Cervical discectomy spine surgery in India

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Cervical Discectomy Spine Surgery in India

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What is Cervical Discectomy?
Cervical Discectomy is a popular procedure for effective
treatment of neck problems due to disc herniation or disc
bulge. Prolapse of intervertebral disc causes compression of
spinal nerves and spinal cord in the neck region, resulting in
radiating pain numbness and tingling along one or both arms.
Cervical Discectomy removes the offending disc fragments or the whole disc thus relieving
cord or nerve compression and restoring them to their original shape and size.
The Cervical segment of the human spine consists of 7 cervical vertebrae separated by soft
intervertebral discs. These discs provide shock absorption and facilitate neck movements.
With age these discs lose their water content due to wear and tear and
disintegrate, reducing the intervertebral height. The vertebral body also undergoes
degeneration and bony spurs are formed on the under surface of vertebral body along with
thickening of facet joints. These disc fragments and osteophytes encroach into the foramen
(passage of exiting nerve roots) compressing the nerve roots resulting in pain.

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Who may require Cervical Discectomy ?
Those patients who suffer from persistent neck pain, one or both
arm pain and weakness, instability while walking and lack of
bowel and bladder control in spite of taking conservative
treatment methods such as rest, medication, physical therapy
are ideal candidates for this procedure.
The disc may herniate backwards to compress upon the cord or it may bulge sideways to
compress upon the nerve. Cord compression may lead to numbness and weakness of both
arms and in severe case may affect the bowel and bladder function. This procedure aims to
remove the complete disc or its fragments in order to relieve compression of the cord or
nerve and restore their function.

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Estimate for Cervical Discectomy Spine Surgery from Top Doctors in
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In Cervical Discectomy, disc can be accessed via anterior or posterior approach. The Anterior
approach is more popular with the surgeons as the access to disc is very easy with little
muscle tissue on the way and complete disc removal is possible with no recurrence of disc
herniation. This approach also provides a good exposure to all cervical vertebrae from C2 to
Cervicothoracic junction. The limited amount of muscle division or dissection helps to limit
postoperative pain following the spine surgery. The main postoperative problem most
patients face is difficulty swallowing for 2-5 days due to retraction of the esophagus.
Posterior approach is slightly complicated as too many tissues have to be traversed to reach
the disc. There are chances of injury to spinal cord and nerve roots while accessing the disc.
Also since complete removal of disc is not possible, re-herniation can occur. But the positive
aspect of this approach is that spinal fusion is not required so natural spine movement is
preserved.

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Anterior Approach: The patient is made to lie down on
his back under general anesthesia. A horizontal incision is
made just 2 inches above the clavicle on either left or right
side. The thin muscle layer is cut and the trachea and
esophagus are shifted to one side along with the nerves and
vessels. The surgeon has a clear view of the cervical vertebrae.
An X-ray is done to confirm the involved disc. An operating
microscope can also be used to get a better picture of the operating field. The anterior
longitudinal ligament is gently removed to reach the osteophytes and the disc fragments.

Posterior Approach: The patient is sedated under general anaesthesia and made to lie
on his abdomen. The neck is slightly bent and head is supported on the head rest. An
incision is made on the back of the neck in the midline. The skin, fascia and muscles are
retraced to reach the vertebrae. An X-ray is done to confirm the level of affected disc. Edges
of the lamina are shaved off to give a clearer vision. Incase of central herniation, both lamina
may have to be removed in order to get full view of the fragmented disc.


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Outcome and Recovery: The patients report an immediate relief in their
symptoms after the surgery. The patient is allowed to go home in 1-2 days and allowed
to begin gradually with his normal activities. Vigorous neck movements should be
avoided to allow proper healing of the graft. The physical therapist will advise on how
to perform various activities without straining the neck. Gentle stretching and
strengthening exercises for neck muscles are progressed gradually and general body
endurance program is initiated.

India

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What People Say About Us
Patrick from Nigeria
Cervical Disc Replacement Surgery in India
“I had severe pain in my neck region for some time which was worsening and
radiating. I consulted my family physician and he told me to see a spine surgeon.
My search started for a good spine surgeon in my home country. I could not find a
good surgeon and hence started for looking other options on the internet. Then I
found out the website www.spinesurgeryhospitalindia.com. I sent a query
to them and within minutes I got a call from them. They sent me the profile of the
doctor, hospital and the cost and answered all my queries. I got my disc replaced
at a very good hospital in India. The doctor and the staff were polite and
excellent. I really had a wonderful stay in India. I thank everyone for helping me."

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India

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Cervical discectomy spine surgery in India

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Cervical discectomy spine surgery in India