What is Spinal Fracture Fixation
Spinal injuries due to fracture of spine vertebrae can cause bone fragments which may pinch or damage the spinal cord and nerves around it. Depending upon the severity of the fracture the patient may experience pain, difficulty in walking or standing and disability to move leg or arm. The common reasons for Spinal fracture are car accidents, sports injuries, osteoporosis or spinal tumor.
The treatment varies depending upon the type of the fracture and the instability. Most fractures can be treated by non-surgical treatments like Rest, medicines, Physiotherapy but the severe ones may need surgical treatment. In some crucial cases a Spinal surgery may be suggested.
How is Spinal Fracture Fixation performed
The treatment for Spinal Fractures starts with getting the pain in control and stabilizing the spine to prevent further injury. In case of accidents other areas might also have got affected which needs to be attended. Depending upon the area, type of fracture and the instability caused by the fracture; the surgeon might choose bracing or surgery or both.
Braces – Braces are used to stabilize the spine by maintaining the alignment, restricting the spine movement in order to avoid pain and fasten the healing process. Some fractures which are minor in nature and do not cause spinal deformity or neurological problem can be treated by braces and other non-surgical treatments. While others major fractures need surgical treatment and bracing too.
Spinal Fusion – If fracture requires two vertebrae to be joined together with a bone graft, plates, screws so as to restrict the movement which could be painful; then a Spinal Fusion is done.
Laminectomy or Spinal Decompression Surgery -If the fracture has caused bone spurs in the spinal canal leading to pain or pinching of the spinal cord or compressing the spinal canal; then a Laminectomy or Spinal Decompression surgery is preferred.
Vertebroplasty or Kyphoplasty – When a vertebra in the spinal column fractures, it develops fragments which may rub and slide against each other or push the spinal cord causing extreme pain. These fractures are called Vertebral compression fractures and mostly caused by thinning of bones or Osteoporosis. Vertebroplasty & Kyphoplasty are types of minimally invasive techniques to treat such fractures.
Why to do Spinal Fracture Fixation
Spinal Fracture Fixation surgery is usually recommended in the cases where the spinal fracture is pressing a nerve or spinal cord. This pressure on the spinal cord and nerves can cause weakness, numbness and pain that radiate down your arms or legs. In some cases, it becomes difficult to stand or walk even for a short distance. Also, at times one may experience loss of bowel and bladder control. Fractures related to Osteoporosis or degeneration of disc can lead to deformity like khyposis. In cases where the Spinal fractures causes neurological damage or deformity and cannot be cured by non-surgical methods then it is suggested to go for Spine Fracture Fixation surgery.
When should I consider opting for Spinal Fracture Fixation Surgery
Spinal Fractures which are stable and minor in nature can be cured by non-surgical methods like braces and physiotherapy. Not more than 10% of the cases citing pain due to Back pain or Neck pain needs spine surgery. So do not delay in consulting our spine specialist in Mumbai, Dr Bhavin Shial. If Non- surgical treatments like medicine, physiotherapy, posture correction & spinal injections don’t result into relief in a defined period of time then the spine specialist can list the other surgical options like Spinal fusion or Laminectomy for Spinal Fracture Fixation.
FAQs for Spinal Fracture Fixation Surgery in Mumbai
The cost of a Spinal Fracture Fixation depends upon the severity of the condition, patient’s health condition, the procedure to be adopted, the equipment, implants, bone graft to be used, the hospital and ward category selected.
Dr Bhavin Shial performs Spinal Fracture Fixation surgeries for patients at various budget hospitals and premium hospitals and he will guide you on the most economical option for you based on your need.
Spinal Fracture Fixation can be performed by Spine surgeons, Orthopaedic surgeons and Neuro surgeons. Dr Bhavin Shial is a certified Minimally Invasive Spine Surgeon. He holds a degree in Master of Surgery in Orthopaedic and has done his Spine Fellowship from P.D. Hinduja Hospital. He has also earned esteemed international fellowship in Microsurgery and Minimally Invasive Spine Surgery training in Germany. In his experience spanning over 11 plus years, he has performed more than 3000 + spine surgeries and provides best spine treatment in Mumbai. He is qualified and has the experience of performing different techniques of Spine Fracture Fixation varying from Minimally Invasive technique to Open Traditional technique.
Spinal Fracture Fixation surgery is done with different techniques depending upon the complexity of case and the area affected. Different cases have different success matrix. However, most Spine Fracture Fixation is successful in 80% to 90% cases. Resuming all activities like before may take 6 to 9 months and the patient may need to use spinal brace till the healing completes. The success of the surgery totally depends upon factors like Patient’s health and age, severity of the condition, post-operative care and follow-ups.
Spinal Fracture Fixation surgery patients are generally discharged in 3 to 4 days, however if multiple fractures are treated with multiple procedures then the hospital and the surgeon take additional care to keep the patient under observation in the hospital for a little longer. In most cases the patient is discharged in 5 to 7 days after the surgery.
The post-operative care and period varies for each case. Common post-operative care includes following doctor’s advice on wearing cervical collar, braces, medicines, physiotherapy, avoiding heavy weight lifting, rest, follow-up consultations and keeping a watch on fever and infection. The period of post-operative care ranges from few weeks to few months depending upon the procedure.
In most cases Spinal Fracture Fixation surgery treatments are covered by your health insurance or Mediclaim company. The extent of coverage would totally depend upon the type of policy and sum insured opted by you. It is advisable to check with your Mediclaim company to get a better clarity.
Almost 90% of the Spine problems can be rectified with non-surgical treatments and do not need surgery. At Spine and Sports Clinic, we do not believe in suggesting unnecessary surgical procedures. Dr Bhavin Shial’s first route of treatment is non-surgical options. Some of the non-surgical alternatives for spine problems that he suggests depending on the health of the patient and severity of the condition are Rest, Posture correction, Physiotherapy, pain medicines and epidural injections. It is advisable to visit Spine and Sports Clinic in Mumbai and consult spine specialist, Dr Bhavin Shial to discuss the non-surgical options suitable for your condition.