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Anterior cervical fusion at affordable prices in India video

The hospitals where anterior cervical fusion surgery in India is performed has got finest team of surgeons and physicians that provide excellent and comfortable treatment to its patients. The endeavor of the surgeons performing anterior cervical fusion surgery in India is to go beyond the expected and deliver the most enriching positive experience to each of our patients. Today with the use of modern technology by the hospitals in India the cure rate of spine disorders has increased. Anterior cervical fusion is removal of disc or bone through an approach through the front of the neck and then filling the cavity formed with bone from the hip and possibly placing screws and plates to hold the whole construct into place.

The anterior cervical fusion is because of spinal cord dysfunctioning, termed as myelopathy. Compression of nerves or spinal cord is typically caused by disc material or bony spurs. The main reason this form of anterior cervical fusion surgery is performed is to try and reduce the risk of deterioration in spinal cord function. The extreme form of spinal deterioration is myelopathy. The patients with little symptoms spinal cord injury are at the risk of myelopathy. Myelopathy is caused when the space for the spinal cord is reduced due to a accident narrowing the space between the ligaments buckling, injuring the cord. Consequently anterior cervical fusion surgery is primarily performed as a prophylactic procedure to stop deterioration in the future.

Symptoms of anterior cervical are:

• Neck pain
• Numbness
• Tingling or weakness in one or both arms.

Procedure

Types of cervical fusion procedures are:

Anterior Cervical Fusion – It is a neurosurgical procedure that is performed to relieve the pressure on one or more nerve roots, or on the spinal cord. It involves the stabilization of two or more vertebrae by locking them together. The fusion stops the vertebral motion and as a result, the pain is also stopped.

Anterior refers to the front meaning that the surgeon reaches the cervical spine through a small incision in the front of the neck, usually within a skin fold line under the chin. The nucleus pulposus of the disc bulges out through the annulus and presses on the nerve root next to it. This nerve root becomes inflamed and causes serious pain. The disc consists of about 80 % water. When one grows older, the disc starts to dry out and shrink, causing small tears in the annulus and inflammation of the nerve root. After retracting the neck muscles, the neurosurgeon uses an operating microscope and removes the affected intervertebral disk, which takes the pressure off the nerves or spinal cord. This is called decompression. He then replaces it with a bone graft that will fuse the vertebrae together over time. A bone graft is used for the fusion between the two bones.

It is obtained from a bone bank, which collects, treats, and stores bone. The bone comes from human donors who are recently deceased. This type of graft is referred to as allograft bone and ids without blood cells. The preformed bone plug is safe and will not be rejected by the patient’s body. In some cases, the neurosurgeon may use metal plates or pins that provide extra pressure and support to the neck and to make sure that the bones fuse adequately. The length of surgery depends upon the number of vertebrae involved.

Anterior Interbody Fusion - This type of fusion is much more common in the neck. This type of fusion is the same as anterior cervical fusion. In the interbody fusion, a bone graft is placed between two vertebrae that replaces the removed disc. During the healing process, the vertebrae grow together, creating a solid piece of bone out of the two vertebrae.

Posterior Fusion - In the posterior fusion, the bone graft is placed on the back side of the vertebrae. During the healing process, the vertebrae grow together, creating a solid piece of bone out of the two vertebrae. This type of fusion is only rarely used in the anterior cervical fusion surgery, generally only for fractures of the spine. The anterior interbody cervical fusion is used to treat most problems in the neck caused by degenerative disc disease such as unrelieved neck pain and pressure on the nerve roots caused by bone spurs or a herniated disc.

Posterior fusion is generally performed to stop the motion caused by segmental instability reducing the mechanical neck pain caused from excess motion in the spinal segment.

Instrumented Cervical Fusion – In this type of cervical fusion, the bone graft is simply wedged in between the vertebra. It is held there simply because it is wedged in tight with the help of metal plates, screws, and rods to try to increase the success of helping the spine to fuse. In this type of fusion the vertebra is held in such a way that it allows no motion in between them due to which the bones heal faster.

In this type of anterior cervical fusion, the most common form of internal fixation is using a metal plate and screws. The plate sits on the front of the vertebrae and the screws go backwards into the vertebral body to help hold the plate in place and to help keep the bone graft from slipping out of place.

By using metal plates and screws, the vertebra can be held rigidly in place while the fusion heals. Braces and casts are not needed.

Tips to maximize recovery after anterior cervical fusion surgery:

• Walking will help the patient to deliver more blood to the healing area and will load the bone to help it heal.
• The patient should keep his head directly over his shoulders and chin tucked in allowing the patients neck to heal in a good position.
• The patient should support his lower back with a firm cushion that will put an arch in his back when he sit’s.
• The patient should practice swallowing several times in a row to help the muscles in the front of his neck regain flexibility and smooth movement.
• The patient should also practice deep breathing with an effort to expand and contract the ribcage which is helpful for the vertebra in the mid-back and reduce tension in the neck.

Risks for anterior cervical fusion surgery:

• Pain, numbness, and clumsiness could be experienced after surgery.
• Impaired muscle function.
• Incontinence or impotence.
• Unstable spine.
• Recurrence or continuation of pain.

Hospitals providing anterior cervical fusion surgery in India are comprehensive, multidisciplinary and advanced by latest technology with the most competent and highly skilled health care professionals. Various Indian Hospitals are providing the best options available for the patients who are willing to come to get anterior cervical fusion surgery in India. India is expanding its infrastructure in the field of medicine to provide better treatment and finest medical facility.

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