Spinal Fusion Surgery in India

What is Spinal Fusion Surgery?

Spinal fusion is a surgical treatment used to treat abnormalities in the tiny bones of the spine (vertebrae). Essentially, it is a welding process. The basic idea is to connect two or more vertebrae so they can heal into a single, solid bone. This is carried out to stop uncomfortable motion or to provide the spine with some stability.

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Spinal fusion, also called spondylodesis or spondylosyndesis, is a neurosurgical or orthopedic surgical technique that joins two or more vertebrae. This procedure can be performed at any level in the spine and prevents any movement between the fused vertebrae.

Spinal Fusion Surgery Cost In India

Spinal Fusion Surgery cost in India Cost for International patients is between USD 4750 to USD 7750.
Patient has to stay in the hospital for 5 days and outside the hospital for 10 days. The total cost of the treatment depends on the diagnosis and facilities opted by the patient.

How is the Procedure Performed?

During spinal fusion surgery, the surgeon places bone or a bonelike material within the space between two spinal vertebrae. Metal plates, screws, and rods may be used to hold the vertebrae together, so they can heal into one solid unit.

Who is the Right Doctor for Spinal Fusion Surgery?

The right doctor to consult for Spinal Fusion Surgery is a Spine Surgeon.

What is the Usual Success Rate for this Procedure?

The success rate varies between 81-88%.
Only after your doctor is able to identify the cause of your discomfort will they often advise spine surgery. X-rays, CT scans, and magnetic resonance imaging (MRI) scans are a few examples of imaging procedures that your doctor could employ to do this.

When compared to other countries, such as the USA, spinal fusion surgery cost in India is quite affordable. The nation is recognized for offering high-quality, affordable medical care. The greatest facilities are accessible with reasonable healthcare packages, premium medical tools, and the assurance of first-rate medical professionals for people traveling for spinal fusion surgery in India.

Types of Spinal Fusion Surgery :

Part of the spine- Spinal fusion can be done at any location of the spine :

Lumbar fusion : commonly done chiefly because of degenerative disc changes in the thoracic spine that cause pressure on the spinal cord nerves.

Cervical fusion : is also commonly performed because of greater motion and stress on the cervical spine.

Thoracic fusion : the thoracic spine is more immobile, so usually, the reason for fusion in the thoracic spine is injury or deformities.

Why Spinal Fusion Surgery is Done

To strengthen the spine, fix a condition, or lessen discomfort, two or more of its bones are fused together. Uses for spinal fusion include:
Reconfigure the spine: Spinal fusion can be used to fix issues in the spine’s construction. Scoliosis, or a lateral curve in the spine, is one example.
If there is too much mobility between two spinal bones, the spine may become unstable or fragile. These are some of the side effects of severe spine arthritis. Spinal fusion may increase the spine’s stability.
Disc failure: After a damaged disc has been removed, spinal fusion may be used to stabilize the spine

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Multi-levels of spinal fusion :

One level spinal fusion : utilized to prevent movement at the one section e.g. L4-L5, two vertebrae have to be combined with each other to prevent movement at the one segment.
Two-level spinal fusion : utilized to prevent movement at two sections L4-L5, L5-S1, which is it involves linking of three vertebrae, however, the spinal combination of two or more amounts is not likely to offer pain relief because of hampers standard movement of back and places pressure across staying joints.
The fusion of 3 or more levels : isn’t done except in cases of scoliosis or deformity.

Spinal Fusion Surgery Cost in India

• Based on the number of spinal levels, the estimated cost of Spine Surgery in India ranges from USD 4,800 to USD 7,800.
• The price of Scoliosis Spine Surgery in India ranges from USD 10,500 to USD 11,500.
• A hospital stay is about 5 days and 15 days away from the hospital.
• Most of the patients have been advised to walk on the next day of operation and have direct relief from pain.
• Tests Necessary for discovering Spine Surgery are CT Scan, MRI Scan, Discogram, and X-Ray.

Factors Affecting Spinal Fusion Surgery Cost in India

Spinal Fusion Surgery Cost in India can depend on the patient depends on a variety of factors like

• The clinic, the Patient chooses.
• Room –Standard single room, deluxe room, super living room for the number of nights defined (such as nursing charge, meals, room rate, and room service).
• The fee to its group of physicians.
• Standard diagnostic and test processes.
• Price of this follow–up care needed after the procedure

Before surgery :

A complete health checkup and diagnostic Evaluation performed before surgery, it involves a Set of Bloodstream tests, ECG, X-rays, and scans. Some Drugs like blood thinners have to Be Ceased at least Two weeks until surgery. It is important to stop smoking because it reduces blood Flow and Interrupts bone fusion

During surgery :

Step 1 : The patient is positioned and anesthesia is given
Step2 : Incision is created in the skin and cells are gently moved aside to make a route to the backbone minimally invasive techniques also have been developed that permit fusions with little incisions.
The procedure may be done by different techniques depending on the best possible for the patient and the expertise of the surgeon

In Thoracic Spine fusion distinct techniques can be
Posterolateral fusion : in this procedure the bone graft is put between the transverse process and the vertebra is subsequently fixed in position.
Interbody fusion : During this technique whole intervertebral disk is removed and a bone graft is put in distance between the vertebrae, Kinds of interbody fusion

Anterior lumbar interbody fusion(ALIF) : this process is done in the front using an anesthetic at the lower stomach, the intervertebral disk is removed and a bone graft is placed.
Posterior lumbar interbody fusion (PLIF) : as its name implies this process is done via the spine and includes removing the disk and adding bone between two nerves.
Transforaminal lumbar interbody fusion (TLIF) : this process can also be done from the trunk.
Oblique lateral lumbar interbody fusion (OLLIF) : that the physician can approach the backbone in the side

Step 3- Bone Infection is performed : For fusion to occur between two vertebrae a bone graft is necessary to function as a bridge, commonly bone grafts are placed into the space between the vertebrae to be fused. The bone graft helps bone recovery and increases bone creation.

The graft utilized maybe :

Allograft : from bone bank/cadaver
Autograft : usually a piece of bone from around the patient’s own pelvis
Artificial : Synthetic bone substitute may be used
Steps 4-Immobilization : The bone graft and vertebrae Should be Glued while the bone graft heals and fuses. The Blend Region is immobilized and held together with metal rods, screws or Screws
Steps 5-Incision is then closed : a brace may be prescribed to encourage the backbone

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After surgery :

You’ll be monitored in the hospital for two to three days, and you might need to wear a brace as you heal. After a drug-controlled operation, you will experience some discomfort.
Bed rest is generally not needed. Rehabilitation might take some time and might be a few months until the bone is solid.
While the healing is continuing the fused spine has to be held in the proper position. You’ll be taught the right way to sit, stand, and walk-in order to not hamper the fusing procedure.
After 3-6 months following surgery, the bone graft should combine the vertebra above and under to form a single strong part of the bone that firmly attaches to the backbone creating permanent fusion, and slowly improving your activity level with your symptoms.

Best Spine Surgeons in India

• Dr. Sandeep Vaishya
• Dr. Aditya Gupta
• Dr. Puneet Girdhar
• Dr. Aditya Gupta
• Dr. Hitesh Garg

Diagnostic Tests for Spinal Fusion Surgery :

• Usually complete symptomatic history of patient taken, clinical examination Imaging techniques done to confirm the diagnosis and also to rule out other problems
• MRI is performed to look for disc problems and check spinal nerves status
• CT Scan for ruling out joints and bones problems
• X-ray to check for arthritis or injuries in vertebrae
• Bone scan to rule out cancer
• Myelogram, electromyogram

Why Do Individuals Prefer to Have Spinal Fusion Surgery in India

The country has some of the best medical care facilities and services in Asia, making medical tourism in India very popular. The best Hospitals for spinal fusion surgery in India provide all types of disease-related surgeries using advanced technology. Also, the Spinal Fusion Surgery Cost in India is much more affordable as compared to other states or nations around the world. An international patient can expect to pay 50-60% less for Spinal Fusion Surgery in India.

The hospitals that do Spinal Fusion Surgery in India provide comprehensive appropriate treatment, including comprehensive preoperative evaluations, minimally invasive surgical options, and post-operative rehabilitation programs. Patients can expect personalized treatment, individualized attention, and compassionate care at these medical facilities. The hospitals are accredited by top international organizations such as the National Accreditation Board for Hospitals and Healthcare Providers (NABH) or the Joint Commission International (JCI).

What to Look for When Choosing a Hospital For Spinal Fusion Surgery in India

Indian hospitals that perform orthopedic surgery and treatment are well-known for their hospitality and patient care services providing the finest hospital and surgeons in India. However, choosing a suitable hospital for treating Spinal Fusion Surgery in India can be difficult for an international patient. It is a significant decision that must be made with several factors in mind, including:

• Quality certificates and accreditations
• Hospital and transportation facility location
• Team of doctors and surgeons
• Advanced diagnostic and therapeutic equipment
• International patient assistance

Q: What is spinal fusion?
A: Spinal fusion is a surgical technique wherein two or more vertebral bones are eternally linked to maintaining functioning and supply stability to the spine. The theory behind spinal fusion is that if debilitating vertebrae are immobilized they won’t hurt.

 Q: What are the disease conditions requiring spinal fusion surgery?

• Degenerative disc disease
• Spondylolisthesis (a condition wherein one vertebra slips forward on top of another )
• Spinal stenosis– usually due to arthritis in the spine
• Spinal fractures- due to injuries
• Kyphosis, Scoliosis- due to abnormal curvatures
• Tumor causing the weak or unstable spine

Q: What are the common symptoms of displaced vertebrae?

• Stiffening and loss of mobility of the spine
• Neurological symptoms like numbness, paralysis, loss of reflexes
• Severe back pain, even occasionally sciatic pains
• Difficulty in sitting and standing for long durations
• Weakness of legs
• Changes in Gait

Q: What is the time taken to perform spinal fusion surgery?
A: It depends on the level of the fusion and extent of surgery, usually simple one-level fusion surgery takes between 2-3 hours.

Q: What are the risks involving spinal fusion surgery?
A: Spinal fusion is major surgery, there may be some infrequent complications:

• Damage to the nerves and surrounding structure during a procedure
• Pain at the graft site / Graft rejection
• Wound infection-antibiotic cover is usually given to prevent infections
• Bleeding
• Deep vein thrombosis (DVT) leading to a pulmonary embolism – there is a possibility of the formation of clots in the leg. These may break off and travel to the lungs leading to pulmonary embolism.
• Pseudarthrosis – when there is no union between the fused bones if this occurs a second surgery may be needed to fuse the vertebrae.
• Adjacent segment disease- as the area that was fused cannot move so there is increased stress and motion on the adjacent vertebrae causing their degeneration.

What are the signs of infection after surgery?

• Redness, swelling
• Drainage from the incision site
• Tenderness
• Elevated temperature

Q: What is the recovery period following spinal fusion surgery?
A. Retrieval time is variable, based on the magnitude of surgery, there’s a limitation of certain actions and rehabilitation required but the patient typically returns to regular work by 6 months and physically energetic work by roughly 12 weeks.

• Walking- there Is Not Any limitation, most Individuals are walking the day following the operation
• Sedentary work — normally 3-6 weeks following the operation

Q: What is the success rate of spinal fusion surgery?
A. The success rate of spinal fusion surgery Concerning pain relief is 70-80 percent.

Q: What reduces the chances of success of spinal fusion?
A: Clinical Results of Operation depends upon the surgeon’s Expertise, accurate Identification, and the patient’s Overall Health State.
The success rate could be reduced in patients who smoke, have been overweight, have diabetes or afflicted by some other major medical condition, and have osteoporosis.

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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 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

About Hospital:

• 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 Hospital Saket

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

Brief About:

• 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.

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.

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We offers these Services

• Providing a doctor’s opinion and proper quotation
• Selecting the best hospital and doctor as per your case
• Arranging a call with the doctor (if the case required)
• Visa assistance, Providing Visa Invitation Letter (VIL)
• Providing full guidance how to get Visa from your country
• Providing total cost including treatment, air tickets, accommodation, and food
• Assitance to book flight ticket from your country
• Arranging airport pick up/ drop
• Providing professional language interpreter
• Booking accommodation and guest house as per your budget/ prefrence
• Providing help in money exchanging
• Providing local sim card
• Arranging video consultation with specialist doctor if case requires

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 Gurgaon

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.
  

Aakash Health Care Delhi

Number of beds:  230
ICU Beds:                70
Airport Distance: 10 Km

About Hospital:

• Aakash Healthcare Super Speciality Hospital is a tertiary care facility, with 15 Dialysis, and 70 Critical care beds for treating the most complex cases in the National Capital Region (NCR) of Delhi, Dwarka.
  
• The hospital is equipped with state of the art infrastructure, latest technology, competent clinicians and compassionate staff.
  
• Aakash Healthcare Super Specialty Hospital is known for its leading care in Orthopaedic and Joint replacement surgery.
  

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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We offers these Services

• Providing a doctor’s opinion and proper quotation
• Selecting the best hospital and doctor as per your case
• Arranging a call with the doctor (if the case required)
• Visa assistance, Providing Visa Invitation Letter (VIL)
• Providing full guidance how to get Visa from your country
• Providing total cost including treatment, air tickets, accommodation, and food
• Assitance to book flight ticket from your country
• Arranging airport pick up/ drop
• Providing professional language interpreter
• Booking accommodation and guest house as per your budget/ prefrence
• Providing help in money exchanging
• Providing local sim card
• Arranging video consultation with specialist doctor if case requires