Best Hospitals for Lumbar Disk Surgery in Bhubaneswar

Advanced Lumbar Disc Surgery in Bhubaneswar

Lumbar disc surgery is a surgical procedure designed to address issues in the lower back's intervertebral discs, which act as cushions between the vertebrae. This surgery aims to repair or remove damaged disc material that causes pain, nerve compression, and mobility issues. Doctors typically recommend this procedure for patients who have not found relief through non-surgical treatments like physiotherapy, medications, or injections.

Types of Lumbar Disc Replacement Surgery

The following are the main types:

Total Disk Replacement: Involves removing the entire damaged disk and replacing it with an artificial implant
Partial Disk Replacement: Replaces only a portion of the damaged disk

Best Lumbar Disk Surgery Doctors in India

Dr. N.V.S Mohan

Sr. Clinical Director & Head of the Department

Neuro Surgery
Dr. Ritesh Nawkhare

Consultant

Neuro Sciences
Dr. Susant Kumar Das

Asso. Clinical Director

Neurosurgery
Dr. Sachin Adhikari

Sr. Consultant

Neuroscience
Dr. S N Madhariya

Sr. Consultant

Neuro Sciences
Dr. Sanjeev Kumar

Jr. Consultant

Neuro Sciences
Dr. Sanjeev Gupta

Consultant

Neuro Sciences
Dr. Vijay Kumar Terapalli

Consultant
Dr. Sandeep Talari

Consultant

General Surgery/ Neurosurgery
Dr. Gaurav Sudhakar Chamle

Consultant

Neurosurgery
Dr. Ankur Sanghvi

Consultant

Neurosurgery
Dr. Sanjeev Kumar Gupta

Consultant

Neurosurgery
Dr. Abhishek Songara

Senior Consultant - Neurosurgery

Neurosurgery
Dr. Siddharth Sharma

Consultant

Neurosurgery

Why Might I Need Lumbar Disc Replacement?

Lumbar disc replacement is considered for patients experiencing chronic lower back pain caused by one or two damaged discs. Ideal candidates meet the following criteria:

Pain originates from one or two discs in the lumbar spine.
No significant joint disease or spinal deformities like scoliosis.
No prior spinal surgery or major nerve compression.
Appropriate body weight and overall good health.

Symptoms Requiring Lumbar Disc Surgery

Patients with the following symptoms may be candidates for surgery:

Sciatica- pain radiating from the lower back through the buttocks and down the legs.
Muscle weakness or difficulty moving the legs
Tingling or numbness in the legs and feet
Reduced reflexes in the knees or ankles
Changes in bowel or bladder function (in severe cases)

Diagnostic Tests for Lumbar Disc Surgery

To accurately diagnose lumbar disc issues, doctors use a combination of tests:

Magnetic Resonance Imaging (MRI): Provides detailed images of soft tissues, nerves, and discs.
CT Scan: Offers cross-sectional views of the spine, which is useful for patients who cannot undergo an MRI.
X-rays: Show bone alignment and detect fractures or abnormalities.
Myelography: Involves injecting contrast dye for enhanced spinal imaging.
Electromyography (EMG): Measures nerve function using electrodes placed in muscles.

These tests help surgeons plan the procedure and rule out non-spinal causes of pain.

Treatment Modalities

Treatment for lumbar disc problems depends on the severity of symptoms:

Non-surgical Treatments:
- Medications like NSAIDs and muscle relaxants
- Physiotherapy to improve flexibility and strengthen core muscles
- Epidural steroid injections to reduce inflammation
- Alternative therapies like acupuncture or chiropractic care
Surgical Treatments:
- Doctors recommend surgical intervention when conservative treatments fail or if there is severe nerve compression.
- Includes procedures like discectomy (removing part of the disc) or artificial disc replacement.

Lumbar Disc Surgery Procedure

The surgery typically takes 2-3 hours and involves the following steps:

Administering general anaesthesia to ensure the patient is unconscious and pain-free.
Making a small incision in the abdomen to access the spine.
Carefully moving organs and blood vessels aside to reach the damaged disc.
Removing the damaged disc material and replacing it with an artificial disc.
Closing the incision with stitches or surgical glue.

Modern techniques use minimally invasive methods, resulting in smaller incisions, less pain, and faster recovery.

Pre-surgery Preparation

Proper surgical preparation is crucial for a successful outcome:

Medical Evaluation: Includes blood tests, imaging scans
Lifestyle Modifications: Patients are advised to quit smoking and maintain a healthy weight.
Home Preparation: Arrange for post-surgery assistance with daily activities and transportation.
Pre-surgery Instructions: Avoid food and drink after midnight and use antibacterial soap before the procedure.

During Surgery

The surgical team ensures patient safety and precision throughout the procedure:

The surgical team carefully position the patient to allow optimal access to the spine.
Administration of the general anaesthesia
The surgeon makes a small incision in the lower back and carefully moves surrounding structures to access the lumbar spine.
Advanced tools like surgical microscopes are used for accuracy.
Removal of the damaged lumbar disc and creating space for the artificial disc implant
Positioning of the artificial lumbar disc between the vertebrae
After ensuring proper alignment, the surgeon closes the incision with sutures or staples

Vital signs, nerve function, and anaesthesia response are monitored continuously.

Post-surgery Recovery

Recovery after lumbar disc surgery involves:

A 1-2 night hospital stay for monitoring
Pain management with prescribed medications
Physical therapy to restore strength and mobility
Gradual return to daily activities:
- Light activities within a week.
- Driving after 2-6 weeks.
- Strenuous activities after 3-6 months
Regular follow-up appointments to monitor healing