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You might require cervical pain surgery if you are experiencing spinal cord dysfunction, neck pain, abnormal neck motion, or dysfunction of the nerves to the arms or neck. The goal of this surgery is to restore spinal stability and reduce pain.
If you want to know more about cervical spine surgery, its types and the average cost of treatment in India, keep reading.
Surgery of the cervical spine is typically done to address cervical radiculopathy, spinal instability, or nerve or spinal cord impingement. Pain that travels from the neck to the arms is a defining feature of cervical radiculopathy.
Any type of cervical spine injury or ailment, such as a pinched nerve that aggravates a nerve there, will cause discomfort. Patients who choose to undergo the procedure will experience alleviation as a result of the technique's ability to reduce pain or discomfort.
As a decompression may destabilise the spine and necessitate a fusion to add stability, the two procedures are frequently combined. The spinal construct can also benefit from the application of spinal instrumentation, such as a tiny plate.
This technique can help to strengthen and stabilise the spine, which might help to relieve severe and persistent neck pain.
The aims of all the surgical methods remains the same, that is:
The different cervical spine surgery types are-
A cervical spinal fusion is utilised to combine two of your vertebrae into a single, stable piece of bone. This method is useful when a neck region is unstable or when movement at the affected region creates pain.
Moreover, very severe cervical fractures are treated with a spinal fusion. Additionally, doctors might suggest it as a part of a surgical procedure to treat a compressed spinal cord or a pinched nerve.
Depending on your unique condition, your surgeon may make the incision at the front or rear of your neck. A bone graft subsequently treats the damaged area. You or a donor may provide bone transplants. If you need a bone graft, surgeons often use your hip bone.
Additionally surgeons can also use metal screws or plates to hold the two vertebrae that are also placed together with the help of plates or metal screws together. These vertebrae will eventually fuse together to provide stability. Due to the fusion, you can experience a loss of flexibility or range of motion.
Benefits:
Success Rate After Surgery
Simple fusions - 0.256% (OR, 0.63 [95% CI, 0.55–0.72])
Complex fusions - 0.534% (OR, 1.10 [95% CI, 0.95–1.28])
Cost of Surgery
Approximately ₹ 2,50,000 to ₹ 5,00,000
Anterior cervical discectomy and fusion, or ACDF, is a method to treat spinal cord compression or a pinched nerve.
The front of your neck will be where the surgeon makes the surgical incision. The pressure-causing disc and any adjacent bone spurs will be removed following the incision. By doing this, the pressure on the nerve or spinal cord might be reduced.
The next step is to do a spinal fusion to stabilise the region.
Benefits:
Success Rate After Surgery
Surgery for arm pain - 93% to 100%
Surgery for neck pain - 73% to 83%
Cost of Surgery
Approximately ₹ 3,60,000
This treatment is identical to the ACDF and is used to treat spinal cord compression. It can be your best surgical choice if you have bone spurs that an operation like ACDF cannot remove.
The surgeon creates the incision at the front of your neck, much like in an ACDF. Whether completely or in part, instead of removing a disc, the vertebral body and any encircling bone spurs are removed.
The remaining gap is subsequently filled with a tiny bone fragment and the spinal fusion. This operation is more complex; thus, healing may take longer than with ACDF.
Benefits:
Success Rate After Surgery
Pain relief - 80% to 90%
Cost of Surgery
Approximately ₹ 7,20,000
Surgeons perform a laminectomy to release pressure from your spinal cord or nerves. The back of your neck is where the surgeon makes the incision during this surgery.
After making the incision surgeons will remove the lamina, a bony, ridged region at the back of the vertebra. Additionally, they will also remove any discs, bone spurs, or ligaments causing compression.
A laminectomy increases the amount of space available for the spinal cord by removing the affected vertebra's rear portion. The surgery, meanwhile, has the potential to weaken the spine's stability. Frequently, Laminectomy patients simultaneously have spinal fusion.
Benefits:
Success Rate After Surgery
Lumbar central spinal stenosis patients - 85% to 90%
Cost of Surgery
Approximately ₹ 2,00,000 to ₹ 3,00,000
Pressure on your spinal cord or nerves is relieved via a laminectomy. The surgeon makes the incision at the back of your neck during this surgery. To relieve pressure on the spinal cord and related nerves, laminoplasty is an alternative to laminectomy. A cut must also be made on the back of your neck.
The surgeon constructs a hinge resembling a door rather than removing the lamina. The lamina can then be opened via this hinge, releasing the spinal cord's compression. To hold this hinge in place, metal implants are implanted.
The benefit of a laminoplasty is that it keeps some range of motion while also enabling the surgeon to treat various compression points. A laminoplasty might not be advised if your neck pain is brought on by movement.
Benefits:
Success Rate After Surgery
Within 5 years of surgery - 15% of patients died (out of 100)
Cost of Surgery
Approximately ₹ 6,80,000
This form of surgery will be able to treat a pinched nerve in your neck. Your front neck will be where the surgeon makes the incision.
The surgeon will remove the disc pressing on the nerve during ADR. The disc will subsequently be removed, and an artificial implant will fill the area. The implant could be made entirely of metal or out of metal and plastic.
In contrast to ACDF, an ADR procedure lets you keep some of your neck's range of motion and flexibility. However, do not opt for ADR if you have:
Benefits:
Success Rate After Surgery
Success rate - 87.5%
Cost of Surgery
Approximately ₹ 3,80,000 to ₹ 4,35,000
Another option for treating a pinched nerve is this kind of surgery. The back of the neck is where the surgeons make an incision.
The surgeon removes a portion of your lamina using a specialised tool after making the incision. Following this, any more bone or tissue that is putting pressure on the afflicted nerve is removed.
The posterior cervical lamino foraminotomy procedure does not involve spinal fusion, in contrast to other neck procedures such as the ACDF and ACCF. Your neck can remain more flexible as a result. Minimally invasive techniques can also be used to carry out this procedure.
Benefits:
Success Rate After Surgery
Success rate- 82% to 100%
Cost of Surgery
Approximately ₹ 11,65,000
To prepare for cervical surgery, you should keep in mind the following.
Stop Smoking
Smoking can cause respiratory issues prior to, during, and after the operation. Additionally, it reduces blood flow, which delays healing.
Get your Home Ready
Avoid bending and place clothing, pots and pans, and bathroom supplies, in places that are simple to access. Prepare meals in advance. To prevent tripping, remove the rugs in your house.
Medications
Two weeks before the surgery, stop taking aspirin and NSAIDs like ibuprofen and indocin, as well as any other medications or dietary supplements. Take extra-strength Tylenol before surgery if you're in pain. Please discuss your supplements with your surgeon or doctor to make sure they are approved for your operation.
Surgeons frequently order pre-surgical blood tests to rule out any conditions that might make surgery more difficult. If you have any queries or worries regarding any of the tests your doctor has recommended for you, discuss them with him or her.
Prepare a Hospital Bag
Your hospital stay can be more comfortable if you bring your own slippers, comfortable clothing, and amenities. Remember to bring the neck brace or collar you were fitted for if applicable. Keep your priceless items at home.
Transportation
Arrange a ride to and from the hospital with someone responsible to make it easier for you to get there and back after your procedure. After your surgery, you'll probably find it more comfortable to lie down in the rear seat or recline in the front seat.
Bring any cushions or other items you think you'll need for a comfortable travel home. Keep in mind that your surgeon must first give you the all-clear before you start driving.
Although it is safe, a few cervical spine surgery complications which might arise are-
Before the surgery, your doctor will schedule a few pre-admission evaluation tests, which might include-
The night before your surgery, it's crucial that you don't eat or drink anything after midnight. Do not consume any solid foods after 9 p.m. or any liquids, even water, after 12 a.m. if you are admitted the morning of your surgery. The night before surgery, take off all jewellery, including wedding bands, to avoid swelling in the morning.
Most patients are admitted the morning of their procedure, so you should report to the Admission Unit so that you can get ready. On the morning of your surgery, you may bring two visitors.
During the surgical procedure, surgeons attempt a discectomy at the end of the thoracic body, where they remove multiple vertebrae. They then attach the disks above and below the broken vertebrae. This causes a decompression, relieving the stress from spinal cords and nerves.
The following stages include the development of a spinal fusion while filling the gap between disks and vertebrae with implants. Surgeons use two kinds of implants here: strut graft and cage augmentation. The former uses the patient’s bones. Surgeons insert a bone bank in a part of the spine using titanium screws and plates.
Cage augmentation refers to using metal, synthetic bone, and ceramic implants. Surgeons place these in the spinal area and fix them with plates and screws. They then use potent sutures to close the incision and a surgical adhesive to close the skin, which might leave a scar.
Compared to oral pills, these drugs typically provide a considerably stronger and quicker-acting effect. Please inform your nurse if you feel uneasy. It's critical to feel comfortable enough to engage in your fitness regimen.
You should call the doctor when you experience the following symptoms-
You can also consult a doctor if you experience any cervical spine surgery side effects.
You can try non-surgical treatments to treat cervical degenerative disc symptoms. Here are a few options.
Rest or Modification of Activities
At first, it makes sense to take it easy and stay away from things that make your arm and/or neck pain worse. For instance, if work-related tasks aggravate the discomfort, taking some time off or altering the workday to avoid particular chores may help.
Managing Pain
You can also try pain-relief medications which will provide you relief for a short time. As alternatives, you can also try heat therapy and ice packs. Moreover, acupuncture, manual manipulation and massage can also be effective.
Neck epidural steroid injections may function as a temporary pain reliever as well as a diagnostic tool to determine which disc level is causing pain.
Physical Therapy:
The muscles in the neck, shoulder, and back tend to become stiff and weakened when someone has chronic neck discomfort. You can take the help of physical therapy, which any physical therapist or other competent medical experts can plan. It will help in stretching and strengthening the muscles that surround the neck.
Behavioural Changes
Some people may find relief from uncomfortable symptoms and a reduction in stress through healthy food, restful sleep, regular exercise, and social support. You should also quit smoking as it can increase the chance of a spine surgery failing.
|
Type of Cervical Spine Surgery |
Cost of Surgery in India (May vary across cities) |
|
Cervical Spine Fusion |
Approximately ₹ 2,50,000 to ₹ 5,00,000 |
|
Anterior Cervical Discectomy and Fusion |
Approximately ₹ 3,60,000 |
|
Anterior Cervical Corpectomy and Fusion |
Approximately ₹ 7,20,000 |
|
Laminectomy |
Approximately ₹ 2,00,000 to ₹ 3,00,000 |
|
Laminoplasty |
Approximately ₹ 6,80,000 |
|
Artificial Disk Replacement |
Approximately ₹ 3,80,000 to ₹ 4,35,000 |
|
Posterior Cervical Lamino Foraminotomy |
Approximately ₹ 11,65,000 |
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