Treatment For Traumatic Cervical Spinal Cord Injury With Paraplagia Baclofen pump Procedure Rehabilitation

Sample Opinion // cervical spine // Traumatic Cervical Spinal Cord Injury // Paraplegia // Severe Spasticity // Treatment with Baclofen Pump Surgery & Rehabilitation

Findings – As per the shared reports, the patient is suffering from a traumatic cervical spinal cord injury following severe trauma to the cervical spine. He is currently paraplegic and has limited control in his lower body with severe spasticity and muscle wasting. This can only happen when the spinal cord is largely damaged.

We will need to recheck the lesion to determine how best to handle this through further investigation.

Investigations needed – He will need an MRI, X-rays, Nerve conduction test and other routine tests to determine the feasibility of any treatment.

Possible line of treatment – The possible line of treatment will depend upon investigative outcomes. Unfortunately, the lost spinal cord cannot be regenerated; hence, body movement cannot be restored to 100%. But we can work on spasticity and pain. For this, there will be more than one possibility.

Possibility one – In case the spasticity is too much, and if the family can afford it, he can be offered baclofen pump insertion surgery.

A baclofen pump (Intrathecal Baclofen Therapy) is a surgically implanted device that delivers the muscle relaxant baclofen directly into the spinal fluid to treat severe spasticity from conditions like Cerebral Palsy, MS, or spinal cord injury, offering significant relief from muscle stiffness, spasms, and pain by bypassing the bloodstream for a much lower, more potent dose, requiring periodic refills and potential battery replacements over time

Possibility two – If the spasticity is less, he can be offered physiotherapy and rehabilitation to manage his pain.

Physiotherapy and rehabilitation are focused on restoring, maintaining, and maximizing movement, function, and quality of life after injury, illness, or disability, using tailored exercise, manual therapy, and education to improve strength, flexibility, balance, and independence for all ages, helping people return to normal activities

We would recommend the following hospitals with top doctors as follows:

1. Yashoda Medicity Hospitals // Treating Doctor: Dr. Dibya Jyoti Mahakul

2. Artemis Hospital, Gurugram // Treating Doctor: Dr. Aditya Gupta

3. Amrita Hospital // Treating Doctor: Dr. Anandh Balasubramaniam

4. Sarvodaya Healthcare // Treating Doctor: Dr. Yawar Shoaib Ali

5. BLK Max Hospitals// Treating Doctor: Dr. Puneet Girdhar

Estimated cost:

The estimated cost of initial investigations will be approx. USD 700-900.

The estimated cost of baclofen pump insertion at the various hospitals will be approx.: 

 *The cost of medical management and rehab will be between $2000-$2500 as an outpatient and at a step-down health facility for 15 days as an inpatient.

Kindly Note: The given cost is a tentative cost based on the shared information. If the investigations shed a new picture, the cost may vary accordingly. 

Stay in India: The patient will require 2-3 days for initial evaluations on an OPD basis. For surgery, he will be admitted for 4-5 days. He may need 2 weeks of rehab. Total stay in India will be for 3 weeks.

Inclusions:

1. The cost of all investigations related to the treatment.
2. The cost of the treatment
3. The doctor’s fee and surgery charges.
4. The stay of the patient and 1 attendant during hospital admission.
5. All meals for the patient and the attendant as per doctor while in hospital.
6. Medical Consumables and Medicines while in hospital.
7. The fee for dietician and nursing while in hospital
8. It also includes complementary Airport Transfers, Forex Services and assistance.

Exclusions:

1. Any consultation other than in discussion
2. Extended stay
3.  Treatment for any other illness
    

On Arrival: Patient and his attendants will be received at the airport by our Russian-speaking representative. Apart from the medical and nursing team, one Case Manager will take care of all the needs. We shall also assist them with reasonably charged accommodation near the hospital.  Patient and attendant may arrange 35-50 USD per day toward accommodation and food at the guest house.

Hope I have been able to give you a satisfactory answer to the query. Do kindly ask for any clarifications needed. I will be happy to answer & shall look forward to assisting you.

Regards,

Ankush.