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Robotic Spine Surgery Cost in India

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Spine surgery success rate in India
  • Robotic spine surgery, also known as robot-assisted spine surgery, combines cutting-edge computer technology with the skill and experience of seasoned spine surgeons and neurosurgeons.
  • With the aid of technology, surgeons can now see the complex 3D anatomy of the human body.
  • The robot that manages the specialized surgical equipment can be operated by the surgeon via controls. The surgeon uses a console to control the robot, which is far more flexible and maneuverable than a human hand.
  • Without any hand tremors or vibrations, the robot replicates the surgeon’s movements exactly. This gives the surgeon control and precision during even the trickiest operations.
  • As robotic spine surgery is meant to perform surgery by making use of very small tools attached to a robotic arm in this surgery, surgeons conduct procedures through small incisions by using a robotic system.
  • It lets surgeons execute many complex procedures with more accuracy, flexibility, and control than standard surgical techniques.
  • Some people who aren’t candidates for minimally invasive surgery may be candidates for robotic surgery.

Understanding Robotic Spine Surgery Over the Traditional Spine Surgery

  • Open or minimally invasive robotic spine surgeries are specialized surgeries that aim to increase surgical accuracy and precision while lowering the risk of complications and hastening patient recovery.
  • The primary distinction between robotic and traditional spine surgery is that the former involves the surgeon accessing and treating the spine with hands and instruments, while the latter uses a robot under the guidance of a surgeon to carry out the procedure.
  • A common misperception regarding robotic spine surgery is that the procedure is carried out by the robot, however, this is untrue. There is no way for the robotic arm to move by itself.
  • Using a console attached to the robot’s equipment, a surgeon directs each movement of the robotic arm throughout the entire process.
  • According to research, a number of the benefits of robotic spine surgery are already being experienced with current minimally invasive surgical methods and equipment.
  • It is significant to remember that, both before and during the procedure, surgical robots used in spine surgery are entirely dependent on imaging and navigation.
  • The crucial technology that is not dependent on the robot is navigation. Conversely, conventional surgeries have demonstrated comparable levels of accuracy, precision, minimal incisions, preservation of soft tissue, minimal blood loss, shortened surgical times, and decreased radiation exposure.

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The Objective of Robotic Spine Surgery

Robotic spine surgery is a cutting-edge and beneficial procedure for individuals with severe diseases or disorders of the spine. Patients who have significant back problems that prevent them from leading normal lives and carrying out daily tasks may be candidates for surgery.

In cases where other treatments, like medication and physical therapy, are not effective, it is typically regarded as a last resort.

Conditions that the treatment can address include:

Scoliosis

A muscular disorder associated with problems with the spine or nervous system is scoliosis. Most often, it affects kids between the ages of 10 and 14. There are various ways in which an aggressive spinal curvature affects the spine.

Degenerative Disc Disease

Back and neck pain that is severe can be caused by degeneration of the spinal discs in the spine. Additionally, it may result in excruciating pain and numbness in the legs and arms.

Herniated Disc

Much like in degenerative disc disease, herniation or rupture of the spinal disc occurs frequently.

Kyphosis

A disorder that impacts the lumbar, cervical, or upper back. There are several different types of this complex deformity, including Postural Kyphosis, Traumatic Kyphosis, Neuromuscular Kyphosis, Congenital Kyphosis, Degenerative Kyphosis, Osteoporosis-related Kyphosis, and a few others.

Spondylolisthesis

The patient’s vertebra slides forward into the bone beneath it in this condition. It can compress the spinal cord or the nerve roots and typically affects the lower spine. Severe back pain and weakness or numbness in the legs result from this.

Robotic spine surgery is a suitable treatment for these conditions that can assist patients from abroad in improving their quality of life. Robotic spine surgery is a top-notch, reasonably priced treatment option available in India. There are more similar circumstances where Robotic surgery may be used which include:

  • Coronary artery bypass
  • Gallbladder removal
  • Hip replacement
  • Hysterectomy
  • Kidney removal
  • Kidney transplant
  • Mitral valve repair
  • Pyeloplasty
  • Pyloroplasty
  • Radical prostatectomy
  • Tubal ligation

It’s crucial to remember that not all spine surgeries can be carried out with robot support. After carefully weighing the possible risks and benefits, a surgeon skilled in robotic spine surgeries can assist in determining whether the patient’s underlying condition can be treated with robotic surgery.

The Benefits of Automated Spine Surgery

Robotic spine surgery has many benefits over traditional spine surgery. This is so because robotic spine surgery employs the skills and abilities of some of the best neurosurgeons and surgeons in India, improving upon traditional spine surgery by eliminating human error. Not to be overlooked are a few benefits of robotic spine surgery:

Enhanced accuracy

  • The development of robotic spine surgery aimed to improve precision and accuracy. The surgeon can perform the surgery with a level of accuracy that may be challenging to achieve with traditional surgical methods thanks to the robot’s ability to be programmed to navigate through the complex structures of the spine with ease.

Smaller incisions

  • Compared to traditional spine surgery, robotic spine surgery usually involves fewer incisions, which minimizes the separation of muscle tissue and lowers the possibility of complications.

Reduced duration of operating

  • In comparison to conventional free-hand surgery, robotic surgeries may take 36% to 56% less time, according to limited data.

Reduced radiation exposure

  • Fluoroscopic (live x-ray) guidance is used during minimally invasive surgeries to help the surgeon see the surgical field. The surgeon and the operating team run a significant risk of radiation exposure when using fluoroscopy. Fluoroscopy is not necessary for robotic surgeries, which can still offer an improved and clearer view of the surgical field.

Faster time to recovery

  • Patients may recover faster if fewer incisions are made and less tissue is damaged. . Compared to patients who have traditional surgery, patients may be able to return to their regular activities sooner as a result.
  • Robot-assisted technology has been demonstrated in studies assessing post-surgical healing and recovery to cause minimal disruption to muscle tissue.
  • This could result in decreased pain, lower rates of muscle strain, and less stiffness during the healing and recovery phase.

Reduced risk of complications

  • With robotic assistance, a highly regulated surgical technique is feasible. This could aid in the more precise implantation of spinal instrumentation, like pedicle screws, reducing the likelihood of complications related to their placement in the spine.
  • On the other hand, the effectiveness of these surgeries has not been conclusively studied. When comparing robot-assisted spine surgeries to traditional surgeries, some studies have found that complications are reduced by about 48%, but other studies have found that certain types of robot-assisted surgeries, like lumbar fusion surgery, have higher rates of complications.

Revision surgery rates are lower

  • When a complication needs to be addressed or the original procedure’s objectives are not fulfilled, revision surgery is performed.
  • A study that compared 112 cases of traditional versus robot-assisted surgery found that there was a 46% reduction in revision for robotic surgeries.
  • Revision surgeries are difficult for both the patient and the surgeon, and frequently the hospital, institution, or surgeon must pay for them out of pocket because insurance does not cover the costs.

The Cost of Robotic Spine Surgery in India

Patients from abroad can obtain inexpensive, cutting-edge robotic spine surgery in India. This is why India is a top destination for medical tourism—it offers top-notch care at incredibly low costs.

In India, the success rate of roughly spine surgery is over 95%, depending on the age and severity of the disease. The patient’s travel schedule must take into account that they will need to spend five to six days in the hospital and roughly twelve to fifteen days in India.

Doctors recommend MRI, CT, blood tests, and X-rays as part of the treatment plan.

*Prices may differ according to the patient’s circumstances and specialized requirements.

Types of Robots Used in Spine Surgery

Surgical robots can be divided into three categories:

  • Tele-surgical systems

The surgeon can operate the robot’s motion from a command center on these robots. In this configuration, the surgeon does not remain near the robot; instead, they have complete control over its movements.

  • Supervisory controlled systems

These robots have preprogrammed actions that they carry out on their own, but the surgeon closely monitors them as they do so.

  • Co-autonomy system

These robots are shared-control models, meaning that the surgeon and the machine work together to control movements.

Steps Involved in the Planning a Robotic Spine Surgery

During the planning phase, the surgeon uses magnetic resonance imaging (MRI) or computed tomography (CT) scans to first create a three-dimensional (3D) model of the patient’s spine.

This 3D model is then uploaded by the surgeon into the robotic system. To reconstruct the surgical field, the robot evaluates the model and independently registers every part of the patient’s spine.

Robotic spine surgery can be done as an outpatient procedure or as an inpatient procedure, depending on the condition being treated and the surgeon’s preference.

  • Patients undergoing inpatient procedures must remain in the hospital for one to four days following the procedure to track their healing and handle any possible complications.
  • Patients who have outpatient procedures can go home the same day of the procedure.

Depending on the type and complexity of the procedure, an inpatient stay may be required for open surgeries, such as some multilevel spinal fusions or scoliosis surgeries. Discectomies and other minimally invasive surgeries can be done as outpatient procedures.

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The Surgical Process for Robotic Spine Surgery

  • It is usually not allowed to eat or drink for six hours before the procedure. The patient is first put under anesthesia (general anesthesia is required for complex procedures and open surgeries).
  • The patient’s back is cut into multiple tiny incisions by the surgeon.
    Overlooking the surgical site is the robotic guidance system.
  • The surgical instruments and camera on the robotic arm are inserted through tiny incisions in the patient’s back and are operated by the surgeon.
  • The robotic arm is used by the surgeon to move the instruments and carry out the surgery.
  • The robotic guidance system gives the surgeon real-time images of the patient’s spine throughout the procedure, enabling clear and accurate visualization of the surgical site.
  • The small incisions are sutured after the procedure, and the surgical instruments are taken out. After that, the patient is taken to a recovery area and his or her vital signs are kept track of.

Recuperation Following Robotic Spinal Surgery in India

The intricacy of the surgery determines how quickly and how long a patient recovers following robot-assisted surgery. Recovery from lumbar spinal fusion or multilevel spinal fusion surgery might be more prolonged than that from a discectomy procedure.

When the anesthesia wears off: Most patients experience some pain and drowsiness following the surgical procedure after the anesthesia wears off. When the level of pain subsides, oral medication is introduced. Initially, intravenous or injectable painkillers are used.

Taking care of the surgical site: Daily cleaning and infection monitoring are necessary at the site of the surgical incision. For the first two weeks following surgery, at the very least, it is advised to adhere closely to the surgeon’s instructions.

To be able to walk and move around: It is advised to start walking as soon as possible. Patients learn the safest techniques to walk, dress, sit, stand, and engage in other activities without putting additional strain on their backs from physical and occupational therapists. To prevent the spine from twisting, a unique method called log-rolling is needed even when getting out of bed.

It is imperative to promptly discuss any concerning symptoms that surface during the recuperation phase with the surgeon.

The Prospects for Automated Spine Surgery in India

It has been said that robotically assisted surgery is an enabling technology (i.e., it makes the surgeon’s job easier). Preoperative planning, precisely and accurately guided intraoperative procedures, and automatically generated alignment calculations are just a few of the ways that robotic technology can be beneficial in surgery.

Robotic capabilities will need to advance beyond fusion surgery pedicle screw placement to justify the high cost. Further investigation is required to examine the potential of the spine robot in supporting quicker and safer decompressions of the spinal cord and nerves, more precise implantation of artificial discs and interbody fusions, safe and precise tumor resection and reconstruction, and spinal osteotomies.

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Verified By Dr. Surbhi Suden

Dr. Surbhi Suden is one of the founders of Lyfboat and a doctor with a renowned name in the Medical tourism industry. She has been working with international patients since 2008 and is a deeply committed professional with a long term vision of transforming the current healthcare scenarios.
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