Spinal Fusion Cost in Turkey
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What is spinal fusion?
Spinal fusion is a surgical procedure to join two or more bones in the spine. They cannot travel past each other if they are connected. Keeping still can help you avoid pain. A surgeon inserts bone or a substance that resembles bone between the two spinal bones during spinal fusion. The bones may be held together by metal plates, screws, or rods. They can then combine and become one bone to recover.
Fusion will reduce spinal flexibility to some extent, but as most spinal fusions only involve minor portions of the spine, motion is not typically greatly restricted. Most patients won’t experience a loss in the range of motion. If your particular treatment could affect your spine’s flexibility or range of motion, your surgeon will discuss this with you.
Your surgeon might also do a decompression if you also experience arm or leg discomfort in addition to back pain (laminectomy). In order to relieve pressure on the spinal nerves caused by bone and sick tissues, this treatment must be performed.
What is the purpose of the surgery?
To strengthen the spine, fix a condition, or lessen pain, two or more of spinal bones are fused together. Uses for spinal fusion include:
Reshape the spine. Spinal fusion can be used to fix issues in the spine’s construction. One instance is scoliosis, which is the sideways curvature of the spine.
Spinal instability or weakness. The spine can become unstable if there is too much movement between two spinal bones. This is a typical side effect of severe spine arthritis. Spinal arthritis is the medical term for the inflammation of the facet joints in the spine or the sacroiliac joints between the spine and the pelvis. The spine may become more stable by spinal fusion.
Defective disk. The spine may be stabilized by spinal fusion following the removal of a damaged disk.
What are the benefits of spinal fusion surgery?
Pain Relief: The most evident advantage of spinal fusion surgery is that it can relieve pain in patients who are not benefiting from conservative treatment.
Stability: People with unstable spines should also consider spinal fusion treatments. In addition to causing pain and discomfort, spinal instability puts you at an increased risk of fractures and soft tissue compression. A spinal fusion operation aids in bolstering and stabilizing the spine.
Resuming Activities: For some people with displaced discs, moving causes too much discomfort to engage in the hobbies they formerly loved. You may be able to restore your independence and resume some physical activities that you were unable to do when your spine was in pain after undergoing a spinal fusion procedure
Treats Variety of Conditions: Although a spinal fusion operation is not always the initial course of treatment for many conditions, it can be helpful for many different problems. Spinal fusion surgeries can help with disc shifts, spinal stenosis, scoliosis, and vertebral fractures.
High Success Rates: Success in the case of spinal fusion is often characterized as a significant decrease in pain from the pre-operative level. The success rate of spinal fusions ranges from 50% to 90%. These figures range widely since spinal fusion is a complicated treatment with a wide variety of procedures, alternatives, and patient types. Due to this complexity, there is no single approach that works well for all patients and no simple way to compare outcomes. Working with a qualified surgeon and exploring all appropriate non-surgical options before considering surgery is the greatest approach to guarantee that your procedure will be successful.
What are the risks of procedure?
Limited Movement: A spinal fusion procedure may be able to increase your mobility in some cases where the pain is severely restricting it. Other times, a part of your spine loses flexibility because two vertebral pieces are joining together. Most people are willing to give up some of their spine’s flexibility if it means they will experience minimal or no pain.
Persistent Pain: Your pain may not completely go after spinal fusion. The operation may assist people with scoliosis or similar spinal curvature issue to prevent further curving, but it might not be able to relieve all of your pain. You can have some pain and discomfort even after spinal fusion.
In general, spinal fusion is secure. But it has dangers, just like any surgical procedure. Potential issues include:
- Bad wound-healing
- Clots of blood
- Injury to the spine’s nearby area, surrounding blood vessels, or nerves
- An uncomfortable bone transplant location
- The reappearance of the symptoms
What are the types of spinal fusion?
Cervical and lumbar spine fusion has been practiced for many years. The difference between the cervical and lumbar spine is that the intervertebral (spinal) disc in your cervical spine (neck) is known as a cervical disc, while the intervertebral disc in your lumbar region is known as a lumbar disc (lower back). The spine can be fused using a number of different procedures. Additionally, there are other approaches your surgeon can use to access your spine.
Although posterior (back) approaches are typically used for spine procedures, your surgeon may decide to use an anterior approach for a variety of reasons, such as:
- In case you have had prior spinal procedures using a posterior technique, prevent having numerous surgeries in one location
- To access intervertebral disks more easily
- To be able to increase your spine’s lordosis (swayback)
- To fasten your recovery
Anterior Lumbar Interbody Fusion (ALIF)
The intervertebral disk is removed during an interbody fusion, a form of spinal fusion. An anterior approach is used meaning that an abdominal incision is used to access the lower back from the front during an anterior lumbar interbody fusion (ALIF). Therefore, through this method, your spine is approached from the front. When performing a lumbar or cervical fusion, the surgeon makes an incision in the lower abdomen or the front of the neck.
The initial stage of the operation usually involves your surgeon exposing the damaged area of the spine with the assistance of a vascular surgeon. The intervertebral disk will then be taken out of the disk space. The surgeon will insert a metal, plastic, or bone spacer between the two adjacent vertebrae after the disk space has been taken up. The bone graft material is typically included in this cage or spacer. This aids in the fusion and encourages bone repair.Invest in your health, invest in a brighter future. Our comprehensive medical programs deliver real results, while you indulge in the beauty and serenity of our destination.
Your surgeon may stabilize your spine by using a plate or screws to secure the cage in place once it has been inserted into the disk space. This may be accomplished in some circumstances using the same incision. However, in some circumstances, your surgeon might have to make a different incision in your back to place extra screws into the back of your spine (posterior approach). Your surgeon will discuss the best course of action with you prior to the procedure. Depending on how comfortable your surgeon is with accessing the spine, your incision may be horizontal or vertical, and either in the center or off to the side. This is a personal choice.
An anterior approach to low back surgery enables the surgeon to access your spine without displacing the nerves, in contrast to a posterior approach. When employing an anterior approach, the surgeon must, however, transfer the organs and blood vessels to the side. A vascular surgeon typically works with the orthopedic surgeon to uncover and expose the disk space.
Posterior Lumbar Interbody Fusion (PLIF)
Your surgeon inserts the spacer or “cage” during posterior lumbar interbody fusion (PLIF) from the rear of the spine. Through the removal of the bone (lamina) and subsequent retraction of the nerve roots to one side, your surgeon is able to access your spine using this technique. The intervertebral disk can then have its back removed and a spacer put in its place.
Transforaminal Lumbar Interbody Fusion (TLIF)
This approach is an adaptation of PLIF. Your surgeon approaches the disk space a little further from the side during transforaminal lumbar interbody fusion (TLIF). This method has the advantage of requiring less movement of the nerve roots, which, in theory, reduces the risk of nerve damage.
Lateral Lumbar Interbody Fusion
A side approach is used by the surgeon when doing a lateral lumbar interbody fusion, and the incision is placed over the patient’s flank. By using this technique, the surgeon can reach the vertebrae and intervertebral disks without affecting the back’s nerves or muscles. Direct or extreme lateral interbody fusion is another name for the lateral method (DLIF or XLIF). By cutting through the psoas muscle, which allows the hip to flex, rotate, and adduct, the surgeon has access to the spine (move toward the midline of the body).
In order to provide the surgeon with the best possible view of the spine during surgery, the patient is positioned on their side and the operating table is bent. In a few instances, the surgeon will pass a device known as a tubular retractor through the soft tissues and skin to reach the spinal column. The surgeon can see the spine clearly thanks to the tubular retractor, which keeps the muscles open. The surgeon removes the disk and places a cage filled with bone graft between the vertebrae during the procedure. Frequently, titanium screws are put through a second incision on the back to hold the cage in place.
Posterolateral Lumbar Fusion
An incision is made through the middle of the lower back while performing lumbar fusion using a posterior (from the back) technique. The surgeon will separate the muscles that surround the spine in order to see the vertebrae. A herniated disk is one example of a structure that may be placing pressure on the spinal nerves. The surgeon will frequently remove all or part of the lamina, which is the portion of the vertebra (spine) that creates the arch and covers the spinal canal. Laminectomy, often known as decompression, is the medical term for the removal of the lamina. A diskectomy is a technique used to remove a ruptured disk, sometimes referred to as a bulging disk. Laminectomy and diskectomy are frequently carried out in tandem. A lower back incision is made over the vertebrae that will be fused in a posterior approach to lumbar surgery.
The surgeon will apply graft material to the sides of the vertebrae after the decompression to promote bone development. The transverse processes of the vertebrae, which are tiny bony projections on the right and left sides of each vertebra, are normally covered by bone graft material. An example of this is a posterolateral fusion.
What to expect from the surgery?
During spinal fusion
The surgery is performed by surgeons while the patient is unconscious (under general anesthesia). Surgery for spinal fusion can be performed in various ways. The method the surgeon employs is determined by the location of the bones that need to be fused on the spine, the goal of the spinal fusion, potential complications, and body type. The process often entails the following,
Reaching the spine. The surgeon makes a cut in one of three locations to reach the bones being joined. These cuts are made in the neck or back, either directly over the spine or on each side of the spine, from the rear. The surgeon makes an incision in the throat or stomach region to access the spine from the front.
Preparing the bone graft. Bone grafts can be obtained from a bone bank or the patient themselves, commonly from the pelvis. In other cases, bone grafts are replaced by artificial materials used by surgeons. The surgeon makes a cut close to the pelvic bone, extracts a little portion of it, and then sews up the wound to use the patient’s bone.
Fusion. The surgeon inserts the bone graft material between the spinal bones to join them. While the bone transplant cures, the surgeon may use metal plates, screws, or rods to hold the bones together.After spinal fusion
Following spinal fusion, a two- to three-day hospital stay is typically necessary. You might feel some pain and discomfort after surgery, depending on where it was done and how extensive it was, but painkillers can typically keep it under control. Contact your doctor if you experience symptoms of infection after returning home, such as:
- Swelling, soreness, or rashes
- Wound drainage
- Shaking chills
- Fever greater than 100.4 F (38 C)
Your spine’s damaged bones may require many months to recover and fuse together. For a while, your doctor might advise wearing a brace to maintain proper spinal alignment. You can learn how to sit, stand, walk, and move in a way that keeps your spine properly aligned with the help of physical therapy.
Can screws come loose after the surgery?
Yes, the term “pedicle screw loosening” is used to refer to this situation. This is the medical term for the area where the screws are inserted. These screws could become looser over time, if the back is injured, or if another treatment is required. Since the new bone that grows in between the vertebrae is what is holding the fused segments together rather than the screws, the majority of patients never even realize the loose screw. A far less involved repeat operation may be used to remove a screw if it becomes loose and causes pain.
What is the recovery process?
Following the surgery, there will be some pain. This results from the body’s natural healing process. In order for you to recover from surgery more quickly, your doctor and the nurses will make an effort to make you feel less pain. Medication is routinely given after surgery to temporarily relieve discomfort. The pharmaceuticals that can be used to relieve pain include opioids, nonsteroidal anti-inflammatory drugs (NSAIDs), and local anesthetics, to name just a few. Your doctor may combine these medications in order to improve pain relief and lessen the need for opioids. Be aware that medicines like opioids can be addicting even though they help with post-operative pain relief. The use of opioids and overdoses can result in major public health issues. Opioids must only be taken as prescribed by your doctor, and you must stop using them as soon as your pain begins to fade. Consult your doctor if, a few days after your surgery, your discomfort does not start to go away. In order to jointly plan your postoperative pain management approach, talk with your surgeon about whether you are currently taking narcotics before your treatment.
Fusion is a long process. Although it can take several months before the bone is firm, you’ll usually feel better much sooner. The fused spine needs to be kept in the right position while it heals. You’ll learn how to sit, stand, walk, and adjust while moving around properly. Your symptoms will progressively get better, and so will your level of activity. Your doctor might advise just modest exercise following surgery, such as walking. You will be able to gradually increase your level of activity as you regain strength. After surgery, physical rehabilitation usually begins 6 weeks to 3 months afterward. You and your surgeon will discuss whether physical therapy is necessary in your case. Following your doctor’s advice and leading a healthy lifestyle will significantly improve your chances of a successful recovery.
What are the long term results of spinal fusion surgery?
Spinal fusion frequently corrects fractured bones, reshapes the spine, or strengthens the spine. However, when the origin of the back or neck pain is not evident, study findings are conflicting. For back discomfort with an underlying reason that is unknown, spinal fusion frequently doesn’t work any better than nonsurgical therapy. Even though spinal fusion reduces symptoms, treatment does not stop back pain from returning in the future. Back pain is often brought on by arthritis. Arthritis cannot be cured by surgery. The portions around the fused component are put under higher stress when the spine is immobile in certain places. Therefore, those parts of the spine may age more rapidly. The spine may then require more surgery in the future.
Is the surgery permanent?
Spinal fusions are permanent. Unless it causes pain as a result of a malfunction, the hardware that supports the fusion may be left in place for years. After about a year, the new bone that forms between the fused vertebrae prevents the need for the hardware to sustain the fusion.
What is the spinal fusion cost in Turkey?
You may ask yourself “What is the spinal fusion cost in Turkey?” Spinal fusion cost in Turkey typically varies from $15,700 to $94,300.
Spinal Fusion Cost in Turkey Summary (Price, Duration Time, Hospitalization)
|Depends on the effectiveness of previous operations
|Time to return to work
|Persistence of Results
|From 15,700 EUR to 94,300 EUR