Spinal Stenosis Surgery

Spinal stenosis is a situation that can be described as thinning of the spine at one or more of the spinal canal, nerve root canals and intervertebral spaces. This thinning can exert compression strain on the spinal cord and the nerve roots.

What is Spinal Stenosis?

Spinal stenosis is a state of narrowing in the spine at one or more of the following areas:

  • Nerve root canals (sited at the sides where nerve roots exit the spine) Back pain has been bothering you for a long time.
  • Spinal canal (positioned at the centre of the spine).
  • The space in between vertebrae, i.e. Intervertebral spaces, which are the bones that make up the spine).
  • The narrowing in the spine may result in compression or pressure on the nerve roots and spinal cord.

What are the common causes?


Degeneration

  • The most common cause of stenosis is a natural degenerative process as we age.
  • Ageing and some other factors can lead to the thickening and hardening of supporting Tissues of the spine.
  • Joints and bones become hypertrophic.

Osteoarthritis

  • This degenerative and progressive condition usually happens when we age and affects bones and joints.
  • Wear and tear occurs in soft tissue or cartilages which line under bone surfaces.
  • The formation of bone spurs increases joint sizes.

Congenital

  • Genetic disposition to a smaller spinal canal from birth.
  • Some persons are born with a curved spine (scoliosis).

Who is More Prone to Spinal stenosis?

  • If by birth you have a narrow spinal canal.
  • If you are a female.
  • If you are of age 50 years or older.
  • If you have a BMI of more than 30- overweight.
  • If you previously had spine injury or surgery.
  • If you consistently follow poor posture.

What are the signs & symptoms?

Stenosis commonly occurs in the lumbar (low back) spine and cervical (neck) spine. Spinal stenosis usually can be present with either no symptoms or symptoms which come out slowly and worsen over time; clinical features may include:

  • Pain at buttocks and back (dull aching in nature) occurring over a long period.
  • Weakness, pain, cramping, numbness, tingling in the legs and arms.
  • Pins and needles in your toes or feet.
  • Partial or complete leg paralysis.
  • Cauda Equina Syndrome (CES): this is a condition that involves firmness of the cauda equina (collection of nerve roots found below the level of spinal cord termination) and causes symptoms, e.g. weakness, pain, feeling that your one or usually both legs are not supporting you; loss of control of bowel or bladder. This condition is unavoidable and does require emergency medical attention.
  • Neurogenic claudication: aggravated and continuous leg pain with walking that is comforted with rest.
  • Symptoms are relieved with the bending of the spine and aggravate with spine straightening.

When to seek expert help?

You should consult a Spinal stenosis doctor for your sciatica if you notice the following:

  • Your sciatica persists longer, even after six weeks.
  • Pain starts bothering you after a severe injury.
  • You have sudden and unbearable pain with numbness in your lower back or leg.
  • You feel a constant urge to empty your bladder or bowels.
  • Under the conditions mentioned above, you should seek immediate medical attention.

Surgeries Available for Spine Treatment

  • Minimally Invasive Spine Surgery.
  • Laser Spine Surgery
  • Cervical Spine Surgery
  • Laminoplasty
  • Spinal Fusion Surgery
  • Micro Endoscopic Decompression
  • Vertebroplasty
  • Herniated Disc Surgery
  • Spinal Decompression Surgery
  • Discectomy
  • Kyphoplasty
  • Micro Endoscopic Discectomy
  • Percutaneous Endoscopic Discectomy
  • Percutaneous Laser Disc Decompression (PLDD)
  • Posterior Lumbar Interbody Fusion (PLIF)
  • Spinal Fusion with Instrumentation & Stabilisation
  • Transforaminal Interbody Fusion (TLIF)

Diagnosing Spinal Stenosis

Suppose you are looking for spinal stenosis surgery in Gurgaon. Dr. Sumit Sinha is one best Spinal stenosis doctor in Gurgaon. Dr Sumit Sinha - Spinal stenosis doctor will ask about your symptoms and medical history and perform a physical exam, including specialized manoeuvres that will detect if the excruciation is worsened by making the spinal canal smaller or can be enhanced by making the canal larger. Additional tests may be suggested to confirm and assess the diagnosis of Spinal stenosis, may include an X-ray of the spine, CT scan, MRI scan, etc.

Complications associated with Spinal Stenosis

As with any operation, At spinal stenosis surgery, there are potential risks. The complications of spinal stenosis surgery are similar to open spinal fusion surgeries; however, some studies show a reduced infection rate for spinal stenosis surgery. It is essential to discuss these risks with your Spinal stenosis doctor before going for Spinal stenosis surgery in Gurgaon.

  • Infection - Patients are given regular Antibiotics before, during, and often after the Spinal stenosis surgery to reduce the risk of infections.
  • Bleeding happens in many cases, but this is not typically considerable. But with the best spinal stenosis doctor, you can reduce the risk.
  • Pain at spinal stenosis surgery - Some patients experience constant ache at the bone graft site.
  • Recurring symptoms - In some cases, even recurrence of the original symptoms are experienced. The spinal stenosis surgery cost in India is much lower than in any other Asian country.
  • Pseudarthrosis - Chain smokers are more likely to develop a condition of pseudarthrosis where the body fails in enough bone formation. And if this occurs, to obtain a solid fusion, a second surgery is needed.
  • Total Nerve damage - Although the complications of nerve damage are infrequent, the blood vessels or nerves may be damaged during these procedures.
  • Blood clots - Another exceptional snag is the development of blood clots in the legs. These clots pose significant danger if they break off and travel to the lungs.

Recovery

The time needed to recover from Spinal stenosis treatment in the hospital varies with each individual and patient procedure, but usually, spinal stenosis surgery patients go home in 2 to 3 days. As spinal stenosis surgery does not disrupt any soft tissues and muscle, it is assumed that post-operative pain is comparatively less than open procedures. You may still feel some discomfort; however, advancements in techniques now make it easier for your Spinal stenosis doctor to manage and relieve pain.

Your Spinal stenosis doctor may recommend regular physical therapy, which will help you regain strength and speed up your recovery. Rest all depend on the procedure you have undergone and your general physical condition. Specific exercises will help you become strong enough to get back to square one.

After - At Home

  • It would be best if you said ‘no’ to driving for a minimum of six weeks. After six weeks until three months after your operation, you should not go for longer than half an hour at a time.
  • If your job involves no lifting but only walking, your Spinal stenosis doctor may advise you to return to your work after four weeks of rest.
  • If your work entails sitting only, you may return after six weeks.
  • If your job involves a lot of driving or heavy work, your Spinal stenosis doctor may advise returning to lighter duties after 12 weeks.
  • If you are passionate about swimming, then the good news is that you can continue swimming six weeks after the operation.
  • Do not try to do too much too soon. Have patience. Follow instructions. You will be fit to resume your activities very soon.

Who are at risk?

  1. Age: Individuals over the age of 50.
  2. Hereditary: Individuals born with a narrow spinal canal
  3. Previous injury: men or women who have injured their spine.

What types of treatment for spinal stenosis are available?

  1. Medicine: To reduce pain and inflammation.
  2. Physiotherapy: Physiotherapy helps reduce pain through regular exercising, improving flexibility such as the single knee to the chest in lying, posterior pelvic tilt, angry cat, hamstring stretch and intensification such as wall squats buttock muscles exercises.
  3. Surgical: Surgery to add to space to reduce compression on the nerve roots and nerve root.

How can I prevent spinal stenosis?

The ageing leading to the degenerative process cannot be avoided. Yet, by practising proper back care, maintaining correct posture and ergonomics, regular workouts to maintain flexibility and strength of muscles supporting the back, we are likely to have a stronger spine with fewer complications as we age.


What are the Spinal stenosis surgery Costs in Gurgaon?

  • Activity modifications and limitations.
  • Usage of spinal brace or support.
  • Aerobic or Zumba exercises.
  • Stationary Bicycle.
  • Treadmill.
  • Try swimming.

What are the Spinal stenosis surgery Costs in Gurgaon?

On top of everything, Price is the most prominent and ultimately the last deciding factor, based on which destination for the surgical procedure is being decided. Spinal stenosis surgery cost in Gurgaon is much lesser than in any other Asian country. The very high-cost difference, which comes to around 40-70% less than any developed nations like the US and UK, is indicated below. So it’s a benefit for the patients from overseas to have surgery at the best spine stenosis surgery hospitals in Gurgaon at affordable costs. Here is the cost comparison of low-cost spine stenosis surgery in India and other countries.

Type of Spine Surgery India ($) UK ($) Thailand ($) Singapore ($) USA ($)
Discectomy 36,000 34,600 4,500 5,500 34,000
Spine Fusion 6,000 45,000 7,500 9,000 45,000
Cervical Spine Surgery 5,500 48,000 6,500 8,500 58,000
Vertebroplasty 4,200 32,200 5,500 6,500 32,000
Spinal Disc Replacement 7,500 44,000 9,500 11,500 55,000


How many International patients came to India for Spine stenosis Surgery?

The main reason for the increased number of overseas patients in India for medical treatment is the availability of the world’s famous Spinal stenosis doctors in India. Spinal stenosis surgery cost in India is inexpensive, and there are tremendous tourism options, air connectivity, and many more reasons. The list of TOP 10 countries where Spine Surgery stenosis Patients travel to India is mentioned below. The maximum number of patients for Spine Surgery come from – UK, Australia, USA, Kenya, Nigeria, Saudi Arabia, Sri Lanka, Uzbekistan, Afghanistan, Oman.

Some of the common countries from where patients travel to India for Spinal stenosis surgery:

USA Nigeria Bangladesh
Australia Tanzania Afghanistan
Canada Pakistan Uzbekistan
New Zealand Ethiopia Sri Lanka
Uganda Kenya Nepal
UK Zambia Congo

Lecturing on Minimally invasive spinal surgery at recently concluded meeting by Artemis hospitals Gurugram.