-
Centre of Excellence
Specialties
Treatments and Procedures
HyderabadCARE Hospitals, Banjara Hills CARE Outpatient Centre, Banjara Hills CARE Hospitals, HITEC City CARE Hospitals, Nampally Gurunanak CARE Hospitals, Musheerabad CARE Hospitals Outpatient Centre, HITEC City CARE Hospitals, Malakpet
Raipur
Bhubaneswar
Visakhapatnam
Nagpur
Indore
Chh. Sambhajinagar
Clinics & Medical Centers
-
-
-
-
-
-
Follow Us
Best Hospital for Lumbar Canal Stenosis Surgery in Bhubaneswar
- Advanced Technology
- Shorter Hospital Stay
- Pre & Post-Operative Care
- All Insurance Accepted
Chat With Our Experts
Get second opinion on Whatsapp
25 lakhs+
Happy Patients
Experienced and
skilled surgeons
17
Health Care Facilities
Top most Referral Centre
for Complex Surgeries
Advanced Lumbar Canal Stenosis Surgery in Bhubaneswar
Lumbar canal stenosis occurs when the spinal canal in the lower back narrows, creating pressure on the spinal cord and nerves. This narrowing typically develops in the lumbar spine, which comprises the five vertebrae in the lower back region. The condition primarily affects adults over 50 and can significantly impact mobility and quality of life.
The spinal canal houses and protects the delicate spinal cord and nerve roots. When this canal narrows, it can compress these vital neural structures. This compression often leads to various symptoms that worsen with physical activity. The narrowing can occur at a single level or multiple levels of the spine.
Types of Lumbar Canal Stenosis Surgery
Decompressive laminectomy stands as the most common surgical approach. During this procedure, the surgeon removes the back portion of the vertebra, called the lamina, to create more space for the nerves. This technique proves particularly effective for patients with central canal stenosis affecting multiple spine levels.
For patients with less severe stenosis, minimally invasive options include:
- Laminotomy - removes only a small portion of the lamina
- Foraminotomy - enlarges the neural foramen where nerve roots exit
- Microendoscopic decompression - uses small incisions and specialised instruments
- Interspinous spacer placement - inserts a device between vertebrae to maintain space
Best Lumbar Canal Stenosis Surgery Doctors in India
Why Might I Need a Lumbar Disc Replacement?
Lumbar disc replacement becomes a consideration primarily for patients whose back pain stems from one or two damaged discs in the lower spine. The ideal candidate falls between 35 and 45 years of age, with pain severe enough to impact daily activities.
To qualify for lumbar disc replacement, patients must meet specific criteria:
- Back pain originating from one or two problematic discs
- No significant joint disease or nerve compression
- Maintained bone strength without osteoporosis
- No previous major spine surgery
- Absence of spinal deformities like scoliosis
- Body weight within healthy ranges
Symptoms of Lumbar Canal Stenosis That May Need Surgery
Back pain stands as the primary indicator, accompanied by burning sensations extending into the buttocks and legs. Notably, approximately 43% of affected individuals experience weakness. The pain typically worsens whilst standing or walking for extended periods.
The characteristic symptoms include:
- Numbness and tingling affecting the entire leg
- Cramping or weakness in the legs
- Loss of sensation in the feet
- Foot drop - a weakness causing the foot to slap down whilst walking
- Reduced sexual function
A unique feature of this condition is the 'shopping cart sign', where patients find relief by leaning forward as if pushing a shopping trolley. Similarly, many find climbing stairs easier than descending, as the forward-flexed position reduces pressure on the affected area.
Diagnostic Tests for Lumbar Canal Stenosis
Magnetic Resonance Imaging (MRI) stands as the gold standard test and creates detailed images of the spine using powerful magnetic fields and radio waves.
X-rays, primarily used as an initial diagnostic tool, help identify bone-related changes. Subsequently, these images can show disc space narrowing, osteophyte formation, and potential instability. Dynamic X-rays, taken during spine movement, can detect instability in up to 20% of cases that might be missed with standard MRI scans.
When MRI is not suitable, doctors recommend Computed Tomography (CT) scans. Meanwhile, a CT myelogram, which uses contrast dye, enhances the visibility of the spinal cord and nerves.
Treatment Options for Lumbar Canal Stenosis
The non-surgical treatment options include:
- Medications like NSAIDs and antidepressants for pain relief
- Physical therapy focusing on spine flexibility and core strength
- Steroid injections to reduce nerve inflammation
- Body weight-supported treadmill walking
- Lumbar corsets and gait aids
- Heat or cold therapy
- Spinal manipulation
Surgery becomes a consideration only after conservative treatments fail to provide relief.
Pre-lumbar Canal Stenosis Surgery procedures
- Patients undergo thorough medical assessments before lumbar canal stenosis surgery to ensure optimal surgical outcomes.
- Preoperative lab tests- blood tests, ECG, and other screenings to confirm the patient is fit for surgery
- Imaging tests (MRI, CT scan, or X-rays) to identify the exact location of the narrowing
- Blood-thinning medications require special attention, as these must be stopped 7-10 days before the surgery.
- In addition, patients must stop smoking at least 4 weeks before surgery, as nicotine increases the risk of complications and delays bone healing.
During Lumbar Canal Stenosis Surgery procedures
Spinal surgeons perform lumbar canal stenosis surgery under careful monitoring conditions. The procedure typically takes between two to six hours, with an average surgical time of 129 minutes.
- Both general and regional anaesthesia options exist for the procedure.
- Throughout the surgery, multimodal intraoperative monitoring helps prevent unexpected complications.
- The surgical team maintains constant communication throughout the procedure. A neurophysiologist works closely with the anaesthesiologist to monitor nerve function. This collaboration helps identify potential issues before they become serious complications.
- After cleaning and sterilising the surgical site, doctors make a small incision in the lower back to access the spine. The choice between open surgery and minimally invasive techniques depends on the specific case. The surgical team adapts their approach based on real-time findings and monitoring results.
- The surgeon carefully moves muscles aside to expose the affected vertebrae and spinal canal and removes a portion of the lamina, enlarges the foramina, or removes the damaged disc portion.
- After the desired results, the surgeon repositioned the muscles and tissues and carefully suture the incision.
Post Lumbar Canal Stenosis Surgery procedures
- Pain Management: Pain control starts immediately after the operation, with most patients experiencing moderate pain that lasts for about 3 days.
- Structured Rehabilitation Programme: Patients begin a structured rehabilitation programme after a few days. Physical therapists guide patients through exercises starting from the day after surgery. The initial focus remains on simple movements, primarily walking and gentle stretches. Soon, patients progress to more advanced exercises.
- Resuming Work: Whether returning to work depends on job requirements and healing progress. Desk job workers often resume work within 4 to 8 weeks, whilst those with physically demanding jobs might need 3 to 6 months.
Why Choose CARE Hospitals for a Surgery for Lumbar Canal Stenosis?
CARE Hospitals stands as a premier destination for lumbar canal stenosis surgery, backed by a team of highly experienced spine specialists.
The medical team works collaboratively across specialities to ensure optimal patient outcomes. This approach combines the expertise of:
- Spine specialists
- Pain management experts
- Physiotherapists
- Rehabilitation specialists
- Dedicated nursing staff
CARE Hospitals maintains state-of-the-art facilities equipped with modern technology and specialised equipment. The hospital's success in managing complex spinal conditions stems from its patient-centric approach and unwavering focus on delivering the highest quality care.
Lumbar Canal Stenosis Surgery Hospitals in India
-
CARE Hospitals, Banjara Hills, Hyderabad
CARE Hospitals Outpatient Centre, Banjara Hills, Hyderabad
CARE Hospitals, HITEC City, Hyderabad
CARE Hospitals Outpatient Centre, HITEC City, Hyderabad
Gurunanak CARE Hospitals, Musheerabad, Hyderabad
CARE Hospitals, Nampally, Hyderabad
CARE Hospitals, Malakpet, Hyderabad
CARE Hospitals, Bhubaneswar
Ramkrishna CARE Hospitals, Raipur
CARE Hospitals, Ramnagar, Visakhapatnam
CARE Hospitals, Health City, Arilova
Frequently Asked Questions
CARE Hospitals in Bhubaneswar stands out with its world-class spine care department. The hospital offers comprehensive treatment options and maintains advanced diagnostic technologies.
Decompressive laminectomy remains the most effective surgical treatment for spinal stenosis. The procedure creates space in the spinal canal by removing part of the vertebra.
Certainly, spinal stenosis surgery requires careful consideration. Studies show a success rate of 85% in symptom improvement. It relieves nerve compression, improves mobility, and reduces pain but requires proper recovery and rehabilitation for the best outcomes.
Surprisingly, there is no formal age limit for spinal stenosis surgery. Studies confirm good outcomes for well-selected candidates, even those over 90 years old.
Most patients experience significant improvement. Research indicates that 85 out of 100 patients show notable symptom relief.
Post-surgery care involves:
- Regular wound monitoring
- Gradual increase in walking distance
- Avoiding bending and twisting movements
- Following prescribed pain management
- Attending physical therapy sessions
Typically, patients return to desk jobs within 4-8 weeks. Physical jobs might require 3-6 months for full recovery.
Primary risks include infection, blood clots, nerve injury, and recurring pain. The 90-day mortality rate stands at 0.6%.
Mostly, patients leave hospital within 1-4 days post-surgery. They receive instructions for wound care, activity modifications, and follow-up appointments.
Patients should avoid lifting weights over 5 pounds, bending at the waist, and twisting movements. Swimming and bathing must wait until the incision heals completely.
Still Have a Question?
