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Advanced Cervical Disc Replacement in Bhubaneswar

Damaged or degenerated cervical discs cause nerve compression and severe neck pain. The Food and Drug Administration approved cervical disc replacement surgery as a groundbreaking alternative to traditional spinal fusion recently. This modern procedure has transformed spine surgery and maintains a remarkable 90% patient satisfaction rate, bringing hope to people suffering from chronic neck pain.

Types of Cervical Disc Replacement

Doctors can choose from several artificial disc options for cervical disc replacement. Each disc is built with specific materials and features that match patient needs. Modern artificial discs come in three main categories based on their design:

  • Mechanical discs with metal endplates and polymer cores
  • Elastic discs featuring flexible materials
  • Hydraulic discs containing fluid components

Best Cervical Disk Replacement Doctors in India

Causes for Cervical Disc Replacement

Patients often develop neck pain and neurological symptoms because of cervical disc problems. These issues mostly occur at the C5-C6 level. Doctors call it a herniated disc when the soft centre of a disc leaks out due to wear and tear.

Your age affects disc problems more than any other factor. Disc degeneration appears in most people by age 60. We see disc degeneration commonly as people age, but not everyone needs surgery for their painful symptoms.

Patients qualify for cervical disc replacement when they meet specific conditions:

  • Cervical degenerative disc disease with pinched nerves
  • Persistent symptoms lasting 6-12 weeks despite conservative treatment
  • Pain radiating from neck to arms
  • Disc degeneration between C3 and C7 vertebrae

Symptoms of Cervical Disc Replacement

Pain patterns differ by a lot from person to person. Some people feel mild discomfort, while others deal with pain so severe it disrupts their daily life. Many patients feel pain that spreads to their shoulders and arms, along with weakness in these areas.

Neurological symptoms are another key indicator:

  • Electric shock-like pain shoots down the arm
  • Pins-and-needles feeling in hands and fingers
  • Numbness in affected areas
  • Weakness in shoulders, arms, or hands
  • Poor coordination and balance
  • Stiff neck movements

Diagnostic Tests for Cervical Disc Replacement

The simple diagnostic tests include:

  • X-rays with anteroposterior, lateral, and dynamic views to check disc space and rule out instability
  • CT scans that show 72-91% accuracy in diagnosing disc herniation
  • Blood tests, including ESR and CRP, to check for inflammatory conditions
  • Electromyography (EMG) and nerve conduction studies that have 50-71% sensitivity
  • Selective nerve root blocks to confirm specific nerve involvement
  • MRI scan remains the gold standard for diagnosis. It provides excellent soft-tissue resolution without exposing patients to radiation. This advanced imaging technique clearly reveals disc herniation, nerve compression, and spinal cord conditions.

Treatment Options for Cervical Disc

Most patients (75-90%) show improvement without surgery, so doctors usually start with non-surgical treatments.

  • Conservative Management: A short period of collar immobilisation starts the conservative care process and lasts about a week. 
  • Physical Therapy: Physiotherapy plays a vital part in treatment. Patients work through a range of motion workouts, strengthening routines, and therapeutic modalities.
  • Medications: Doctors commonly prescribe these medicines to manage pain:
    • Non-steroidal anti-inflammatory drugs (NSAIDs)
    • Short-term muscle relaxants 
    • Prescribed steroids such as prednisone (60-80 mg daily for five days)
  • Surgery: Patients need surgical intervention if their symptoms last longer than six weeks of conservative treatment. Anterior cervical discectomy with fusion remains the gold standard, though total disc replacement has become an effective option. Patients who experience severe neurological problems or significant pain that doesn't respond to non-surgical treatments should think about these surgical options.

Pre-Cervical Disc Replacement Surgery Procedures

The medical team needs a detailed physical exam and the patient's complete medical history before surgery. Your surgeon may need more neck imaging tests like X-rays, myelograms, or MRIs.

Here is what the medical team wants you to do:

  • Stop taking blood thinners and supplements that could cause extra bleeding
  • Smoking cessation (at least four weeks before surgery) since nicotine slows down healing
  • Don't eat or drink anything after midnight before your surgery
  • Take your medicines with tiny sips of water when needed
  • Take off all jewellery and wear comfortable, loose clothes
  • Make sure someone can drive you home after surgery
  • Patients should tell their surgeon about any past reactions to anaesthesia in their family history. 

During Cervical Disc Replacement Surgery Procedures

  • Anaesthesia: The surgical team starts the cervical disc replacement by giving the patient general anaesthesia through an IV line. Advanced monitors track the patient's vital signs throughout the surgery, including blood pressure, heart rate, and oxygen levels.
  • Incision: A special antiseptic solution cleans the neck area before the surgeon makes a precise one to two-inch cut on the neck's front. The surgical team gently moves the trachea and oesophagus aside to reach the spine.

The surgery moves through these key stages:

  • Removal of the damaged disc and any bone spurs
  • Restoration of normal disc height
  • Placement of the artificial disc using live X-ray guidance
  • Careful fitting and securing of the device
  • Closure of the incision with absorbable sutures

Post-cervical Disc Replacement Surgery Procedures

  • Wound Care: The first phase of recovery demands proper wound care. The surgical team removes dissolvable stitches or staples after seven days. Keeping the neck area dry is significant. Patients should pat the wound area gently after showering and change dressings according to their healthcare team's instructions.
  • Pain Management: Managing pain effectively helps recovery. Paracetamol reduces post-surgical discomfort that usually improves within 2-4 weeks. The healthcare team recommends avoiding anti-inflammatory medications during the first 10 days after surgery.
  • Lifestyle Instructions: Recovery includes these activity guidelines:
    • Avoid lifting anything above 2kg for six weeks
    • Start walking after the first week - it's the ideal exercise
    • Keep your neck straight without bending forward or backward
    • Rest every hour during sitting activities
    • Resume desk work after four weeks

Why Choose CARE Hospitals for Cervical Disc Replacement Surgery Procedures?

CARE Hospitals leads Bhubaneswar's healthcare sector in cervical disc replacement procedures. The hospital's spine surgery department brings together skilled surgeons, advanced technology, and complete patient care in one location.

What makes CARE Hospitals unique:

  • Advanced surgical navigation systems for better accuracy
  • Specialised post-operative rehabilitation programmes
  • 24/7 emergency spine care services
  • Skilled spine specialists and support teams
  • Modern intensive care units with post-surgery monitoring
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Cervical Disk Replacement Surgery Hospitals in India

Frequently Asked Questions

CARE Hospitals in Bhubaneswar excels with its advanced spine care centre. The facility provides both surgical and non-surgical treatments. Their team includes skilled spine specialists, surgeons, and radiologists who work with advanced diagnostic technologies.

Doctors start with conservative treatments that last 6-12 weeks. Physical therapy, medications, and spinal injections come first. Surgery becomes an option only after non-surgical treatments don't provide relief.

The recovery outlook is positive. Most patients feel less pain and can return to normal activities within six months. Success rates are high, and patients notice better neck movement with less nerve pain.

Recovery includes these steps:

  • Clean and change wound dressings for the first five days
  • Start gentle neck exercises after one week
  • Stay away from baths or swimming for at least three months
  • Take pain medication as your doctor prescribes

Patients can usually start light activities after a week. Complete recovery takes 6-12 weeks. Nerve healing might take 1-2 years if there was severe compression before surgery.

Serious complications rarely happen. Dural tears occur in less than 0.77% of cases. Up to 70% of patients have trouble swallowing right after surgery, but this usually gets better within days.

You will get clear instructions about your medications and activity limits when you are discharged. Most people need help with daily tasks at first. Regular check-ups help track your recovery progress.

Don't rotate your neck too much, lift anything over 2kg, or do strenuous physical activities for six weeks. You can't drive until you stop taking pain medication.

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