Spinal Cord Injury

A spinal cord injury (SCI) is damage to the spinal cord that causes temporary or permanent changes in its function. India gets lots of such patients especially from countries like Nigeria, Saudi Arab and Iraq. Symptoms may include loss of muscle function, sensation, or autonomic function in the parts of the body served by the spinal cord below the level of the injury. Injury can occur at any level of the spinal cord and can be complete injury, with a total loss of sensation and muscle function. The injury can be partial meaning some nervous signals are able to travel past the injured area of the cord.

Depending on the location and severity of damage the symptoms could be numbness or paralysis of the limbs, loss of control over bowel or bladder. Long term outcomes also range widely, from full recovery to permanent tetraplegia (also called quadriplegia) or paraplegia. Complications can include muscle atrophy, pressure sores, infections, and breathing problems.

Treatment Options

Surgery is advised by the neurosurgeon Dr Jaspreet Singh Randhawa for cases with severe injury to spinal cord. The main reason for spinal cord injury surgery at Ivy Hospital Mohali is to relieve excess pressure on the cord so that the spine can be stabalized and the vertebrae can be put in proper place. In international as well Indian patients we have seen that if surgery is not done immediately then the condition of the patient can worsen in some cases. If there is any compression on the cord due to a fractured bone or blood clots then also the surgery should be performed without much delay. However if the patient has many other injuries and the general condition is not good then we do not rush for the surgery and a more conservative approach like bed rest, cervical collars and motion restriction devices are used. Traction may be used to reduce the pressure on the spinal cord.

In any spinal injury patient, the primary objective of our spine surgeon at Ivy Hospital, Mohali in Punjab is to preserve as many functions of the body as possible and to get the patient to a level of self reliance.

Best Doctors and Cost

Dr Jaspreet Singh Randhawa is one of the best trained and highly qualified neurosurgeon for treatment of Spinal Cord Injury at Ivy Hospital, Mohali in Punjab. SCI patients often require extended treatment in specialized spinal unit or an intensive care unit. The rehabilitation process typically begins in the acute care setting. Usually the inpatient phase lasts 8–12 weeks and then the outpatient rehabilitation phase lasts 3–12 months. The patient has to remain in regular followup with the Neurosurgeon. Physical therapists, occupational therapists, recreational therapists, nurses, social workers, psychologists, and other health care professionals work as a team under the leadership of a neurosurgeon to decide on goals with the patient and develop a plan of treatment that is appropriate for the person’s condition.

The cost of treatment for such a long period can run into several lacs of rupees and still there might be very little improvement in the condition of the patient. One must therefore be always cautious, careful and stay out of harm's way in order to prevent spinal injury.

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