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A safe procedure of artificial disc replacement surgery:
The goal of the Artificial Disc Surgery is to restore the intervertebral disc height and neuroforaminal height while restoring physiologic motion (similar to that of a healthy disc) in that segment of the spine. The surgery requires complete removal of the unhealthy disc in order to implant the new artificial disc.
- The Artificial Disc surgery is approached from the front, with a relatively small incision in the abdomen (usually below the belly button).
- The abdominal organs are then gently moved to the side so that the surgeon can visualize the spine while protecting important anatomic structures. This part of the surgery is usually done by a general surgeon or vascular surgeon with the appropriate skills.
- The spine surgeon then removes the patient’s collapsed, degenerated disc.
- The Artificial Disc is then implanted - first the two endplates, then the core in the middle, using specialized instruments. The two endplates (made of a cobalt chromium alloy) are pressed into the vertebrae above and below the disc space, and teeth along the border of the endplate grip the vertebral bone. A polyethylene core is then placed between the endplates
- The artificial disc is designed to be held in place by the spinal ligaments and the remaining part of the annulus of the disc as well as the compressive force of the spine. Bending X-rays of patients after the surgery show that the motion of the artificial disc (flexion, extension, side bending and rotation) can closely approximate the normal motion of a healthy disc.
What does an artificial disc consist of?
The artificial disc consists of two end-plates made of a vacucast-cobalt-chrome-molybden-alloy and a core, made of high-molecular low-pressure polyethylene. Contingent to constant pressure between the vertebral bodies, all three parts of the artificial disc remain solidly in position and in relation to one another. A stable fixation of the end-plates is achieved, without use of cement, by means of anchor-cogs and a bio-active coating with a slightly structured surface
What Are the Potential Benefits and Risks of Disc Replacement Surgery?
There are potential benefits and risks of disc replacement surgery with the Artificial Disc Surgery..
Potential Benefits of Artificial Disc Replacement Surgery
Most importantly, when fusion surgery is performed, although your pain symptoms may go away, the vertebrae surrounding the disc space are immobilized and therefore typically limit flexibility in that area of the spine. Laboratory testing shows that the Artificial Disc design allows your spine to move. In the clinical study, patients were observed to have motion between 0 and 21 degrees while bending forward and backward.
Another benefit to disc replacement surgery with the Artificial Disc is that no bone graft is required. Often times with spinal fusion surgery, the bone graft used to pack the disc space is bone that the surgeon has to remove from the patient's hip. This means that the patient ends up having two incisions that must heal, as well as pain in the back and hip during recovery from the surgery.
Potential Risks of Artificial Disc Replacement Surgery:
As with any surgery, there are some possible complications that can occur when you have disc replacement surgery with the Artificial Disc. Complications can occur singly or in combination and may include:
Allergic reaction to the implant materials
Bladder problems
Bleeding, which may require a blood transfusion
Death
Implants that bend, break, loosen or move
Infection
Pain or discomfort
Paralysis
Side effects from anesthesia
Slow movement of the intestines
Spinal cord or nerve damage
Spinal fluid leakage
The need for additional surgery
Tears of the dura (a layer of tissue covering the spinal cord)
Problems with your blood vessels other than bleeding
Incision problems because artificial disc replacement is a major surgery in and around the spine and major vascular structures, there is also a risk of death or paralysis. In addition, as with any type of spine fusion surgery for chronic low back pain there is a risk that the patient will still have low back pain after the surgery.
All of the above risks can be substantially mitigated by ensuring the diagnosis is accurate, the patient is an appropriate candidate for the surgery, and the spine surgeon is appropriately trained and experienced in doing the CHARITe Artificial Disc procedure.
Since artificial disc surgery it is still a relatively new procedure in India with a certain level of risks. For one, patients must find surgeons who are appropriately trained. The maker of the artificial disc, another factor to consider is cost and reimbursement. Typical cost for artificial disc replacement surgery ranges from $35,000-$45,000, and many insurance companies will only provide partial coverage, or even no coverage, since they still consider the surgery experimental. And finally, patients need to be aware that like any new medical technology, artificial disc surgery carries with it a certain level of unknown technical risks.
What Should be Expected after the Artificial Disc Replacement Surgery?
After your surgery with the Artificial Disc, it is important that you follow your surgeon's instructions for recovery. Make sure you get and keep your surgeon's name and telephone number.
In most cases, immediately after surgery, your heart and lung function will continue to be monitored, and your doctor will prescribe medicines to control pain and nausea. The average hospital stay for disc replacement surgery patients in the study used to evaluate the Artificial Disc was about four days. A nurse will show you how to care for your wound before you are sent home, and your doctor will discuss a program to gradually increase your activity. It is possible that you will be asked to wear a back brace or elastic bandage to support your abdominal muscles after surgery
Artificial Disc Surgery in India:
Now, getting the Artificial Disc Surgery in India could be highly beneficial due to highly reduced costs and extremely good medical care available. India offers a wide range of specialized services at less than one-fifth of the cost in developed countries which is strengthening medical tourism industry,"
Healthcare facilities being provided in some of the hospitals are on par with that being provided in developed nations that too at one-fifth of the price. "It will help over as patients avail these services
India the land of natural beauty and spiritual wisdom has always been a great attraction for tourists all over the world. The unimaginable diversity in its natural settings that range from the Himalayan peaks to the deserts of Rajasthan and to the ever-flowing Ganges can definitely be a dream experience for anyone. The sandy beaches and the multitude of historical monuments are just to mention a few more.
India is the land of cultural heritage and hospitality is one of the core strength that is inculcated in every Indian heart. You medical tour to India will enable you to explore its vast dimensions while experiencing the best of hospitality services, may it be in terms of the best hotels you stay in or the high-end hospitals where you are treated. Today Indian tourism offers an array of tourist destination that attracts travelers from all over the world. India has always intrigued and fascinated the rest of the world with its diverse natural splendor and will continue to do that for ages. Come home to India and experience the magic of the land!
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