05/Sep/2019

What is Hydrocephalus

Hydrocephalus Hydro means water and cephalous means the brain. When there is an obstruction to the flow of cerebrum spinal fluid (CSF) in the brain, it leads to these diseases

What are the kinds of Hydrocephalus? | Hydrocephalus Treatment in India

Hydrocephalus Treatment in India

  • Congenital Hydrocephalus- when there is an obstruction to the flow of CSF from the birth, due to blockage of ventricles it leads to congenital
  • Acquired hydrocephalus- when the flow of CSF is obstructed wither internally due to infection, tumor or bleed or externally when a tumor or mass presses on the ventricle to obstruct its flow.

What are the Types of Hydrocephalus? | Hydrocephalus Treatment in India

  • Obstructive or non-communicating Hydrocephalus– when there is an obstruction to the flow of CSF within the ventricles causing swelling or increase in the size of the ventricles.
  • Communicating Hydrocephalus– here there is no obstruction to the flow of the CSF within the ventricles but there is a defect in the absorption of CSF within the veins over the surface of the brain.

What are the symptoms of Hydrocephalus  Treatment in India?

  • Severe headache
  • Vomiting
  • Sunset sign- inability to look up. So, eyes have a downward gaze, looking like a sunset
  • Enlarging size of the head in congenital
  • Enlargement of veins over the skull.

What are the Hydrocephalus Treatment

  • Shunt surgery– A tube is introduced into the ventricles and tunneled down below the skin into the abdomen- peritoneum called VP shunt or ventriculoperitoneal shunt. VA shunt or Ventriculo Arterial shunt when the lower end of the shunt is introduced into the heart.
  • Third ventriculostomy– here the obstruction to the flow from the third and fourth ventricle is corrected by endoscopy.

Hydrocephalus Treatment in India

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04/Sep/2019

Fibromyalgia Treatment In India

Fibromyalgia is a disorder characterized by widespread musculoskeletal pain and fatigue, sleep, memory and mood issues.

It amplifies painful sensations by affecting the way one’s brain processes pain signals. Fibromyalgia causes in many areas of the body, and tiredness as well.

fibromalgia tretment in india

fibromyalgia treatment in India

Causes Of Fibromyalgia

Fibromyalgia is considered to be a central pain problem, which is caused by excessive levels of pain stimulators and amplifiers inside the central nervous system since there is no corresponding injury). There are subtle changes in chemicals called neurotransmitters,

Found in the brain and inside the nervous system. These neurotransmitters are responsible for transmitting messages between nerves and brain cells.

Fibromyalgia Treatment In India

The increased level of pain-producing neurotransmitters is called central sensitization. This implies that Fibromyalgia tends to cause a considerable amount of distress and misunderstanding.

About 1 out of 25 people have chances of suffering from fibromyalgia at some stage in their lives. And it is more common in women than it is in men. It usually begins somewhere between the ages of 25 and 55.

Reports suggest that fibromyalgia begins after an illness like flu, and causes muscle inflammation and pain. Some of the causes of Fibromyalgia are

Fibromyalgia Treatment In India

  • Since it runs in families,
  • Physical or emotional trauma. Fibromyalgia can sometimes be triggered by physical trauma.

People with this disorder also experience:

  • fatigue
  • trouble sleeping
  • sleeping for long periods of time without feeling rested
  • headaches
  • depression
  • anxiety
  • inability to focus
  • difficulty to pay attention
  • pain in the lower abdomen

Fibromyalgia Treatment In India

The Brain and the nerves misinterpret or overreact to normal pain signals. And this may be due to a chemical imbalance inside the brain.

Dr. Arun Saroha who has performed 1000’s of Neurosurgeries successfully to date. A well-read and a successful spine and brain surgeon he explains that fibromyalgia treatment is to manage pain and to improve quality of life,

He goes on that this can be accomplished through an approach of self-care and medication. According to him, the symptoms of fibromyalgia vary from person to person.

  • Headaches might be common.
  • Irritable bladder might be common –
  • Irritable bowel syndrome
  • Constipation or bloating.
  • People with fibromyalgia also have restless legs syndrome.
  • Painful periods would occur in women with fibromyalgia.
  • Pins and needles in fingers and/or toes are some symptoms of fibromyalgia.

Fibromyalgia Treatment In India

Repeated nerve stimulation is believed to cause the brains with fibromyalgia to change. It involves abnormal levels of increase in certain chemicals that signal neurotransmitters.

Apart from this the brain’s pain receptors develop a memory of the pain and become more sensitive, which means that they can overreact to pain signals.

More than 5 million people over the age of 18 are diagnosed with the condition. Between 80 and 90 percent of people diagnosed with the condition are women.

Fibromyalgia Treatment In India

Men and children can also be diagnosed with the disorder. Most people are diagnosed during middle age.

Dr. Arun Saroha also tells us the medications for Fibromyalgia; Antidepressants; these are helpful for fibromyalgia because they also function as painkillers.

Maybe probably because antidepressants are able to modify levels of neurotransmitters, and pain and depression involve the same neurotransmitters working indifferently but closely related parts of the brain.

Fibromyalgia Treatment In India

Antidepressants are able to help with easing pain and to improve overall function, and they are also able to help with disturbed sleep.

Fibromyalgia is a long-term condition. It is strongly advised to take strong opiates long-term because they can lead both to problems such as medication dependence,

General impairment in the performance of your mind and brain – things such as memory, mental agility, and alertness.

Therapies like relaxation, acupuncture and psychological support have shown for being useful in pain. All of these increase the levels of endorphins in the nervous system so that symptoms become more tolerable and activity levels are able to increase.

Fibromyalgia Treatment In India

fibromyalgia support

If you have any queries or issues Related to the Fibromyalgia then you can easily contact our support number for online queries or issues regarding the fibromyalgia.there are lots of regions that you want to talk with the fibromyalgia,


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30/Aug/2019

Spinal cord tumors are much less common compared to brain tumors. It could be benign, meaning it is a non-cancerous mass that started on the spine and isn’t going to spread to other parts of the body as cancerous (malignant) cells might. The majority of tumors results from uncontrolled growth among cells that reside in the spinal column while some tumors are related to a specific disease or to radiation exposure. However the cause behind most spine tumors is unknown and they are neither contagious nor preventable.

Spinal tumor surgery involves the partial or total removal of the spine tumor. Spinal fusion may be used to reconstruct and stabilize the spine. This procedure involves joining the bones together with screws or bone grafts to provide stability. Precision tools and unique surgeries has allowed surgeons to access tumors in a less invasive way than ever before. And while there is a slight risk of damage to the spine due to surgery, there is definite risk of catastrophic nerve or spine injury if the patient opts out of surgery and the tumor continues to grow.

If a person ends up paralyzed because of tumor growth, there is also risks of blood clot and other serious health complications. It is crucial to manage the tumors at the right time.

Symptoms of Spinal Tumor

Non-mechanical back pain, especially in the middle or lower back, is the most frequent symptom of both benign and malignant spinal tumors. This back pain is not specifically attributed to injury, stress or physical activity. However, the pain may increase with activity and is often worse at night. Pain may spread beyond the back to the hips, legs, feet or arms and may worsen over time — even when treated by conservative, nonsurgical methods that can often help alleviate back pain attributed to mechanical causes. Depending on the location and type of tumor, other signs and symptoms can develop, especially as a malignant tumor grows and compresses on the spinal cord, the nerve roots, blood vessels or bones of the spine. Impingement of the tumor on the spinal cord can be life-threatening in itself.

Additional symptoms can include the following:

  • Loss of sensation or muscle weakness in the legs, arms or chest
  • Difficulty walking, which may cause falls
  • Decreased sensitivity to pain, heat and cold
  • Loss of bowel or bladder function
  • Paralysis that may occur in varying degrees and in different parts of the body, depending on which nerves are compressed
  • Scoliosis or other spinal deformity resulting from a large, but benign tumor

Diagnosis

  • An examination to diagnose a spinal cord tumor will look for the following signs:
  • Soreness in the area of the spine
  • Inability to feel pain, heat, or cold
  • An abnormal reflex response

These tests can help confirm the diagnosis and pinpoint the tumor’s location:

  • Imaging tests of the spine, such as a CT scan, MRI, or myelogram, which uses an X-ray in combination with an injection of contrast dye into the spine to better see the tumor
  • Hormone tests
  • Biopsy (removal of a small pieces of the tumor to determine what type it is)
  • Exam of the cerebrospinal fluid and the cells in the fluid

Treatment Options for Spinal Tumor

Pain and swelling can be managed through the use of analgesics and steroids. Patient may be advised to wear a brace to increase spinal stability and minimize pain.

Depending on the type of spine tumor, the tumor’s location, and your medical condition, treatments may include chemotherapy, radiation therapy, and/or surgical removal of the tumor. If surgical removal is not possible due to the tumor’s location, embolization may be performed which limits blood flow to the tumor.

If surgery is required, all or only part of the spine tumor may be removed. Surgery is typically recommended when:

  • Other treatments have failed to relieve pain
  • Spine stabilization is necessary
  • Some spinal vertebrae have destructed
  • A biopsy is needed
  • Nerves are compressed

Recovery after Spinal Tumor Surgery

The typical hospital stay after surgery to remove a spinal tumor ranges from approximately 4-5 days. Any surgery, radiation treatment, or chemotherapy can drain the patient nutritionally. Therefore, a proper diet is important to regain strength. A professional nutritionist can provide guidance. A period of physical rehabilitation is required after surgery to remove a spinal tumor for the patient to build strength, endurance, and flexibility. A patient can work with physical and occupation therapist as well as doctors that specialize in physical recovery following major operations.

The total recovery time after surgery may be as short as three months or as long as a year, depending on the complexity of the surgery. Most patients will feel close to normal by three to four months. The healing process, however, continues for several months after surgery and may last up to a year or more.

It will be required to follow-up with the doctor for a period of time to detect any evidence of recurrence of the tumor. This is usually done with periodic MRI scans. The likelihood of the tumor recurring depends on the type of tumor and whether or not it has spread from elsewhere in the body.

 


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21/Aug/2019

Vertebral compression fractures (VCFs) are the most common fracture in patients with osteoporosis. The prevalence of this condition increases as people age. People who have sustained one VCF are at five times the risk of sustaining a second VCF. Occasionally, a VCF can be present with either minor symptoms or no symptoms, but the risk still exists for additional VCFs to occur.

Causes

VCFs occur when the bony block or vertebral body in the spine collapses, which can lead to severe pain, deformity and loss of height. These fractures more commonly occur in the thoracic spine (the middle portion of the spine), especially in the lower part. While osteoporosis is the most common cause, these fractures may also be caused by trauma or metastatic tumors.

Osteoporosis:

In people with severe osteoporosis, a VCF may be caused by simple daily activities such as:

  • stepping out of the shower
  • sneezing vigorously
  • lifting a light object

In people with moderate osteoporosis, it usually takes increased force or trauma, such as:

  • falling down
  • attempting to lift a heavy object

Trauma:

People with healthy spines most commonly suffer a VCF through severe trauma. Injury severe enough to cause a vertebra to break can occur with a fall from a tall height in which the person lands on his or her feet or buttocks. It can also occur in a person involved in a car accident.

Pathologic fracture:

Pathologic fracture is a fracture occurring in the vertebra due to the pre-existing disease at the fracture site. Most commonly, this type of break is from cancer in the bone, which has often traveled from other sites in the body called metastasis, such as from the prostate, breast, or lungs. Metastatic tumors should be considered as the cause in patients younger than 55 with no history of trauma or only minimal trauma. The bones of the spine are commonplace for many types of cancers to spread. Cancer may cause destruction of part of the vertebra, weakening the bone until it collapses.

The pathologic fracture can also occur with other diseases, such as Paget’s disease of bone and infection of the bone (osteomyelitis).

Symptoms

The main clinical symptoms of VCFs may include any of the following, alone or in combination:

  • Sudden onset of back pain. It tends to be in the lower back but may occur in the middle or upper back or neck. Some people may also have hip, abdominal, or thigh pain
  • Numbness, tingling, and weakness which could mean compression of the nerves at the fracture site
  • An increase in pain intensity while standing or walking
  • A decrease in pain intensity while lying on the back
  • Limited spinal mobility
  • Eventual height loss
  • Eventual deformity and disability
  • Losing control (incontinence) of urine or stool or inability to urinate (urinary retention) which could mean the fracture may be pushing on the spinal cord itself

Complications

Complications related to VCF include:

  • Segmental instability
  • Kyphosis
  • Neurological complications

Segmental instability:

There is a risk of segmental instability when a fracture leads to a vertebral body collapse of more than 50 percent. The spinal segments work together to enable weight-bearing, movement and support of the entire spine. When one segment deteriorates or collapses to the point of instability, it can produce pain and impair daily activities. The instability ultimately results in quicker degeneration of the spine in the affected area.

Kyphosis:

Kyphosis is a common disorder in older women who have osteoporosis and frequent VCFs. The front of the vertebrae will collapse and “wedge” due to the lack of normal vertebral space. Kyphosis leads to a more rounded thoracic spine. This deformity is sometimes referred to as hunchback or dowager’s hump.

Severe kyphosis may cause extreme and debilitating pain. The hunchback deformity may eventually compress the heart, lungs and intestines. This, in turn, can lead to fatigue, shortness of breath and loss of appetite.

Neurological complications:

If the fracture causes part of the vertebral body to place pressure on the spinal cord, the nerves and spinal cord can be affected. The normal space between the spinal cord and the beginning of the spinal canal can be reduced if pieces of the broken vertebral body push into the spinal canal.

The narrowing of the spinal canal due to a VCF can lead to immediate injury to the spinal nerves or can cause problems later from irritation of the nerves. The lack of space can also lower the supply of blood and oxygen to the spinal cord. This can lead to numbness and pain in the nerves that are affected. The nerves may lose some of their mobility when the space around them decreases, which can lead to nerve irritation and inflammation.

Diagnosis

X-rays: People older than 65 years, who have cancer, or who have had significant trauma may have X-rays performed. If younger than 65 years and do not have any medical problems or severe pain, then X-rays may not be necessary.

CT scan of the spine: If a fracture is discovered, it may be needed to determine the extent of the fracture.

MRI of the spine: A diagnostic test that produces 3-D images of body structures using powerful magnets and computer technology; can show the spinal cord, nerve roots and surrounding areas, as well as enlargement, degeneration, and tumors.

Dual-energy x-ray absorptiometry (DXA or DEXA) or bone densitometry: This test is the established standard for measuring bone mineral density and can determine if osteoporosis exists. The scanner painlessly and rapidly directs x-ray energy from two different sources towards the bone being examined in an alternating fashion at a set frequency. A DEXA scan can detect small changes in bone mass and is also more flexible since it can be used to examine both the spine and the extremities. A scan of the spine, hip or the entire body requires less than four minutes.

Treatment

Non-surgical treatment for Vertebral Compression Fractures

Traditionally, people with severe pain from VCFs have been treated with bed rest, medications, bracing or invasive spinal surgery, often with limited effectiveness. Pain secondary to acute vertebral fracture appears to be caused in part by vertebral instability (non-union or slow-forming union) at the fracture site. VCF-related pain that is allowed to heal naturally can last as long as three months. However, the pain usually decreases significantly in a matter of days or weeks.

  • Pain medications: Over-the-counter pain medications are often effective in relieving pain. Both acetaminophen and non-steroidal anti-inflammatory drugs (NSAIDs) are commonly recommended. Narcotic pain medications and muscle relaxants are often prescribed but only for short periods of time, due to the risk of addiction.
  • Activity modification: Bed rest may be advised for a short period of time, followed by a limitation on some activities. However, prolonged inactivity should be avoided.
  • Back bracing: A back brace can provide external support to limit the motion of fractured vertebrae, similar to the support a cast provides on a leg fracture. The rigid style of back brace limits spine-related motion greatly, which may help reduce pain. However, braces should be used cautiously and only under a doctor’s supervision. Weakening and loss of muscle can occur with excessive use of braces for lumbar conditions.

Surgical Treatment for Vertebral Compression Fractures:

When conservative treatment options have proven ineffective, the following surgical procedures may be used to treat VCFs:

  • Vertebroplasty
  • Kyphoplasty

Vertebroplasty and Kyphoplasty

These procedures for spinal compression fractures involve small, minimally invasive incisions, so they require very little healing time. They also use acrylic bone cement that hardens quickly, stabilizing the spinal bone fragments and therefore stabilizing the spine immediately. Most patients go home the same day or after one night’s hospital stay.

Patients with the following criteria may be considered candidates for vertebroplasty or kyphoplasty:

  • Osteoporotic VCFs in any area of the spine that have been present for more than two weeks, causing moderate to severe pain and unresponsive to conservative therapy
  • Painful metastases and multiple myelomas
  • Painful vertebral hemangiomas (benign, malformed vascular tumors composed of newly formed blood vessels)
  • Vertebral osteonecrosis (a condition resulting from poor blood supply to an area of bone, which causes bone death)
  • Reinforcement of a pathologically weak vertebral body before a surgical stabilization procedure

Vertebroplasty: This procedure is effective for relieving pain from vertebral compression fractures and helping to stabilize the fracture. During this procedure:

  • A needle is inserted into the damaged vertebrae.
  • X-rays help ensure that it’s done with accuracy.
  • The doctor injects a bone cement mixture into the fractured vertebrae.
  • The cement mixture hardens in about 10 minutes.
  • The patient typically goes home the same day or after a one-night hospital stay.

Kyphoplasty: This procedure helps correct the bone deformity and relieves the pain associated with vertebral compression fractures. The procedure involves:

  • A tube is inserted through a half-inch cut in the back into the damaged vertebrae. X-rays help ensure the accuracy of the procedure.
  • A thin catheter tube — with a balloon at the tip — is guided into the vertebra.
  • The balloon is inflated to create a cavity in which liquid bone cement is injected.
  • The balloon is then deflated and removed, and bone cement is injected into the cavity.
  • The cement mixture hardens in about 10 minutes.

Patients with any of the following criteria should not undergo these procedures:

  • A VCF that is completely healed or is responding effectively to conservative therapy
  • A VCF that has been present for more than one year
  • Greater than 80-90 percent collapse of the vertebral body
  • Spinal curvature, such as scoliosis or kyphosis, that is due to causes other than osteoporosis
  • Spinal stenosis or herniated discs with nerve or spinal cord compression and loss of neurological function not associated with a VCF
  • Untreated coagulopathy (a disease or condition affecting the blood’s ability to coagulate)
  • Osteomyelitis (an inflammation of the bone and bone marrow, usually caused by bacterial infection)
  • Discitis (nonbacterial inflammation of an intervertebral disc or disc space)
  • Significant compromise of the spinal canal caused by impeding bone fragment or tumor

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21/Aug/2019

Spinal fusion is surgery to permanently connect two or more vertebrae in the spine, eliminating motion between them.

Spinal fusion involves techniques designed to mimic the normal healing process of broken bones. During spinal fusion, a bone or a bone-like material is placed within the space between two spinal vertebrae. Metal plates, screws, and rods may be used to hold the vertebrae together, so they can heal into one solid unit.

Why Spinal Fusion is done

Spinal fusion permanently connects two or more vertebrae in the spine to improve stability, correct a deformity or reduce pain. Spinal fusion may be recommended to treat:

  • Deformities of the spine. Spinal fusion can help correct spinal deformities, such as a sideways curvature of the spine (scoliosis).
  • Spinal weakness or instability. The spine may become unstable if there’s abnormal or excessive motion between two vertebrae. This is a common side effect of severe arthritis in the spine. Spinal fusion can be used to restore spinal stability in such cases.
  • Herniated disc. Spinal fusion may be used to stabilize the spine after removal of a damaged (herniated) disc.

Best candidates for spinal fusion surgery

Spinal fusion surgery prevents movement between vertebrae that are rubbing against each other and causing pain. After the procedure, the two vertebrae are fused together, eliminating any movement between them. The pain should then completely disappear, permanently. Surgical procedures are usually performed only as a last resort for treating back pain, spinal fusion can lead to a long-term pain resolution for the right candidate.

Spinal fusion is considered one of the best procedures to treat people with:

  • Lumbar Spondylolisthesis: Spondylolisthesis is a condition in which one of the bones in the vertebra (vertebra) slips forward and out of place. This may occur anywhere along the spine but is most common in the lower back (lumbar spine). In some people, this causes no symptoms at all. Others may have back and leg pain that ranges from mild to severe.
  • Lumbar degenerative disc disease: This condition weakens one or more of the vertebral discs. The discs normally act as a cushion between the vertebrae. Degenerative disc disease can develop as a natural part of the aging process, but it may also result from injury to the back and become a source of chronic pain. One of the first symptoms is experiencing pain, numbness or tingling in the legs. Strong pain tends to come and go. Bending, twisting and sitting may make the pain worse. Lying down often relieves pressure on the spine.
  • Scoliosis: This condition causes a normally straight spine to curve. Scoliosis can limit the ability to move normally. If it’s severe enough, it can cause pain. A misshapen rib cage can restrict normal lung growth and the ability to breathe.
  • Unstable or weak spine
  • Spine fractures
  • Deformities

Whether spinal fusion is right for a patient or not depends on a number of factors. Ideally, the procedure works best when there are only two vertebrae involved in the movement that requires the graft. With a one-level fusion, any limitations in movement may not even be noticed.

Spinal fusion on two levels may feel slightly restrictive, depending on the location of the afflicted vertebrae. Once beyond two levels, though, a marked reduction in movement will definitely be noticed. Typically, a spinal fusion of three or more levels is reserved for those with the most severe spinal handicaps, such as extensive scoliosis or life-threatening deformities.

Important additional factors to be considered before spine fusion surgery

In addition to the spinal fusion approach used, there are a number of other factors to be considered before spine fusion surgery which include:

  • PLIF and TLIF surgery :

The posterior lumbar interbody fusion (PLIF) and transforaminal lumbar interbody fusion (TLIF) surgeries allow for placement of bone or a cage in the disc space, increasing the fusion rate and hopefully a better clinical outcome. There is a more neurologic risk because of the need to retract the nerve roots, however, major nerve injury is unusual. It has the advantage of placing a structural graft or device in the major weight-bearing part of the spine while avoiding a separate incision.

  • Bone graft :

Traditionally, bone graft has been harvested from the patient’s own iliac crest (pelvis) to stimulate the fusion site. Cadaver bone often is useful in anterior fusions, but it works poorly in posterior applications. Recent advances have allowed spine surgeons to decrease the need for bone graft harvest by using substitutes, e.g., collagen sponges, demineralized bone matrix, platelet-derived growth factors and, most promising, bone morphogenic protein (BMP).

The bone morphogenic protein currently in use (Infuse) has FDA approval for anterior application only. Further research is ongoing to document the utility of these products, which allow for diminished patient trauma that can occur from harvesting bone graft from the patient’s own hip.

  • Minimally invasive surgery (MIS) :

Much work is in development to try to decrease the trauma patients incur by placing pedicle screws through smaller incisions. This is thought to result in less muscle trauma and allow for more rapid recovery after spine surgery.

Caution needs to be exercised, however, as even though a technique is less traumatic, if the spine fusion rate is much lower, then there is really not an advantage. Also, it has yet to be demonstrated that minimally invasive spine fusion systems actually cause better outcomes than some other surgical techniques used in the traditional open approach.

Spine Fusion Risks and Complications

Spinal fusion is generally a safe procedure. But as with any surgery, spinal fusion carries the potential risk of complications.

Potential risks and complications include:

  • Infection
  • Poor wound healing
  • Bleeding
  • Blood clots
  • Injury to blood vessels or nerves in and around the spine
  • Pain at the site from which the bone graft is taken
  • Possible re-operation
  • Lack of a solid fusion

The most common risk of any of the modern spine fusion surgery techniques is the failure to relieve lower back pain symptoms following the surgery. In the best of all situations, this risk occurs in a minimum of 20% of spine fusion surgeries. The likelihood of this result becomes even more frequent with fusions of three or more levels. This outcome is commonly referred to as “failed back surgery syndrome”.

There is also a risk that the vertebrae may not fuse together following the surgery, called pseudoarthrosis. With modern techniques happens in approximately 5% to 10% of spine fusion surgeries.

It is well documented in the medical literature that people who smoke have a lower rate of successful spine fusion.

If pedicle screws are used, there is a risk that the screws may break or become loose and may require further surgery to remove or revise the screws and rods.

Anterior grafts and cages can migrate or subside, which may require repeat spine surgery. If the anterior devices were placed anteriorly (from the front), rather than through a PLIF or TLIF (approaches through the back), it is safest to do this revision spine fusion surgery with a posterior approach (from the back).

All spine fusion surgeries have the potential for complications. Thankfully, most of the complications occur infrequently. The complications that can occur include those that would be associated with any type of surgery, such as infection, bleeding, and anesthetic complications.

Another potential complication of spine fusion surgery in the low back includes any type of nerve damage. Although major loss of the strength and sensation to the legs or loss of bowel or bladder control can occur, it is rare. In a small percentage of men who have an anterior fusion, an infrequent complication results in difficulties with ejaculation following spine fusion surgery. There is a small plexus of nerves in front of the L5-S1 disc space that helps control ejaculation. If these nerves are affected (which can happen 1% of the time) then a valve will not close that forces the ejaculate outward. The ejaculate then follows the path of least resistance, which is up into the bladder. The most significant side effect of this complication is that it is very difficult to complete conception. The potency is not affected, and the sensation of sex is still largely the same. In about half of cases, this complication resolves over the course of about 6 to 12 months.

The success rate of spine fusion surgery

Spinal fusion operation is a salvage procedure. For patients with disabling back pain and leg pain, significant benefits can be obtained with successful spinal fusion.

Studies indicate that the patient’s pain is improved 60% to 70% after spinal fusion surgery and approximately 80% of patients undergoing spinal fusion surgery are satisfied with the surgical result.

An accurate diagnosis is needed with clear objectives for the procedure. The rest of the responsibility for success rests with the candidate. Spinal fusion works best on people who do not smoke, are not obese and live a relatively healthy lifestyle.

As with any surgery, a positive attitude goes a long way. Additionally, it is important to be motivated to pursue the physical therapy that’s going to be required following the spinal fusion surgery. Spinal fusions almost always lead to pain-free living with little or no residual complications.




About Dr. Arun Saroha


Dr.Arun Saroha is working as Neurosurgeon with a special interest in spine surgery for the last 15 years. He specializes in Neuro-oncology, Paediatric Neurosurgery, Neurotrauma, Stroke & Cerebrovascular surgery including Transnasal surgeries. He has also been performing instrumented/ Non-instrumentation spine surgeries, including minimally invasive spine surgeries. He has performed more than 6,000 Neurosurgeries (Spine and Brain) successfully till date with patients from all over the world.




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