ACDF Surgery Cost in India

Last Modified: July 14, 2023 | Created on: April 7, 2023
Spine

Anterior cervical discectomy and fusion (ACDF) surgery starts from $5000. A doctor should be in a position to give a more precise cost estimate for your spinal fusion surgery This price range is hypothetical and is based on a number of variables, including the severity of the condition, the number of fused vertebrae, etc.

The Cost of ACDF Surgery in India: Contributing Factors

The following factors should be considered when estimating the cost of ACDF surgery if you require it and want to know how much it will cost:

The location– of one’s treatment or selection of a hospital and city for treatment
The experience and credentials of the surgeon– An experienced surgeon may charge more for the consultation and the procedure, however, ensures the success of the surgery.
The degree of the condition’s severity
Type of graft/implant used– In general, bone graft or metal implants can be used during spinal fusion surgery (screws, plates, rods, etc.). The cost of the operation will change depending on the medium used for the disc fusion.
Cost of diagnostic tests– A thorough diagnosis must be performed on the patient prior to ACDF surgery to assess their overall health, the severity of their disc disease, and the best type of surgery and surgical strategy for them.
Before spinal fusion surgery, common diagnostic tests include:
MRI
X-ray
CT Scan
Blood tests and a vitals check-up
Surgical approach-There are two primary access points for spinal fusion surgery, and these routes determine whether the surgery is an anterior spinal fusion or a posterior spinal fusion.
Minimally invasive procedure
Traditional open surgery.
Both of these elements will have an impact on the treatment’s overall cost.
Required postoperative care-To ensure a full recovery following surgery, the patient needs a variety of postoperative care services. Patients must receive required physiotherapy in addition to medications for pain management and infection prevention in order to ensure a full recovery.

The type of surgery and other factors all affect the overall cost of the patient’s care. A qualified spine specialist can throw more light and may be able to suggest a more precise cost estimate for your spinal fusion surgery for a complete physical examination and diagnosis.

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ACDF: An overview

A combination of spinal decompression and spinal fusion surgery called anterior cervical discectomy with fusion (ACDF) is used to treat herniated discs, compressed nerves, and other conditions in the neck.

When a disc herniates, the disc’s outer layer tears and some of the softer disc nucleus material leaks out. The herniated disc tends to cause pain in the neck or arms by pressing against the spinal cord or spinal nerves. In order to relieve pressure on the nerves or spinal cord and relieve pain, the ruptured disc is removed during this procedure.

ACDF Surgery: Anterior Cervical Discectomy Fusion Surgery

Anterior-The front, or anterior, part of the body is used to carry out the procedure.
Cervical– Three regions of the mobile spine—cervical (the neck region), thoracic (the chest region), and lumbar—can be distinguished (lower spine). The sacrum is the component of the spine that makes up the tailbone.
Discectomy–is part of the procedure that involves decompression which involves removing the disc.
Fusion–a joint in the spine that connects two or more bones to give it stability.

Pressure on the nerve roots or backbone can be relieved surgically with an anterior cervical discectomy and fusion (ACDF).

In terms of total spine operations, ACDF surgery is very common and has a long-standing, well-documented track record of success.

Herniated or degenerative discs are removed during an ACDF procedure, and the spinal cords above and below segments are then filled with growing bone.

If someone experiences neck or arm pain from pinched nerves and neither physical therapy nor medication relieves it, ACDF surgery may be an option. Usually, patients are discharged on the same day.

In order to provide support until fusion takes place, ACDF procedures may be carried out using an implant, such as a plate.

ACDF Surgery

A surgery where two vertebrae join is a procedure in which the disc is removed and a graft is applied is performed.

The affected disc is removed during surgery, and it is replaced with a fusion graft to fuse the vertebral bones above and below the operated disc.
An incision is made over the throat area.
To maintain cervical spine authenticity, fusion surgery is advised for all patients because the cervical spine is typically too unstable to undergo laminectomy or discectomy alone.
There are three types of grafts that are frequently used: autograft bone, allograft bone, and bone graft substitute.
Their use depends on the complexity and type of surgery, the severity of the condition, and other factors.

The procedure for anterior cervical discectomy only requires two steps:

Anterior cervical discectomy: The anterior of the throat is the approach for anterior cervical discectomy. The vertebrae’s disc is removed.
Fusion: A bone graft or implants are used to replace the removed disc in order to stabilize and strengthen the throat region. It is performed at the exact same time that a discectomy is completed.

Anterior Cervical Surgery Approach

In India, an ACDF is performed using an anterior approach, which means that the surgery is carried out through the front of the neck as opposed to the back. This strategy has several common benefits:

Direct Access to the Disc:

The cervical disc, which frequently contributes to stenosis, spinal cord compression, or no compression at all, and symptoms, is directly visible during the anterior approach.
The removal of the disc causes direct disc compression and nerve compression. Nearly the entire cervical spine, from the C2 segment at the top of the neck down to the cervicothoracic junction, also known as the C7-T1 level, where the cervical spine joins with the upper spine, can be accessed using the anterior approach.

Less post-operative pain

Because this method gives access to the spine through a relatively simple pathway, spine surgeons frequently favour it.
With this approach, the patient typically experiences less incisional pain than with a posterior operation.
The anatomical planes can be followed all the way to the spine after the front of the neck incision, which only requires one tiny vestige muscle to be cut.
Limiting the amount of muscle division or dissection during the spine surgery reduces postoperative pain.

Anterior Cervical Discectomy is done because of:

Cervical Herniated Disc

The term “cervical herniated disc” refers to the inner core of the disc actually leaking out due to a neck injury or other trauma.
The person experiences numbness and tingling in their back, arms, and palms as their symptoms arise suddenly.
Along with arm pain, this muscle may also be weak. This denotes the aging-related degeneration of the backbone.
In addition to causing spinal stenosis, bone spurs can also indirectly aggravate other conditions like arthritis.

Bone Spurs (Osteophytes)

Osteophytes, or bone spurs, are an outgrowth from the bone brought on by arthritis.
This demonstrates the spine’s aging-related degeneration.
Osteoarthritis and spinal stenosis are two conditions that can be influenced by bone spurs in the spine.

Cervical Degenerative Disk Disease

This develops as a result of a large number of these cushioning discs over time starting to burn.
Given that some people are more prone to rapid wear and tear, the cause may be hereditary.
Smoking, obesity, and injuries are other possible causes that hasten and advance disc degeneration. A person may experience arm-reaching neck pain.

Herniated cervical discs are the main cause of ACDF surgery. By removing the damaged disc, the procedure aims to relieve pressure on the spinal cord and nerve roots. If, ACDF might be suggested.

a patient displays
persistent numbness, pain, or weakness in the arm
cervical disc compression
bad neck pain

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Diagnosis before ACDF surgery

A comprehensive history and physical will be required that will include:

CBC with differential, Full chemistry, ESR, PT/PTT
Urinalysis with
Culture
Echo for the heart.
EKG
Chest x-ray
CT scan of Spine
MRI Scan of spine

Procedure

Through an incision in the front of the neck, the procedure is carried out simultaneously at one or more-disc levels in the spine.
General anaesthesia is necessary to perform ACDF surgery, which renders patients completely unconscious throughout the procedure and necessitates the insertion of a breathing tube to help them breathe.
Over the front of the neck, a small surgical incision is made, usually to the side in a place where scarring won’t be particularly noticeable.
During the procedure, retractors (either tubular or rectangular) are used to separate the sternocleidomastoid (SCM) muscle and carotid arteries from the trachea and oesophagus while simultaneously protecting each.
Then, the soft disc and any herniated pieces or bone spurs that are compressing the nerves are carefully taken out.
After a thorough cleaning, the soft disc is replaced with graft material (the patient’s own bone, bone from a donor, or synthetic material).
A thin, metallic or plastic plate is attached to the bone to secure the graft in place after it has been placed and checked. According to the surgeon’s plan, patients typically wear a collar to support their neck for a brief period of time after the procedure.

Risks of ACDF surgery

The risks and complications associated with any surgery vary, and the same is true of anterior cervical discectomy and fusion surgery in India. The likelihood of risks and complications during this procedure varies and depends on a number of factors, including:

the success rate of ACDF surgery
inadequate symptom relief following surgery
the healing of a bone graft does not result in fusion.
dysphasia or intermittent or persistent swallowing
speech disorders
leak of spinal fluid
nerve root injury
the spinal cord is harmed
significant blood vessel damage
because of the hematoma, the windpipe’s airways have been damaged.

Recovery time for ACDF

Recovery times can differ greatly. After surgery, some patients are able to go back to work within a few days or a week. Others begin physical therapy four weeks following surgery and continue for two to three months.
The extent of the patient’s recovery and the nature of the work performed will determine when and if the person returns to work.
Some patients might even be able to start working again 3 or 4 days after surgery. The best time to return to work and whether any adjustments to your job are necessary should be discussed with the surgeon.
By about three months, the fusion should be complete, and for up to about a year after that, the newly fused bone should continue to get stronger. To monitor the progress of the fusion, the surgeon may use X-rays.
By three months, the surgeon will probably allow the patient to play sports like tennis or golf; however, it usually takes a year for the patient to be cleared to play contact sports or partake in other activities that could harm their neck.

Questions Asked Frequently

Q. How painful is surgery for ACDF in India?

A. Some patients are taken aback by the fact that the most uncomfortable pain begins right after ACDF surgery. The fusion may change the biomechanics of the attached muscles, so the pain may not be in the neck but rather in the upper back and shoulders, or it may be in the hip (if a bone graft was taken from there)

Q. How long does an ACDF procedure take?

A. ACDF surgery typically lasts 1-3 hours, but it also varies based on the situation and diagnosis of each patient. Patients may occasionally require the decompression and fusion of multiple levels.

Q. Do patients with ACDF surgery have any limitations?

A. Patients are subject to restrictions following anterior cervical discectomy fusion surgery to allow the soft tissues to heal and ultimately allow the bone graft fusion to heal properly.
For the first two weeks, lifting is typically restricted to no more than 2 kilograms, or about a gallon of milk.

A brace, which is frequently prescribed in the post-operative period following surgery, will restrict the range of motion in the neck.

However, patients are urged to move around as tolerated for exercise. Whenever you have surgery for an anterior cervical discectomy and fusion The post-operative restrictions would be covered in greater detail in the clinic in India.

Q. Will I Need a Brace Following an ACDF Procedure in India?

A. After anterior discectomy and fusion surgery, the surgeon generally advises wearing a brace. The specifications of the surgery, among other things, will determine the type of brace and how long the patient must wear it. The brace should initially be worn continuously, with the exception of taking a shower and eating meals. This implies that it ought to be worn even while sleeping. Details about the post-operative restrictions would be covered in more detail in the hospital in case of an anterior cervical discectomy and fusion surgery in India.

Q. Does the surgery hurt?

A: Medicines taken orally are given for pain. In a few days, soreness or aches should go away.

Q. After surgery, are there any potential long-term restrictions?
A: There won’t be any restrictions for the long term, but recovery takes time.

Q. After ACDF surgery, are patients required to undergo physical therapy?

A. Physical therapy is not advised in the first few days following surgery. Future follow-up visits will be used to determine whether physical therapy is required or not. Some may not even require formal physical therapy.

Walking is the primary form of therapy in the first few days following surgery, and it is encouraged to prevent respiratory issues, blood clots, and deconditioning. Even if it’s just around the house, one should go for several quick walks every day. Depending on the comfort level and tolerance for pain, one can increase the frequency and length of their walks.

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ACDF Surgery Cost in India

The Cost of ACDF Surgery in India: Contributing Factors

ACDF: An overview

ACDF Surgery: Anterior Cervical Discectomy Fusion Surgery

ACDF Surgery

Anterior Cervical Surgery Approach

Diagnosis before ACDF surgery

Procedure

Risks of ACDF surgery

Recovery time for ACDF

Questions Asked Frequently

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