Spinal Decompression Surgery Cost in India

Endoscopic Spine Decompression Surgery costs in India range from USD 4500 – USD 5800 for international patients.
Spine surgery success rate in India

The lamina, the back portion of the vertebra that covers the spinal canal, is removed during a procedure called spine decompression.

The surgical procedure helps relieve pressure on the spinal cord’s nerves and enlarges the spinal canal.

The treatment is also referred to as a laminectomy.

Bony growths within the spinal canal, which may start in people with spine arthritis, are the main target of pressure. These growths, which are occasionally referred to as bone spurs, are normal, particularly as people age.

These bony canals that the spinal cord and nerves pass through are opened during decompression surgery (laminectomy), giving them more room to move freely.

Chronic pain, numbness, and muscle weakness in the arms or legs can be brought on by the spinal and nerve root canals becoming narrowed or stenotic.

When more conservative treatments like medication, physical therapy, or injections fail to relieve the symptoms, spine decompression surgery is typically advised.

Spine Decompression Surgery Cost in India

Endoscopic Spine Decompression Surgery costs in India range from USD 4500 – USD 5800 for international patients.

The patient is required to spend 1 day in ICU, 4 days in the hospital and 10 days outside of it. Depending on the diagnosis and the facilities the patient chooses, the total cost of the treatment will vary.

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Factors Affecting Cost of Spinal Decompression Surgery

The patient’s condition and preferences have an impact on the procedure’s overall cost. Some of these elements include:

  • Fee for the doctors/medical team and OT costs.
  • Medication cost.
  • Standard diagnostic and testing techniques.
  • Choosing a general, twin-sharing, or single-room hospital and room
  • The extent of the illness
  • If a post-operative complication develops (such as nerve damage and paralysis),
  • The price of blood products, if applicable.
  • The patient’s age.
  • A protracted hospital stay.
  • Cost of a physiotherapist.
  • The expense for lodging during follow-up visits if the patient is not a local.

Surgery for spinal decompression

  • Microdiscectomy: One of the least invasive treatments for leg pain (sciatica: sciatica is a condition in which pain caused by pressure on the nerve in the lower back radiates down the leg) brought on by a lumbar herniated disc is microdiscectomy.
  • In this procedure, the herniation portion that is in contact with the nerve root is removed through a relatively small incision.
  • Lumbar laminectomy (open decompression): An open decompression procedure called a lumbar laminectomy is used to treat lumbar spinal stenosis pain. In order to relieve pressure on the spinal cord or nerves, the lamina (the bone in the back of the vertebra) at one or more segments is removed during this procedure.
  • Corpectomy: The corpectomy procedure removes a portion of the vertebra to relieve pressure on the spinal nerves. It is typically used in cervical surgery.
  • Laminotomy: This procedure is similar to a laminectomy except that a hole is made in the lamina and a small portion of the lamina and ligaments are removed. Typically, this is done on one side to preserve the lamina’s natural support and reduce the risk of postoperative spinal instability.
  • Foraminotomy: To relieve a pinched nerve, a foraminotomy involves removing bone from the area surrounding the neural foramen. This approach is used when the height of the foramen has collapsed as a result of disc degeneration.
  • Discectomy: To relieve pressure on the nerves, a discectomy is the removal of a portion of a bulging or degenerating disc.

What factors should one consider when selecting a spinal decompression procedure?

The best procedure depends on a variety of factors. Based on the overall health history and the seriousness of the injury, a doctor makes a recommendation.

  • Doctors favor “stepped” approaches in general. They begin with cheaper and less invasive procedures to see how the injury reacts. Surgery may be used as the next step in treatment if those fail.

Diagnosis

A number of tests might be carried out by the doctor in order to comprehend the damage better. These tests could consist of:

Bone scans: A bone scan is an imaging procedure that looks for cancer, infections, or fractures in the bones. To identify the cause of the pain in your back, your doctor orders a bone scan.

Diskography: A dye that appears on X-rays and other scans is injected into your back by your healthcare provider. Then images are captured by a computed tomography (CT) scan. Diskography can reveal any disc damage.

Electrical tests: The doctor advises electromyography to check the electrical activity in the muscles and nerves. Evoked potential research measures the speed at which electrical signals travel from the nerves to the brain.

Diagnostic imaging: To take “pictures” of the inside of your body, a doctor uses diagnostic imaging. The source of your pain may be revealed by these images. MRIs, CT scans, and X-rays are a few examples of specific imaging.

Eligibility

Decompression may be an option if one has:

  • Significant leg or foot pain that is worse than back pain and does not get better with medication or physical therapy
  • A problem with standing or walking that lowers the quality of life
  • MRI, CT, and myelogram diagnostic procedures reveal stenosis in the central canal or lateral recess.

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Procedure

  • The procedure carried out under general anesthesia is known as anesthesia.
  • Anesthesia: A skin incision is made over the appropriate vertebrae in the middle of your back.
  • Incision: The number of laminectomies that will be carried out determines how long the incision should be.
  • The Lamina of each vertebra is revealed when the strongback muscles are split down the middle and moved to either side.
  • Laminectomy or laminotomy: The lamina at one or more segments is removed during a laminectomy or laminotomy after the bone has been exposed and an X-ray has been taken to confirm the correct vertebra.
  • Spinal cord decompression
    The dura mater, which serves as the spinal cord’s protective sheath, can be seen after the lamina and ligamentum flavum has been removed. In order to remove bone spurs and thickened ligaments, the surgeon can carefully retract the sac that surrounds the spinal cord and nerve root.
  • Decompress the spinal nerve
    To give the nerve roots more space, the facet joints directly above them may be undercut or trimmed. This procedure, known as a foraminotomy, widens the neural foramen, which is where the spinal nerves leave the spinal canal. A discectomy will be carried out by the surgeon if a herniated disc is the source of compression.
  • Fusion (if required)
    A fusion may be performed if there are laminectomies to multiple vertebrae or spinal instability. With the aid of a bone graft and hardware like plates, rods, hooks, pedicle screws, or cages, two vertebrae are fused together. The bone graft’s objective is to fuse the vertebrae above and below into a single piece of bone. Fusion can be created in a variety of ways. The personal preference and the advice of the doctor will determine which is best for the patient.
  • Posterolateral fusion is the kind of fusion that occurs most frequently.
  • Closure: Sutures or staples are used to close the incisions made in the muscle and skin.
  • The degree of decompression used will determine how long you have to stay in the hospital. Typically, surgery requires a hospital stay of 1 to 3 days, and recovery takes 4 to 6 weeks.
  • After the surgery, the staples or stitches are removed 10 to 14 days later.

Restrictions following surgery:

  • Sitting down at a stretch for a long time is not advisable.
  • Lifting anything more than 10 pounds is prohibited.
  • Never stoop or twist at the waist.
  • Avoid smoking. Smoking impedes recovery.
  • No laborious activities, such as housework, garden work, or sexual activity.
  • If one is taking painkillers or muscle relaxants, avoid driving for the first two to three days. One can drive if your pain is well-controlled.
  • Avoid consuming alcohol. Blood thinning and bleeding risk are both increased. Additionally, avoid combining alcohol and painkillers.

Recovery

  • About one to four days after surgery, patients return to their homes. The general health and the particular type of surgery one underwent will determine this.
  • As soon as possible after the operation, usually starting the next day, the doctors will want the patient to get up and move around. This is because being inactive can make one more likely to get a deep vein thrombosis (DVT) while being active can hasten the healing process.
  • A physiotherapist assists in the process of recovering strength and mobility after surgery.
  • It’s crucial to start out slowly at home and gradually increase the level of activity each day. For at least the first week following surgery, some assistance at home is typically required.
  • Exercise fastens recovery. Follow the exercises recommended by the physiotherapist
  • In the weeks following the surgery, one might be asked to make one or more follow-up appointments at the hospital to see the condition.
  • In most cases, if a person’s job isn’t too demanding, they can return to it after 4 to 8 weeks.
  • Depending on the scope of the procedure, most people feel comfortable behind the wheel after 2 to 6 weeks.
  • If one experiences any discomfort or strange symptoms, consult a doctor.

Risks

Risks are inherent in all surgeries. Any surgery can have general risks, which include:

  • Pain
  • Blood clot risk associated with bleeding (DVT)
  • Infection
  • Ongoing discomfort or numbness
  • Lack of bowel or bladder control
  • Infection in the spine
  • Damage to the nerves or ongoing pain. Any procedure on the spine carries the chance of injuring the spinal cord or nerves.
  • Damage can result in paralysis or even numbness.
  • Fluid leaking from the spine

There is a higher risk of complications if spinal fusion and laminectomy are performed simultaneously. The risks listed below should be taken into account:

  • Damage to the nerves or ongoing pain
  • Vertebrae that don’t fuse
  • DVT (deep vein thrombosis)
  • Hardware damage
  • Migration of a bone graft
  • Adjacent segment disease

The outcome

  • The patient is solely responsible for the procedure’s results.
  • It’s crucial to keep a positive outlook and diligently completing the physical therapy exercises is crucial.
  • Maintaining an appropriate weight for one’s height can significantly reduce pain.
  • One must exercise caution, maintain proper posture, and use safe lifting techniques to avoid re-injury.
  • Decompression only alleviates some of the symptoms; it does not treat spinal stenosis or get rid of arthritis. Unfortunately, as the aging process that results in stenosis continues, the symptoms could return.

Success rate

The success rate of decompression spine surgery is high, with about 90% of patients reporting significant leg pain relief following surgery.

People who underwent surgery demonstrated more significant improvement than those who received nonsurgical treatments in clinical trials for spinal stenosis.

Dr. Surbhi Suden

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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Dr. Surbhi Suden

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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