How Safe is Spine Surgery
Spine Surgeon Overview (What is Spine surgery?)
spineandneurosurgeryhospitalindia.com is hospital website associated experienced surgeons to deliver perfect treatment and recuperative plan. The consultant before surgery educates the patient with every fact involved in surgery and maintains transparency in procedure, facilities related and cost. The service provided by the team is extremely sensitive. The team makes arrangement keeping the concerns of international patient in mind giving utmost care and professionalism.
How Safe is Spine Surgery?
Spine Injury - Symptoms & Treatments
The spine injury is a serious condition because it can cause loss of movement below the site of the injury. The symptoms of the spine injury and the treatments are described below in detail:
Symptoms of spine injury:
The symptoms of the spine injury include:
- Weakness
- Numbness or tingling that spreads down the arms or legs
- Difficulty in walking
- Shock
- Paralysis of arms or legs
- Lack of alertness
- Loss of bladder or bowel control
- Stiff neck, headache or neck pain
- Impaired breathing after injury
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Treatments for spine injury:
Spine injury can lead to partial or complete paralysis. Over the past 50 years, many treatments have been developed to treat the spine injury. Treatments for spine injury include medication, physical therapy and surgery.
- Trauma care
If the patient is suspected to have sustained a spinal injury, then the medical personnel will work to stabilize your breathing, heart rate and blood pressure. They will put a special brace around the head and neck to prevent movement and additional injury. In the trauma center, the doctors will continue to ensure that you are stabilized and no further injury will occur. You will need to undergo imaging tests like MRI and CT scans that will help the doctors determine the extent of your injury.
In case of severe injury in the neck region of the spine, you may have respiratory problems. Doctors will use the intubation process in which, they will give you oxygen by inserting a tube down your throat to help you breathe. Doctor may give you drugs like corticosteroid or methylprednisolone (Medrol) within eight hours of the initial injury to prevent further damage and promote recovery. These will help reduce the nerve damage and decrease the inflammation around the injury. - Surgery:
During the first few hours and days post the traumatic spine injury, the doctor may need to operate the bone fragments, foreign objects, herniated discs or the fractured vertebrae that are compressing the spine. This operation is known as the decompressive surgery, which is required to stabilize the spine. The sooner this operation is performed the greater the probability of complete recovery of the patient.
According to the Surgical Treatment of Acute Spinal Cord Injury Study (STASCIS) about 24% patient who had done decompressive surgery within a day of their initial injury have shown significant improvement when deliberated by the American Spinal Injury Association (ASIA) scale. In the meanwhile, patients and their families longing for early intervention should also understand that surgery is not advisable for all the spine injuries.
Patients who have had a severe spine injury, but experience no problems with breathing, blood pressure, heart and other vital organs are eligible for early intervention. Unfortunately, most patients sustaining a spine injury have complication that could delay the surgery.
There are some surgical procedures that help you later on the road of your recovery. The tendon transfer surgery helps patients with spine injury to gain more control of their hands and arms. A non-essential muscle that still has a nerve function can be transferred to the place in the shoulders or arms to support the motor function. Usually this surgery is considered only for patient in relatively good health as it requires a period of being immobile for a length of time prior to the surgery that could cause you to temporarily lose the muscles. This surgery will not be considered until at lease a year after the initial spine injury.
Spine Surgery - A safe Treatment
As surgical techniques for patients with scoliosis and other spinal deformities have become more complex, the risks for complications looms larger. This makes a systematic approach to the patient safety during and after spine surgery more essential. Approximately 60% of the complications are preventable with the presence of a system that optimize safety to for intra and postoperative outcomes.
Safety measures before surgery:
The safety should begin before the patient enters the operating room, with the preoperative check of the equipments including graft materials, implants and sterilization. The surgery team should consider the identification of the patient, appropriate blood products and site markings. A preoperative huddle and using a simple checklist like the modified version of the WHO surgical safety checklist is significant. All the members of the medical team should introduce themselves to the patient. Confirmation of the surgical level is crucial for the most common complication in the spine surgery. The infection prevention measures should be implemented consistently to lower the infection rates. The doctor and the medical team should ensure proper timing of antibiotic administration, limit the traffic in the operating room, prepare the skin and draping and efficiently use the operating room time and fluoroscopy. A dedicated team of anesthesiologists optimal as they facilitate or interfere with monitoring.
Safety during spine surgery:
Neuromonitoring has made the spinal deformity surgery safer. Monitoring the cranial motor-evoked potentials can reduce the rate of neurologic injury as it offers real-time information about the spinal cord. Surgeons should understand the biomechanics of the implants as the implants can be too strong for a patient’s bone density and this may lead to injury. Once the correction is achieved and the implants are inserted, then the surgeons use meticulous techniques to achieve fusion and proper closure. This will ensure that the procedure is done properly.
Safety Steps Post Surgery:
Post surgery, the recovery room and intensive care unit personnel will have a face-to-face conversation with the patient. The patient will receive proper pain management that involves judicious use of gabapentin and Toradol, epidurals and early rehabilitation to decrease the use of narcotics and reduce the related complications. The hospital stay in India post surgery is reduced and the surgery is done at very economical rates. Postoperative care is significant to decrease the length of hospital stay, variability and the complication rate.
Why To Choose An Indian Hospital for Spine Surgery?
For past few decades, India has emerged as a favorite destination for patients seeking treatment abroad. The infrastructure of the Indian hospitals is comparable to the top hospitals in developed countries like the US or UK. Indian hospitals have the best state of the art technologies and latest medical equipments for providing quality healthcare and medical services. The price for spine surgery in India is quite cheaper than in other developed nations. The staff of the Indian hospitals, including the surgeons and nurses speaks fluent English. Indian spine surgeons have been professionally trained and have excellent success rates that are known internationally. All these facts are recognized by the foreign patients and make them plan their spine surgery in India.
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