What Is Cervical Spine Surgery?

Cervical spine surgery is performed to remove herniated discs and fuse the vertebrae together, as well as other operations to remove tumors, treat infections or correct spinal deformities. Cervical spine surgery procedures are performed by a skilled surgeon using minimally invasive techniques that minimize scarring and recovery time. It is a type of surgery that takes place on the cervical (neck) area of your spine This part of your spine is called the cervix because it connects the head and upper body to the lower part of the body (the thoracic and lumbar areas). During cervical spine surgery, a doctor may repair or replace disks or vertebrae. Also, surgeons will fix fractures and repair bony injuries caused by trauma. Cervical spine surgery can be performed with an open approach or with robotic assistance

What Are Cause Of Cervical Spine Surgery?

Cervical spine surgery becomes necessary when degenerative illness or deformity affects the spine, leading to disc contraction and breakdown, known as disc herniation. Typical symptoms include numbness, tingling, weakness, and discomfort in the arms and hands. If conservative treatments fail, surgery may be recommended to alleviate spinal cord pressure and relieve symptoms.

Spine Disorders And Its Treatments

Spondylosis (Degenerative Disc Disease):

  • Gradual wear and tear of vertebral discs.
  • Affects lumbar spine (lower back) most commonly.
  • Non-surgical treatments include anti-inflammatory medications and physical therapy.
  • Surgical options may involve prosthetic disc implantation.

Slipped Disc:

  • Inner parts of the disc swell outward due to weakness in the disc's external surface.
  • Symptoms include back pain, tingling, and discomfort in the arms or legs.

Treatments:

  • Disc replacement and microdiscectomy spine surgery.

Spondylolisthesis:

  • Forward slippage of one vertebra over another, often in the lumbar region.
  • Puts pressure on nerve roots, causing pain and dysfunction.
  • Three types: congenital, isthmic, and degenerative.

Scoliosis:

  • Abnormal curvature of the spine, forming an "S" or "C" shape.
  • Adolescent Idiopathic Scoliosis is most common.
  • Surgery recommended for severe curvature to reduce deformity and prevent future issues.

Spinal Tumors:

  • Any abnormal growth in the spine, malignant or benign, can cause discomfort and neurological problems.
  • Treatment: Total Spondylectomy, removing the entire affected vertebra.

Spinal Injuries:

  • Damage to the spinal cord due to trauma, loss of blood flow, or tumor compression.
  • Can result in complete or incomplete loss of functions below the injury level.
  • Purpose of surgery is to stabilize the spine.

Revision Surgery:

  • Involves operating on both the front and rear parts of the neck, depending on the condition.

Symptoms That Your Cervical Spine Might Be Affected

  • Agony
  • Head or neck injury
  • Arms and legs are weak or numb.
  • Injury to the neck causes neck pain.
  • Neck pain accompanied by a fever or a headache.
  • From contacting chin to chest, a stiff neck makes it tough.

Cervical Spine Surgery Preparation

Preparing for cervical spine surgery involves both physical and logistical preparations to ensure a smooth recovery process.

How to Prepare for Cervical Spine Surgery:

  • Ensure your overall health is in check before surgery.
  • Arrange your home environment for easy access to necessary items post-surgery.
  • Quit smoking at least two weeks before surgery to aid in healing.
  • Organize essential items in easily reachable places to avoid bending.
  • Consider making a blood donation if required for the surgery.
  • Discontinue any medications, including painkillers and supplements, two weeks prior to surgery, after consulting with your neurosurgeon.
  • Undergo a pre-surgical physical examination at least ten days before the surgery date to assess your health status.
  • Prepare hospital supplies such as comfortable clothing, toiletries, and essentials for your stay.

Cost of Cervical Spine Surgery in India:

  • The cost of cervical spine surgery in India ranges from USD 4600 to USD 7,500 (INR 364,800 to 594,783), depending on the hospital and city.

Risks and Complications of Cervical Spine Surgery:

  • While cervical spine surgery has a high success rate, complications can occur, including infection, incomplete spinal fusion, bleeding, deterioration around the surgery site, loosening of screws or plates, chronic pain or stiffness, and nerve injury resulting in arm paralysis.

Options for Dealing with Risks:

  • Discuss the risks and benefits of surgery with your surgeon before making a decision.
  • Ensure thorough pre-operative assessment, considering spine pathology and other medical conditions that may affect the outcome.
  • Communicate openly about any medical issues and potential post-operative complications with your surgeon.