Minimally Invasive Spine Surgery - Spine Tumor Surgery in India

Minimally Invasive  Spine Tumor Surgery

The spine is composed of individual bones (vertebrae) stacked one on top of the other in a column. Each vertebra possesses a cylindrical body, which participates in weight bearing and an arch of bone (laminae and spinous processes) which protects the spinal cord and its coverings. The bony arch is connected to the body by two small columns of bone (pedicles). The circular canal between the body, arch, and pedicles houses the spinal cord and is called the spinal canal.

The spinal cord is contained within the spinal canal and is covered by a layer of connective tissue, the dura mater. Tumors which are located outside the dura are called extradural. These are usually metastatic tumors and most often arise in the vertebrae themselves. Tumors arising inside the dura, but outside the actual substance of the spinal cord are termed intradural-extramedullary. These are usually nerve sheath tumors or meningiomas. Tumors arising within the substance of the spinal cord itself are called intramedullary tumors. These are usually astrocytomas or ependymomas. Different types of tumors often behave differently and require different treatments.

Symptoms 

The symptoms of the spinal tumors are caused because of the weakening of the structure of the vertebrae and spinal nerve compression. The symptoms are

1. The warning signs are starting with the sensitivity decreased and incontinence happening in the buttocks or saddle area. It is caused from the spinal cord compression because of the tumor formed.
2. The person starts feeling lower extremity weakness.
3. The loss of sensory is another symptom.
4. It may also lead to onset paralysis.
5. The person experiences the back pain and this pain may spread to the other parts of the body. The back pain will be severe and more during the nights.

Diagnosis

Generally diagnosing the tumours present in the spinal cord would be difficult. It is because the specified symptoms can possibly wrongly attributed towards the other spinal diseases. Initially, bone scan will be conducted in order to confirm the other possible spinal metastasis to be excluded. When the tumour is rapidly identified and malignant spinal tumors are intervention that causes the compression of the spinal cord, the problem can be treated and solved easily.

The other possible diagnosis is MRI. The diagnosis can result in finding the location of the tunors, its relation with the corresponding spinal cord along with the risk associated with the compression of the cord.

Treatment of Spinal Tumors in India

A neurosurgeon determines that a tumor is operable or not. The purpose of the surgery is to remove the tumor as much as possible without affecting any neurological function. Chemotherapy and radiation therapy are of little help and in few treatments where protocols are provided. For treating benign and malignant primary tumors, surgery is usually recommended. Surgery is a successful treatment for removing tumors that are located outside the spinal cord. The removal of vertebrae can also prove beneficial for easing pain and symptoms by decreasing pressure on the spinal nerves. The treatment of secondary tumors that has spread to the spinal cord depends on the kind of cancer. Radiation therapy is the main treatment for primary tumors where the spinal cord is compressed. For regaining strength and muscle control after surgery or radiation therapy, physical therapy is sometimes required.

Spinal Decompression Surgery

The surgery that uses different procedures for reducing symptoms due to compression or pressure on the nerves roots or the spinal cord is known as spinal decompression surgery. Thickened joints, collapsed or bulging discs, bony growths and loosened ligaments may narrow the spinal nerve openings and the spinal canal that also results in irritation.

Spinal Stenosis Surgery

When the spinal column narrows due to pressure on the spinal cord or narrowing of the neural foramina and where the spinal nerve exit from the spinal column is known as spinal stenosis.

Cyberknife

Radiosurgery system is used in Cyberknife VSI technique. This technique delivers precise doses of radiation to spine tumors without affecting nearby structures and tissues. This technique can even treat inoperable tumors and cybeknife technique combined with chemotherapy and surgery can provide many benefits as compared to traditional radiation therapy. Some of its benefits include

• Less recovery time and with no side effects
• Painless and non-invasive technique
• The technique targets the tumor without affecting or damaging the healthy tissues
  
  
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