Minimally invasive spine surgery
The treatment of spine conditions implies varied treatment from painkillers to kinetotherapy, to local anaesthetics, minimally invasive surgery or extensive surgery of the spine.
The most spread spine condition is disc herniation at different levels, in decreasing order of frequency: lumbar, cervical and thoracic. Besides disc herniation there are other degenerative conditions: spondylolisthesis, lumbar canal stenosis, scoliosis.
Minimally Invasive Spinal Surgery provides patients with an opportunity for effective treatment, allowing them an ultra-fast recovery and, last but not least, minimizing surgically induced lesions. Our team uses a wide range of minimally invasive techniques, including endoscopy with its variants (transnazal, transthoracic, transmuscular, etc.), the operative microscope, the tubular transcutaneous approaches and, last but not least, the infiltrations at all levels of the spine.
Tumours of the spine are well treated in our hospital: there are tumours of the bone (multiple myeloma and metastasis) or tumours of the nerves (schwannoma or neurinoma), tumours of the sheath of the spinal cord (meningioma) and tumours of the spinal cord (astrocytoma, hemangioblastoma, cavernoma etc). The treatment of these tumours involves special surgical and anaesthetic techniques, and include electrophysiological monitoring.
Spinal trauma can be a debilitating condition and is represented by fractures, luxation or contusion of the spine, part of which need surgery, but also by very painful syndromes (chronic, neuropathic pain) that can be treated in our hospital in the pain clinic.
Lumbar and cervical disc herniation
Disc herniation is a pathology of the spine characterized by a degeneration of the structure and form of the intervertebral disc, which, through a herniation of its central portion, compresses the nerves or the spinal cord within the vertebral canal.
Disc herniaton is a pathology of the spine that is characterized by a degeneration of the structure and shape of the intervertebral disc, which, through a herniation of its central portion, compresses the nerves or the spinal cord within the vertebral canal. Compression of the nerves leads to their inflammation which translates into pain, numbness and / or weakness of the upper limb or lower limb. Not always a herniated disc produces symptoms, and the vast majority of herniated discs do not require surgery. In our clinic, we will use all other treatment methods, if possible, until we propose surgery.
Vertebral canal stenosis
Vertebral canal stenosis is a degenerative condition of the spine characterized by the narrowing of the spinal canal through which the nerves and the spinal cord pass. This condition compresses the spinal nerves and the spinal cord into the cervical and thoracic area and only the spinal nerves in the lumbar region, thus specific signs and symptoms are to be found at the clinical examination of the patient.
Spinal stenosis is a degenerative condition of the vertebral column characterized by narrowing of the spinal canal through which the spinal cord and spinal nerves pass. Narrowing of the canal compresses the spinal nerves and spinal cord in the cervical and thoracic area and only the spinal nerves in the lumbar region since the spinal cord normally ends at the L1 vertebra. Canal stenosis can be observed most commonly in lumbar and cervical areas. Spinal stenosis is caused by degenerative, wear-related changes. In severe cases of stenosis, surgery may be recommended.
Vertebroplasty is a minimally invasive surgical procedure that treats certain vertebral compression fractures. This type of fracture is very common in people with osteoporosis.
Vertebroplasty is a minimally invasive surgical procedure that treats certain vertebral fractures resulting from compression of one or more vertebral bodies. This type of fracture is very common in people with osteoporosis. In our clinic, patient treatment is multidisciplinary: neurosurgeon, orthopedist, radiologist and endocrinologist. This treats both the effect and the cause of the fracture, with the best chances of healing, as well as avoiding other fractures in the future. Treatment of compression fractures of osteoporosis can be treated with antalgic drugs, bed rest, external brace, or rehabilitation medicine. In patients with very severe pain, vertebroplasty can relieve pain, increasing patient mobility and decreasing drug intake.
Spinal fusion is the surgical connection of two or more vertebrae, eliminating the movement between them. Spinal fusion involves surgical techniques that mimic natural healing processes of fractured bones. During the spinal fusion, the surgeon will implant osteosynthesis material (screws, rods and cages) in the space between the vertebrae to be connected.
Spinal fusion is the surgical connection of two or more vertebrae, eliminating the movement between them. Spinal fusion involves surgical techniques that mimic natural healing processes of fractured bones. During the spinal fusion, the surgeon will mount osteosynthesis material in the space between the vertebrae to be connected. Titanium screws and rods can be used to maintain mounting position, favoring the best healing. Spinal fusion blocks one or more vertebral levels, modifying how the spine moves, increasing mechanical stress in adjacent levels. Spinal fusion permanently connects two or more spine vertebrae to improve stability, to correct a deformity or reduce pain.
Spinal fusion is recommended to treat the following medical conditions:
• vertebral fractures create a spine instability, requiring spinal fusion to stabilize the spine.
• spinal deformities – scoliosis and important kyphosis require surgical corrections in some cases
• spondylolisthesis – In this case a vertebra slips over the inferior vertebra. If the pain generated is very important, or neurological deficits such as muscle weakness or important numbness appear, spinal fusion may be indicated
• disc herniation – very rarely, after a disc herniation surgery, a second spine stabilization intervention is required.