Spinal Stenosis Surgery Cost in India

Spine surgery success rate in India

Spinal Stenosis

The spinal canal, which runs through our spine, is made up of stacked vertebrae. The spinal cord, a tubular nervous tissue, travels through this canal.

The narrowing of one or more spaces within your spine is known as spinal stenosis.

  • The lumbar spine is a section of the spine located in the lower back, between the ribs and pelvis, and is made up of five vertebrae.
  • Lumbar spinal stenosis is a narrowing of the spinal canal in this area that causes compression of the spinal nerves that run through the lower back and into the legs. Although it can occur at any age, the majority of the time it is brought on by aging-related degenerative conditions.
  • The spinal cord and the nerves that branch off of it have less room to move around when the spine is compressed.
  • Back pain and sciatica can result from the spinal cord or nerves becoming irritated, compressed, or pinched due to a constricted space.
  • The wear-and-tear or Osteoarthritis, changes in the spine brought on by arthritis are the most frequent cause of spinal stenosis. Therefore, even if some changes are detected on X-rays or other imaging tests done for another reason, one might not experience any symptoms for a while.
  • Those with severe spinal stenosis may also require surgery as more room can be made inside the spine through surgery.
  • When the spinal cord or nerves are compressed, the symptoms they cause can be lessened.
  • However, since surgery cannot treat arthritis, back pain caused by it may persist.
  • Some individuals who suffer from spinal stenosis have no signs or symptoms. Others might feel discomfort, tingling, numbness, and muscle weakness.
  • Over time, symptoms may deteriorate.

The Location/Position

Almost any part of the spine, from the upper (cervical) to the middle (thoracic), or from the lower (lumbar), can develop spinal stenosis.

Although it can happen anywhere along the spine, two regions are where it happens most frequently:

  • Lumbar canal stenosis, lower back.
  • Cervical spinal stenosis in the neck.

Spinal stenosis can occur simultaneously in several places, such as the neck and lower back (lumbar and cervical spines).

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Cost of Spinal Stenosis Surgery in India

The cost of spinal stenosis treatment for international patients starts from USD 5,000.

The patient must stay in the hospital for three days and out of the hospital for ten days. The patient’s diagnosis and the facilities they choose will influence the overall cost of the treatment.

Spinal Stenosis Signs and Symptoms

  • Most of the time, spinal stenosis is asymptomatic. However, some people may also struggle with regular bowel or bladder function and feel tingling, pain, numbness, and muscular fatigue.
  • Depending on the degree of nerve compression, the signs and symptoms develop gradually over time. Symptom type and intensity are frequently influenced by the condition’s location.

Thus, depending on the location, symptoms can change:

Symptoms of the lower back (lumbar) spinal stenosis include:

  • Lower Back (Lumbar spine): The nerves in the lumbar spine are compressed if stenosis develops in the lower back. While walking or enduring prolonged periods of discomfort, compressed nerves on the thoracic spine may cause tingling or pain in your legs.
  • Sciatica: Lower back or buttock ache precedes shooting pains down the leg.
  • Foot drop: One might “smack” your foot on the floor as a result of painful leg fatigue.
  • Standing still for a long time, walking, or going downhill can all make the pain worse
  • Difficulty in movement: Pain that is relieved by leaning, bending slightly forward, walking uphill, or sitting.
  • Control issues: Losing control over one’s bladder or bowels (in extreme cases).

Neck (cervical) spinal stenosis symptoms include:

  • Stiff neck.
  • Tingling or numbness in the foot, leg, or arm. Anywhere below the point of the nerve Compression may experience symptoms.
  • Arm, hand, leg, or foot weakness or clumsiness.
  • Difficulties with balance.
  • Loss of hand function, such as the inability to write or button shirts.
  • Losing control over one’s bladder or bowels (in extreme cases).

Spinal stenosis in the thoracic (abdominal) region causes the following symptoms:

  • At or below the level of the abdomen, there may be pain, numbness, tingling, and/or weakness.
  • Difficulties with balance.

The diagnosis

  • A physical exam is performed along with a review of the medical record and inquiries about those symptoms.
  • During the physical examination, the doctor may feel the spine, pressing on various points to determine whether doing so causes pain.
  • The doctor can ask the patient to bend in various directions to check if different spinal postures are the source of the pain or other symptoms.
  • The doctor then evaluates the arm and leg strength, balance, and walking patterns.

To pinpoint the exact location, nature, and severity of the disease, imaging tests are performed on the spine.

The Imaging Tests conducted include the following:

  • X-Rays– An X-ray of the back can reveal bone changes that may be reducing the amount of space inside the spinal canal.
  • (MRI) Magnetic resonance imaging– The examination can find ligament and disc damage. It may also reveal any tumors that are present.
  • CT, or computer tomography– A contrast dye is injected during a CT myelogram to highlight the spinal cord and nerves. This may reveal tumors, bone spurs, and herniated discs.
  • Myelogram
  • A few tests, including SSEP (Somato Sensory Evoked Potential) and MEP (Motor Evoked Potential), are used during an operation to maintain a test and track when the spinal cord is compromised at any point of operation.

Treatment

There are both nonsurgical and surgical treatment options.

Spine stenosis Non-Surgical Therapy

  • Medications: To reduce the pain, frequent painkillers are prescribed. Anti-seizure drugs and muscle relaxants are additional medications.
  • Injections of corticosteroids: Steroids help to reduce inflammation.
  • An injection of the neural block may be used as an anesthetic and temporarily block pain.
  • Physical activity or exercise therapy
  • Auxiliary equipment: Few patients have ever received advice to use walkers, corsets, or braces. This might help them walk.

Surgical Management of Spinal Stenosis

  • When conventional therapies have failed or when a patient feels negatively affected by their symptoms, surgery may be considered.
  • By creating more spaces inside the spinal tract, the surgery’s primary goal is to relieve pressure on the spinal cord or nerve roots.

The following are the various procedures carried out:

Laminectomy: This procedure entails removing the affected vertebra’s trunk portion. To maintain the strength of the backbone, the vertebra may occasionally need to be fused with the adjacent vertebrae using metal hardware and a bone graft.

Laminotomy: This procedure entails dividing a hole in the lamina that is just big enough to relieve pressure in a specific area.

Laminoplasty: This procedure is only carried out on the vertebrae in the neck.

  • Creating a hinge on the lamina widens the space inside the spinal canal.
  • The gap from the backbone’s opened section is filled with metal hardware.
  • The patient stays in the hospital for one to two days after the procedure is performed under general anesthesia.

By and large, the most common surgical procedure for treating spinal stenosis is a decompression laminectomy.

By removing the bony spurs and accumulation of bone in the spinal canal, this procedure creates more space for the spinal cord and nerves.

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Is Spinal stenosis reversible?

Spinal stenosis cannot be reversed; however, if good care is taken, such as maintaining a healthy weight, eating a balanced diet, exercising frequently to keep your bones and muscles strong, and adhering to the doctor’s recommendations for managing any pre-existing medical conditions, the process may be able to be slowed.

If any symptoms surface, there is a variety of options, including surgery, to consider in order to get pain and other symptoms under control and feel better.

Risks of Spinal Stenosis Surgery

  • Risks of infection, bleeding, blood clots, and anesthesia reaction exist during all surgical procedures. Additional dangers associated with spinal stenosis surgery include:
  • Paraplegia, or lack of motion in the lower portions of the human body, is a very dangerous complication. If any of these tests reveal a complication, the procedure is promptly evaluated, and additional steps are needed to restore the spinal cord’s health.
  • Nerve damage.
  • A rupture in the membrane protects the spinal cord or a nerve.
  • The bone’s inability to heal after surgery.
  • Failure of the screws, fasteners, and metal plates.
  • Additional surgery is required.
  • No symptom relief or a return of symptoms.
  • Severe reduction of blood.
  • Infections
  • Leaking of Cerebra Spinal fluid
  • Failure of Instrumentation
  • Failure of Spinal Fusion

Success Rate

  • Surgery to treat spinal stenosis typically yields positive results.
  • After the surgery, roughly 70% to 80% of those patients demonstrate significant improvement in their function (ability to perform routine daily tasks), as well as a significantly decreased level of pain and distress associated with spinal stenosis.

Recovery after Spinal Stenosis Surgery

It typically takes three months for spinal fusion patients to fully recover from their surgery for spinal stenosis and resume their normal activities, depending in part on how complicated the procedure was and how well one is recovering.

Maintain vigilance after surgery. Any issues, such as a fever, worsening pain, or an infection, should be reported right away to your doctor.

It’s important to take care of the body and adopt healthy habits all the time, but after surgery, one should be extra healthy.

It’s important to keep in mind the following things:

  • Adhere to your doctor’s recommended course of action
  • Sit and stand correctly.
  • Become familiar with how to lift properly
  • Exercise frequently (low-impact aerobic exercise is particularly beneficial, but first consult the physician).
  • Use appropriate sports gear
  • Achieve and keep a healthy weight
  • Get enough calcium and eat healthily (a balanced, low-fat diet rich in fruits and vegetables).
  • Quit smoking.
  • Avoid drinking too much alcohol.

Stabilization, also referred to as spinal fusion, is not always required after surgery for spinal stenosis. It is especially useful when one or more vertebrae have misaligned, causing your spine to become unstable (and painful).

The release of space for your spinal cord and/or the nerve roots is one of the main objectives of spinal stenosis surgery in your neck or low back which is known as decompression. The spine surgeon hopes to lessen the pain one experiences from nerve inflammation by allowing more room for your spinal cord and nerve roots to pass through.

The improvement of one’s motor strength in the arms or legs is a secondary goal of spinal stenosis surgery. The surgeon also wants to restore any lost sensation in the legs or arms.

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