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International Patient CareBest Hospital for Spinal Fusion with Internal Fixation Surgery
Spinal fusion with internal fixation at Medicover Hospitals is performed using open surgical techniques by our skilled orthopaedic surgeons with qualifications like MS and DNB. This procedure stabilises the spine effectively, often resulting in reduced pain and improved mobility for patients.
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What is Spinal Fusion With Internal Fixation?
Spinal fusion with internal fixation is a surgical procedure involving the spine (backbone). It aims to join two or more vertebrae (small bones forming the spine) to eliminate movement between them. Internal fixation involves using metal screws, rods, or plates to hold the vertebrae together while the bone heals and fuses.
This surgery is often needed for conditions like spinal instability, severe scoliosis (sideways curvature of the spine), or herniated discs (slipped discs). If untreated, these conditions can lead to chronic pain, nerve damage, or paralysis. Modern surgical approaches include minimally invasive techniques and robotic-assisted surgery. These methods aim to reduce recovery time and improve outcomes.
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Complete Guide To Spinal Fusion With Internal Fixation
Everything you need to know about the procedure, preparation, and recovery
Spinal Fusion with Internal Fixation Surgery Indications
Doctors recommend spinal fusion with internal fixation when conservative treatments fail to relieve symptoms. This procedure stabilises the spine and alleviates pain or neurological issues.
Degenerative Disc Disease
Patients often experience chronic back pain and stiffness. Imaging may show disc degeneration and instability. Surgery is considered when physical therapy and medications do not provide relief.
Spinal Fractures
Severe back pain and limited mobility may occur after trauma. X-rays or CT scans reveal fractures or vertebral collapse. Surgery is advised when bracing and rest are ineffective.
Scoliosis
Patients may notice uneven shoulders or hips, and back pain. X-rays show abnormal spinal curvature. Surgery is an option when bracing fails to halt curve progression.
Spondylolisthesis
Symptoms include lower back pain and leg weakness. Imaging shows vertebrae slipping out of place. Surgery is recommended when conservative measures do not improve symptoms.
Spinal Stenosis
Patients report leg pain and numbness, especially when walking. MRI or CT scans show narrowed spinal canal. Surgery is considered when symptoms persist despite non-surgical treatments.
How to Prepare for Spinal Fusion with Internal Fixation?
Proper preparation for spinal fusion with internal fixation is crucial for a smooth surgery and recovery. It helps minimise risks and ensures the best possible outcome.
- Medication Review: Stop NSAIDs, anticoagulants, and herbal supplements as advised by your doctor to reduce bleeding risk.
- Fasting Guidelines: Follow the fasting instructions provided by your healthcare team, typically 8 hours before surgery for general anaesthesia.
- Pre-Surgery Tests: Complete any required blood tests, imaging, or other evaluations to ensure you're ready for surgery.
- Personal Items: Wear loose, comfortable clothing on the day of surgery for ease of changing and comfort post-operation.
- Transportation Plan: Arrange for someone to drive you home after the surgery, as you won't be able to drive yourself.
- Medication List: Bring a list of all medications you're taking, including dosages, for hospital records and safety.
- Home Preparation: Set up a comfortable recovery area at home with necessary supplies within easy reach.
- Smoking Cessation: Stop smoking well in advance, as it can affect healing and recovery.
Spinal Fusion with Internal Fixation Surgery (Step-by-Step)
This procedure is performed by orthopaedic surgeons. It typically lasts 3-6 hours and is done under general anaesthesia.
- Preparation: The patient is positioned on the operating table. General anaesthesia is administered to ensure the patient is asleep and pain-free.
- Incision: A 3-5 cm incision is made over the affected area of the spine. This provides access to the vertebrae.
- Exposure: Muscles are gently moved aside using retractors. This exposes the spine for the procedure.
- Disc Removal: The damaged disc is removed using a curette. This step is crucial for relieving pressure on nerves.
- Bone Grafting: A bone graft is placed between the vertebrae. This helps in the fusion process.
- Internal Fixation: Screws and rods are inserted to stabilize the spine. Instruments like a trocar and bipolar cautery may be used.
- Closure: The incision is closed with sutures or staples. A sterile bandage is applied to protect the wound.
Who Performs Spinal Fusion with Internal Fixation Surgery?
This surgery is performed by orthopaedic surgeons who specialise in spine procedures. They have extensive training in spinal anatomy and surgical techniques. Their expertise ensures the procedure is done safely and effectively.
Recovery After Spinal Fusion with Internal Fixation Surgery
Recovery from spinal fusion with internal fixation surgery requires patience and care. It involves gradual healing and regaining strength. Following your doctor's advice is crucial for a smooth recovery.
Day 1-3:
- Hospital stay is common. Pain management and monitoring are priorities.
- Start with a liquid diet, then progress to soft foods like soups and khichdi.
- Minimal movement. Assistance needed for basic activities.
Day 4-7:
- Gradual increase in mobility with physiotherapy guidance.
- Introduce light meals such as dal-rice and moong dal.
- Avoid bending, twisting, or lifting heavy objects.
Week 2-4:
- Continue physiotherapy exercises to improve strength and flexibility.
- Incorporate curd and other soft, nutritious foods into your diet.
- Walking short distances is encouraged. Avoid strenuous activities.
Month 1-3:
- Gradual return to normal activities. Avoid high-impact sports.
- Continue a balanced diet with plenty of fluids and fibre.
- Discuss with your doctor about resuming work or school.
When to Seek Urgent Help:
- Severe pain not relieved by medication.
- Signs of infection: fever, redness, or discharge at the incision site.
- Numbness, tingling, or weakness in the legs.
- Loss of bladder or bowel control.
Contact your healthcare provider if you experience any of these symptoms. Early intervention can prevent complications.
Benefits of Spinal Fusion with Internal Fixation Surgery
Spinal fusion with internal fixation is a surgical procedure aimed at stabilising the spine and alleviating pain. It offers several benefits for patients with specific spinal conditions.
- Pain Relief: Helps reduce chronic back pain associated with spinal instability.
- Improved Mobility: Stabilises the spine, allowing for better movement and function.
- Enhanced Spinal Stability: Provides structural support to the spine, reducing the risk of further injury.
- Correction of Deformities: Addresses spinal deformities, improving posture and alignment.
Risks and Complications of Spinal Fusion with Internal Fixation Surgery
While spinal fusion with internal fixation can be beneficial, it carries potential risks and complications. Patients should be aware of these before undergoing the procedure.
- Infection at the surgical site.
- Blood clots, which can occur post-surgery.
- Nerve damage, leading to numbness or weakness.
- Non-union, where the bones do not fuse as expected.
- Hardware failure, requiring additional surgery.
- Persistent pain despite surgery.
Cost of Spinal Fusion with Internal Fixation Surgery
The cost of spinal fusion with internal fixation surgery at Medicover Hospitals ranges from Rs. 1,50,000 to Rs. 6,00,000. The price varies based on the ward category chosen, such as general, private, or deluxe. We offer transparent pricing and support for insurance and TPA, including CGHS, ESI, and major TPAs. Cashless facilities are also available. Please contact the hospital for the latest insurance panel details as these may change periodically.
Frequently Asked Questions
1. How much does Spinal fusion with internal fixation surgery cost at Medicover Hospitals?
The cost ranges from Rs. 1,50,000 to Rs. 6,00,000 at Medicover Hospitals. Prices vary based on room type and specific requirements.
2. Is Spinal fusion with internal fixation surgery covered under health insurance at Medicover?
It is often covered by CGHS, ESI, and major TPAs. Please contact the hospital for current panel details.
3. Will I need a brace after spinal fusion?
A brace may be recommended to support your spine during healing. Your doctor will advise based on your specific condition.
4. Can I lift heavy objects after spinal fusion?
Avoid lifting heavy objects for at least 6 weeks post-surgery. Gradual increase in activity will be guided by your doctor.
5. Will my mobility be affected after spinal fusion?
Some temporary stiffness may occur post-surgery. Physiotherapy can help improve mobility over time.
6. What foods should I eat after spinal fusion?
Include calcium-rich foods like curd and protein-rich foods like dal-rice. These support bone healing and overall recovery.
7. Can spinal fusion lead to adjacent segment disease?
There is a risk of adjacent segment disease over time. Regular follow-ups with your doctor can help monitor and manage this.
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