Not infrequently, signs of wear on the cervical spine are the cause of chronic back pain. However, if conservative treatments do not work, patients will be forced to resort to surgery. The new DTRAX ™ method makes it possible to avoid a complex operation and still achieve a symptom-free result.
MD Peter Krause is a specialist in orthopedics and practices as a specialist in the diagnosis and treatment of diseases of the spine in his own practice in Munich. In this interview, the specialist speaks with us about the new DTRAX ™ procedure and its possibilities.
MD Peter Krause: Like other joints, the joints of the cervical spine wear off over time, that is, it comes to signs of wear on the intervertebral discs or vertebral joints. This can then often cause the person concerned severe symptoms in the form of pain or restricted mobility.
MD Peter Krause: If the pain in the cervical spine is so great and can no longer be controlled with the usual conservative therapeutic measures, spine surgery is usually necessary. In addition to these surgical methods, the innovative DTRAX ™ procedure has proved its worth in recent years.
MD Peter Krause: Surgery on the cervical spine is usually more complicated than interventions on the lumbar spine. In a conventional operation, the access must usually be from the front, so diagonally through the neck. Many patients therefore shy away from this procedure and continue to take the complaints. In contrast, the new DTRAX ™ procedure uses a so-called percutaneous approach. That is, the operation can be performed in this case from behind and represents a much smaller intervention.
MD Peter Krause: During the procedure, a kind of small dowel is inserted from behind into the so-called facet joint. This will allow us to expand a nerve exit hole that has been narrowed by the signs of wear. At the same time, the DTRAX ™ procedure allows blockage of the worn segment that can be removed from the painful motion.
MD Peter Krause: Of course, the biggest advantage of this method is that access is much less traumatic and less burdensome. However, it offers the patient a number of other benefits. For example, the operating time is significantly shorter. For the treatment of a segment, we usually need a maximum of half an hour. Also, the subsequent pain is usually much lower and patients can recover from this procedure much faster than with conventional surgical methods.
MD Peter Krause: The DTRAX ™ procedure is particularly suitable for the treatment of facet arthrosis, ie the wear of the vertebral joints, which is usually accompanied by local pain in the area of the cervical spine. But even with narrowing of the nerve outlet channel (foramen stenosis), the application of the DTRAX ™ method has proven itself. Another indication is the so-called "osteochondrosis". This is the pronounced wear of the cervical intervertebral discs.
MD Peter Krause: If after a previous operation a so-called "connection instability" occurs, the DTRAX ™ procedure is a suitable treatment method. So that the patient does not have to undergo a major surgery to correct this indication, the DTRAX ™ procedure can be the appropriate treatment method represent.