagship hospital of the Pratiksha group.
• W Pratiksha Hospital in Gurgaon, the flagship hospital of Pratiksha Group is a one-of-its-kind facility in Gurgaon that brings to you 30 years of experience.
• The hospital has treated more than 25,000 people In 2018.
  

Accord Superspeciality Hospital

Number of beds:   380+
ICU Beds:                  41
Airport Distance:  46 Km

About Hospital:

• The story of Accord began with the thought of leveraging the new age technology with the healthcare infrastructure to serve the patients, rightly, effectively, and timely.
• Accord Superspeciality Hospital (A Unit Of SCL Healthcare Pvt. Ltd) is India’s first smart hospital and one of the first of its kind in the world.
• Accord Superspeciality Hospital aims at providing technologically advanced healthcare services to international patients who are looking out for medical tourism in India.

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• Providing a doctor’s opinion and proper quotation
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