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Spine surgery

Spine surgery

CMCS Health, the Best Medical tourism company in India provides minimally invasive Spine surgery to foreign patients suffering from crippling back pain, for improving posture and restore mobility. The expert neurosurgeons in India have vast experience in performing complex and critical spine surgeries by using the latest neuromonitoring techniques for excellent surgical outcomes. The success rates of spine surgeries performed by expert neurosurgeons are at par with the best spine surgery centers in the world. The low cost of logistics and probably the lowest spine surgery cost in the world clubbed with the excellent success rates have made India a preferred destination among foreign patients, seeking spine surgery offshore. The commonly performed spine surgeries in India are spinal fusion, spinal decompression, spinal deformity correction (scoliosis and kyphosis), removal of spinal tumors (meningiomas and cancerous spinal tumors), herniated discs, sciatica, and spinal stenosis.

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Spine Surgery in India

Spine surgery is specialized neurology surgery performed by a specially trained neurology surgeon at the treatment center. CMCS Health, the best Medical tourism assistance company in India facilitates and coordinates spine surgery in India for foreign patients, with expert spine surgeons at the top Neurology centers. Spine surgeries are needed for patients who have not received any respite from back pain with conservative treatments, for the removal of meningiomas (noncancerous spinal tumors) and spinal cancerous tumors, spinal deformities (scoliosis and kyphosis) both congenital and acquired. The best Neurosurgeons in India are exclusively trained at the best neurology centers worldwide to perform complex and complicated spine surgeries with excellent results. These expert and vastly experienced neurosurgeons use cutting-edge technologies like neuromonitoring to improve surgical outcomes and avoid unwanted neurological damage. CMCS Health, the registered healthcare consultancy firm offers the safest spine surgeries in India for foreign patients with the best neurosurgeons in India at probably the lowest spine surgery cost anywhere in the world.

Video - Safest spine surgery in India with the best neurosurgeons.

The Need for Spine Surgery

Spine surgery is recommended for those patients who have not received any relief from pain and other associated symptoms despite physiotherapy, antiinflammatory or analgesic medications, or epidural steroid injections. The following medical conditions may need spine surgery:

Degenerative Spine diseases

Degenerative spine disease is a chronic change in the structure and function of the spine. Usually, the spine's flexibility is reduced due to the normal wear and tear of spinal tissues due to normal aging, arthritis, tumors, or trauma. The cushioning provided by the spinal disc is reduced, and the vertebrae have friction between them during movement. This can cause pain, arm and leg weakness, and movement restrictions.

Chronic intractable back or neck pain

A chronic intractable lower back that radiates to legs (sciatica) or neck pain that is persistent, excruciating at times, and does not get relieved with physiotherapy, pain medications, or even epidural steroid injections may require a minimally invasive spinal microdiscectomy. The expert neurosurgeon will remove part of the damaged disc, and surrounding bone spurs to give more breathing space to the spinal nerve root. Microdiscectomy or microdecompression is generally performed to relieve leg pain, numbness, tingling sensation, or weakness to treat a herniated disc in the lower spine. Posterior cervical decompression is done to correct cervical (neck) herniated discs in the cervical spine.

Herniated or Slipped Disc

A herniated, slipped, or ruptured disc is an injury to intervertebral fibrocartilage. It could be because of a trauma injury or even excessive strain on the spine. An intervertebral fibrocartilage is also called an intervertebral disc. An Intervertebral disc lies between two adjacent vertebrae in the spine's vertebral column. The intervertebral discs hold the adjacent vertebrae together in the spinal column and act as a shock absorber for the spine—an injury or damage to the intervertebral disc results in pain, tingling sensations, and disability. 

Spinal Stenosis

Spinal stenosis is a narrowing of the spinal canal. Spinal stenosis usually occurs in the lumbar spine (lower back) or cervical spine (neck) but can also occur in the thoracic spine. The factors responsible for spinal stenosis are Herniated discs, Paget's disease, bone spurs or fragments due to arthritis, spinal injuries or trauma, tumors, and the thickening of ligaments holding the vertebrae together and providing flexibility to the spinal column. When the spinal cord or the nerve roots associated with the spinal cord are pinched or irritated, it may cause inflammation and pain in the back or neck, weakening muscles, and tingling sensations in the arms or legs. Patients with severe spinal stenosis who have not benefitted from conservative treatments may require spine surgery. 

Spinal nerve root compression

Spinal nerve root compression is a major reason for spine surgery.  Spinal nerve root compression is also called radiculopathy. The major reasons for spinal nerve root compression could be bone spurs due to longstanding arthritis, spinal disc herniation, an injury or trauma to the spine, or a tumor in the spine. Surgical treatments may involve spinal decompression.

Spondylolisthesis

The human spine is made of 33 vertebrae. These vertebrae are properly aligned and have slight lateral movement while moving the body. At times one of these vertebras slips out of the natural alignment and presses the adjacent vertebra. This falling out of a vertebra from natural alignment impinges the nerve roots and may cause chronic pain in the back, stiffness in the back, difficulty in walking a short distance or even standing still for a few minutes at a place, tingling sensation in the limbs, numbness or weakness, and even difficulty in controlling urination or passing out of stool (urinary or bowel incontinence). Spondylolisthesis is more common in women than men. If the conservative treatment does not provide relief to the patients, spine surgery may be needed.

Spinal tumors

Both benign spinal tumors (meningioma) and cancerous or malignant spinal tumors require spine surgery. The best neurosurgeons in India perform spinal tumor surgeries with excellent success rates and the latest neuromonitoring technologies for the safest spine surgery in India.

Spinal deformity

Spinal deformity is an abnormal curvature and improper alignment of the spine's vertebrae. It could be a congenital defect or acquired spinal deformity. The common spinal deformities are:

Scoliosis

The human spine has a normal slight curvature from front to back. When the spinal deformity makes this curvature into lateral or sideways curvature, it is called scoliosis. Severe scoliosis may change the normal forward and backward curve of the spine to a "C" or "S" shaped abnormal curve. Scoliosis can cause disability and may also disrupt the functioning of the lungs as severe scoliosis may reduce the chest space. Severe Scoliosis patients may require a corrective spine surgery.

Kyphosis

Kyphosis is also an abnormal curvature of the spine. Kyphosis is an extremely abnormal forward rounding of the upper spine. It gives the appearance of a "hunchback". Mild Kyphosis may not require surgery but severe kyphosis patients may require spine surgery for correction of spinal deformity. Kyphosis can occur at any age.

Lordosis

Lordosis is the natural slightly inward curve in the lumbar (lower) spine and a slightly outward curve in the upper spine. When there is an abnormal excessive inward curve in the lower spine that causes the abdomen to stick out and the pelvis to curve back and up or an excessive outward curve in the upper or cervical spine it looks like a swayback. Severe Lordosis patients may need surgery if the other treatments haven’t worked. The goal of Lordosis surgery is to improve posture, the vertebral alignment and reduce pain.

The Success rates of spine surgery in India

CMCS Health, the best medical tourism company in India is associated with the best neurosurgeons in India for the lowest spine surgery cost in India. Our associated top neurosurgeons in India perform all types of spine surgeries with excellent success rates. The expert neurosurgeons in India have extensively trained at the top neurosurgery centers in the world to perform complex and complicated spine surgeries for both domestic and foreign patients. The usage of cutting-edge technologies like neuromonitoring and the latest diagnostic facilities like continuous and real-time nerve monitoring and intraoperative nerve monitoring ensures the safest spine surgeries for excellent success rates for spine surgery in India.

Types of Advanced Spine Surgery Performed in India

The best neurosurgeons in India perform all sorts of spine surgeries by using the latest cutting-edge technologies with excellent success rates. The cost of spine surgery in India is probably the lowest in the world. Many foreign patients visit India for various spine surgeries. The excellent success rates of spine surgery, competency, and expertise of Indian neurosurgeons and spine surgery costs in India attract patients from all around the world to have a successful spine surgery in India. 

Decompression spine surgery

Decompression spine surgeries are done to relieve pressure on the spinal cord, cauda equina, and nerve roots due to the reduced space in the spinal canal. The Specialist spine surgeons after carefully examining the imaging tests (X-rays and MRIs) for factors responsible for nerve compression, the severity, and associated symptoms, decide about the best-suited decompression spine surgery for every individual patient. Routinely performed decompression spine surgeries in India are:

Laminectomy spine surgery

Laminectomy or open decompression spine surgery is performed by specially trained neurosurgeons when the conventional treatments fail to provide relief to patients. The major reason for laminectomy spine surgery is to relieve pressure on the spinal cord, cauda equina, and nerve roots exiting out of the spinal cord. Laminectomy is mainly performed for lumbar spine (lower back) stenosis but is also used for cervical spine (neck) stenosis. At times Laminectomy is also done with instrumentation. It involves removing the lamina and using rods and screws to stabilize the spine.

Laminectomy Spine Surgery Cost in India

Initial workup cost (x-rays, MRIs, and blood tests) Approx. 250 - 300 USD
Single level Laminectomy Approx. 3500 - 4500 USD
Multilevel Laminectomy with Instrumentation     Approx. 5500 - 8000 USD

Note:

  • The above laminectomy spine surgery cost is just an average estimated price for surgery
  • The cost may differ on the approach for spine surgery and the type of rods and screws used.
  • The hospital stay in this price estimation for laminectomy is for 3 days, a longer stay may increase the spine surgery cost.

Discectomy spine surgery

Discectomy is another spinal decompression surgery to relieve pressure on the spinal cord and the nerve roots coming out of the spinal cord. The human spine is made of 33 vertebrae. These vertebrae are properly aligned to maintain an upright body posture and help move forward, backward, and sideways. A group of ligaments holds together the vertebrae in the spinal column, the tendons connect the bone with muscles. In between each vertebra (except the C1 and C2 vertebrae in the cervical spine) lies the intervertebral disc (soft gel-like cushion) that absorbs the pressure and protects the vertebrae from rubbing each other. With normal aging-related wear and tear, trauma or injury to intervertebral spinal discs may cause herniation of the spinal disk. Lumbar (lower back) spinal disc herniation is more common than cervical (neck) disc herniation. A patient is advised for spinal discectomy surgery to relieve pressure on the spinal cord and nerve roots. Spine discectomy surgery can be open or standard discectomy, microdiscectomy, endoscopic discectomy and discectomy with fusion

Discectomy Spine Surgery Cost in India

The cost of discectomy spine surgery in India depends on the type of discectomy (open discectomy, microdiscectomy, endoscopic surgery, spinal fusion, and disc replacement), the severity of the medical condition, and the complexity of the spine surgery.

Initial work-up Cost (X-ray, MRI, blood tests) Approx. 250 - 300 USD
Single-level microdiscectomy spine surgery cost in India Approx. 2500 - 3500 USD
Multi-level microdiscectomy spine surgery cost in India Approx. 5000 - 6500 USD
Endoscopic discectomy spine surgery cost in India Approx. 5000 - 6000 USD
Discectomy with disc replacement spine surgery cost  Approx. 6000 - 8800 USD

Note:

  • Please note that the above-mentioned discectomy spine surgery cost in India is an average cost estimation. The actual cost will depend on the neurosurgeon's physical evaluation of the patient and the complexity of the spine surgery.
  • The discectomy spine surgery price is an estimated package cost with a three-day hospital stay. Any hospital overstay may increase the cost.

Foraminotomy Spine Surgery

A foramen is the opening in the spinal canal from where the nerve roots exit out of the spinal column. The nerve roots exiting the spinal canal through the foramen form the peripheral nervous system.  When the foramen gets narrowed, it may cause compression of nerve roots. Compression of nerve roots causes pain, tingling sensation in arms and legs, numbness or weakening of the muscles, difficulty in holding objects, difficulty in walking or moving, and difficulty in controlling the passing of urine or stool (incontinence). A Foraminotomy is a spine surgery performed by a specially trained spine surgeon to relieve pressure on the compressed nerve roots exiting through foramen. Depending on the location of the foramen narrowing in the spine, the expert spine surgeon will perform cervical foraminotomy (for the neck), Thoracic foraminotomy (for the upper back spine), and Lumbar Foraminotomy (for the lower back). Foraminotomy surgery may be combined with laminectomy and spinal fusion at times to relieve the spinal decompression of the nerve roots effectively. 

Foraminotomy Spine Surgery Cost in India

Foraminotomy spine surgery cost in India depends on the procedures involved, the complexity of the surgery, and the cost of the implants (screws and rods) used for spinal fixation. The Average Foraminotomy spine surgery cost is as mentioned in the below table:

Workup investigations cost (including X-ray, MRI, CT scan, and blood tests) before Foraminotomy Surgery 250 - 350 USD
Foraminotomy spine surgery costs in India (three to five days hospital stay). Approx. 6000 - 7000 USD
Foraminotomy Spine surgery cost in India ( with spinal fixation or fusion, Instrumentation cost included) Approx. 7500 - 8500 USD

Fusion or Fixation Spinal Surgery in India

Spinal Fusion or Spinal Fixation surgery is the joining of two or more vertebrae in the spinal column with bone grafts, metal plates, screws, and rods. This reduces the movement of the two or more vertebrae as they work as a single vertebra. Spinal fusion surgery reinforces the spine's structure and reduces pain and other associated symptoms due to decompression of the spinal cord and nerve roots exiting out of it. Spinal Fusion or Spine Fixation surgery is performed for the treatment of instability of the spine, scoliosis, kyphosis, severe degeneration of the discs, or associated Spine issues. The Best Spine surgeons in India routinely perform Spine fusion or Spine Fixation surgery to treat pinched nerves in the cervical spine (Neck region) causing cervical radiculopathy, Pinched nerves in the lumbar spine (lower back) region for sciatica treatment, Spine disc herniation, adult and pediatric scoliosis and kyphosis, spondylolisthesis, spine stenosis, Spinal fracture, and congenital spine deformity. Spine fusion surgery performed by the best spine surgeons in India are:

Transforaminal lumbar interbody fusion (TLIF)

TLIF spine surgery is done for the lower back or lumbar spine. TLIF is also performed as a minimally invasive spine surgery MIS-TLIF. In TLIF spine surgery, the anterior (front) spine is stabilized by using a bone graft and interbody device while the posterior (rear) spine is fixed by using rods, pedicle screws, and bone graft.

Lateral Lumbar Interbody Fusion (LLIF)

Lateral lumbar interbody fusion is another minimally invasive spine surgery for the lower back. In this type of spine surgery, the neurosurgeon will approach the spine by making small incisions on the side of the waist to reach the spine. The Spine surgeon will remove the damaged intervertebral disk and place a bone graft in between the vertebrae and fix the two adjacent vertebrae with instrumentation (cage, screw, or rods) to stabilize the spine. 

Posterior Lumbar Interbody Fusion (PLIF)

PLIF is another spinal fusion surgery performed by the best spine surgeons in India. The Neurosurgeon approaches the spine 

Fusion or fixation spine surgery cost in India