Spine Surgery

Manipal Hospitals spine care experts take an
evidence-based, multidisciplinary approach to manage spine disorders.


People with a wide range of conditions affecting the spine and limbs find exactly the care they need at Manipal Hospitals. Our spine care experts take an evidence-based, multidisciplinary approach to manage spine disorders. Doctors listen to you and try to identify the true cause of your pain or other symptoms. And then you'll be offered a tailored treatment approach drawn from the full range of treatment options, which include medication, physical therapy and interventional pain management. Surgery is recommended only when it makes sense for you.

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These procedures are generally recommended for those patients who have weakened bones due to conditions like cancer or their vertebra collapse due to severe osteoporosis. These minimally invasive techniques are used to treat recent fractures and not as a preventive treatment or as a solution for other conditions like arthritis, herniated disks, etc. and are generally recommended only for older people

Before the surgery, your doctor will require you to get X-rays, or MRI scans done to help locate the exact areas that need to be repaired. During the surgery, a hollow needle called a trocar is inserted by the surgeon, which is guided through to the correct position with the help of fluoroscopy.

Once the needle is in place, an inflatable balloon is inserted into it which is inflated to create space for the cement. After the space is opened up, the bone cement mixture is injected to fill up the space. Some soreness and pain after the surgery is common and will reduce in a few days.

At Manipal Hospitals, we have a team of highly qualified surgeons who have many years of surgical experience and ensure you have a successful surgery. Our spine specialists will recommend medications or supplements that will aid in bone strengthening and will also advise you on when you can resume your normal routine..

The doctor recommends cervical spine surgery for a variety of spinal neck problems, but generally, it is performed for degenerative disorders, trauma or instability. The conditions which are treated through cervical spine surgery are:

Degenerative Disc Disease: In this condition, the discs between the vertebrae shrink which causes wearing of the disc and leads to herniation. You may also have arthritic areas in the spine. It causes pain numbness, tingling, and weakness from the pressure of the spinal nerves.

Fracture: Broken spinal bone

Scoliosis: it is a medical condition in which a spine’s has a sideways curve

Spinal stenosis: It is defined as a narrowing of the spaces within the spine, which can put pressure on the nerves that travel through the spine.

Spondylolisthesis: It is a condition which affects the lower vertebrae.

Tumors or spine infection

The surgeon will ask you for some blood tests and spinal X-rays one week before the surgery. Make sure to get a list of the medicines you can or you can’t take before or after the surgery.

Cervical spine surgery is performed to treat either spinal cord impingement or spinal instability.

The surgeon can reach the cervical spine from the front (anterior approach) or the back (posterior approach).

The surgeon makes the incision and moves the muscles and structures to the side to see the spine. The joints or joints between the damaged or inflamed disks are removed. Pieces of bone, screws or rods are used to connect the discs and keep them from moving. The surgery usually takes several hours.

After surgery, the doctor will ask you to stay at the hospital for 4-5 days. your Stay usually depends on your general fitness level and if you any other medical conditions. Physical therapists and occupational therapists will teach you how to get out of bed, into a chair, and walk again. After ten days surgeon will remove your stitches and will call you for follow-up appointments. It takes around six months to a year to fully heal.

Are you experiencing pain in your spinal column? Decompression surgery is a cure to your painful, “pinching” nerve. During the decompression surgery, the neurosurgeon or an orthopaedic surgeon will ask the patient to get admitted to the hospital a day before the surgery. If the patient is admitted to the hospital on the day of the operation, then he/she is asked not to consume anything for six hours (before the surgery).

On the day of the surgery, the hospital will ask to sign a consent form so that the patient is aware of the potential risks involved in the surgery. Once this is done, the patient is taken to the operation theater (OT) and made to lie on the bed facing down which allows the surgeon better access to the affected part of the spine.

The anaesthetist injects the drug (anaesthesia) so that the patient is unconscious throughout the surgery. Once the anaesthesia starts acting up, the surgery is performed.

During the surgery, an incision is made in the back (posterior) muscles. The exact level of decompression is determined using an X-ray.

The size of the incision made depends on:
• the difficulty of the surgery
• if fusion has to be done or not
• the number of vertebrae and/or discs that need to be treated

The surgeon then removes the lamina and the thickened ligament to give more space for the nerves. Depending on the extent of the condition (stenosis), the surgeon either removes one vertebra (single-level) or more (multi-level) to remove the pressure off the nerve. The entire procedure takes about an hour or more depending on the complexity of the condition. Also, depending on the requirement of the patient’s condition different types of decompression surgery is opted.

Once the decompression is achieved, the muscles are stitched back together, and the incision is closed and stitched up.

Depending on the extent of the surgery, the patient stays in the hospital for 4 or 5 days. Like any other surgery, the discomfort caused by the incision is normal. To ease the pain, the doctor will prescribe pain killer. Applying ice on the incision 3-4 times a day for about 15-20 minutes will help in reducing the pain and swelling.

Rehabilitation can take time and will mostly include a program of physical therapy. A physical therapist will help the patient progress at a faster pace. With the help of a series of exercises, physical therapy helps the patient regain movement in the spine. You can trust Manipal Hospitals for this. Manipal Hospitals adopts unique and customized programs to promote or enhance recovery, health, and wellness that fit each patient’s needs and helps individuals realize their fullest potential but the duration of physical therapy depends on the patient’s health, and how motivated he/she is to recover from the surgery.

The patient is advised to wear the brace at all times and avoid any strenuous physical activity. He/she can start the deck work after 3-4 weeks.

Manipal Hospitals Bangalore is one step ahead for the best treatment and surgical procedure when it comes to spine problems. Our team of doctors includes Dedicated Spine Surgeons (both Orthopedic and Neurosurgical), Neurologists, Developmental Neurologists, Neuropsychologists, Rehabilitation specialists, physiotherapists, Radiologists, Anesthesiologists, trained nurses, and paramedical staff. Call us for an appointment or chat with us for more details.

Our Success Stories

Manipal Hospitals is a pioneer in kidney transplants for over twenty years with a high success rate. Patients and patience is central to our treatment philosophy. This is why our multidisciplinary specialists comprising top nephrologists and surgeons, brainstorm together to arrive at the best treatment options. They have global experience and expertise in treating a range of kidney diseases by leveraging the contemporary medical technology at our Centre of Excellence in Nephrology.

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Manipal Hospital

98,HAL Airport road,

Bangalore-560 017