Dr.

DheerajBojwani Consultants
Website : www.dheerajbojwani.com

Dr. Dheeraj Bojwani
Your Medical Tour Consultant in India
Spine Fusion Surgery in India
What is Spinal Fusion Surgery?
Spinal Fusion Surgery is a worldwide performed back surgery procedure in which two or
more vertebrae are joined together (fused), so that no individual movement occurs in the
operated vertebral levels. The idea of the surgery is to permanently connect the vertebrae
to each other. Surgeon may use plates, screws or rods to hold the vertebrae and graft in
place to promote healing after spinal fusion. Once the bone graft heals, the vertebrae are
permanently connected. This creates a solid piece of bone, rather than a joint that allows
movement. This procedure is used primarily to eliminate the pain caused by abnormal
motion of the vertebrae by immobilizing the vertebrae themselves.
What is the Success Rate of Spinal Fusion Surgery?
There have been several studies on the success rate of spinal fusion, and they all give general success rates above ninety
percent. This means that ninety percent of the time successful fusion is obtained. Patients can expect a long term solution to
most if not all of their back pain problems. It is not a quick fix. A well maintained physical rehabilitation schedule and good
nutrition, as recommended by a physician, greatly increase the success rate and time it take to obtain them.

What is the Conditions Treated with Spinal Fusion Surgery?
Conditions treated with Spinal fusion surgery are:
degenerative disc disease
spinal disc herniation
discogenic pain
spinal tumor
vertebral fracture
scoliosis
kyphosis (i.e, Scheuermann's disease)
spondylolisthesis
spondylosis
Posterior Rami Syndrome
other degenerative spinal conditions
any condition that causes instability of the spine

How is the Preparation for Spinal Fusion Surgery?
Always inform your surgeon or nurse what medicines you are taking, even medicines or herbs without a prescription.
Days before the surgery:
If you are a smoker, you need to stop. Patients who have spinal fusion and continue to smoke may not heal as well.

Two weeks before surgery, your doctor or nurse may ask you to stop taking drugs that make it harder for your blood to
clot. These include aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), and other drugs like these.


On the day of the surgery:
You will usually be asked not to drink or eat anything for 6 to 12 hours before the surgery procedure.
Take your drugs your doctor told you to take with a small sip of water.
Follow the instructions given to by the surgeon.

What are the Types of Spinal Fusion Surgery?
There are different types of Spinal fusion surgery and surgeon may recommend the type of procedure according to the
patients condition.

Anterior Inter-body Fusion Procedure:
In an anterior spinal fusion surgery procedure the intervertebral disc is removed and the vertebrae fused together via a
transverse or vertical incision over the lower abdomen. In this operation the majority of the symptomatic intervertebral disc or
discs are removed and replaced with bone. This bone is obtained from the front of the pelvis, usually through the same skin
incision. It may be taken as a large piece, but more commonly small pieces of bone are obtained which are then packed into
a hollow implant or cage. The block of bone or the cage is then inserted between the vertebrae.

Postero-lateral Fusion Procedure:
In Postero-lateral spinal fusion surgery procedure an incision is made in the middle of the back and adjacent vertebrae is
joined with screws and rods but without interfering with the disc. Small pieces of bone are usually taken from the back of the
pelvis, through the same skin incision, and are placed along the back and side of the vertebrae to be fused.
Internal fixation devices generally improve the rate of fusion, but implants of this type are also associated with certain
disadvantages and complications and are therefore not always used. When they are used screws, rods or plates can stay in
the body forever but in some cases these implants can cause discomfort, irritation of the overlying muscles, become loose,
infected or breaks, in which case they may need to be removed.
If you have diabetes, heart disease, or other medical problems, your
surgeon will ask you to see your regular doctor.

Talk with your doctor if you have been drinking a lot of alcohol.

Ask your doctor which drug you should still take on the day of the
surgery.

Always let your doctor know about any cold, flu, fever, herpes
breakout, or other illnesses you may have.
Combined Anterior & Posterior Fusion Procedure:
A combined anterior and posterior fusion surgery procedure is nothing more than performing both an anterior and postero-
lateral fusion at the same time, or at least under the same anesthetics. The advantage is that the chance of achieving a fusion
and of eliminating the source of symptoms is improved.
Fusion requires a process of healing which is similar to the way broken bones heal, a.

How is Recovery after Spinal Fusion Surgery?
A patient has to normally spend 3-4 days in the hospital, however, in serious cases; the hospitalization can even
extend to 5-6 days. For elderly people, it is commonly recommended that after the spinal surgery, they should stay in
rehabilitation centers for about a week, so that the proper patient care can be taken.

During the rehabilitation program, simple aerobic and cardiovascular exercises are taught to the older people, so that
any strain on their heart or chest due to the spinal surgery is controlled effectively.

The spinal fusion process in every patient is quite different as every individual has a different body constitution. In
every patient, the body heals slowly and the bone graft takes substantial time to fuse with the vertebrae.

The process of healing after the spinal fusion recovery is similar to that after a bone fracture. Spinal fusion healing time
in a young and healthy adult is 4 to 6 weeks, in case of a single layer spinal fusion. In older people and people with a
job that doesn't demand much physical work, the spinal fusion recovery time can take around 4 to 5 months. Read
more on spine surgery recovery time.

After the spinal fusion surgery, the patients have to follow certain restrictions in their daily activities. For instance,
patients have to comply with the advice of the medical expert with respect to movement of the legs.

In many cases, postoperative measures include putting braces to protect the bones. There are various types of braces
that can be used.

What are the Advantages of Spinal Fusion Surgery?
In most cases, spinal fusion can eliminate the pain and other symptoms. It is important for a surgeon to explain the options, and
benefits of spinal fusion surgery. There are many advantages of Spinal fusion surgery such as:
By fusing the level, there is less concern that the patient will need surgery again at that level. If the discs and/or facets
are pain generators, as is often the case, a fusion will ensure that motion at the level is stopped, potentially eliminating
the low back pain.

A second advantage of spinal fusion surgery is that it reduces post-decompressive deformity. Some patients develop
post-laminectomy kyphosis, which is an abnormal alignment of the spine. This too can often lead to additional surgery.
Similarly, a fusion can correct any deformity the patient had before surgery and ensure that the normal alignment of the
spine is restored. This may reduce wear and tear (and need for future surgery) on the neighboring levels.
What are the Risks of Spinal Fusion Surgery?
As with any other surgery, there are possibilities for complications but these tend to occur less then one percent of the time.
The complications that do arise are the same type as in other surgeries, such as:
Infection
Anesthetic problems
Urinary difficulties
Absent or decreased intestinal function

Laser Spine Surgery India:
The alternatives to spinal fusion surgery are intra-discal electro thermal coagulation, disc replacement, posterior dynamic
stabilization and Disc regeneration.
Why Spinal Fusion Surgery in India?
The primary reason people travel abroad for a medical purpose is to save on medical treatment costs in their home
country. With several leading medical tourism destinations offering world class health care at state-of-the-art facilities,
yet at costs as much as half of those in Europe or North America, its is no wonder the medical tourism industry has
expanded rapidly in the past decade.

India boasts volumes of its excellently maintained healthcare providers by stringent government controls on the policies
for control of promotion and advertisement, thus not visible much in news papers, magazines and electronic media. But
certainly as good as other regional healthcare providers like Singapore and Thailand.

Accommodation and hotels in India are another very good reason for medical tourism promotion in this country. India
has very extensive network of all categories of hotels and motels. All big international chain of hotels is available in
India.

Hotels in the cities are packed with features of style and living. All at affordable prices, a sound reason for patients and
tourists traveling for medical tourism, to choose India as the choice destination.

You can go for Spinal fusion surgery in India in following cities:
Mumbai Hyderabad Kerala
Delhi Pune Goa
Bangalore Nagpur Jaipur
Chennai Gurgaon Chandigarh


What is the Cost of Spinal Fusion Surgery in India?
The cost of the Spinal fusion surgery is the major factor that is considered while visiting another country. Low cost is not the
only criteria, patient looks for a quality output with low cost. India is proving to be much beneficial for such patients as the cost
of the treatment is low without compromising the quality. In UK the cost of Spinal fusion surgery is around 65000 $, while in
India it costs approximately 5500 $.


How to Plan Spine Fusion Surgery in India with Dheeraj Bojwani Group?
With a strong emphasis on our client's safety and comfort, Dheeraj Bojwani Group provides those choosing medical tourism
with choices of physicians in India that are often heads of the department and have a PhD in addition to their MD degrees.
You just have to send us a query regarding your Spine fusion surgery in India and within 24 hours an assistant from Dheeraj
Bojwani Group will contact you for further details and interaction. From that point you dont have to worry about anything. That
assistant will take care of all your proceedings like arranging VISA, accommodation, appointment with the doctor with round the
clock services to make your medical tour hassle free.

Some of the common countries from which patients travel to India for surgery are:
USA UK Canada
Australia New Zealand Nigeria
Kenya Ethiopia Uganda
Tanzania Zambia Congo
Sri Lanka Bangladesh Pakistan
Afghanistan Nepal Uzbekhistan

ABOUT INDIA
Located in South Asia, bordered by Pakistan, Nepal, China and Bangladesh, India is South Asia's largest, sovereign,
democratic republic. India has an edge over other countries when it comes to offering comprehensive, cost-effective and timely
medical care: it also offers an exotic, adventure-filled or cultural -if you wish array of destinations to discover and revel in for the
travelers. Indian cities like Mumbai, Hyderabad, Goa, Bangalore, Nagpur, Kerala, Delhi, Pune, Jaipur, Chennai, Gurgaon, and
Chandigarh offers best medical tourism service.
Mumbai - Formerly known as Bombay, is the commercial & financial capital city of India. Mumbai is famous for many things,
including its thriving Bollywood film industry, teeming bazaars, colonial-style buildings, Art Deco structures and a superb choice
of restaurants, often being rated as the dining capital of India. The tourist district of Colaba in Mumbai is a great place to start
exploring this great city.
Hyderabad Hyderabad city is a great place to visit in the state of Andhra Pradesh. The place has witnessed a continuous
growth for last many years. Hyderabad has become a tourist hotspot following ever increasing number of tourists during past
few years. Hyderabad has a well-founded reputation as one of the safest cities in the world.
Goa - The country's smallest state and famed for its colonial Portuguese and Catholic past, most tourists visit Goa for its
endless selection of sandy beaches and coastal attractions. Standing proudly next to the Arabian Sea, Goa is a particularly
compact state and often feels like a large town, being easy to travel. Around Goa, tourists will soon realize that the state has
much more to offer than simply stunning beaches, fishing, water scooters, windsurfing and scuba diving.


Bangalore - Beauty lies in the eyes of beholder and if you want to see one of the most beautiful places in India then Bangalore
is the word for it. Bangalore has earned sobriquets like 'Silicon Valley of India', 'Pub Capital of India', and 'City of Gardens'.
Pleasant climate with colorful gardens with lakes and glittering nightlife, Bangalore has made its own attraction for travelers as
one of the most charming cities in India,
Nagpur - Nagpur is the largest city in central India, but with its friendly atmosphere and dependable transportation, youll
instantly feel at home. The city of Nagpur has a well-built infrastructure, is a clean and affluent city which makes a good
jumping-off point for a series of trips into the far eastern corner of Maharashtra.
Kerala - Natural beauty, clean air and primordial greenery amidst the vast expanse of water and sky, typifies the state of Kerala
better known as God's own country. Kerala is famous for its alternative medical therapies such as Ayurveda, which help to
rejuvenate and revitalize the body. The region is also home to Indias only virgin tropical rain forest the Silent Valley National
Park, supporting an overwhelming range of life forms, many of which are highly endangered, and endemic to this part of the
planet.
Delhi - "Welcome to The Capital City of India - New Delhi" Delhi is famous as Capital city of India is located in North India. Delhi
is truly a symbol of the old and the new; a blend of ancient well preserved monuments and temples along with jam-packed
burger joints and up market shopping malls. Delhi has state of the art Hospitals and the best qualified doctors.
Pune - Once referred to as the Oxford of the east, Pune continues to be a stronghold for academics and culture. An array of
factors like availability of efficient and experienced doctors, comparatively low treatment costs, hospital facilities of international
standards and many more have made Pune one of the top destinations for medical tourism.
Jaipur - Jaipur is one of the most popular destinations on a tourist's itinerary. The magnificent forts, beautiful havelis and
colourful bazaars make Jaipur a popular tourist destination among tourists. Jaipur has pioneered health and medical tourism in
India.
Chennai - Chennai is one of the most developed urban centers in the Indian subcontinent. The city forms the capital of Tamil
Nadu state and is the fourth largest metropolitan city in India. They have some of the very best hospitals and treatment centers
in the world. Each hospital is equipped with state of the art facilities. The technology brought into practice is the very latest,
including robotic surgery.
Gurgaon It is one of the four important satellite cities of the National Capital Region and is often referred to as the 'Millennium
City.' Gurgaon has recently emerged as the latest hub for Medical Tourism. Apart from being IT hub and a favorite haunt for
MNC offices, the city has a number of world class hospitals that not only treat Indian citizens but also people from outside.
Chandigarh - Chandigarh is a rare epitome of modernization co-existing with nature's preservation. It is here that the trees and
plants are as much a part of the construction plans as the buildings and the roads. Indias first planned city, Chandigarh is a
rich, prosperous, spic and span, green city rightly called THE CITY BEAUTIFUL.

Patients Testimonial:
Mr. Wilson Okumu Lutara - Nigeria
Spine Fusion Surgery in India
was not able to stand and even sit straight for much time. If I had not undergone this operation then my life would
have become useless as the problem of my spine was severe. The Indian doctors were truly genius who operated
me. I wanted to undergo a Spine Surgery but our country lacked in good surgical facilities and medical infrastructure
because of which I chose a better option to get Spine Fusion surgery in India at an affordable price through the
recommendation of Dr. Dheeraj Bojwani. I submitted an enquiry about my spine surgery on his email address and he
contacted me within a couple of minutes telling me about the best spine surgeon in India with all the cost budget. It
seemed that he was online for the whole day assisting his patients. After getting arrangements of my medical visa
and medical stay I came to Mumbai to undergo my Spine Fusion Surgery in India. It was very affordable to get my
surgery done through the assistance of Dr. Bojwani. The spine surgery hospital in which I was admitted was
wonderful and the staff was also very concerned about me. I got the best medical services by them during my Spine
Fusion Surgery in India. Now the pain that I had in the spinal cord has healed up completely. My sincere regards to
Dheeraj Bojwani Consultants for their genuine help and care.
Mr. Chunara, South Africa
Spine Fusion Surgery in India
I am Mr. Chunara fro South Africa. I came for my low Cost Spine surgery in Apollo hospital Delhi India. Before
Coming to India for my surgery I searched the whole Europe and Asia for the best quality of services and treatment
facilities. But, the thing that made me stop through Dr. Dheeraj Bojwani Consultants in India was the prompt answers
and the quoted that were given to me for my low Cost spine surgery in Delhi India. It was all very easy for me to
travel to India and get my spine surgery in Delhi India done in the Apollo hospital through Dr. Dheeraj Bojwani. I got
the best medical facilities and treatment in India for my surgery. The hospital was very nice and beautiful. The staff of
the hospital was very nice and caring. They took perfect care of me. I am very happy with the result of the low cost
spine surgery in Delhi India. I want to thank Dr. Dheeraj Bojwani and his team for their help and support in arranging
the best quality of medical facilities for my low cost spine surgery in Apollo hospital Delhi India.

Knee Replacement Surgery in India
Knee replacement surgery also known as knee arthroplasty is procedure to replace the
weight-bearing surfaces of the knee joint to relieve the pain and disability of
osteoarthritis. It may be performed for other knee diseases such as rheumatoid arthritis
and psoriatic arthritis. The procedure has been proven to help individuals return back to
moderately challenging activities such as golf, bicycling, and swimming. Total knees
are not designed for jogging, or sports like tennis and skiing (although there certainly
are people with total knee replacements that participate in such sports). Knee
replacement is a routine surgery performed on over 600,000 people worldwide each
year. Over 90% of people who have had Total Knee Replacement experience an
improvement in knee pain and function.

Knee Replacement Surgery Candidates
A person would be considered a candidate for knee replacement if there is:
Daily pain
The pain is severe enough to restrict work, recreation and ordinary activities of daily living
Significant stiffness in the knee
Significant instability (constant giving way) of the knee
Significant deformity (knock-knees or bow-legs) that hinders normal function of the knee
Damage from arthritic conditions, such as osteoarthritis, rheumatoid arthritis or post-traumatic arthritis

Success Rate of Knee Replacement Surgery:
Knee replacement surgery is recognized as a miracle of modern surgery. Most orthopedic experts consider replacement to be
the best method of handling arthritis in the knee. Knee replacements have literally put hundreds of thousands of Americans
back on their feet and allowed them to enjoy their golden years.

Knee Replacement Surgery Preparations:
If you smoke, cut down or quit. Smoking changes blood flow patterns, delays healing and slows recovery.
If you drink, don't have any alcohol for at least 48 hours before surgery.
Ask your doctor for pre-surgical exercises. If you are having hip or knee replacement surgery, doing exercises to
strengthen your upper body will help you cope with crutches or a walker after surgery.
Your primary care physician or an internist will conduct a general medical evaluation several weeks before surgery.
This examination will assess your health and your risk for anesthesia. The results of this examination should be
forwarded to your orthopaedic surgeon, along with a surgical clearance.
Shortly before your scheduled surgery, you will probably have an orthopedic examination to review the procedure and
answer any last-minute questions.
You may need to take several types of tests, including blood tests, a cardiogram, a urine sample and a chest X-ray.
Advice your surgeon of any medical conditions you have and of all the medications you are taking. You may need to
stop taking certain medications or your surgeon may recommend substitute medications until your surgery.
Medications such as corticosteroids, insulin or anti-coagulants will need to be managed before and after surgery.