Spine Surgery

Spine surgery is a procedure that aims to change a patient's anatomy, such as removing a herniated disc that is causing pain, with the purpose of providing pain relief. Back surgeries vary, with some procedures minimally invasive and allowing for quick recovery and others more extensive and requiring longer recoveries.

Cervical Spine Disorders – Surgery And Treatment

Cervical Spine Disorders:

Cervical spine disorders are a problem for many adults. The cervical spine contains many different anatomic structures, including muscles, bones, ligaments, and joints. Each of these structures has nerve endings that can detect painful problems when they occur.

Causes of Cervical Spine Disorders

Bone spurs

Bone spurs are smooth, hard bumps of extra bone that form on the ends of bones. When these extra bones are being pressed on delicate areas of the spine, such as nerves and spinal cord, results in pain.

Dehydrated spinal discs

The discs between the vertebrae in the spinal column absorb shock and impact and prevent the bones from rubbing against each other. The gel-like material inside the discs can dry out over time, this causes severe pain as the bones rub each other.

Herniated discs

Vertebrae are bones that forms spine in the back are cushioned by discs, as these discs can develop cracks which allows leakage, resulting in arm numbness and severe pain.

Injury

Direct injury to the neck caused by any accident.

Repetitive movements

Some movements which are repetitive such as heavy lifting, which can put extra pressure on the spine, can tear spine and can cause spine disorders.

Symptoms of Cervical spine disorders

The symptoms of cervical spine disorders and the common symptoms includes

The pain might increase while

Standing
Sitting
Sneezing
Coughing
Tilting your neck backward

Other common signs include:

Neck stiffness and pain
Headaches that mostly occur in the back of the head
Pain in the shoulder or arms
Inability to fully turn the head or bend the neck, sometimes interfering with driving
Grinding noise or sensation when the neck is turned
Tingling or numbness that mainly affects the shoulders and arms, although it can also occur in the legs

Treatment for Cervical spine disorders

Posterior Microdiscectomy for cervical spine:

This procedure is performed through a vertical incision in the posterior (back) of your neck, generally in the middle. This approach may be considered for a large soft disc herniation that is located on the side of the spinal cord. A high-speed burr is used to remove some of the facet joints, and the nerve root is identified under the facet joint. The nerve root needs to be gently moved to the side to free up the disc herniation.

Posterior Cervical Laminectomy for Cervical Spine:

This procedure requires a small incision in the middle of the neck to remove bone spur formations or disc material. The foramen, the passage in the vertebrae of the spine through which the spinal nerve roots travel is enlarged, to allow the nerves to pass through. The surgeon will remove a section of the lamina (the back bony part of the vertebrae) and ligament to find the exact area of the compression. An operating microscope is used to create an opening, and part of the lamina is removed to take the pressure off the nerves and spinal cord. If needed, bone spurs, tissue and any disc fragments causing the compression are also removed.

Anterior Cervical Disectomy for Cervical Spine:
This operation is performed on the neck to relieve pressure on one or more nerve roots, or on the spinal cord. The Cervical Spine is reached through a small incision in the anterior (front) of your neck. If only one disc is to be removed, it will typically be a small horizontal incision in the crease of the skin. If the operation is more extensive, it may require a slanted or longer incision. After the soft tissues of the neck are separated, the intervertebral disc and bone spurs are removed. The space left between the vertebrae may be left open or filled with a small piece of bone through spinal fusion.

Anterior Cervical Corpectomy for cervical spine:
This operation is performed in conjunction with the anterior cervical disectomy. The corpectomy is often done for multi-level cervical stenosis with spinal cord compression caused by bone spur formations. In this procedure, the neurosurgeon removes a part of the vertebral body to relieve pressure on the spinal cord. One or more vertebral bodies may be removed including the adjoining discs. The incision is generally larger. The space between the vertebrae is filled using a small piece of bone through spinal fusion. Because more bone is removed, the recovery process for the fusion to heal and the neck to become stable is generally longer than with anterior cervical discectomy. Surgeon may select to use a metal plate that is screwed into the front of the vertebra to help the healing process.

Cervical Artificial Disc Replacement surgery:
This procedure allows us to decompress the nerves in your neck without compromising your ability to move your neck. Traditionally, orthopaedic surgeons treat neck pain caused by pressure on the nerves and spinal cord with fusion surgery, which unites affected vertebrae into one solid bone. This resolves pain, but replaces it with neck stiffness. Cervical artificial replacement not only resolves your pain, it preserves your neck range of motion. This unique motion-sparing technique also allows you to return to your normal activities faster and with fewer post-operative safety measures.

Spine Rehabilitation treatment:
Spinal rehabilitation is the discipline of medicine that guides the physical, psychological, and social recovery of individuals who have become partially or totally disabled because of spinal disease or injury. Because the muscles and joints of the spine are not easily observed, the need for rehabilitation from spinal disorders has been recognized slowly and rehabilitation gains have been more difficult to measure by objective standards. Manual or manipulative therapy may be effective for the treatment of pain and restoration of movement in the short term, but it has not been shown to be effective in the long term.

Pricing

Endoscopic Discectomy:	USD 4300
Cervical disc replacement:	USD 7000
Spinal Tumor Removal:	USD 8500
Scoliosis Surgery:	USD 3300