Lumbar Disc Replacement Surgery Cost in India

“Lumbar disc replacement surgery cost in India is around $6800. This is considerably less than the cost of same treatment in the US or the UK, wherein a patient has to spend anywhere between $50000 and $80000.

Disc Replacement
  • The surgical treatment of degenerative disc disease in the lumbar region of the spine is called lumbar disc replacement, sometimes called total disc replacement or artificial disc replacement. It entails using an artificial disc implant to replace a degenerated or damaged intervertebral disc.
  • The spine is an important structural component of the human body. In addition to providing structural support, it permits the posterior region of the body to move in various directions.
  • Furthermore, it contains the spinal cord, which is the most important link between the brain and the rest of the body.
  • A persistent backache follows abnormal spinal cord function caused by degeneration of the spine’s discs. The degeneration of the disc causes degenerative disc disease.
  • While braces, physical therapy, and painkillers are effective treatments for the vast majority of these patients, a small subset of these patients require a disc replacement because non-operative treatment does not work for them.
  • The vertebrae, or bones, that make up the spine have discs in between them that allow the bones to move and rotate without rubbing against one another. The lumbar vertebrae and discs are located at the base of the spine.
  • Age, gender, being overweight, or overuse of high-impact sports or other demanding activities that reduce spinal region mobility can all lead to bone deterioration.
  • The replacement of the lumbar disc in an artificial spine is among the most complicated surgical procedures. An artificial disk made of metal or a combination of metal and plastic replaces the worn or degenerate disk in the lower part of the spine.
  • Compared to other procedures like Spinal Fusion, which further explains the procedure, artificial disc replacement is a spine or back surgery to relieve back pain while maintaining a more natural motion.
  • The most cutting-edge procedure currently available is disc replacement surgery. The soft tissue that lies between two vertebrae is removed during this procedure, and the space is filled in with bone graft.
  • The bone eventually forms a strong bony bridge connecting the two vertebrae. Pain relief from the previously painful segment is achieved by eliminating movement.

Lumbar Disc Replacement Surgery Cost in India

Lumbar disc replacement surgery cost in India is estimated to be one of the lowest in the world. It is estimated that the total cost of disc replacement in India, especially in a few cities, is just one-tenth of what the patients typically pay in the Western and other advanced countries with similar state-of-the-art facilities.

A majority of patients from abroad who cannot afford treatment in the Western countries choose India as their destination for lumbar disc replacement.

Surgery

Cost in USA

Cost in India

Lumbar Disc Replacement

$50,000

$6,800

Cervical Disc Replacement

$45,000

$5,500

Even patients from the developed countries make their way to the country due to much lower lumbar disc replacement cost in India. These patients are either uninsured and therefore have to afford the extremely high cost of medical treatment in their own country or in the Western countries. Some of them cannot wait for the long queues to get the treatment in their own country.

In fact, an advanced lumbar disc replacement facility is not even available in a few poor countries. Such patients also choose India instead of any other Western country for high-quality, advanced, and affordable lumbar disc replacement surgery.

The difference in the cost of lumbar disc surgery in India and any other country, however, does not equate to the low quality of the treatment. In fact, patients traveling from abroad can get superior treatment in India for lumbar disc replacement as compared to treatment offered in some of the best hospitals in the US, UK, Canada, and Germany.

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The Objective of Lumbar Disc Replacement Surgery

The procedure known as lumbar disc replacement is used to treat severe back pain and other symptoms that arise from a lower back’s damaged or degenerating lumbar disc.

Surgery on the lumbar region of the lower back is known as lumbar spine disk replacement. It is used to treat disk issues or spinal stenosis, compression of nerves in the lower back region, and to restore normal back motion.

Spinal stenosis is seen when:

  • There is less room for the spinal column.
  • Pressure is applied to the nerve as the openings for the nerve roots exiting the spinal column narrow.

Compression of nerves in the lower back region occurs because of:

  • Disk narrowing brought on by previous injuries.
  • The disk protruding, bulging.
  • Spinal arthritis that puts pressure on the nerves.

What is lumbar disc replacement surgery?

Lumbar disc replacement is a technique used to replace the worn-out or damaged lumbar disc with an artificial disc. The artificial disc is made up of a combination of medical-grade metal and medical-grade plastic (biopolymer) material.

What Makes Lumbar Disc Replacement Surgery Necessary?

This procedure might be required for the following reasons:

Disc degeneration: Age, wear and tear, or injury can cause the intervertebral discs in the spine to deteriorate over time. This can result in symptoms such as restricted movement and chronic pain.

A herniated disc: is a condition in which a disc’s soft inner material pushes through the outer layer and presses against surrounding nerves. Significant lower back and leg pain, weakness, numbness, or tingling may result from this.

Failed non-surgical treatments: People usually try conservative measures like physical therapy, pain medication, or spinal injections before deciding to have surgery. Lumbar disc replacement may be taken into consideration as a treatment option if these methods are deemed insufficient to relieve the pain.

Desire to preserve motion: Consider lumbar disc replacement as an alternative to spinal fusion surgery. In fusion surgery, the damaged disc is removed, and the neighbouring vertebrae are fused. Disc replacement, on the other hand, uses an artificial disc implant to replace the damaged disc to maintain the spine’s flexibility and range of motion.

Signs and Symptoms of Artificial Spine Lumbar Disc Replacement

It is crucial to understand that lumbar disc replacement surgery is not suitable for everyone with low back pain. It is imperative to undergo a series of tests to determine your eligibility before considering the procedure. Lumbar disc replacement surgery should only be considered if any of the following situations apply:

  • One or two lower spine discs are primarily to blame for the back pain.
  • The patient isn’t overweight.
  • In this scenario, there are no severe facet joint disorders or spinal nerve bony compression. The patient has never had surgery on the lower back before.
  • The spine is free of abnormalities.

Surgery on the lumbar spine might be appropriate for one if:

  • Other therapies don’t work.
  • The hips, legs, and/or lower back pain are getting worse. Back pain is less common to require surgery than leg pain.
  • It’s safe for individuals to have surgery.
  • The first course of trauma treatment (such as a lumbar strain from an automobile accident) or cancer, epidural abscess (an infection between the lining of the spinal cord and your spine), osteomyelitis (bone infection), cauda equina syndrome, or conus medullaris syndrome (a kind of spinal cord injury) is spinal surgery.

Diagnosis and Tests

  • CT scan, or computed tomography
  • MRI
  • X-rays
  • Electromyography (EMG)
  • Myelogram

Preparing for Lumbar Disc Replacement Surgery

A thorough review of your past medical history, a physical examination, and diagnostic testing are all part of getting ready for treatment.

Medical Evaluation: Get a complete medical evaluation, which could involve blood tests, imaging scans (MRIs, CT scans, or X-rays), physical exams, and a review of your medical history. This assessment assists your surgeon in determining any possible complications and in evaluating your general health.

Medication and Supplements: Give a detailed list of all the prescription drugs, dietary supplements, and herbal remedies you presently take to your surgeon. Before surgery, it may be necessary to modify or stop taking some medications, like blood thinners, to lower the risk of excessive bleeding.

Lifestyle Modifications: Before surgery, the surgeon might advise you to make a few lifestyle changes. To enhance general health and speed up recovery, these might include keeping a healthy weight, giving up smoking, eating better, and exercising frequently.

Pre-operative Instructions: Before the procedure, one will usually be asked to fast for a predetermined amount of time.

Setting Up Your House: Make the required changes to the living area to allow the best possible recuperation. Eliminate any trip hazards, and if necessary, think about investing in assistive technology like a grabber tool or an elevated toilet seat.

How can Lyfboat assist you getting Lumbar Disc Replacement Surgery in India?

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Lyfboat is a free advisory platform; we do not charge any fees from patients. In fact, we negotiate the price that Indian hospitals offer. In some cases we are able to reduce the cost by negotiating upto 20% of what Hospitals generally offer. We advise the best treatment from the top hospital/surgeon at best price.

Types of Lumbar Disc Replacement Surgery in India

The best spinal surgeons in India conduct two types of lumbar disc replacement in India and abroad, which includes the following:

  • Total disc replacement:

    Total disc replacement is a surgical procedure that involves the replacement of either the tissues surrounding the disc completely or a majority of the disc tissues. As a part of this procedure, the disc is removed and a replacement implant is placed into the vertebral space.

  • Disc nucleus replacement:

    Disc nucleus replacement is a surgical procedure that involves the replacement of only the nucleus (central part) of the disc. The disc is first pulled out for the removal of the nucleus and the void is filled with an implant. The outer part of the disc known as the annulus is kept intact as the disc nucleus is replaced with an artificial nucleus.

    The doctor or the surgeon-in-charge may order a few diagnostic tests before the day of the surgery. These tests are meant to check the overall functioning of the other vital organ systems and heart activity.

What is the artificial disc made up of?

The artificial disc used for lumbar disc replacement surgery is made up of three parts. It includes two metallic plates that are meant to be placed at both ends and one central plastic core which is sandwiched between the metallic plates.

The metal endplates are usually made up of the same material, cobalt-chromium alloy, which is used to create implants for hip and knee replacement. The outer surface of the metal plates is porous, which allows firm bonding of the bone with the metal. The inner surface is made smooth to allow the swift movement with the central core. The inner surfaces are well-polished concave-shaped dishes.

The plastic used to make the central core for the total disc replacement is usually polyethylene and it is widely used in other joint replacement surgeries as well. The upper and lower surfaces of the central core are dome-shaped as they are meant to fit properly inside the concave endplate dishes.

For nucleus disc replacement, the most common material used is a hydrogel. The hydrogel is capable of expanding by absorbing water. The hydrogel device is placed in the nuclear cavity after removing the nucleus. It later expands to fill the cavity properly. The hydrogel is compressible and therefore, it allows motion much like a normal disc nucleus.

What happens during lumbar disc replacement?

Before the actual lumbar disc replacement procedure, the patient is given general anesthesia. During the surgery, the artificial disc is installed after removing the diseased disc from its place. The surgeon makes a deep incision of around 7 to 10 centimeters in the abdominal area to separate the anterior abdominal muscles. The abdominal organs in the peritoneal sack are placed aside. Then, an X-ray is used to confirm the disc replacement level and a marker is placed at the site. The disc is exposed after moving the large blood vessels carefully present in front of the spine.

The intervertebral lumbar disc is excised to allow access to the back of the disc and to give a clear way to ensure proper movement of the artificial disc. X-ray is then used to determine the lordosis and the appropriate size. This should be done very carefully to ensure the accurate placement of the artificial disc.

Space created is then replaced with the metallic end plates by setting the position with the help of protruding teeth and the inherent pressure of the spine. While performing the procedure, the placement is checked conscientiously, millimeter to millimeter, for long-term functioning of the replaced disc.

The central core is inserted carefully after placing the two metallic endplates at their sites. The large blood vessels and organs are moved back to their place. Lastly, dissoluble sutures are used to stitch the incisions.

Advantages of Surgery for Lumbar Disc Replacement

The following are a few possible advantages of lumbar disc replacement:

Preserve motion: Lumbar disc replacement attempts to preserve normal spinal movement, in contrast to spinal fusion, which limits motion at the fused level. The artificial disc performs tasks that a healthy disc would perform. This may lead to a lower back movement that is less constricted and more natural.

Reduced risk of adjacent segment degeneration: Spinal fusion surgery may put more strain and stress on the levels of the spine next to each other, which over time may accelerate the degeneration of those segments. Because lumbar disc replacement preserves normal motion and lessens stress on neighbouring discs, it may help lower the risk of adjacent segment degeneration.

Faster rehabilitation and recovery: Lumbar disc replacement usually requires less time to recover from than spinal fusion. Patients may experience less postoperative pain and stiffness because the goal of the procedure is to preserve motion.

Possibility of better long-term results: Research has indicated that lumbar disc replacement may offer advantages such as pain alleviation, enhanced function, and patient satisfaction in the long run. Compared to traditional spinal fusion, some research suggests that disc replacement may provide better clinical results, particularly for specific patient populations.

Preventing the complications that come with fusion: Risks associated with spinal fusion surgery include instrumentation failure, adjacent segment disease, and pseudoarthrosis (failed fusion). Although lumbar disc replacement carries some risks of its own, it does away with the necessity of fusion and the complications that come with it.

Potential Risks or Issues with Lumbar Disc Replacement Surgery

Similar to any surgical procedure, lumbar disc replacement carries several risks and complications, such as:

  • Infection: Any surgical procedure carries a potential risk of infection. It is uncommon, but it can happen in the surgical wound or surrounding the implanted disc, causing discomfort, oedema, redness, and possibly more serious issues.
  • Injury to a nerve or spinal cord: There is a chance that the surgery will cause harm to adjacent nerves or the spinal cord. Neurological issues like paralysis, numbness, or weakness may arise from this. Although rare, the possibility of suffering a nerve or spinal cord injury does exist.
  • Complications related to implants: There may be some issues with the artificial disc used in the replacement procedure. These can include wear and tear, implant migration (moving from its intended position), and implant loosening. To address these complications, more surgeries or interventions might be necessary.
  • Reactions to materials: Rarely, patients may experience an adverse reaction to the materials used in the prosthetic disc implant. Mild to severe localized or systemic symptoms may arise from this.
  • Recurrent or persistent pain: Although lumbar disc replacement is intended to relieve chronic back pain, there is a chance that the pain may persist after the procedure. Even though the pain is typically less severe than it was before the procedure, some patients may still experience persistent or recurrent pain after the surgery.
  • Blood clots: There is a chance that any surgical procedure will result in blood clots, especially in the legs (deep vein thrombosis). It can be fatal if a blood clot gets into the lungs (pulmonary embolism). Usually, precautions are taken to reduce the risk of blood clots, like using compression stockings or blood-thinning drugs, as well as early mobilization.
  • Complications related to anaesthesia: Risks and complications associated with the use of spinal or general anaesthesia include allergic reactions, breathing issues, and negative reactions to the anaesthetic drugs.

Lumbar Disc Replacement Surgery Recovery Process

An outline of the recovery process is provided below:

  • Hospital Stay: Patients usually require close observation during a few days in the hospital after surgery. Physical therapists may start early mobilization and mild exercises, and painkillers and antibiotics may be given.
  • Pain management: Following lumbar disc replacement surgery, pain and discomfort are common. Painkillers will be prescribed by doctors to treat postoperative pain. When the healing process advances, these drugs may be tapered off gradually.
  • Limitations on Activities: Patients are advised not to bend, lift heavy objects, or partake in strenuous activities that may strain their spines during the early stages of recovery. The surgical team will give detailed instructions about limitations and activity restrictions.
  • Physical Therapy: The patient will be guided by a physical therapist through exercises designed to increase range of motion, strength, and flexibility. This aids in the recovery of the surrounding muscles and spine. Several weeks or months may pass between therapy sessions, depending on the patient’s progress.
  • Step-by-Step Resumption of Activities: Patients can resume their activities with the permission of the surgical team as their recuperation advances. This can entail going back to work, operating a vehicle, and engaging in leisure or low-impact exercise. Heavy lifting and high-impact exercises should still be avoided in the first few months, though.

The Success Rate of a Lumbar Disc Replacement Surgery in India

  • While the outcomes can differ, many people reported significantly better symptoms, such as less pain and more mobility. The artificial implant is made to resemble the disc’s natural motion and functionality.
  • The patient’s age, health, type of replacement, and postoperative care are among the variables that affect the success rate. The success rate is typically estimated to be between 70 and 90 percent.
  • Although it varies from patient to patient, the lifespan can last anywhere from 10 to 20 years on average.
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.

Lumbar disc replacement hospitals in India render top-class medical facilities to all categories of patients, whether they have come from another city or a country. These hospitals are known for providing special personalized care through the most advanced medical amenities in the world.

The best lumbar disc surgery hospitals in India are spread all over the country. Delhi, Mumbai, Bangalore, Pune, Hyderabad, Gurgaon, Chandigarh are some of the cities that house the best hospitals for lumbar disc treatment in India. These cities can be directly accessed by medical patients through direct flights.

To maintain high standards of medical services, lumbar disc replacement hospitals in India seek accreditation at a national as well as an international level. A majority of the top lumbar disc treatment hospitals in India are accredited by Joint Commission International (JCI) and National Accreditation Board for Hospitals and Healthcare Providers (NABH).

Globally renowned lumbar disc surgery hospitals in India employ medical staff which is fluent in English. This makes communication easy between the patient from abroad and the staff and it also helps provide additional warmth and care during their treatment and hospital stay.

Best Lumbar Disc Replacement Surgeons in India

India possesses some of the world’s finest spine surgeons. The best surgeons for lumbar disc replacement in India are assisted by a competent orthopedic team who is equally experienced as the chief surgeon.

Most of the lumbar disc replacement surgeons in India are trained and educated from some of the finest and most prestigious medical institutions in the world. They hold years of experience in the treatment of patients with spinal disorders and have gifted new lease of life to hundreds of patients around the world so far.

Spine surgeons in India are well-acquainted with the knowledge to conduct spine-related procedures such as posterior lumbar interbody fusion (PLIF), transforaminal lumbar interbody fusion (TLIF surgery), and anterior lumbar interbody fusion (ALIF).

There are more than five thousand healthcare professionals in India who cater to the needs of patients suffering from a spine-related disorder. The best lumbar disc replacement surgeons in India are extremely skilled and updated as per the latest advancements in the field of medical technology.

Many top surgeons for lumbar disc replacement in India have won awards for their outstanding contribution in the field of spine surgery. They are globally renowned for their skills, expertise, and knowledge and some of the best hospitals around the world look forward to the Indian spine surgeons for guidance regarding the most complex cases.

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