Tethered Spinal Cord Release

Steps Involved in IVF:

Procedure Description:

Tethered spinal cord release is a surgical procedure aimed at treating a condition in which the spinal cord is abnormally attached within the spinal canal. This tethering can cause the spinal cord to stretch as a person grows, leading to a wide range of issues, from pain and motor dysfunction to urinary incontinence. The condition is often congenital, discovered in childhood, but can sometimes manifest later in life. The purpose of the surgery is to free the spinal cord from its abnormal attachment, relieving tension and mitigating symptoms.

For someone experiencing persistent back pain, difficulties in movement, or neurological issues without a known cause, tethered spinal cord could be a potential diagnosis. The condition can have a significant impact on quality of life and may worsen over time if not addressed. Therefore, an early diagnosis followed by appropriate surgical intervention is crucial for preventing further neurological deterioration and improving patient outcomes.

Tethered spinal cord release typically involves a laminectomy, which is the removal of the lamina (part of the vertebrae) to access the spinal canal. Once the surgeon gains access, they cut the tethering element, freeing the spinal cord. The surgery may also include additional steps to prevent retethering in the future, such as placing a fat graft over the site of release.

Procedure Duration:

The duration of a tethered spinal cord release procedure can vary widely depending on the complexity of the case. Generally, the surgery itself may take anywhere from 2 to 4 hours. Patients are usually required to stay in the hospital for a few days post-surgery for monitoring and early rehabilitation. The initial recovery period, during which a patient may have restricted activity, can last up to 4-6 weeks.

Following the initial recovery phase, patients often undergo physical therapy to improve muscle strength and coordination. While many patients experience immediate relief of some symptoms, it may take several months for other symptoms to improve. It's crucial to maintain regular follow-up appointments with your healthcare provider to monitor recovery and adjust treatment plans as needed.

Full recovery and the resumption of regular activities usually occur within 3-6 months, although this can vary depending on individual circumstances and the presence of other medical conditions.


  • Cost Savings: Many countries offer this procedure at a fraction of the cost compared to the U.S., without compromising on quality.
  • Expertise: Some overseas hospitals specialize in spinal surgeries and have highly skilled surgeons with extensive experience in tethered spinal cord release.
  • Advanced Technology: International hospitals often feature state-of-the-art medical equipment and facilities, ensuring a high standard of care.

Potential Destinations:

  • India: Renowned for its experienced neurosurgeons and state-of-the-art hospitals.
  • Thailand: Known for high-quality healthcare services and advanced medical technology.
  • Turkey: Offers a mix of modern healthcare facilities and highly trained medical staff.
  • South Korea: Specializes in various spinal surgeries, backed by cutting-edge medical technology.

Risks & Considerations:

  • Travel Logistics: Postoperative care requires a stable environment, making long flights immediately after the surgery risky.
  • Quality Assurance: Ensure that the hospital you choose is accredited by reputable international organizations.
  • Legal Issues: Consider the legal aspects like malpractice laws, which can be different in other countries.
  • Cultural and Language Barriers: Communication with medical staff and understanding local customs can be challenging.

How to Choose the Right Doctor and Hospital:

  • Accreditation: Look for hospitals accredited by global healthcare standard organizations.
  • Doctor Credentials: Verify the qualifications, certifications, and experience of the surgeon.
  • Patient Reviews: Seek out testimonials or reviews from former patients to gauge the quality of care.
  • Consultation: A pre-visit or a detailed online consultation is essential to discuss your medical history, expectations, and concerns.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries?

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.


Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

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