Spica Healthcare β€” Unit of Grover Hospital, Bathinda
Advanced Surgical Protocol

Metastatic Bone Disease Treatment

Evidence-based clinical protocol featuring sub-millimeter surgical precision, modular bio-compatible implants, Class-100 HEPA laminar flow suites, and fast-track rehabilitation at Grover Hospital, Bathinda.

15,000+Complex Surgeries
95%+Limb Salvage Benchmark
<0.3%Infection Rate Benchmark
100%Director-Led OPD & Surgeries
Prophylactic StabilizationDirector's Signature Surgical Protocol

Metastatic Bone Disease Stabilization & Pain Relief Protocol

Fracture Prevention, Pain Relief & Immediate Mobility

Dr. Deepak Garg delivers comprehensive multidisciplinary care for bone metastases arising from primary breast, lung, prostate, renal, and gastrointestinal cancers. Utilizing Mirels' Scoring for impending fracture risk, prophylactic intramedullary nailing, modular megaprosthesis reconstruction, and percutaneous cementoplasty (kyphoplasty/acetabuloplasty) under fluoroscopy, severe cancer-induced bone pain is resolved, pathological fractures are prevented, and patients maintain full independent mobility during systemic cancer treatment.

Mirels' Score Assessment: Predicts and prevents pathological fractures before they occur
Prophylactic Intramedullary Nailing: Minimal incision biological fixation allowing immediate weight-bearing
Megaprosthetic Joint Replacement: Replaces cancer-destroyed joint ends with titanium prostheses
Coordinated Oncology Care: Dual direction under Dr. Deepak Garg (Surgery) & Dr. Neha Gupta (Systemic Therapy)

Lead Operating Specialists (1)

Specialist directors and senior surgeons performing this procedure.

Dr. Deepak Garg - Director & Senior Joint Replacement, Spine and Orthopaedic Oncologist

Dr. Deepak Garg

Senior Consultant & Clinical Director β€” Orthopaedic Oncology & Robotic Joint Surgery

16+ Years Clinical Exp

Grover Hospital BathindaView Profile

Clinical Indications (Who Requires This Procedure?)

Primary clinical criteria and symptoms that indicate the need for this procedure.

Known cancer patients presenting with new, worsening bone pain in thigh, arm, spine, or ribs.
Impending pathological fracture with high Mirels' Score (>8) in weight-bearing long bones.
Established pathological fractures through metastatic osteolytic bone lesions.
Solitary metastatic bone lesions (renal cell or thyroid) eligible for curative wide local resection.

Primary Conditions Treated

Bone tumors, joint disorders, and conditions indicated for this surgical technique.

Step-by-Step Surgical Patient Journey

What happens before, during, and immediately after the procedure at Grover Hospital.

1

Whole-Body Skeletal Staging

Whole-body FDG PET-CT or Technetium bone scan maps all skeletal metastatic deposits.

2

Impending Fracture Risk Stratification

Mirels' score evaluation determines whether prophylactic internal stabilization is required.

3

Prophylactic Fixation or Joint Reconstruction

Minimally invasive intramedullary nailing, cement augmentation, or modular joint replacement.

4

Fast-Track Mobilization & Systemic Therapy

Day-1 walking and coordination with medical oncology (Dr. Neha Gupta) for systemic therapy.

Recovery & Rehabilitation Milestones

Expected healing trajectory, weight-bearing timeline, and return-to-activity guide.

Phase 1: Immediate Pain Relief & Ambulation

Immediate reduction in fracture pain, assisted standing with walker within 24–48 hours of surgery.

Day 1 – 3

Phase 2: Systemic Oncology Integration

Unassisted walking, transition to targeted bone-modifying agents (zoledronic acid, denosumab) and chemotherapy.

Week 2 – 4

Phase 3: Long-Term Functional Independence

Preserved independent mobility, pain-free daily functioning, and regular PET-CT oncological monitoring.

Month 2 – Long Term

Clinical Infrastructure & Technology Suite

High-definition glimpse into our surgical suites, robotic systems, and patient facilities at Grover Hospital, Bathinda.

ISO Class-100 Laminar Airflow Operation Theatres
Zero-Infection OT

ISO Class-100 Laminar Airflow Operation Theatres

Positive-pressure ultra-clean surgical suites with 99.97% HEPA filtration for joint & tumor surgery.

3D Computer-Navigated Robotic Surgical Suite
3D Robotics & Navigation

3D Computer-Navigated Robotic Surgical Suite

Intraoperative optical tracking ensuring 0.1mm alignment accuracy and negative oncological margins.

In-Hospital Physical Rehabilitation & Gait Clinic
Fast-Track Rehab

In-Hospital Physical Rehabilitation & Gait Clinic

Dedicated post-op recovery gym equipped for Day-1 walking, CPM passive motion, and balance conditioning.

Spica Healthcare & Grover Hospital Main Campus
Main Facility

Spica Healthcare & Grover Hospital Main Campus

Modern multi-speciality tertiary surgical institute with 24/7 emergency trauma ICU on GT Road, Bathinda.

Verified Patient Outcomes

Real recoveries treated by our surgical directors.

β˜… 4.9 / 5.0

"Targeted PARP Inhibitors and Complete Remission with Dr. Neha Gupta"

β˜…β˜…β˜…β˜…β˜…

"After completing ovarian cancer chemotherapy, genetic testing by Dr. Neha Gupta revealed a BRCA gene mutation. She placed me on oral Olaparib maintenance tablets at home. My CA-125 is completely normal at 8 U/mL and my scans show zero evidence of disease after 2 years!"

β€” Paramjit Kaur (Faridkot)Case Study β†’

"Instant Sciatica Nerve Relief Through 16mm Keyhole Micro-Endoscopic Surgery"

β˜…β˜…β˜…β˜…β˜…

"An L5-S1 disc herniation caused shooting electric pain down my left leg, leaving me unable to stand straight for 2 months. Dr. Deepak Garg performed Micro-Endoscopic Discectomy through a 16mm keyhole port without any spinal fusion or screws. The shooting pain disappeared immediately upon waking up, and I was discharged the next morning!"

β€” Rajesh Kumar (Bathinda)Case Study β†’

Why Choose Spica Healthcare for Metastatic Bone Disease Treatment?

Tertiary hospital surgical expertise combined with 100% cashless insurance support at Grover Hospital, Bathinda.

95%+ Limb Salvage Benchmark

Preserving native limbs in over 95% of bone tumor cases using custom titanium megaprosthetic implants.

ISO Class-100 Laminar Flow OTs

Zero-dust ultra-clean operating suites minimizing surgical infection rates to below 0.3%.

Multidisciplinary Tumor Board

Comprehensive multidisciplinary tumor board review for all bone and soft tissue sarcomas.

Delhi-Trained Surgical Leadership

RGCI New Delhi trained specialist offering tertiary bone cancer care in Bathinda.

Frequently Asked Questions

Bone metastasis occurs when cancer cells from another part of the body (like breast, lung, prostate, kidney) spread through the bloodstream to the bone. It weakens bone structural integrity, causing severe deep bone pain and risk of fracture with minimal movement.

First Visit Checklist: Essential Documents to Bring

Please bring the following records so our surgical team can evaluate Metastatic Bone Disease Treatment candidacy in one visit:

βœ“
Recent Digital X-Ray films and MRI DICOM CDs of affected joint/limb
βœ“
Previous Biopsy slides and Histopathology / IHC blocks (for bone tumors & sarcomas)
βœ“
Prior implant identification card if seeking revision joint replacement surgery

Book Consultation

Dr. Deepak Garg

Consultation Feeβ‚Ή500
100% Cashless & Ayushman Empanelled

All surgeries, modular titanium implants, and hospital admissions covered under PM-JAY and major private insurance TPAs.

Director-Led Clinical Breakthroughs

Signature Surgical Innovations & Techniques

Proprietary surgical methodologies and precision protocols pioneered by our senior directors to minimize trauma, protect natural anatomy, and accelerate recovery.

1 of 13
Comprehensive Bone Cancer Oncology & Limb Preservation
Click to Watch Video Demonstration
95%+ Limb Salvage & MAP Chemotherapy
Multidisciplinary Limb Salvage, MAP Chemotherapy & Modular Megaprosthetics

Comprehensive Bone Cancer Oncology & Limb Preservation

Dr. Deepak Garg (Orthopaedic Surgical Oncology - RGCI Delhi Trained) and Dr. Neha Gupta (Medical Oncology) co-lead the Bone Cancer & Sarcoma Center at Spica Healthcare. Integrating intensive multi-agent neoadjuvant chemotherapy protocols (MAP: High-Dose Methotrexate, Doxorubicin, Cisplatin for Osteosarcoma; VIDE: Vincristine, Ifosfamide, Doxorubicin, Etoposide for Ewing Sarcoma) with 3D computer-navigated limb salvage surgery and modular titanium megaprosthetic joint reconstruction, 5-year survival rates exceed 75% to 80% while saving over 95% of patients from limb amputation.

Key Advantages Over Conventional Surgery:
Coordinated Surgical & Medical Oncology: Seamless dual leadership under Dr. Deepak Garg & Dr. Neha Gupta
95%+ Limb Preservation Rate: Wide oncological bone resection avoiding traumatic limb amputations
High-Grade Sarcoma Chemotherapy: Standardized MAP and VIDE protocols delivering high tumor necrosis rates (>90%)
Custom Modular Megaprostheses: Immediate joint restoration with biological tendon ingrowth collars
Why Families & Physicians Trust Spica

World-Class Clinical Precision, Built on Compassion

Spica Healthcare β€” Bone and Cancer Institute, Bathinda β€” is South-Western Punjab's premier super-speciality centre led by AIIMS and Tata Memorial fellowship-trained directors.

AIIMS & Tata Memorial Alumni25+ Yrs Combined Senior Leadership

15,000+ Complex Surgeries & 100% Director-Led Evaluations

Every diagnostic MRI review, surgical staging, and operation is personally directed by chief clinical specialists β€” Dr. Deepak Garg (Orthopaedic Oncology & Robotics) and Dr. Neha Gupta (Medical Oncology) β€” guaranteeing zero junior proxies.

15,000+Surgeries Completed
95%+Limb Salvage Rate
<0.3%Infection Benchmark
Pre-Op 3D Virtual Planning 100% Direct Director OPD Day-1 Walking Protocol
Sub-Millimeter Accuracy

3D Navigated Robotics & Day-1 Walking

Sub-millimeter implant positioning and soft-tissue ligament balancing ensuring patients walk comfortably within 24 hours of total knee replacement.

ROSA Robotics & Stryker Nav
Malwa Punjab Exclusive

Limb-Salvage Over Amputation

South-West Punjab's only dedicated centre for modular titanium megaprosthesis, saving natural limbs and functions in 95%+ of bone cancer patients.

Modular Megaprosthesis
0-Out-Of-Pocket Options

100% Cashless PM-JAY & TPAs

Full cashless coverage for Ayushman Bharat (PM-JAY), Punjab Govt Health Schemes, ECHS, and 30+ private insurance networks with on-desk approvals.

Ayushman + 30+ TPAs Empanelled
24/7 Tertiary Ready

Class-100 Laminar Flow OTs & ICU

Positive-pressure HEPA filtered theatres minimizing infection rates below international benchmarks with 24/7 dedicated critical care backup.

Spica Healthcare Bathinda
Expert Surgical Directors

Meet the Doctors at Spica Healthcare

Fellowship-trained surgical directors from AIIMS & Tata Memorial providing compassionate, world-class tertiary care in super-speciality orthopaedics and medical oncology.

Dr. Neha Gupta - Clinical Director & Senior Medical Oncologist

Dr. Neha Gupta

Senior Consultant & Clinical Director β€” Medical Oncology

13+ Yrs Exp

MBBS (BFUHS Faridkot), MD Radiation Oncology (BFUHS Faridkot), DrNB Medical Oncology (Sarvodaya Hospital, Faridabad), Precision Oncology (Harvard, USA), Ex Consultant RGCI New Delhi

Medical Oncology & ChemotherapyImmunotherapy & Targeted OncologyPrecision Oncology & Cancer GenomicsPreventive Cancer ScreeningPalliative & Supportive OncologyHormonal TherapyComprehensive Cancer Treatments
Dr. Deepak Garg - Director & Senior Joint Replacement, Spine and Orthopaedic Oncologist

Dr. Deepak Garg

Senior Consultant & Clinical Director β€” Orthopaedic Oncology & Robotic Joint Surgery

16+ Yrs Exp

MBBS (TNMC Mumbai), DNB Orthopaedics (PGI & SP Miraj), Fellowship Arthroplasty and Arthroscopy (Fortis Hospital, New Delhi), Fellowship Orthopaedic Oncology (Rajiv Gandhi Cancer Institute, New Delhi)

Orthopaedic Oncology & Bone Tumors3D Robotic Joint ReplacementSports Injuries & ArthroscopyTrauma & Fracture ReconstructionGeneral Orthopaedics & Spine CareComprehensive Cancer Treatments
Community Health & Academic Outreach

Upcoming Health Camps & Academic Events

Free OPD screening camps, director-led masterclasses, and national oncology representations by Spica Healthcare.

Curious what families & patients experience

Hear what our patients are saying

Real stories from patients who recovered through limb preservation surgery, 3D robotic joint replacements, and precision cancer care at Spica Healthcare β€” Grover Hospital, Bathinda.

Health Knowledge & Clinical Guides

Doctor-Authored Health Guides

Evidence-based surgical recovery roadmaps, robotic joint protocols, and precision oncology insights written by our clinical directors.