Minimally Invasive Spine Tumor Removal Surgery in India
Surgical removal is the primary treatment for spinal tumors. Recovery from spinal tumor surgery, however, can be just as important a step as the operation itself. By reading about what recovery from spinal tumor surgery is like, you can take steps to ensure that your return to an active, comfortable lifestyle goes quickly and smoothly.
Complete recovery from spinal tumor surgery will vary based on a number of factors. The most important of these is to what extent the tumor is causing a neurological problem, such as weakness or balance difficulties. The timetable for the improvement of preoperative neurological symptoms are unpredictable and can take many months. The recovery from the effects of the spinal tumor surgery itself is fairly standard and typically lasts about three to four weeks, no matter the type of tumor.
What are The Symptoms of Spinal Tumor?
Tumor may cause generalized symptoms in the body (like persistent low energy levels, unexplainable weight loss, lump formation, enlargement of lymph nodes, malaise, irregularities of menstruation in females etc) as well as symptoms pertaining to the affected organ in the body. In case of spinal tumor the patient may present with any of the following:
- Back pain, often radiating to other parts of the body and worse at night.
- Loss of sensation or muscle weakness, especially in the legs.
- Difficulty walking, sometimes leading to falls.
- Decreased sensitivity to pain, heat and cold.
- Loss of bowel or bladder function.
Why Surgery for Spine Tumor Removal?
- To reduce the pain caused by the spinal tumor
- To restore and preserve neurological function and provide spinal tumorspinal stability.
- Spinal Tumor surgery is generally indicated in case there is a localized tumor which can be removed with minimum damage to nerve and spinal cord.
- There is persistent neurological deficit and pain which is unresponsive to non operative treatment.
- There is vertebral bone destruction affecting spinal stability.
- Surgery may include resection (partial removal) or excision (complete removal) of tumor.
- When the tumor is removed (partially or completely) pain and neurologic problems may clear up.
Possible Surgical Procedures for Spinal Tumors
Be assured that your spine surgeon will explain the recommended procedure, including how to prepare for surgery, if hospitalization is necessary, and basically what to expect. Of course, he will answer all of your questions so you can make a fully informed decision.
Depending on the type of spinal tumor and its location, surgery may include one or more of the following procedures:
Decompression: Remove the entire tumor or part of it. Medical terms used include debulk (make smaller), excise (complete removal), or resection (partial removal). These types of procedures decompress or relieve pressure to the spinal cord and nerve roots, thereby helping to reduce pain and other symptoms.
Embolization: An interventional technique, usually performed by a radiologist, that slows or cuts off the tumor’s blood supply. Embolization (embolotherapy) causes the tumor to shrink.
Kyphoplasty or Vertebroplasty: Both are minimally invasive surgical procedures that stabilize a fractured vertebra and help relieve pain. A spinal tumor that develops within or invades (metastasize, spread) a vertebra may cause bony compression or fracture. While kyphoplasty and vertebroplasty both involve injection of a surgical bone cement into the fracture to stabilize it, each procedure is different.
Radiosurgery (CyberKnife): This is a non-surgical procedure that delivers precisely targeted radiation to treat certain spine tumors1. Radiosurgery treatment is administered during one or more sessions using high-dose of radiation. This treatment does not immediately remove the tumor like surgery. Rather, the tumor disappears with time.
Spinal Stabilization: A spinal tumor can cause your spine to become unstable, especially after a decompression procedure (or other surgery) removes bony parts or tissues, such as an intervertebral disc. Spinal instability increases the risk for serious neurologic injury, such as bowel or bladder dysfunction or paralysis.
Spinal stabilization may be included with another surgical procedure to treat your tumor. Stabilization usually involves spinal instrumentation and bone graft. Instrumentation may include implantation of plates, interbody devices, and screws to immediately stabilize the spine. Bone graft, either taken from your body (autograft), donor bone (allograft), or other type, helps to stimulate new bone growth to join the spinal segment together as it heals. Fusion occurs when new bone growth joins vertebrae together.
Most patients need some rehabilitation after surgery. Whether you are transferred to a rehab center directly from the hospital or go as an outpatient, rehab can help you get back to your regular activities of daily living.
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