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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
associatedwiththediscs.Whenthediscbulgeanddischerniationare
occurring, they lead to the neck problems. And these neck problems
couldeventuallybemanagedbyperformingsuchmedicaltreatments.
Whentheintervertebraldiscisprolapsedthespinalnervesaswellas
thespinalcordwillbecompressedintheregionoftheneck.Theresult
willbetingling,numbnessandpainthatisradiatedalongthearmsin
one orboththearms.This nerve compressioncanberelievedby the
removaloftheentirediscoronlyoffendingfragmentsofthedisc.The
cordwillberestoredintothenormalandoriginalsizeandshape.

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Humanspineconsistsofcervicalsegment.Thissegmenthas7cervicalvertebraeandis
separated by intervertebral discs, which are soft. These discs absorb the shocks and
neckmovementsarewellfacilitated.Theproblemsstartwhenthewaterinthesediscs
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
andatthesametimethefacetjointswillbethickened.Eventuallythenerverootswill
be compressed because of the osteophytes encroach and disc fragments into the
foramen.Whenthesenervesarecompressed,itwouldresultinthepain.

Thediscgenerallyherniatedeitherinthebackwarddirectionorsometimesmaybulge
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
relievedeitherbyremovingeitherthefragmentsofthediscortheentiredisc.

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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.

Thediscmayherniatedbackwardstocompressuponthecordoritmay
bulgesidewaystocompressuponthenerve.Cordcompressionmaylead
tonumbnessandweaknessofbotharmsandinseverecasemayaffect
the bowel and bladder function. This procedure aims to remove the
complete disc or its fragments in order to relieve compression of the
cordornerveandrestoretheirfunction.

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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
musclelayeriscutandthetracheaandesophagusareshiftedtoonesidealongwiththe
nervesandvessels.Thesurgeonhasaclearviewofthecervicalvertebrae.AnX-rayis
donetoconfirmtheinvolveddisc.Anoperatingmicroscopecanalsobeusedtogeta
better picture of the operating field. The anterior longitudinal ligament is gently
removedtoreachtheosteophytesandthediscfragments.Theosteophytes
arescrapedoffandtheintervertebraldiscisdissected.

Once the disc is removed the vertebral bodies are gently distracted to their original
distancetofillthespacewithbonegraft.Thishelpstorelievethecompressionfromthe
nerves as the diameter of the intervertebral foramen is enlarged. Sometimes Cervical
Discectomyisfollowedbyspinalstabilizationusingscrewsandplates.

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Posterior Approach

The patientissedated undergeneralanaesthesiaandmadeto lieonhis


abdomen. The neck is slightly bent and head is supported on the head
rest.Anincisionismadeonthebackoftheneckinthemidline.Theskin,
fasciaandmusclesareretracedtoreachthevertebrae.AnX-rayisdone
toconfirmthelevelofaffecteddisc.Edgesofthelaminaareshavedoff
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.

Theposteriorlongitudinalligamentisincisedandasmallholeismadein
theligamentumflavum.Thesurgeonnowusesasurgicalmicroscopeto
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


nerverootsand/orthespinalcordbecauseofaherniateddiscorabonespur.This
procedure involves making an incision on the front side of the neck (anterior
cervicalspine),followedbytheremovalof discmaterialand/oraportionofthe
bone around the nerve roots and/or spinal cord to relieve the compression on
neuralstructuresandprovidethemwithadditionalspace.

CervicalDiscectomyisalsoreferredtoasdecompressivespinalprocedureasthe
surgeonremovescompressiononnerverootsbyremovingthetotalorapartofthe
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.

MinimallyinvasiveCervicalDiscectomyinvolvesasmallincision(s)andmuscle
dilation to separate the muscle fibers surrounding the spine, unlike conventional
openspinesurgerywhichrequiresmusclestobecutorstripped.
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The advantages of Minimally Invasive Cervical Discectomy


Surgery

Maintainingnormalneckmotion
Reducingdegenerationofadjacentsegmentsofthecervical
spine
Eliminatingtheneedforabonegraft
Earlypostoperativeneckmotion
Fasterreturntonormalactivity

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FAQ - SpineSurgery 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,patientstryconservativetreatmentsforbetween2and6months.
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,
increasingmuscleweaknessorworseningnervedamage.

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
suitabletotreatyourmedicalcondition.

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What are the benefits of getting Spine Surgery in India?


SpineHospitalsinIndiaareequippedwiththemostadvancedmedicaltreatment.
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
standardataverylowcostaffordabletoallsectionsofsociety.

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
maximumsuccessrate,makingthesafetyobvious.

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
websiteformoreinformation.

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