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Advanced Spine Surgery in Bhubaneswar

Spine surgery is one of the most intricate and specialised medical procedures addressing various conditions affecting the vertebral column and surrounding tissues. In Bhubaneswar, the field of spine surgery has seen significant advancements, with hospitals and surgeons adopting modern techniques to ensure better patient outcomes. This article provides a detailed overview of spine surgery, its types, reasons for undergoing the procedure, diagnostic tests, treatment options, and post-surgery care, focusing on the facilities available in Bhubaneswar.

The primary goals of spine surgery include relieving pressure on nerves, stabilising the spine, and correcting deformities. The approach to spine surgery varies depending on numerous factors, including the location of the problem in the spine, the type and severity of the condition, the patient's overall health, and their recovery goals.

Types of Spine Surgery

Spine surgeries can be broadly categorised into two types. Each type serves a distinct purpose in treating specific spinal conditions.

  • Decompression Surgeries: Decompression surgeries aim to relieve pressure on spinal nerves. Common types include:
    • Discectomy: Removal of damaged portions of a disc that are pressing on nerves
    • Laminectomy: Widening of the spinal canal by removing parts of the bony walls.
    • Foraminotomy: Enlargement of the nerve root exit point to relieve pressure.
    • Nucleoplasty: Use of plasma laser technology to reduce the size of a herniated disc.
  • Stabilisation Surgeries: Stabilisation procedures focus on strengthening the spine and limiting harmful movement. The most common stabilisation surgery is: 
    • Spinal Fusion: Involves joining vertebrae using bone grafts and metal screws
    • Artificial Disc Replacement: Replaces damaged discs with synthetic ones to maintain spine flexibility.

Minimally invasive techniques are now widely used for both decompression and stabilisation surgeries, offering benefits such as reduced blood loss, shorter hospital stays, and quicker recovery.

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Why Might Someone Need Spine Surgery?

Not all cases of back pain require surgical intervention. Spine surgery is typically recommended when non-surgical treatments, such as physical therapy, medications, and spinal injections, fail to provide relief. There are three primary reasons why a patient might need spine surgery:

  • Spinal Instability: Injuries or conditions like osteoporosis can cause the spine to become unstable, resulting in significant pain and mobility issues.
  • Nerve Compression: Pressure on spinal nerves can cause symptoms such as pain, numbness, tingling, weakness, and loss of mobility.
  • Spinal Deformities: Conditions like scoliosis or kyphosis that affect the natural curve of the spine may require surgical correction, especially if they interfere with breathing or worsen over time.

The choice to undergo spine surgery is made after carefully considering the patient's condition, pain levels, and impact on daily life. In some cases, such as cauda equina syndrome, immediate surgical intervention is necessary.

Symptoms Indicating the Need for Spine Surgery

Recognising the symptoms that may indicate the need for spine surgery is crucial. Common symptoms include:

  • Radiating Pain: Sharp or burning pain that travels from the back to the arms or legs.
  • Reduced Mobility: Difficulty in walking, bending, or performing daily activities.
  • Muscle Weakness: Noticeable weakness in the legs or arms, affecting balance and coordination.
  • Numbness & Tingling: Loss of sensation or a pins-and-needles feeling in the extremities.
  • Bladder or Bowel Issues: Loss of control over bladder or bowel function, which requires immediate medical attention.

Diagnostic Tests for Spine Surgery

Accurate diagnosis is the foundation of successful spine surgery. The diagnostic process generally starts with a physical assessment and review of the patient's clinical history. Doctors conduct various imaging tests to assess the spine's condition, including:

  • X-rays: Provide images of the bone structure, fractures, and spine alignment.
  • MRI Scan: Offers comprehensive images of soft tissues, discs, and nerves.
  • CT Scan: Creates cross-sectional views of bones and tissues.
  • Myelogram: Utilises a special dye with X-rays to examine the spinal canal.
  • Bone Scan: Identifies areas of increased bone activity, often used to detect fractures or infections.

Treatment Options for Spine Conditions

Non-surgical management is often the first line of treatment for spine conditions. These include:

  • Activity Modification: Adjusting daily movements and posture to reduce strain on the spine.
  • Physical Therapy: Custom exercises and biomechanical adjustments to strengthen the spine and improve mobility.
  • Pain Management: Use of medications such as anti-inflammatory drugs and muscle relaxants.
  • Spinal Injections: Epidural or nerve block injections to provide targeted pain relief
  • Mind-body Techniques: Breathing exercises and meditation to manage pain and stress.
  • Spine Surgery: When conservative treatments fail to provide relief, surgical options are considered. The choice between traditional open surgery and minimally invasive techniques depends on the patient's specific condition and overall health.

Pre-surgery Preparation

Preparing for spine surgery involves several essential steps to ensure the best possible outcomes. The surgical team advises patients advised to:

  • Stop taking or adjusting the dosage of certain medications, such as blood thinners, at least seven days before surgery.
  • Use special skin preparation products to reduce the risk of infection.
  • Maintain a balanced diet with high-protein foods in the days leading up to surgery.
  • Avoid eating solid food after midnight before the surgery, though clear liquids may be permitted up to two hours before the procedure.

Spine Surgery Procedure

Spine surgery procedures can be performed using traditional open or minimally invasive techniques. In conventional open surgery, surgeons make a longer incision along the backbone and move muscles to access the spine. On the other hand, minimally invasive surgery involves smaller incisions and specialised tools, such as tubular retractors, to access the spine with minimal disruption to surrounding tissues.

Minimally invasive spine surgery steps include:

  • Making small incisions in the back, chest, or abdomen.
  • Inserting a tubular retractor to create a tunnel to the spine.
  • Operating under microscope visualisation.
  • Using specialised surgical instruments through the tube.
  • Closing the incision with surgical staples or stitches.

Post-surgery Care and Recovery

Recovery after spine surgery requires careful attention to post-operative care. 

  • Patients may experience some discomfort around the incision area, which is manageable with prescribed medications. 
  • The medical team monitors for signs of complications, such as bleeding, infection, or changes in sensation.
  • Wound care involves changing dressings daily until the incision heals completely. 
  • Patients can typically shower after 3-5 days but avoid bathing for about three weeks. 
  • Gradually increase in physical activity, with most patients encouraged to walk the day after surgery.

Spine surgery recovery times vary & depend on the type of surgery performed. For example, recovery after a discectomy may take a few weeks, while spinal fusion surgery may require 3-4 months for full recovery. Doctors generally advise patients to avoid heavy lifting and strenuous activities during the recovery period.

Why Choose CARE Hospitals for Spine Surgery in Bhubaneswar?

CARE Hospitals in Bhubaneswar is a leading institution for spine surgery, known for its team of highly experienced surgeons and state-of-the-art facilities. The hospital offers a comprehensive spine care approach, including surgical and non-surgical treatments. With advanced techniques like minimally invasive surgery and robotic assistance, CARE Hospitals ensures precise and effective treatment for various spinal conditions.

The Department of Spine Surgery at CARE Hospitals has the latest technology, including 3rd-generation spinal implants and advanced imaging systems. The hospital's success in complex deformity corrections and minimally invasive procedures has made it a trusted choice for patients seeking spine surgery in Bhubaneswar.

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Frequently Asked Questions

CARE Hospitals are among the best spine surgery hospitals in Bhubaneswar, offering world-class treatment with highly skilled specialists.

The optimal treatment depends on the patient's condition. Non-surgical options are usually tried first, with surgery considered if conservative treatments fail.

Yes, spine surgery carries higher risks than many other surgeries due to its proximity to the nervous system.

There is no strict age limit for spine surgery. The decision to undergo spine surgery depends on the patient's overall health and specific condition.

Most patients recover successfully, with recovery times varying depending on the type of surgery performed.

Recovery time for spine surgery treatment varies based on the procedure but typically ranges from weeks to months. Minimally invasive surgeries may take 4–6 weeks, while complex spinal fusions can require 3–6 months.

After discharge from spine surgery, patients may expect:

  • Mild pain
  • Activity restrictions for a few weeks
  • A meticulous physical therapy
  • Ongoing follow-up appointments

  • Avoid heavy lifting, bending, or twisting the spine.
  • Do not sit for prolonged periods without breaks.
  • Avoid high-impact activities or strenuous exercise.
  • Do not skip prescribed medications or follow-up visits.
  • Avoid smoking and alcohol.

While rare, risks include infection, blood clots, nerve damage, and spinal fluid leaks. The success rate improves with proper patient selection and experienced surgeons.

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