Posterior Lumbar Interbody Fusion Surgery in India
Posterior Lumbar Interbody Fusion (PLIF) Surgery in India at Best Spinal Surgery Hospitals in India.
A posterior lumbar interbody fusion (PLIF) is a type of spine surgery that can be performed in a minimally invasive way. Posterior lumbar interbody fusion (PLIF) is a type of spine surgery that involves approaching the spine from the back (posterior) of the body to place bone graft material between two adjacent vertebrae (interbody) to promote bone growth that joins together, or “fuses,” the two structures (fusion). The bone graft material acts as a bridge, or scaffold, on which new bone can grow. The ultimate goal of the procedure is to restore spinal stability.
Today, a PLIF may be performed using minimally invasive spine surgery, which allows the surgeon to use small incisions and gently separate the muscles surrounding the spine rather than cutting them. Traditional, open spine surgery involves cutting or stripping the muscles from the spine. A minimally invasive approach preserves the surrounding muscular and vascular function, minimizes scarring, hastens recovery and decreases hospitalization stay.
How is it done?
PLIF surgery aims at achieving spinal stability through bony fusion by two ways: The Open PLIF is the traditional technique which is performed using general anesthesia. The patient is made to lie down on his front side on the table with the low back exposed. A 3-6 inch long incision is made on the skin overlying the affected vertebrae. The skin and the fascia are cut open. The underlying muscles are retracted and the affected vertebrae are identified. Fluoroscopic X-ray is used to confirm the exact location of the affected vertebrae. Then a complete laminectomy (removal of the lamina of the vertebrae) followed by bilateral foraminotomy (enlargement of the foramen by removing the bony spurs) and/or discectomy (removal of offending disc) are performed.
This relieves the compression off the spinal nerves, allowing them to come to their normal size and shape. The area is checked for any remaining bony outgrowth or disc fragments that may compress the nerves. Autogenic bone grafts or Metal or plastic implants are fitted in the empty disc space for initiating bone growth. Finally, pedicle screws are placed into the upper and lower vertebrae and connected with rods or plates. New bone is allowed to grow over these rods, helping to bridge the adjacent vertebrae and achieving interbody fusion. The total surgery time is approximately 3 to 6 hours, depending on the number of spinal levels involved.
The other method is the Minimally Invasive PLIF procedure
which is performed using x-ray guidance: 2.5-cm incisions are made on either side of the lower back. The muscles are gradually dilated and tubular retractors inserted to allow access to the affected area of the lumbar spine. The lamina is removed to allow visualization of the nerve roots. The offending disc material is removed from the spine and replaced with a bone graft and structural support from a cage made of bone, titanium, carbon-fiber, or a polymer, followed by placement of rod and screws. The tubular retractors are removed, allowing the dilated muscles to come back together, and the incisions are closed. This procedure typically takes about 3 to 3 ½ hours to perform. There was less blood loss, tissue trauma, operative time, and quick recovery in this procedure as compared to the traditional one
Post-Operative Care after PLIF
Most patients are usually able to go home 3-5 days after surgery. Before patients go home, physical therapists and occupational therapists work with patients and instruct them on proper techniques of getting in and out of bed and walking independently. Patients are instructed to avoid bending at the waist, lifting (more than five pounds), and twisting in the early postoperative period (first 2-4 weeks) to avoid a strain injury. Patients can gradually begin to bend, twist, and lift after 4-6 weeks as the pain subsides and the back muscles get stronger.
Recovery from PLIF
Rehabilitation after PLIF can be a slow process. Many surgeons prescribe outpatient physical therapy beginning a minimum of six weeks after surgery. This delay is needed to make sure the graft has time to begin to fuse. You will probably need to attend therapy sessions for two to three months. You should expect full recovery to take up to eight months.
Affordable Cost of Posterior Lumbar Interbody Fusion Surgery in India at Best Spinal Surgery Hospitals in India.
Posterior Lumbar Interbody Fusion Surgery cost in India: $7400 USD
Note:- Cost of Posterior Lumbar Interbody Fusion Surgery in India at Best Spinal Surgery Hospitals in India,above include stay in a Private Room for specific number of days where a companion can stay with the patient, surgeon fee, medicines and consumables, nursing care and food for the patient. More accurate treatment cost estimates can be provided if medical reports are emailed to us or after the patient is examined by doctors after arrival in India and medical tests are done.
MBBS, M.S., D.Orth
30 + Years
MBBS, MS (Orthopaedics), DNB Spine Surgery (FNB)
M.B.B.S, MS (Orth, DNB, D Orth, FRCS (Glasg),FRCS (Tr & Orth), MCh (Lpool), MSc (Orth) UK.
25 + Years
M.B.B.S ,M.S. (Ortho). FRCS (Edin),Mch (Ortho.) (Liverpool)
17 + Years
M.B.B.S., M.S. (Ortho), DNB (Ortho), F.R.C.S. (Glasgow), F.R.C.S.(Eden), F.R.C.S.(Ortho) London, M.ch(Ortho) Liverpool
M.B.B.S,MS DNB, MNAMS, M Ch (UK)
M.B.B.S,M.S (ORTHO) ,D.N.B
Why choose Med Access for Posterior Lumbar Interbody Fusion Surgery in India?
Comprehensive Spine Surgery and Treatment in India:
• Comprehensive management of spine disorder from birth defects to degeneration of tumor and trauma.
• Expert evaluation of spinal problems by dedicated team of experienced spine Surgeons, Rheumatologists, Neurologist, Physicians and Physiotherapist
• Dedicated team of International trained and vastly experienced Spine Surgeons, Rheumatologists, Neurologist, Physicians and Physiotherapist.
• Latest Generation Diagnostic and Imaging facilities including dynamic digital X rays, Spiral CT scanning , MRI and Electrophysiology unit all under one roof.
• Close monitoring and control of the entire treatment process.
• Professional and comprehensive management of each case through case management to achieve best treatment outcome and avoid errors
• Use of most advanced Surgical techniques for treatment of spinal ailments with focus on Minimal Access Micro Endoscopic spine surgeries, Functional spine preservation techniques and Spinal Arthroplasty for all( disc diseases) as well as instrumentation.
• Physiotherapy and Rehabilitation by experts after the surgery help you regain functional abilities quickly helping in vastly improved overall results.
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