Operations | Spinasana Zweitmeinung

Nerve decompression surgery lumbar vertebrae

In very special cases, the disc material can be removed purely endoscopically.
In all other cases, the spinal canal is exposed through a small skin incision of 2-3 cm.
Under the operating microscope the nerve is held away and the blown out disc material is removed.
6 hours after the operation the patient is allowed to get up and sit immediately.
After 2-3 days one can already go home.

Detailed information can be found in the document Nerve decompression surgery lumbar vertebrae

Nerve decompression surgery cervical spine

In principle, nerve decompression is performed through an anterior approach.
This appears spectacular, but is much gentler and less dangerous than the posterior approach.
In most cases, fixation of the affected segment must be performed in addition to nerve decompression.
Segment fixation is performed either with a rigid placeholder or with a disc prosthesis.
The fact that the procedure is minimally invasive is demonstrated by the fact that the patient can get up as early as 2 hours after the operation and leave the clinic after 2 days.

For more detailed information, you can download the document Nerve decompression surgery (cervical spine)

Instrumented fusion of the lumbar spine

In a fusion operation, one or more motion segments are fixed permanently.
In principle, temporary placeholders made of titanium and bone material are inserted.
Today, these operations are mainly minimally invasive, i.e. they can be performed through very small incisions.
The reputation of fusion surgeries is unjustly poor, as the latest developments are not taken into account.
The frequent question about the domino effect on the neighboring segment due to overloading is massively overestimated
6 hours after the fusion operation the patient is allowed to stand up again and a sitting ban is not necessary.

Detailed information can be found in the document instrumented fusion of the lumbar spine

Fusion surgery of the cervical spine

Cervical spine fusion surgery is usually performed in conjunction with nerve decompression surgery.
In the case of regional pain in the neck without radiation, the surgical result that can be achieved by fusion is usually deceptive.
The same rules apply to fusion surgery as to fusion in conjunction with nerve decompression surgery.
It is possible that in the future, prostheses may produce better results than fusion for pure neck pain.

For more information download Fusion surgery of the cervical spine

Disc prosthesis lumbar spine

The disc prosthesis is a fixation technique that is becoming increasingly popular today.
Due to the preserved mobility of the prosthesis, there are many advantages compared to fusion.
The disc prosthesis is implanted through a minimally invasive approach from the front.
The fact that the patient can get up after 6 hours and leave the clinic after 2-3 days shows that this is a gentle procedure.

For more information download Disc prosthesis lumbar spine

Intervertebral disc prosthesis cervical spine

Implanted through a minimally invasive anterior approach.
This procedure is increasingly gaining acceptance over fusion surgery.
Patients can get up 2 hrs after surgery and leave the clinic after 2 days.

For more information Download Modern surgical techniques for degenerative diseases of the cervical spine.

Dynamic fixation

These stabilization procedures are an alternative to the classic posterior fusion operation.
The disadvantages of stiffening are to be eliminated with these systems.
Various dynamically neutralizing systems are available

(see detailed information)

Sealing of the osteoporotic fracture

Sealing of the collapsed vertebra usually brings immediate freedom from pain.
Patients can get up again immediately.
The operation is performed percutaneously (i.e. through the skin) under permanent X-ray control.
The condition is that the fracture is stabilized within 3 months.

For more information, see the document Osteoporotic fracture