Dr.DheerajBojwani Consultants

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Dr. Dheeraj Bojwani Your Medical Tour Consultant in India

Spine Fusion Surgery in India

What is Spinal Fusion Surgery?

Spinal Fusion Surgery is a worldwide performed back surgery procedure in which two or

more vertebrae are joined together (fused), so that no individual movement occurs in the

operated vertebral levels. The idea of the surgery is to permanently connect the vertebrae

to each other. Surgeon may use plates, screws or rods to hold the vertebrae and graft in

place to promote healing after spinal fusion. Once the bone graft heals, the vertebrae are

permanently connected. This creates a solid piece of bone, rather than a joint that allows

movement. This procedure is used primarily to eliminate the pain caused by abnormal

motion of the vertebrae by immobilizing the vertebrae themselves.

What is the Success Rate of Spinal Fusion Surgery?

There have been several studies on the success rate of spinal fusion, and they all give general success rates above ninety percent. This means that ninety percent of the time successful fusion is obtained. Patients can expect a long term solution to most if not all of their back pain problems. It is not a quick fix. A well maintained physical rehabilitation schedule and good nutrition, as recommended by a physician, greatly increase the success rate and time it take to obtain them.

What is the Conditions Treated with Spinal Fusion Surgery?

Conditions treated with Spinal fusion surgery are:

� degenerative disc disease � spinal disc herniation � discogenic pain � spinal tumor � vertebral fracture � scoliosis � kyphosis (i.e, Scheuermann's disease) � spondylolisthesis � spondylosis � Posterior Rami Syndrome � other degenerative spinal conditions � any condition that causes instability of the spine

How is the Preparation for Spinal Fusion Surgery?

Always inform your surgeon or nurse what medicines you are taking, even medicines or herbs without a prescription. Days before the surgery:

� If you are a smoker, you need to stop. Patients who have spinal fusion and continue to smoke may not heal as well.

� Two weeks before surgery, your doctor or nurse may ask you to stop taking drugs that make it harder for your blood to clot. These include aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), and other drugs like these.

On the day of the surgery:

� You will usually be asked not to drink or eat anything for 6 to 12 hours before the surgery procedure. � Take your drugs your doctor told you to take with a small sip of water. � Follow the instructions given to by the surgeon.

What are the Types of Spinal Fusion Surgery?

There are different types of Spinal fusion surgery and surgeon may recommend the type of procedure according to the patient’s condition.

Anterior Inter-body Fusion Procedure:

In an anterior spinal fusion surgery procedure the intervertebral disc is removed and the vertebrae fused together via a transverse or vertical incision over the lower abdomen. In this operation the majority of the symptomatic intervertebral disc or discs are removed and replaced with bone. This bone is obtained from the front of the pelvis, usually through the same skin incision. It may be taken as a large piece, but more commonly small pieces of bone are obtained which are then packed into a hollow implant or cage. The block of bone or the cage is then inserted between the vertebrae.

Postero-lateral Fusion Procedure:

In Postero-lateral spinal fusion surgery procedure an incision is made in the middle of the back and adjacent vertebrae is joined with screws and rods but without interfering with the disc. Small pieces of bone are usually taken from the back of the pelvis, through the same skin incision, and are placed along the back and side of the vertebrae to be fused.

Internal fixation devices generally improve the rate of fusion, but implants of this type are also associated with certain disadvantages and complications and are therefore not always used. When they are used screws, rods or plates can stay in the body forever but in some cases these implants can cause discomfort, irritation of the overlying muscles, become loose, infected or breaks, in which case they may need to be removed.

� If you have diabetes, heart disease, or other medical problems, your

surgeon will ask you to see your regular doctor.

� Talk with your doctor if you have been drinking a lot of alcohol.

� Ask your doctor which drug you should still take on the day of the

surgery.

� Always let your doctor know about any cold, flu, fever, herpes

breakout, or other illnesses you may have.

Combined Anterior & Posterior Fusion Procedure:

A combined anterior and posterior fusion surgery procedure is nothing more than performing both an anterior and postero-

lateral fusion at the same time, or at least under the same anesthetics. The advantage is that the chance of achieving a fusion

and of eliminating the source of symptoms is improved.

Fusion requires a process of healing which is similar to the way broken bones heal, a.

How is Recovery after Spinal Fusion Surgery?

� A patient has to normally spend 3-4 days in the hospital, however, in serious cases; the hospitalization can even

extend to 5-6 days. For elderly people, it is commonly recommended that after the spinal surgery, they should stay in

rehabilitation centers for about a week, so that the proper patient care can be taken.

� During the rehabilitation program, simple aerobic and cardiovascular exercises are taught to the older people, so that

any strain on their heart or chest due to the spinal surgery is controlled effectively.

� The spinal fusion process in every patient is quite different as every individual has a different body constitution. In

every patient, the body heals slowly and the bone graft takes substantial time to fuse with the vertebrae.

� The process of healing after the spinal fusion recovery is similar to that after a bone fracture. Spinal fusion healing time

in a young and healthy adult is 4 to 6 weeks, in case of a single layer spinal fusion. In older people and people with a

job that doesn't demand much physical work, the spinal fusion recovery time can take around 4 to 5 months. Read

more on spine surgery recovery time.

� After the spinal fusion surgery, the patients have to follow certain restrictions in their daily activities. For instance,

patients have to comply with the advice of the medical expert with respect to movement of the legs.

� In many cases, postoperative measures include putting braces to protect the bones. There are various types of braces

that can be used.

What are the Advantages of Spinal Fusion Surgery?

In most cases, spinal fusion can eliminate the pain and other symptoms. It is important for a surgeon to explain the options, and

benefits of spinal fusion surgery. There are many advantages of Spinal fusion surgery such as:

� By fusing the level, there is less concern that the patient will need surgery again at that level. If the discs and/or facets

are pain generators, as is often the case, a fusion will ensure that motion at the level is stopped, potentially eliminating

the low back pain.

� A second advantage of spinal fusion surgery is that it reduces post-decompressive deformity. Some patients develop

post-laminectomy kyphosis, which is an abnormal alignment of the spine. This too can often lead to additional surgery.

Similarly, a fusion can correct any deformity the patient had before surgery and ensure that the normal alignment of the

spine is restored. This may reduce wear and tear (and need for future surgery) on the neighboring levels.

What are the Risks of Spinal Fusion Surgery?

As with any other surgery, there are possibilities for complications but these tend to occur less then one percent of the time. The complications that do arise are the same type as in other surgeries, such as:

� Infection � Anesthetic problems � Urinary difficulties � Absent or decreased intestinal function

Laser Spine Surgery India:

The alternatives to spinal fusion surgery are intra-discal electro thermal coagulation, disc replacement, posterior dynamic stabilization and Disc regeneration.

Why Spinal Fusion Surgery in India?

� The primary reason people travel abroad for a medical purpose is to save on medical treatment costs in their home country. With several leading medical tourism destinations offering world class health care at state-of-the-art facilities, yet at costs as much as half of those in Europe or North America, its is no wonder the medical tourism industry has expanded rapidly in the past decade.

� India boasts volumes of its excellently maintained healthcare providers by stringent government controls on the policies for control of promotion and advertisement, thus not visible much in news papers, magazines and electronic media. But certainly as good as other regional healthcare providers like Singapore and Thailand.

� Accommodation and hotels in India are another very good reason for medical tourism promotion in this country. India has very extensive network of all categories of hotels and motels. All big international chain of hotels is available in India.

� Hotels in the cities are packed with features of style and living. All at affordable prices, a sound reason for patients and tourists traveling for medical tourism, to choose India as the choice destination.

You can go for Spinal fusion surgery in India in following cities:

Mumbai Hyderabad Kerala

Delhi Pune Goa

Bangalore Nagpur Jaipur

Chennai Gurgaon Chandigarh

What is the Cost of Spinal Fusion Surgery in India?

The cost of the Spinal fusion surgery is the major factor that is considered while visiting another country. Low cost is not the only criteria, patient looks for a quality output with low cost. India is proving to be much beneficial for such patients as the cost of the treatment is low without compromising the quality. In UK the cost of Spinal fusion surgery is around 65000 $, while in India it costs approximately 5500 $.

How to Plan Spine Fusion Surgery in India with Dheeraj Bojwani Group?

With a strong emphasis on our client's safety and comfort, Dheeraj Bojwani Group provides those choosing medical tourism with choices of physicians in India that are often heads of the department and have a PhD in addition to their MD degrees.

You just have to send us a query regarding your Spine fusion surgery in India and within 24 hours an assistant from Dheeraj Bojwani Group will contact you for further details and interaction. From that point you don’t have to worry about anything. That assistant will take care of all your proceedings like arranging VISA, accommodation, appointment with the doctor with round the clock services to make your medical tour hassle free.

Some of the common countries from which patients travel to India for surgery are:

USA UK Canada

Australia New Zealand Nigeria

Kenya Ethiopia Uganda

Tanzania Zambia Congo

Sri Lanka Bangladesh Pakistan

Afghanistan Nepal Uzbekhistan

ABOUT INDIA

Located in South Asia, bordered by Pakistan, Nepal, China and Bangladesh, India is South Asia's largest, sovereign, democratic republic. India has an edge over other countries when it comes to offering comprehensive, cost-effective and timely medical care: it also offers an exotic, adventure-filled or cultural -if you wish array of destinations to discover and revel in for the travelers. Indian cities like Mumbai, Hyderabad, Goa, Bangalore, Nagpur, Kerala, Delhi, Pune, Jaipur, Chennai, Gurgaon, and Chandigarh offers best medical tourism service.

Mumbai - Formerly known as Bombay, is the commercial & financial capital city of India. Mumbai is famous for many things, including its thriving Bollywood film industry, teeming bazaars, colonial-style buildings, Art Deco structures and a superb choice of restaurants, often being rated as the dining capital of India. The tourist district of Colaba in Mumbai is a great place to start exploring this great city.

Hyderabad – Hyderabad city is a great place to visit in the state of Andhra Pradesh. The place has witnessed a continuous growth for last many years. Hyderabad has become a tourist hotspot following ever increasing number of tourists during past few years. Hyderabad has a well-founded reputation as one of the safest cities in the world.

Goa - The country's smallest state and famed for its colonial Portuguese and Catholic past, most tourists visit Goa for its endless selection of sandy beaches and coastal attractions. Standing proudly next to the Arabian Sea, Goa is a particularly compact state and often feels like a large town, being easy to travel. Around Goa, tourists will soon realize that the state has much more to offer than simply stunning beaches, fishing, water scooters, windsurfing and scuba diving.

Bangalore - Beauty lies in the eyes of beholder and if you want to see one of the most beautiful places in India then Bangalore is the word for it. Bangalore has earned sobriquets like 'Silicon Valley of India', 'Pub Capital of India', and 'City of Gardens'. Pleasant climate with colorful gardens with lakes and glittering nightlife, Bangalore has made its own attraction for travelers as one of the most charming cities in India,

Nagpur - Nagpur is the largest city in central India, but with its friendly atmosphere and dependable transportation, you’ll instantly feel at home. The city of Nagpur has a well-built infrastructure, is a clean and affluent city which makes a good jumping-off point for a series of trips into the far eastern corner of Maharashtra.

Kerala - Natural beauty, clean air and primordial greenery amidst the vast expanse of water and sky, typifies the state of Kerala – better known as God's own country. Kerala is famous for its alternative medical therapies such as Ayurveda, which help to rejuvenate and revitalize the body. The region is also home to India’s only virgin tropical rain forest – the Silent Valley National Park, supporting an overwhelming range of life forms, many of which are highly endangered, and endemic to this part of the planet.

Delhi - "Welcome to The Capital City of India - New Delhi" Delhi is famous as Capital city of India is located in North India. Delhi is truly a symbol of the old and the new; a blend of ancient well preserved monuments and temples along with jam-packed burger joints and up market shopping malls. Delhi has state of the art Hospitals and the best qualified doctors.

Pune - Once referred to as the Oxford of the east, Pune continues to be a stronghold for academics and culture. An array of factors like availability of efficient and experienced doctors, comparatively low treatment costs, hospital facilities of international standards and many more have made Pune one of the top destinations for medical tourism.

Jaipur - Jaipur is one of the most popular destinations on a tourist's itinerary. The magnificent forts, beautiful havelis and colourful bazaars make Jaipur a popular tourist destination among tourists. Jaipur has pioneered health and medical tourism in India.

Chennai - Chennai is one of the most developed urban centers in the Indian subcontinent. The city forms the capital of Tamil Nadu state and is the fourth largest metropolitan city in India. They have some of the very best hospitals and treatment centers in the world. Each hospital is equipped with state of the art facilities. The technology brought into practice is the very latest, including robotic surgery.

Gurgaon – It is one of the four important satellite cities of the National Capital Region and is often referred to as the 'Millennium City.' Gurgaon has recently emerged as the latest hub for Medical Tourism. Apart from being IT hub and a favorite haunt for MNC offices, the city has a number of world class hospitals that not only treat Indian citizens but also people from outside.

Chandigarh - Chandigarh is a rare epitome of modernization co-existing with nature's preservation. It is here that the trees and plants are as much a part of the construction plans as the buildings and the roads. India’s first planned city, Chandigarh is a rich, prosperous, spic and span, green city rightly called “THE CITY BEAUTIFUL”.

Patients Testimonial:

Mr. Wilson Okumu Lutara - Nigeria

Spine Fusion Surgery in India

was not able to stand and even sit straight for much time. If I had not undergone this operation then my life would have become useless as the problem of my spine was severe. The Indian doctors were truly genius who operated me. I wanted to undergo a Spine Surgery but our country lacked in good surgical facilities and medical infrastructure because of which I chose a better option to get Spine Fusion surgery in India at an affordable price through the recommendation of Dr. Dheeraj Bojwani. I submitted an enquiry about my spine surgery on his email address and he contacted me within a couple of minutes telling me about the best spine surgeon in India with all the cost budget. It seemed that he was online for the whole day assisting his patients. After getting arrangements of my medical visa and medical stay I came to Mumbai to undergo my Spine Fusion Surgery in India. It was very affordable to get my surgery done through the assistance of Dr. Bojwani. The spine surgery hospital in which I was admitted was wonderful and the staff was also very concerned about me. I got the best medical services by them during my Spine Fusion Surgery in India. Now the pain that I had in the spinal cord has healed up completely. My sincere regards to Dheeraj Bojwani Consultants for their genuine help and care.

Mr. Chunara, South Africa

Spine Fusion Surgery in India

I am Mr. Chunara fro South Africa. I came for my low Cost Spine surgery in Apollo hospital Delhi India. Before

Coming to India for my surgery I searched the whole Europe and Asia for the best quality of services and treatment

facilities. But, the thing that made me stop through Dr. Dheeraj Bojwani Consultants in India was the prompt answers

and the quoted that were given to me for my low Cost spine surgery in Delhi India. It was all very easy for me to

travel to India and get my spine surgery in Delhi India done in the Apollo hospital through Dr. Dheeraj Bojwani. I got

the best medical facilities and treatment in India for my surgery. The hospital was very nice and beautiful. The staff of

the hospital was very nice and caring. They took perfect care of me. I am very happy with the result of the low cost

spine surgery in Delhi India. I want to thank Dr. Dheeraj Bojwani and his team for their help and support in arranging

the best quality of medical facilities for my low cost spine surgery in Apollo hospital Delhi India.

Knee Replacement Surgery in India

Knee replacement surgery also known as knee arthroplasty is procedure to replace the weight-bearing surfaces of the knee joint to relieve the pain and disability of osteoarthritis. It may be performed for other knee diseases such as rheumatoid arthritis and psoriatic arthritis. The procedure has been proven to help individuals return back to moderately challenging activities such as golf, bicycling, and swimming. Total knees are not designed for jogging, or sports like tennis and skiing (although there certainly are people with total knee replacements that participate in such sports). Knee replacement is a routine surgery performed on over 600,000 people worldwide each year. Over 90% of people who have had Total Knee Replacement experience an improvement in knee pain and function.

Knee Replacement Surgery Candidates A person would be considered a candidate for knee replacement if there is:

• Daily pain • The pain is severe enough to restrict work, recreation and ordinary activities of daily living • Significant stiffness in the knee • Significant instability (constant giving way) of the knee • Significant deformity (knock-knees or bow-legs) that hinders normal function of the knee

• Damage from arthritic conditions, such as osteoarthritis, rheumatoid arthritis or post-traumatic arthritis

Success Rate of Knee Replacement Surgery: Knee replacement surgery is recognized as a miracle of modern surgery. Most orthopedic experts consider replacement to be the best method of handling arthritis in the knee. Knee replacements have literally put hundreds of thousands of Americans back on their feet and allowed them to enjoy their golden years.

Knee Replacement Surgery Preparations:

• If you smoke, cut down or quit. Smoking changes blood flow patterns, delays healing and slows recovery. • If you drink, don't have any alcohol for at least 48 hours before surgery. • Ask your doctor for pre-surgical exercises. If you are having hip or knee replacement surgery, doing exercises to

strengthen your upper body will help you cope with crutches or a walker after surgery. • Your primary care physician or an internist will conduct a general medical evaluation several weeks before surgery.

This examination will assess your health and your risk for anesthesia. The results of this examination should be forwarded to your orthopaedic surgeon, along with a surgical clearance.

• Shortly before your scheduled surgery, you will probably have an orthopedic examination to review the procedure and answer any last-minute questions.

• You may need to take several types of tests, including blood tests, a cardiogram, a urine sample and a chest X-ray. • Advice your surgeon of any medical conditions you have and of all the medications you are taking. You may need to

stop taking certain medications or your surgeon may recommend substitute medications until your surgery. Medications such as corticosteroids, insulin or anti-coagulants will need to be managed before and after surgery.