SPINAL FUSION SURGERY

Spinal fusion is designed to stop the motion at the segment of the spine that is the cause of the patient's pain.

Minimally Invasive Spinal Fusion Surgery at India's Best Spine Surgery Hospital in India

Spinal Fusion Surgery

Our network hospitals have the most advanced spine surgery facilities. The spine surgeons here use minimally invasive and computer guided techniques in spine surgery. In a Minimally Invasive spine surgery the surgeon makes a few small incisions unlike the open surgery where a single large incision is made. Minimally Invasive spine surgery has several important benefits for the patients. If you have been advised spine surgery your first choice should be the latest minimally invasive technique developed by our world's best hospitals in India. Most advanced Technology like Intra Operative MRI, Brain Suite and Computer Assisted Navigation System are deployed by highly trained surgeons for accurate and safe Spine Surgeries through a small incision.

Why should you choose to get Indian hospitals offer the best spinal surgery treatment in India at affordable prices. MedGinnie associated best spine surgery hospitals in India have the latest technology and infrastructure to offer the most advanced spine surgery at low cost.

Salient features of these hospitals are
  • Comprehensive management of spine disorder from birth defects to degeneration of tumor and trauma.

  • Dedicated team of International trained and vastly experienced Spine Surgeons, Rheumatologists, Neurologist, Physicians and Physiotherapist.

  • Expert evaluation of spinal problems by dedicated team of experienced spine Surgeons, Rheumatologists, Neurologist, Physicians and Physiotherapist.

  • Latest Generation Diagnostic and Imaging facilities including dynamic digital X rays, Spiral CT scanning , MRI and Electrophysiology unit all under one roof.

  • Physiotherapy and Rehabilitation by experts after the surgery help you regain functional abilities quickly helping in vastly improved overall results.

Posterior Lumbar Interbody Fusion (PLIF)

In Posterior lumbar interbody fusion, the spinal fusion is achieved through a surgical incision made on the posterior (back) aspect of spine. It aims at fusion of two adjacent vertebrae in cases of spinal instability and associated back pain. It is a popular procedure as it gives excellent results. Major medical journals document that the procedure provides almost complete relief of symptoms in 90-95% of the cases and the patients are able to return to their daily activities within a few weeks. The patients can also return to most of their recreational activities.

If abnormal and excessive motion at a vertebral segment results in severe pain and inability to function, a fusion is considered in following conditions:

There is a rapid increase in technology that allows the MIS physician to treat patients with minimally invasive spine surgery procedures. Some of these techniques are now well established, while others remain new and continue to evolve. The best MIS (Minimally Invasive Spine Surgery) technique will depend on the specific character of the problem. While the list of MIS (Minimally Invasive Spine Surgery) techniques continues to expand, the most commonly employed today include:

  • Degenerative disc disease

  • Isthmic, degenerative or postlaminectomy spondylolisthesis.

  • Unstable spine (caused by infections or tumors)

  • Fractures

  • Scoliosis

  • Deformity

Why is it done ?

This procedure is generally recommended for patients, who suffer from chronic pain and instability of spine due to conditions such as spondylolisthesis, disc herniation, degenerative disc disease etc that have not responded to conservative measures ( rest, physical therapy, medications) or after procedures such as bilateral laminectomy or discectomy. This procedure resolves the problem of spinal instability by infusing a bone graft within the disc space between the two vertebrae which allows new bone to grow, bridging the affected vertebrae. The procedure ultimately aims at achieving spinal stability through bony fusion. A fusion creates rigid and immovable column of bone in the problem section of the spine thus preventing any painful movement. The procedure also restores the normal intervertebral distance, thus relieving pain, numbness, and tingling caused due to nerve compression.

Types of Spinal fusion procedures

When necessary, fusing two segments of the spine may be a reasonable option for treatment of pain. However, spinal fusion of more than two segments is unlikely to provide pain relief because it removes too much of the normal motion in the lower back and places too much stress across the remaining joints.Some kind of bone materials is used in almost all spinal fusions which is called a bone graft, these grafts help promote the fusion. The complementary bone tissues that are used to fuse the vertebrae in this procedure are either taken from the patient (this is called as Autografting) or a donor (known as Allografting), and are used in concurrence with the body's natural bone growth (known as osteoblastic process). This main aim of the procedure is to eliminate the pain caused by abnormal motion of the vertebrae by immobilizing the vertebrae themselves. In many cases, surgeons use external hardware such as plates, screws and rods which help to hold the spine still. This is called internal fixation and this helps in increasing the rate of successful healing. Imaging tests like as x-rays, computed tomography (CT), and magnetic resonance imaging (MRI) scans are used to locate the exact location of the problematic vertebrae’s.

There are two main types of Spinal fusion procedures

  • Posterolateral fusion In this procedure the bone graft is place between the transverse processes in the back of the spine. These vertebrae are then fixed with screws and/or wire for proper fixation.

  • Interbody fusion In this method the bone graft is placed between the vertebras in the area usually occupied by the intervertebral disc. There are three types of interbody fusions based on the approach of the incision:

  • Anterior lumbar interbody fusion Hereby the disc is accessed from an anterior abdominal incision

  • Posterior lumbar interbody fusion Hereby the disc is accessed from a posterior incision

  • Transforaminal lumbar interbody fusion In this the disc is accessed from a posterior incision on one side of the spine.

  • Some time both types of fusion procedures are used this is known as 360-degree fusion.

Minimally Invasive type of spine surgery designed to accomplish a spinal fusion

  • Minimal tissue damage

  • Minimal blood loss

  • Small incisions and scars

  • Minimal post-operative discomfort

  • Relatively quick recovery time and return to normal function.

Because of the above factors, it is one of a number of options for spinal fusion that are relatively minimally invasive. The XLIF is a type of interbody fusion, which is a category of fusion in which the disc in the front of the spine is removed and replaced with an implant containing a bone graft to set up the condition for the two vertebrae to fuse together through the disc space.

Note: Treatment Options/Results may vary from patient to patient depending on their medical condition.

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