Learn about Atlantoaxial Surgery Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in Atlantoaxial Surgery and request assistance for cost estimates or appointments.

About Atlantoaxial Surgery

Atlantoaxial surgery is a specialized spinal procedure performed by spine surgeons to address instability or misalignment between the first (atlas) and second (axis) vertebrae in the upper neck. This critical region supports the skull and houses the spinal cord. The surgery aims to stabilize the joint, relieve pressure on neural structures, and restore proper alignment. Common techniques include posterior fusion with screws and rods (C1-C2 fixation) or, in select cases, an anterior approach. It is a highly precise operation often required after trauma, due to congenital abnormalities like os odontoideum, or from degenerative conditions such as rheumatoid arthritis. Successful surgery alleviates severe neck pain, neurological deficits like weakness or numbness, and prevents catastrophic spinal cord injury, significantly improving a patient's quality of life and long-term spinal health.

Key Highlights

    Restores stability and alignment to the most mobile spinal segment.Relieves pressure on the spinal cord and nerve roots, preventing neurological damage.Alleviates chronic, debilitating neck pain and associated headaches.Corrects congenital or acquired deformities for improved function.Utilizes advanced surgical navigation and instrumentation for precision and safety.Offers a definitive solution for atlantoaxial instability to prevent catastrophic injury./ul

Who is this surgery for?

  • Traumatic injuries like fractures of the C1 or C2 vertebrae (e.g., Jefferson or Hangman's fracture).
  • Congenital abnormalities such as os odontoideum or Down syndrome-associated ligamentous laxity.
  • Inflammatory conditions like rheumatoid arthritis causing ligament erosion and instability.
  • Degenerative conditions leading to excessive motion and spinal cord compression.
  • Tumors or infections affecting the atlantoaxial joint.
  • Non-union of a previous odontoid fracture.
  • Progressive neurological symptoms (weakness, numbness, gait disturbances) due to cord compression.

How to prepare

  • Comprehensive diagnostic imaging including dynamic X-rays, CT scans, and MRI to assess bone and soft tissue structures.
  • Detailed neurological examination to establish a baseline.
  • Pre-operative medical clearance, especially for patients with rheumatoid arthritis or other systemic conditions.
  • Discussion of anesthesia risks and the surgical plan with the anesthesiologist and surgeon.
  • Discontinuation of blood-thinning medications (e.g., aspirin, warfarin) as advised by the doctor.
  • Fasting for 8-12 hours before the scheduled surgery time.
  • Arranging for post-operative support and transportation for the recovery period.

Risks & possible complications

  • General surgical risks: Infection, bleeding, and adverse reactions to anesthesia.
  • Nerve or spinal cord injury, potentially leading to weakness, paralysis, or sensory changes.
  • Vertebral artery injury, which can lead to stroke.
  • Hardware malposition, failure, or loosening of screws/rods.
  • Non-union or failure of the bones to fuse properly.
  • Adjacent segment disease (increased stress on vertebrae above or below the fusion).
  • Persistent pain, stiffness, or reduced range of motion in the neck.
  • Difficulty swallowing or hoarseness (more common with anterior approaches).

Recovery & hospital stay

  • Initial hospital stay for monitoring neurological status and pain management.
  • Wearing a rigid cervical collar (e.g., halo vest or hard collar) for 8-12 weeks to immobilize the neck and promote fusion.
  • Gradual return to light activities; strict avoidance of heavy lifting, bending, and twisting.
  • Physical therapy to strengthen supporting muscles and improve posture once cleared by the surgeon.
  • Regular follow-up visits with X-rays to monitor the healing and fusion process.
  • Pain management with prescribed medications, transitioning to over-the-counter options as healing progresses.
  • Adhering to all surgeon instructions regarding wound care and activity restrictions to ensure optimal outcomes.
  • checked Typical hospital stay: 4-7 days
  • checked Expected recovery time: 3-6 months for full fusion and return to normal activities

Frequently Asked Questions

If you are considering atlantoaxial surgery in India, these questions and answers can help you make a confident, informed decision.

Procedure cost in other countries

Here is an overview of how the estimated cost, hospital stay, and recovery time for atlantoaxial surgery compare across other countries where we have data.

Country Estimated cost range Typical stay Recovery time View details
India INR 350 Thousand – 800 Thousand 4-7 days ~ 3-6 months for full fusion and return to normal activities Know More
Turkey TRY 1.23 Million – 2.8 Million 4-7 days ~ 3-6 months for full fusion and return to normal activities Know More

Top hospitals for Atlantoaxial Surgery in India

These partner hospitals in India have dedicated spine surgery teams and experience managing patients undergoing atlantoaxial surgery.

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91+ Rating

Manipal Hospital Malleshwaram

  • IconBangalore, India
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5990+ Rating

Manipal Hospital Rangapani

  • IconSiliguri, India
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10171+ Rating

Miot Hospital Chennai

  • IconChennai, India
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PATIENT REVIEW

Sara Gupta, a 42-year-old software engineer...

Sara Gupta, a 42-year-old software engineer and mother of two, had been living with worsening neck pain and stiffness for over a year. An avid runner, she first noticed a persistent ache at the base of her skull, which she attributed to stress and poor posture. Over months, the pain intensified, radiating into her shoulders, and she began experiencing alarming episodes of dizziness and a feeling of instability when turning her head quickly. A minor fall while jogging led to severe neck pain and numbness in her fingers, prompting an urgent visit. MRI and CT scans revealed atlantoaxial instability due to a congenital ligament laxity that had progressively worsened. Her spine surgeon, Dr. Chen, explained that her C1 and C2 vertebrae were unstable, risking spinal cord injury. He recommended posterior atlantoaxial fusion to stabilize the joint. Terrified by the idea of spine surgery but more frightened of permanent nerve damage, Sara underwent the procedure. The surgery was successful. Her recovery in the hospital was challenging, with initial pain managed by medication and wearing a rigid cervical collar. After six weeks, the severe nerve symptoms were gone. At her three-month follow-up, she was cleared for gentle physical therapy. The emotional journey was profound; pre-surgery, she felt vulnerable and feared for her ability to care for her children. Post-recovery, though she has accepted permanent limitations on high-impact activities, she is deeply grateful for her stability and lack of pain, feeling a renewed sense of security and patience for life's slower pace.

Spine surgeons for Atlantoaxial Surgery

Explore experienced spine surgeons who regularly perform atlantoaxial surgery and provide pre- and post-operative care in India.

Dr. Charanjit Singh Dhillon
  • 20 Years Experience
  • Spine surgeon
Speaks: English, Tamil, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Miot Hospital Chennai, Chennai

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Dr. Dhiyanesh Krishnamoorthy
  • 14 Years Experience
  • Spine surgeon
Speaks: English, Hindi
Consult Charge ₹ 500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

OPD-desk synced • Updated
Dr. Priyamvadha K
  • 15 Years Experience
  • Spine surgeon
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield, Bangalore

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Dr. Bharat Sarkar
  • 14 Years Experience
  • Spine surgeon
Speaks: English, Hindi
Consult Charge ₹ 500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield, Bangalore

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Dr. Vidyadhara S
  • 25 Years Experience
  • Spine surgeon
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

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Dr. Thomas J Kishen
  • 24 Years Experience
  • Spine surgeon
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

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Dr. Mohit Muttha
  • 12 Years Experience
  • Spine surgeon
Speaks: English, Hindi
Consult Charge ₹ 550
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Kharadi, Pune

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Dr. Dhiyanesh Krishnamoorthy
  • 12 Years Experience
  • Spine surgeon
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Jayanagar, Bangalore

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Dr. Thomas J Kishen
  • 24 Years Experience
  • Spine surgeon
Speaks: English, Hindi
Consult Charge ₹ 1100
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Hebbal, Bangalore

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Dr. SK Rajan
  • 25 Years Experience
  • Spine surgeon
Speaks: English, Hindi
Consult Charge ₹ 1500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Artemis Hospital Gurgaon, Gurgaon

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Dr. Mukesh Haritwal
  • 8 Years Experience
  • Spine surgeon
Speaks: English, Hindi
Consult Charge ₹ 1500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Jaipur, Jaipur

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Dr. Abhishek Soni
  • 7 Years Experience
  • Spine surgeon
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Balamurugan Thirugnanam
  • 5 Years Experience
  • Spine surgeon
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Kasinath Swain
  • 11 Years Experience
  • Orthopedist
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Bhubaneswar, Bhubaneshwar

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Dr. Anutosh Singh
  • 12 Years Experience
  • Spine surgeon
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

Metro Hospital, Sector 11, Noida

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Dr. Akash Mishra
  • 12 Years Experience
  • Spine surgeon
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

Metro Hospital, Sector 11, Noida

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Dr. Saikat Sarkar
  • 25 Years Experience
  • Spine surgeon
Speaks: English, Hindi
Consult Charge ₹ 1500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Salt Lake, Kolkata

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Dr. Subhadip Mandal
  • 15 Years Experience
  • Spine surgeon
Speaks: English, Hindi
Consult Charge ₹ 1500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Salt Lake, Kolkata

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Dr. Hamza Shaikh
  • 17 Years Experience
  • Spine surgeon
Speaks: English, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Dwarka, Delhi

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Dr. Rahul Chaudhari
  • 19 Years Experience
  • Spine surgeon
Speaks: English, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Baner, Pune

OPD-desk synced • Updated