Cervical Discectomy Surgery in India

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Most Advanced Minimally Invasive Cervical
Discectomy Spine Treatment in India

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What is Cervical Discectomy?   Cervical
Discectomy is a medical procedure to treat the
problems associated with the discs. When the disc
bulge and disc herniation are occurring, they
lead to the neck problems. And these neck
problems could eventually be managed by
performing such medical treatments. When the
intervertebral disc is prolapsed the spinal
nerves as well as the spinal cord will be
compressed in the region of the neck. The result
will be tingling, numbness and pain that is
radiated along the arms in one or both the arms.
This nerve compression can be relieved by the
removal of the entire disc or only offending
fragments of the disc. The cord will be restored
into the normal and original size and shape.

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Human spine consists of cervical segment. This
segment has 7 cervical vertebrae and is separated
by intervertebral discs, which are soft. These
discs absorb the shocks and neck movements are
well facilitated. The problems start when the
water in these discs gets lost. The loss of water
in these discs generally happens because of the
wear and tear of these bones. Eventually the
intervertebral height will be reduced and the
discs will get disintegrated. Sometimes there can
be formation of the bony spurs and degeneration
of the body of the vertebra occurring under the
vertebral bodys surface and at the same time the
facet joints will be thickened. Eventually the
nerve roots will be compressed because of the
osteophytes encroach and disc fragments into the
foramen. When these nerves are compressed, it
would result in the pain. The disc generally
herniated either in the backward direction or
sometimes may bulge towards the sideways. When it
herniated backwards, it compresses the cord. When
it bulges in the sideways, it may compress the
nerve. The cord compression generally leads both
the arms to become weak and experience numb. If
this condition becomes sever, it affects the
function of the bladder and bowel. So, the
compression can be relieved either by removing
either the fragments of the disc or the entire
disc.

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Who may require Cervical Discectomy ? Those
patients who suffer from persistent neck pain,
one or both arm pain and weakness, instability
while walking and lack of bowel and bladder
control in spite of taking conservative treatment
methods such as rest, medication, physical
therapy are ideal candidates for this
procedure.   The disc may herniated backwards to
compress upon the cord or it may bulge sideways
to compress upon the nerve. Cord compression may
lead to numbness and weakness of both arms and in
severe case may affect the bowel and bladder
function. This procedure aims to remove the
complete disc or its fragments in order to
relieve compression of the cord or nerve and
restore their function.

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In Cervical Discectomy, disc can be accessed via
anterior or posterior approach. Anterior
Approach The patient is made to lie down on his
back under general anesthesia. A horizontal
incision is made just 2 inches above the clavicle
on either left or right side. The thin muscle
layer is cut and the trachea and esophagus are
shifted to one side along with the nerves and
vessels. The surgeon has a clear view of the
cervical vertebrae. An X-ray is done to confirm
the involved disc. An operating microscope can
also be used to get a better picture of the
operating field. The anterior longitudinal
ligament is gently removed to reach the
osteophytes and the disc fragments. The
osteophytes are scraped off and the
intervertebral disc is dissected. Once the disc
is removed the vertebral bodies are gently
distracted to their original distance to fill the
space with bone graft. This helps to relieve the
compression from the nerves as the diameter of
the intervertebral foramen is enlarged. Sometimes
Cervical Discectomy is followed by spinal
stabilization using screws and plates.

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Posterior Approach The patient is sedated under
general anaesthesia and made to lie on his
abdomen. The neck is slightly bent and head is
supported on the head rest. An incision is made
on the back of the neck in the midline. The skin,
fascia and muscles are retraced to reach the
vertebrae. An X-ray is done to confirm the level
of affected disc. Edges of the lamina are shaved
off to give a clearer vision. In case of central
herniation, both lamina may have to be removed in
order to get full view of the fragmented
disc. The posterior longitudinal ligament is
incised and a small hole is made in the
ligamentum flavum. The surgeon now uses a
surgical microscope to magnify the operating area
and the disc fragments and bony spurs are
carefully removed. The muscles fascia and skin
are stitched back together.

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Minimally Invasive Cervical Discectomy Surgery in
India Cervical Discectomy is a surgical
procedure which relieves compression on the nerve
roots and/or the spinal cord because of a
herniated disc or a bone spur. This procedure
involves making an incision on the front side of
the neck (anterior cervical spine), followed by
the removal of disc material and/or a portion of
the bone around the nerve roots and/or spinal
cord to relieve the compression on neural
structures and provide them with additional
space. Cervical Discectomy is also referred to
as decompressive spinal procedure as the surgeon
removes compression on nerve roots by removing
the total or a part of the disc and/or bony
material that is causing pain. Your surgeon may
choose a minimally invasive approach based on
your condition and the specific surgical
goals. Minimally invasive Cervical Discectomy
involves a small incision(s) and muscle dilation
to separate the muscle fibers surrounding the
spine, unlike conventional open spine surgery
which requires muscles to be cut or stripped.

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• The advantages of Minimally Invasive Cervical
  Discectomy Surgery
• Maintaining normal neck motion
• Reducing degeneration of adjacent segments of
  the cervical
• spine
• Eliminating the need for a bone graft
• Early postoperative neck motion
• Faster return to normal activity

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FAQ - Spine Surgery and Treatment in India   When
is surgery necessary for patients with spine
problems? Surgery for conditions associated with
disc disease is necessary when patients continue
to be symptomatic despite all conservative
treatments. Generally, patients try conservative
treatments for between 2 and 6 months. If after
this trial of conservative treatment patients
continue to have severe pain, surgery is an
excellent option. Surgery becomes "necessary"
when patients develop signs and symptoms of
progressive nerve damage i.e, increasing muscle
weakness or worsening nerve damage. Which is the
Best Hospital in India for treatment of
Spine? India has not one but many better than the
best hospitals for Spine r treatment. Mail us
your medical report and we will find the hospital
most suitable to treat your medical condition.

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What are the benefits of getting Spine Surgery in
India? Spine Hospitals in India are equipped with
the most advanced medical treatment. They have
the most extensive Spine -diagnostic and imaging
facilities including Asias most advanced MRI and
X-rays technology. Personalized care and
attention is provided with value added services
besides results of world class standard at a very
low cost affordable to all sections of
society. Is it safe to get Spine Treatment and
Surgery in India? The medical fraternity in India
is famed for excellence, and leads in Spine
surgeries. Thousands of Spine operations are
performed in India each year with maximum success
rate, making the safety obvious. How successful
is the surgery and how long is the recovery
process? Success rate of any surgery depends
upon the extent of disorders severity, the
surgeon, and a patients dedication in following
recovery guidelines. Check our website for more
information.

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