KYPHOSIS SURGERY COST IN INDIA

symptoms

What are the Symptoms and Signs of Kyphosis surgery?

• Back Pain
• Breathing difficulties
• Fatigue
• Curved spine
• Shortness of breath
• Body image problems
• Decreased appetite
• Osteoporosis
• Slipped discs

risk factors

What are the risk factors of Kyphosis surgery?

• Risks of anesthesia
• Bleeding & Infection
• Temporary dizziness
• Nerve paralysis
• Injury to your spinal cord or nerves
• Non-healing of the bony fusion
• Failure to improve
• Failure to improve
• Instrumentation breakage/failure
• Infection and/or bone graft site pain

preparation

How to prepare for Kyphosis Surgery?

• First, you have to choose the Best Spine hospitals and Surgeons in India or abroad at an affordable cost for better results. 
• The cost of Kyphosis surgery starts from 13,000 to 17,000 USD depending upon the surgeon's experience, quality of implant, hospital facility, and city. 
• The patient is required to go for PSC ( Pre-surgery check-up )  to do some blood test, X-ray, ECG, and ECH for Cardiac check-up and urine tests to know he /she is fit for surgery or not.
• Before the operation, you’ll be asked to sign a consent form, which gives the spine surgeon permission to carry out the treatment.
• The doctor should be informed about any medication that the patient may be taking.
• The patient is admitted to the hospital on the same days before the procedures and advised to remain empty stomach/Fasting.
• Thinner medicines have to stop before ten days of surgery.

procedure

How has the Kyphosis Surgery Procedure been done?

Kyphosis surgery is typically performed to correct excessive curvature of the spine (kyphosis), which can cause pain, deformity, and in some cases, neurological issues. The procedure aims to restore the normal curvature of the spine or reduce the abnormal curve. Kyphosis surgery is generally considered when other treatments, such as physical therapy or bracing, have not been effective, or when the curvature causes severe pain or neurological symptoms.

Types of Kyphosis Surgery

There are several types of surgery to correct kyphosis, depending on the cause and severity of the condition:

1. Spinal Fusion: The most common surgery for kyphosis, where two or more vertebrae are fused to prevent further abnormal curvature.
2. Vertebroplasty or Kyphoplasty: These are minimally invasive procedures used to treat vertebral fractures, often caused by osteoporosis.
3. Osteotomy: A surgical procedure that involves cutting and reshaping the spine to correct the curvature.
4. Posterior Spinal Fusion with Instrumentation: This is often performed in cases of severe kyphosis, especially in adolescents or adults with deformities.

Step-by-Step Kyphosis Surgery Procedure

1. Pre-Surgical Preparation

   • Anesthesia: General anesthesia is administered to ensure the patient is fully asleep and pain-free during the surgery.
   • Positioning: The patient is positioned face down (prone) on the operating table, often with the help of a specialized frame to maintain spinal alignment.

2. Incision

   • Posterior Approach: Most kyphosis surgeries are performed through the back (posterior). A small incision is made along the midline of the back over the affected area of the spine.
   • Anterior Approach (if required): In some cases, surgery may also be performed from the front of the body, especially if the curvature is located in the thoracic spine.

3. Exposure of the Spine

   • Dissection and Retraction: The muscles and soft tissues surrounding the spine are carefully separated and retracted to expose the vertebrae.
   • Removal of Damaged Discs or Bone: In some cases, damaged or degenerated discs may be removed to improve spinal alignment. Bone spurs or other deformities may also be addressed.

4. Spinal Realignment

   • Correction of Curvature: The surgeon uses special instruments (e.g., rods, screws, plates) to straighten and stabilize the spine. In some cases, the spine may be carefully manipulated to reduce the abnormal curvature.
   • Osteotomy (if needed): If the curve is very severe, the surgeon may perform an osteotomy to remove sections of bone and realign the spine.

5. Spinal Fusion

   • Bone Graft: A bone graft (either from the patient’s own body, a donor, or synthetic material) is used to promote the fusion of the vertebrae. The graft is placed between the vertebrae where the disc or deformity was removed.
   • Instrumentation: Metal rods, screws, or plates are attached to the spine to hold it in place while the bones fuse. This prevents further movement of the spine and provides stability.
   • Fusion Process: Over time, the vertebrae fuse as the bone graft heals, forming a solid segment of the spine.

6. Wound Closure

   • Suturing: Once the spine has been realigned and stabilized, the surgeon will close the incision with sutures or staples. In some cases, a drain may be placed to help remove any excess fluid.

7. Post-Operative Care

   • Monitoring in Recovery Room: After the surgery, the patient is taken to a recovery room where they are monitored as the anesthesia wears off. Pain management, antibiotics, and other necessary medications are administered.
   • Hospital Stay: The patient may need to stay in the hospital for 3 to 7 days, depending on the complexity of the surgery and recovery progress.
   • Physical Therapy: After surgery, the patient will likely begin a physical therapy regimen to help restore strength, flexibility, and function. This process usually starts in the hospital and continues for weeks to months after discharge.

Post-Surgical Recovery

• Pain Management: Pain relief medications are prescribed to manage discomfort during the initial recovery period. The use of braces or supports may also be recommended to aid in healing.
• Mobility Restrictions: Patients are typically advised to avoid bending, twisting, or heavy lifting for several weeks to allow proper healing of the spine.
• Follow-Up Appointments: Regular follow-up visits are essential to monitor the healing process and ensure that the fusion is progressing as expected. Imaging tests like X-rays or CT scans may be performed to check the alignment and fusion status.

Potential Complications

• Infection: There is always a risk of infection, especially at the surgical site.
• Nerve Damage: Nerve injury may occur, though it is rare, and can result in numbness, weakness, or other neurological symptoms.
• Nonunion of Bone Graft: In some cases, the bone graft may not fuse properly, requiring additional treatment or surgery.
• Blood Clots: There is a risk of blood clots forming in the legs, which may travel to the lungs (pulmonary embolism), so blood thinners may be used during recovery.

Benefits of Kyphosis Surgery

• Pain Relief: The surgery can alleviate pain caused by spinal deformities, nerve compression, or instability.
• Improved Posture: Correcting the curvature can improve posture and reduce physical deformity.
• Enhanced Mobility: The procedure can help restore mobility by stabilizing the spine and relieving nerve compression.

Conclusion

Kyphosis surgery is a highly effective treatment for severe cases of spinal deformities. The procedure involves careful planning, a skilled surgical team, and a well-managed post-operative care plan. Recovery can take time, but most patients experience significant improvements in pain relief, posture, and mobility.

To identify the diagnosis doctor advised to go for complete evolution - usually x-ray and (CT) scan, magnetic resonance (MRI) imaging, or Bone density test.  Kyphosis treatment depends on the patient condition and symptoms that are medications, physiotherapy, or surgery. Before surgery, the surgeon and anesthesia will guide you about the benefits and risk factors of Kyphosis surgery.

post procedure

What is the Post care for Kyphosis Surgery?

Post-operative care following kyphosis surgery is crucial for ensuring proper healing, reducing complications, and maximizing the benefits of the surgery. Recovery time can vary depending on the type of surgery performed, the complexity of the kyphosis, and the patient’s overall health. Below are the key aspects of post-care following kyphosis surgery:

1. Pain Management

• Medications: After surgery, you will experience some pain and discomfort. Pain medications, including opioids, non-steroidal anti-inflammatory drugs (NSAIDs), or acetaminophen, are prescribed to help manage this.
• Local Anesthesia: Sometimes, a local anesthetic may be used to numb the surgical site temporarily.
• Tapering Off Pain Medications: Over time, the need for stronger pain medication will decrease. Your doctor will guide you on safely tapering off medications as you heal.

2. Hospital Stay and Monitoring

• Initial Recovery: After surgery, you will be closely monitored in the recovery room for any signs of complications such as bleeding, infection, or breathing problems.
• Length of Stay: Hospitalization typically lasts 3 to 7 days, depending on the type of surgery, your recovery progress, and whether there are any complications.
• Drains: If there is any fluid accumulation, a drain may be placed to prevent swelling or infection. The drain will be removed once the fluid has reduced.

3. Mobility and Physical Activity

• Post-Surgery Mobilization: Initially, you will be instructed to move gently and start getting out of bed with the help of a nurse or physical therapist. Walking short distances is encouraged to improve circulation and prevent blood clots.
• Avoid Heavy Lifting: For several weeks, avoid lifting anything heavy, twisting, or bending, as these actions can strain the spine and interfere with healing.
• Back Brace: In some cases, a back brace may be recommended to provide extra support to the spine while it heals. Your doctor will provide guidance on how to wear it.
• Gradual Return to Activities: Gradually, as healing progresses, you will be able to increase activity levels. Your surgeon will advise when you can resume normal daily activities and exercises.

4. Physical Therapy

• Post-Surgery Rehabilitation: Physical therapy is often an essential part of recovery. A rehabilitation program may begin within a few days of surgery to help restore mobility, strength, and flexibility.
• Exercise Instructions: Early therapy focuses on gentle stretching and strengthening exercises to improve posture, balance, and spinal stability.
• Long-Term Rehabilitation: In some cases, therapy can continue for several weeks or months to ensure optimal recovery and prevent future issues with the spine.

5. Wound Care and Infection Prevention

• Incision Care: Keep the surgical wound clean and dry to reduce the risk of infection. Follow your doctor’s instructions on when and how to clean the incision area.
• Signs of Infection: Watch for symptoms of infection such as redness, swelling, increased pain, warmth, or drainage from the wound. If any of these signs occur, contact your doctor immediately.
• Stitches or Staples: The stitches or staples used to close the incision will typically be removed within 1-2 weeks, depending on how quickly your wound heals.

6. Monitoring for Complications

• Nerve Damage or Weakness: Although rare, nerve damage can occur during kyphosis surgery. If you experience numbness, tingling, or weakness in your limbs, immediately inform your surgeon.
• Blood Clots: After spine surgery, there is a risk of blood clots forming in the legs (deep vein thrombosis), which can travel to the lungs (pulmonary embolism). To reduce this risk, your doctor may prescribe blood thinners or recommend wearing compression stockings.
• Breathing Difficulties: Some patients may experience difficulty breathing after spine surgery, particularly if the surgery was performed on the thoracic (mid-back) area. Breathing exercises or support from respiratory therapists may be advised.

7. Nutritional Support and Hydration

• Healthy Diet: A balanced, nutritious diet is essential for healing after surgery. Focus on foods high in protein, vitamins (especially Vitamin D and calcium for bone health), and minerals to support the body’s recovery.
• Hydration: Drink plenty of fluids, especially water, to stay hydrated and aid in the healing process.
• Avoid Constipation: Pain medications can sometimes cause constipation. Eating fiber-rich foods or taking prescribed medications can help avoid this issue.

8. Follow-Up Appointments

• Regular Checkups: You will need to attend follow-up appointments with your surgeon to monitor your recovery. X-rays or other imaging tests may be conducted to ensure the spine is healing properly.
• Monitoring Fusion: If you had spinal fusion surgery, the doctor will monitor the fusion process to ensure the bones heal and fuse together as expected.
• Adjustments to Treatment: Based on your recovery, your surgeon may adjust your rehabilitation or suggest additional treatments if necessary.

9. Emotional and Psychological Support

• Mental Health: Recovering from major spine surgery can be mentally and emotionally challenging. It is important to have a support system in place, whether it's family, friends, or a counselor.
• Depression and Anxiety: It’s common for patients to experience feelings of depression or anxiety during recovery, especially if mobility is limited. Speak to your doctor if you feel overwhelmed or are having trouble coping with recovery.

10. Long-Term Care and Lifestyle Adjustments

• Lifestyle Changes: After surgery, you may need to make long-term adjustments to your lifestyle, such as avoiding heavy lifting, maintaining good posture, and practicing spine-friendly activities to prevent recurrence of kyphosis.
• Exercise: Once the spine has sufficiently healed, your doctor will advise you on safe exercises to keep the back strong and prevent further issues.

Conclusion

Post-care after kyphosis surgery is vital to ensure that the procedure's benefits are fully realized and complications are minimized. Follow your surgeon's instructions, attend all follow-up appointments, and gradually progress with physical activity and rehabilitation. With proper care, most patients can expect to experience relief from symptoms and improved spinal alignment.

success rate

What is the Success Rate of Kyphosis Surgery in India?

The success rate depends on the surgeon's experience. In acute angular kyphosis, the correction rate is around 71%, and the correction rate of both procedures with total vertebrectomy is around 60%. Kyphosis surgery is usually very successful in partially or completely correcting the deformity.

The success rate of kyphosis surgery in India is generally high, but it can vary depending on several factors, including the type and severity of kyphosis, the patient's overall health, the experience of the surgeon, and the specific surgical approach used.

Factors Influencing Success Rates

1. Type of Kyphosis: The success rate can differ between types of kyphosis:

   • Postural Kyphosis: Generally has a very high success rate, with many patients experiencing significant relief from pain and improvement in posture after surgery.
   • Scheuermann's Kyphosis: This condition may have a slightly lower success rate due to the structural deformity of the spine, but surgery still provides excellent results in terms of pain relief and correction of curvature.
   • Congenital or Degenerative Kyphosis: These may require more complex surgical approaches, and success rates can be influenced by the patient's age, overall health, and any other underlying conditions.

2. Surgical Technique: The type of surgery performed (e.g., spinal fusion, osteotomy, or kyphoplasty) can also affect the success rate. Minimally invasive surgeries, which are becoming more common in India, may have quicker recovery times and fewer complications.

3. Surgeon Expertise: The experience and skill of the surgeon performing the procedure is a significant factor. Top-tier hospitals and experienced spinal surgeons in India have success rates of 85% to 95%, especially when they use advanced techniques and technologies.

4. Post-Surgical Care and Rehabilitation: A comprehensive post-operative care plan that includes physical therapy, monitoring, and proper healing is crucial to the success of the surgery. Patients who adhere to follow-up visits and prescribed rehabilitation programs tend to have better outcomes.

Success Rates for Kyphosis Surgery in India

• General Success Rates: On average, the success rate for kyphosis surgery in India ranges from 85% to 95%. This means that most patients experience significant relief from pain, improvement in spinal alignment, and a reduction in deformity.

• Correction of Postural Deformity: In cases of postural kyphosis or kyphosis due to osteoporosis, surgery is highly effective, with a success rate close to 90% in terms of restoring normal posture and reducing discomfort.

• Fusion Success: For surgeries involving spinal fusion (the most common surgery for kyphosis), the success rate for achieving solid fusion, meaning the vertebrae have fused properly and the curve is corrected, is typically above 90%.

• Complication Rates: Major complications, such as infections or nerve damage, are rare. The complication rate in India for kyphosis surgery is typically under 5% in high-volume, well-equipped hospitals.

Conclusion

In India, kyphosis surgery is generally very successful, especially in top hospitals with experienced surgeons. Success rates can reach 85% to 95%, with most patients experiencing improved posture, reduced pain, and enhanced quality of life after the procedure. However, individual outcomes may vary depending on the specifics of each case, so it’s important to discuss your unique situation with your surgeon to get a more tailored estimate of success.

faqs from doctor

What Questions Should Ask Before Kyphosis Surgery?

Here are answers to the questions related to kyphosis surgery:

1. Questions About the Surgeon’s Experience

Are you a board-certified spinal surgeon with experience in kyphosis surgery?

• Yes, I am a board-certified spinal surgeon with extensive experience in treating various spinal deformities, including kyphosis.

How many kyphosis surgeries have you performed, and what are your success rates?

• I have performed over [X] kyphosis surgeries, with a success rate of 90 to 95%. This includes both postural and structural types of kyphosis, with a high rate of post-surgical improvement in pain relief and spinal alignment.

What is your experience with the specific type of kyphosis I have (e.g., postural, Scheuermann’s, congenital)?

• I have successfully treated a wide range of kyphosis types, including [specify type, e.g., postural kyphosis, Scheuermann’s kyphosis]. I can provide a tailored treatment plan based on your specific diagnosis.

Can you provide references or testimonials from previous patients who have had similar surgeries?

• Yes, I can provide references and testimonials from patients who have undergone kyphosis surgery, which demonstrate positive outcomes, improved quality of life, and reduced pain.

2. Questions About the Surgery

What type of surgery do you recommend for my condition, and why?

• Based on your condition, I recommend [type of surgery, e.g., spinal fusion, osteotomy] because it is the most effective approach for correcting the spinal curvature and alleviating associated symptoms.

How will the surgery correct the curvature of my spine?

• The surgery will involve [spinal fusion, decompression, or another approach], which will help straighten the spine, stabilize the vertebrae, and alleviate pressure on nerves.

What are the potential risks and complications associated with kyphosis surgery?

• Potential risks include infection, bleeding, nerve damage, spinal instability, and complications related to anesthesia. However, with proper care and a skilled surgical team, these risks are minimized.

Will I need spinal fusion or any other additional procedures?

• Depending on the severity of the kyphosis, spinal fusion is often necessary to stabilize the spine. If required, additional procedures such as osteotomy or decompression may also be performed.

How long does the surgery typically take?

• The surgery typically takes 3 to 5 hours, depending on the complexity of the deformity and the procedure used.

Will I need general anesthesia, or is the procedure performed under local anesthesia?

• Kyphosis surgery is performed under general anesthesia, ensuring you are completely asleep and pain-free during the procedure.

What type of incision will be made, and how will it affect my recovery?

• The incision is typically made along the midline of the back, and depending on the surgery type, it may be a long or minimally invasive incision. This will impact recovery time, but minimally invasive techniques reduce scarring and shorten recovery.

Will the surgery improve my posture, and how much correction should I expect?

• Yes, the surgery is designed to improve posture by reducing the spinal curvature. You can expect significant improvement, but the exact amount of correction depends on the severity of your condition.

3. Questions About Risks and Complications

What are the potential complications of kyphosis surgery, and how often do they occur?

• Complications may include infection, blood clots, nerve damage, and spinal instability. However, these are rare and occur in less than 5% of cases in skilled hands.

How do you handle complications if they arise during or after surgery?

• I have a well-established protocol to handle complications, including immediate intervention and close monitoring during recovery.

Are there any long-term risks associated with kyphosis surgery?

• Long-term risks may include spinal degeneration or implant failure, but these risks are minimal with proper care and follow-up.

Will I be at risk for nerve damage, blood clots, or infection after surgery?

• While there are inherent risks, measures are taken to minimize these, including careful surgical techniques, infection control practices, and post-operative monitoring.

4. Questions About Recovery and Post-Care

What is the expected recovery time after kyphosis surgery?

• The initial recovery takes 2 to 4 weeks for pain management and mobilization, with full recovery taking 3 to 6 months, depending on your individual condition and adherence to rehabilitation.

How long will I need to stay in the hospital, and will I need any follow-up care?

• You will typically stay in the hospital for 3 to 5 days, with follow-up appointments within 2 to 4 weeks after surgery to monitor healing and discuss rehabilitation.

What kind of pain should I expect after surgery, and how will it be managed?

• You may experience mild to moderate pain in the first few days post-surgery. Pain management includes medication, physical therapy, and rest. Most patients report a significant reduction in pain within a few weeks.

Will I need physical therapy after surgery, and how long will it last?

• Yes, physical therapy is often necessary for 6 to 8 weeks to regain strength, flexibility, and mobility.

What kind of lifestyle modifications or restrictions will I need to follow during recovery?

• You will need to avoid heavy lifting, bending, or twisting for several weeks and focus on gradual mobility exercises as advised by your rehabilitation team.

What activities should I avoid during my recovery period?

• Avoid high-impact activities, heavy lifting, and sports that place stress on your spine until cleared by your doctor.

How soon after surgery can I return to work or resume normal activities?

• You can return to light work in 4 to 6 weeks, but more strenuous work may require 2 to 3 months.

Will I need to wear a brace or support device after surgery?

• In some cases, a spinal brace may be prescribed to help with stability and reduce strain on the spine during healing.

5. Questions About the Outcomes and Success

What is the expected success rate of kyphosis surgery for my specific condition?

• The success rate for correcting the curvature and relieving symptoms is around 85% to 95% for most kyphosis surgeries.

What is the likelihood that my curvature will be completely corrected?

• While complete correction is possible, results vary depending on the severity of the curvature. Most patients see significant improvement in posture and pain reduction.

How will the surgery affect my overall quality of life and mobility in the long term?

• Most patients experience significant improvements in quality of life, pain reduction, and posture correction.

How long will the benefits of the surgery last, and will I need further treatments or surgeries in the future?

• The benefits can last a lifetime with proper care, although some patients may need follow-up treatments as they age or if new issues arise.

What are the chances of the curve returning after surgery?

• The curve may return in some cases, especially if the spinal fusion doesn't take hold. However, this is rare, especially with modern surgical techniques.

6. Questions About Costs and Insurance

What is the Kyphosis Surgery Cost in India, including hospital stay, anesthesia, and follow-up care?

• The cost of kyphosis surgery typically ranges from 13000  to 17000 USD, depending on the complexity of the surgery, the hospital, and the surgeon’s fees.

Does my insurance cover kyphosis surgery, or will I need to pay out-of-pocket?

• Many insurance plans cover kyphosis surgery, but it’s essential to check with your provider to confirm coverage for the procedure and associated care.

Are there any additional costs I should be aware of (e.g., physical therapy, medications)?

• Additional costs may include physical therapy sessions, post-surgical medications, and follow-up visits.

Are payment plans or financial assistance options available?

• Some hospitals offer payment plans or financial assistance; you can inquire with the hospital’s financial department.

7. Questions About the Hospital and Facilities

Is your hospital or clinic accredited, and does it have the necessary equipment for spinal surgeries?

• Yes, the hospital is fully accredited and equipped with the latest spinal surgery technologies, including imaging systems for precise surgery planning.

What type of imaging or diagnostic tests will be required before the surgery?

• We may need X-rays, MRIs, and CT scans to assess the curvature and plan the surgery.

Does your hospital have a well-established post-surgery rehabilitation program?

• Yes, the hospital has a comprehensive post-surgical rehabilitation program with experienced physical therapists.

Are there experienced specialists (such as pain management or physical therapists) available to assist in my recovery?

• Yes, our team includes pain management specialists, physical therapists, and other healthcare professionals who will support your recovery.

8. Questions About Long-Term Care

What will my long-term follow-up care involve after surgery?

• Long-term follow-up includes periodic check-ups, imaging, and physical therapy to ensure proper healing and spinal alignment.

How frequently will I need to come for check-ups after the surgery?

• You’ll typically need follow-ups at 1, 3, and 6 months, then annually to monitor spinal health.

Will I need to have additional imaging (e.g., X-rays, MRIs) to monitor my recovery?

• Yes, post-operative X-rays or MRIs are typically done to monitor healing and spine stability.

What warning signs or symptoms should I watch for during my recovery?

• Look for signs of infection (fever, redness), nerve issues (numbness, weakness), or excessive pain, which should be reported immediately.

What can I do to prevent future issues with my spine after surgery?

• Maintain good posture, avoid heavy lifting, follow your physical therapy program, and continue with regular follow-up care to ensure long-term spinal health.

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