Decompression with Posterolateral Fusion and Pedicle Screw Fixation
Compressed nerves are decompressed and the unstable spinal segment is fused using bone graft and pedicle screws — providing both nerve relief and durable spinal stability for complex lumbar problems.
What is Decompression with Posterolateral Fusion and Pedicle Screw Fixation?
Decompression with Posterolateral Fusion and Pedicle Screw Fixation is a comprehensive lumbar spine reconstruction combining nerve decompression with rigid posterior fusion. After laminectomy or laminotomy decompresses the compressed nerve roots, bilateral pedicle screws are inserted into the vertebral bodies and connected by titanium rods. Bone graft is then placed along the lateral gutters of the spine to create a biological fusion. The procedure is indicated for spinal stenosis with concurrent instability, spondylolisthesis, scoliosis or revision spinal surgery requiring durable stabilisation. Dr. Hithesh performs decompression with fusion in Hyderabad using imaging-guided pedicle screw placement for maximum safety and accuracy.
Indicated for spinal stenosis with concurrent instability, spondylolisthesis, scoliosis, recurrent disc herniation or revision spine surgery — where decompression alone would leave the spine unstable and symptomatic long-term.
How the Procedure Works
Anaesthesia & Positioning
General anaesthesia is delivered; the patient is positioned prone on a Wilson frame, allowing safe surgical access to the lumbar spine.
Decompression
Laminectomy or laminotomy decompresses the compressed nerve roots, relieving radicular pain and creating a spacious passage for nerves.
Pedicle Screw Insertion
Bilateral pedicle screws are inserted into the vertebral bodies under fluoroscopic or navigation guidance, ensuring optimal screw placement accuracy.
Rod & Bone Graft Placement
Titanium rods connect the screws bilaterally; bone graft is placed along the posterolateral gutters to promote biological spinal fusion.
Closure & Recovery
Soft tissue layers are closed; structured graded physiotherapy and bracing as appropriate guide spinal recovery and successful fusion afterwards.
Outcomes
Who Needs This Treatment?
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Combines comprehensive nerve decompression with durable biological spinal fusion
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Effectively treats spondylolisthesis and other forms of spinal instability
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Provides reliable lasting relief from leg pain, back pain and weakness
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Modern pedicle screw systems offer rigid fixation supporting consistent fusion
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Imaging-guided screw placement maximises surgical safety and overall accuracy
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Outstanding long-term outcomes for complex lumbar spine pathology cases
When stenosis comes hand in hand with instability, decompression alone simply isn't enough. Adding pedicle screw fusion provides the durable stability that lets the patient enjoy their decompression result for decades.
— — Dr. Bathini Hithesh, Consultant Orthopaedic Surgeon, Trauma & Joint Replacement Specialist, Lux Hospitals, Hyderabad
Decompression with Posterolateral Fusion & Pedicle Screws Cost in Hyderabad
The cost of decompression with posterolateral fusion and pedicle screws in Hyderabad depends on the severity of spinal stenosis, degree of spinal instability, number of levels involved, complexity of surgery, implant requirements, investigations required, and the care needed before and after the procedure.
For patients with spinal stenosis associated with instability, the approximate cost of decompression with posterolateral fusion and pedicle screws ranges between ₹2,80,000 and ₹5,00,000.
| Procedure | Approximate Cost Range |
|---|---|
| Decompression with Posterolateral Fusion & Pedicle Screws | ₹2,80,000 – ₹5,00,000 |
The final cost may vary depending on your individual condition, findings during evaluation, number of spinal levels treated, type of implants used, and whether any additional procedures are required.
Factors That Influence Decompression with Posterolateral Fusion & Pedicle Screws Cost
The overall cost may depend on:
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Severity of spinal stenosis and instability: The extent of spinal canal narrowing, degree of instability, number of affected levels, and associated spinal changes may influence treatment planning and surgical complexity.
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Pre-operative evaluation: Required investigations, clinical examination, X-rays, MRI scans, CT scans when needed, and medical assessments before surgery may affect the overall cost.
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Implant and additional procedure requirements: The number and type of pedicle screws, rods, bone graft requirements, and any additional decompression or spinal procedures may influence the cost.
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Hospital stay and post-operative care: The duration of admission, medicines, physiotherapy, rehabilitation, and follow-up requirements may influence the final estimate.
Is Decompression with Posterolateral Fusion & Pedicle Screws Covered by Insurance?
Decompression with posterolateral fusion and pedicle screws may be covered by health insurance when it is performed for a medically necessary spinal condition. Coverage depends on your insurance policy, inclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before the procedure.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Hitesh Bathini
Orthopaedic Surgeon
During your consultation, Dr Hitesh Bathini, an Orthopaedic Surgeon in Hyderabad, will review your symptoms, medical history, and investigation reports to determine whether decompression with posterolateral fusion and pedicle screws is right for you. He will explain the procedure and expected outcomes, and guide you on the estimated cost based on your condition and treatment needs.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Bathini Hithesh and get a personalised treatment plan.