Spinal Decompression Surgery Types Procedure and Risks

Spinal Decompression Surgery​

Spinal decompression surgery is a treatment that involves the relief of pressure on the spinal cord or nerves due to certain factors such as herniated discs, spinal stenosis or degenerative disc disease. It is often prescribed for patients with chronic pain, loss of sensation or strength or any situation that causes the patient to lose function and is not treatable through medications or physical therapy.

Lumbar Decompression Surgery​

Lumbar decompression surgery can be categorized as spinal decompression surgeries performed solely in the region of the lower back or lumbar spine. It is used to decompress the spinal nerves or the spinal cord in the lumbar region and is effective to provide relief from pain, numbness, weakness, among other symptoms caused by lumbar spinal stenosis, herniated disc or degenerative disc disease.

Cervical Decompression Surgery​

Cervical decompression surgery is an operation that aims at easing the pressure of the spinal cord and nerves present on the cervical region of the backbone. It is mainly applied in the treatment such as cervical spinal stenosis, herniated discs, degenerative disc disease that can lead to pain, numbness, weakness or the inability to move.

Minimally Invasive Spinal Decompression​

Minimally invasive spinal decompression is a technique that is employed to free the pressure on the spinal cord and the nerves while causing minimal trauma to the other parts of the spine. It is usually adopted in surgeries such as lumbar disk herniation, spinal stenosis and nerve compression due to minimized incisions, short postoperative hospital stay and less pain as compared to open surgery.

Types of Minimally Invasive Spinal Decompression Procedures

Microdiscectomy (Minimally Invasive Discectomy)

• Consists of taking out a part of a herniated disk that has moved into the space of spinal nerves.
• Carried out minimally, endoscopically or laparoscopically with a 1-2 cm incision; is reduced and done using a microscope or an endoscope.
• Recommended for situations of lumbar radicular pain, which means pain from a herniated disc to a nerve root in the spinal canal.

Minimally Invasive Laminectomy (Microlaminectomy)

• Performs a process that involves cutting a small piece of the lamina (bone that forms the covering of the spinal canal).
• Performed to cure spinal stenosis by making small cuts which results in less harm to the body tissues.
• Sometimes they are done with a stiff retractor tube in order to cause minimal injury to the muscles.

Endoscopic Spine Surgery

• This is done with help of an endscope (a tiny camera) all that is needed is a small cut in order to guide the surgeon.
• This will be suitable for cases of prolapsed intervertebral discs, foraminal stenosis, and mild spinal stenosis.
• Results in less blood loss and faster recovery.

Percutaneous Discectomy (Laser or Needle-Based Decompression)

• A needle or laser is then inserted through a small opening and relieving pressure by eliminating disc material.
• Often done under local anaesthesia for minor herniations or bulges.
• No need for general anaesthesia or large incisions.

Minimally Invasive Foraminotomy

• Implies increasing the size of the foramen through which nerves exit the spinal column to provide the nerves some space.
• Done with small incisions and specialized tools.
• It may also be used in treatment of foraminal stenosis or in cases of nerve compression.

Minimally Invasive Spinal Fusion (MIS TLIF or ALIF)

• The need for spine surgery after decompression could be a source of concern as to whether it will cause instability; thus, it can be performed through minimally invasive surgical procedures.
• Usually utilises small screws or rods or some sort of cages to fix the spine so that it can maintain some form of flexibility.
• This as opposed to the open fusion surgery that takes longer time to heal than this procedure mentioned above.

Spinal Decompression Therapy​

Spinal decompression therapy is a non-operational approach to alleviate pressure that is exerted on the discs and nerves in the spinal column. It is commonly used in cases of slipped disc, sciatica, spinal stenosis and degenerative disc disease. This one also concerns stretching of spinal facets applying negative pressures in order to ease disc migration and reintroduction into its normal state.

Non-Surgical Spinal Decompression Therapy

• The procedure is carried out with the help of a specific traction table or motorized equipment.
• Deprecated pressure on spinal discs so it can help to alleviate pain.
• Applied in case of protruding discs, sciatica, de‐ generative disc disease, and facet syndrome.

How It Works:

• The patient can be either in prone or supine position on a decompression table.
• An abdominal corset is also fastened around the pelvis and trunk.
• The machine of this invention applies a controlled stretching force on the spine of a human body.
• This results to negative pressure thus allowing the discs to pump fluid then allowing it to heal.

Spinal Decompression Surgery Recovery​

Healing process after this surgery depends on the type of surgery that was done and the general health status of the patient and the severity of the illness. The most important benefit most patients get from surgery is that they experience some pain relief as well as feel more mobility but the recovery process might take weeks to months.

Hospital Stay & Immediate Post-Surgery Recovery

• Surgical interventions are either microdiscectomy or microsurgery and they can be done as an outpatient or as a one-day admission.
• Conventional microsurgical techniques, for example, laminate discectomies or fusions might take between 2-5 days to recover in the hospital.
• Both, pain and oedema are treated medicinally.
• Patients are recommended to ambulate within 24 hours after the surgery (assisted).

Factors Affecting Spinal Decompression Surgery Cost​

The spinal decompression surgery cost can also greatly depend on several factors. The following are some variables that make a difference on the cost of production.

Type of Surgery

• Hospital or Surgical Centre Charges
• Surgeon’s Experience & Fees
• Hospital Stay Duration
• Type of Anaesthesia & Surgical Equipment
• Pre-Surgical Medical Tests & Imaging
• Need for Spinal Fusion & Implants
• Post-Surgery Rehabilitation & Follow-up

Spinal Decompression Surgery Risks​

Spinal decompression surgery is relatively harmless; however, as any surgery entails, it has been known to have certain risks and possible side effects. The risk level during surgery is varied, and can be defined by the type of the surgery, the state of health of the patient, and the experience of the surgeon.

• Infection
• Bleeding & Blood Clots
• Nerve Damage or Spinal Cord Injury
• Persistent or Recurrent Pain
• Spinal Instability

Spinal Decompression Surgery Success Rate​

Spinal decompression surgery is effective in providing great pain relief and improved function to most of the patients. However, the improvement or the worsening of the patient’s condition varies depending on the particular disease, the kind of operation, or surgery, and the generally health status of the patient.

Success Rate by Type of Surgery

Microdiscectomy (Minimally Invasive Discectomy) – 90-95% success rate, faster recovery, and minimal complications.
Laminectomy (Spinal Stenosis Surgery) – has good to excellent results in 70-80% of the patients who have undergone the procedure, however a portion of these patients may require another procedure in the future.
Spinal Fusion – It has about 75-90% efficacy, however, it does not allow the spine flexibility.
Endoscopic Decompression – 85-95% success rate, with minimal tissue damage and quicker healing.

Top Hospital for Decompression Surgery

• Artemis Hospital, Gurgaon
• Fortis Memorial Research Institute, Gurgaon
• Manipal Hospital, Gurgaon

Best Doctors in India for Decompression Surgery

• Dr. Hitesh Garg
• Dr. Rana Patir
• Dr. Ashish Dagar

Why Choose GetWellGo for Decompression Surgery?

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We offer:

• Complete transparency
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• Case manager assigned to every patient to provide seamless support in and out of the hospital like appointment booking
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