• Type of the hospital (Government/Trust/Private).
• Use of insurance, type of insurance, or self-paid.
• Accreditation of the facility
• Reputation and brand value of the hospital.

• Technology / Approach Used
• Surgery Type
• Type of Anesthesia or Sedation
• Qualification / Expertise of the specialist
• The extent of the surgery needed

• Patient’s diagnosis
• Patient’s general health
• Room Category selected by the patient
• Other treatments required by the patient in conjunction

When are the indications of spinal fusion surgery?

• There are several potential reasons to consider spinal fusion. These include treatment of a fractured vertebra, rectifying deformity, elimination of pain caused during motion, treatment of instability, and treatment of cervical disc herniations.
• Not all spinal fractures need surgery, some fractures, particularly those associated with spinal cord or nerve injury, generally require fusion as part of the surgical treatment.
• Another condition treated is instability, i.e. the abnormal or excessive motion between two or more vertebrae. It is commonly believed that instability can be a source of back or neck pain or cause potential irritation or damage to close by nerves.
• Cervical disc herniations that require surgery usually need fusion as well. In this technique, the disc is removed by an incision in the front of the neck and a small piece of bone is inserted in its place.

How is the Spinal Fusion Surgery performed?

• There are many surgical methods available to fuse the spine that involve placement of a bone graft between the vertebrae. The spine may be treated from the back (posterior), from the front (anterior) or by a combination of both. The anterior approach is more common. The ultimate objective of fusion is to obtain a solid union between two or more vertebrae.
• A fusion may or may not involve use of supplemental tools like plates, screws and cages. Instrumentation is sometimes used to rectify a deformity, but is usually used to hold the vertebrae together to while the bone grafts heal. Whether the hardware is used or not, it is important that bone or bone substitutes be used to get the vertebrae to fuse together.
• The bone may be taken either from another bone in the patient or from a bone bank. Fusion using bone from the patient has a long history of use and results in predictable healing. Smoking, medications you are taking for other conditions and your overall health can affect the rate of healing and fusion, too.