Best Hospital for Lumbar Canal Stenosis Surgery in Bhubaneswar

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

Select Location Hyderabad Visakhapatnam Bhubaneswar Nagpur Raipur Indore Aurangabad Clinics & Medical Centers

Select Hospital CARE Hospitals, Banjara Hills, Hyderabad CARE Hospitals Outpatient Centre, Banjara Hills, Hyderabad CARE Hospitals, HITEC City, Hyderabad CARE Hospitals, Nampally, Hyderabad Gurunanak CARE Hospitals, Musheerabad, Hyderabad CARE Hospitals, Bhubaneswar Ganga CARE Hospital Limited, Nagpur Ramkrishna CARE Hospitals, Raipur CARE Hospitals, Ramnagar, Visakhapatnam CARE Hospitals Outpatient Centre, HITEC City, Hyderabad CARE Hospitals, Malakpet, Hyderabad CARE CHL Hospitals, Indore United CIIGMA Hospitals (A unit of CARE Hospitals), Chh. Sambhajinagar CARE Hospitals, Health City, Arilova CARE Medical Center, Tolichowki, Hyderabad

• 

  Dr. N.V.S Mohan

  Sr. Clinical Director & Head of the Department

  Neuro Surgery

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• 

  Dr. Ritesh Nawkhare

  Consultant

  Neuro Sciences

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• 

  Dr. Susant Kumar Das

  Asso. Clinical Director

  Neurosurgery

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• 

  Dr. Sachin Adhikari

  Sr. Consultant

  Neuroscience

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• 

  Dr. S N Madhariya

  Sr. Consultant

  Neuro Sciences

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• 

  Dr. Sanjeev Kumar

  Jr. Consultant

  Neuro Sciences

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• 

  Dr. Sanjeev Gupta

  Consultant

  Neuro Sciences

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• 

  Dr. Vijay Kumar Terapalli

  Consultant

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• 

  Dr. Sandeep Talari

  Consultant

  General Surgery/ Neurosurgery

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• 

  Dr. Gaurav Sudhakar Chamle

  Consultant

  Neurosurgery

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• 

  Dr. Ankur Sanghvi

  Consultant

  Neurosurgery

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• 

  Dr. Sanjeev Kumar Gupta

  Consultant

  Neurosurgery

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• 

  Dr. Abhishek Songara

  Senior Consultant - Neurosurgery

  Neurosurgery

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• 

  Dr. Siddharth Sharma

  Consultant

  Neurosurgery

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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.