Numerous diseases and the everyday circumstances of today make spine surgery necessary. Actual malformations of the skeleton are rare and innate. Scoliosis is an additional, usually lateral, curvature of the spine. It can be twisted individual vortex, creating a three-dimensional deformation.
There are several degrees of severity of scoliosis, which cause different degrees of freedom of movement. The light form usually requires no treatment. Physiotherapy can help. The moderate form of scoliosis is treated by wearing a support corset. Only the heavy form leads to a significant impairment of freedom of movement. It causes back pain and often internal organs can be affected by the malposition of the spine. If this is the case, spine surgery must be considered.
Surgery of the spine in scoliosis
The surgical repair of scoliosis is a serious intervention. In this spinal surgery, the stiffened and altered spine section must be removed under general anesthesia. The surgeon must not injure nerves of the spinal cord or other important structures. Following this, artificial spinal parts for the extracted spinal fragments are used in this spinal surgery. With screws and metal plates, the implants are stabilized and interconnected.
Following surgical treatment for scoliosis, the individual must wear a special support corset for approximately twelve weeks and remain in bed. The musculoskeletal system is immobilized after this spinal surgery. This is the only way to ensure that bone fragments form around the inserted implants. This increases the stability of the operated spine. In addition, there is less risk of one of the implants slipping and having to follow another spinal surgery.
Surgery of the spine during vertebral gliding
Spinal surgery is also shown on the clinical picture of vertebral gliding. Often the displaced vortex remains unnoticed. When the vertebral gliding causes discomfort, it is often neurological deficits in addition to the back pain. For example, it can lead to numbness in the legs. Such symptoms indicate that nerves are trapped by the displaced vertebra.
In a spinal surgery, the displaced vertebra is fixed to the neighboring vertebrae with screws and rods. In order to prevent these from breaking, a metal or plastic framework is also placed around the sliding vortex. The spine is stiffened after this spinal surgery.
To ensure a good healing of this spinal surgery, the patient must wear a support corset for about three months and stay in bed if necessary. Only after this period, the corset can be removed piece by piece and started with physiotherapy.
Spinal surgery of the intervertebral discs
Less invasive, but much more common surgeons operate on the intervertebral discs. In today's everyday life, there is often a strain on the spine, which leads to an overload of the intervertebral discs. These catch the pressure on them. If the surrounding back muscles weakened by lack of movement, the discs are overloaded. Conventional therapies, from painkillers, physiotherapy and massages should help. But often this therapy only leads to a short-term relief. Because of the great pain, many sufferers opt for a spinal surgery on the intervertebral disc.
It is important, despite the pain, to find a suitable clinic and the doctor with the right surgical procedure. Meanwhile, many intervertebral disc surgery can be performed minimally invasive. These procedures offer many advantages over traditional spinal surgery.
Spinal surgery in spinal canal stenosis
Also, the common spinal canal stenosis, the narrowing of the spinal canal, can be repaired in a minimally invasive spinal surgery. Although spinal deformity can also cause a stenosis, a large spinal surgery to repair spinal stenosis is not always necessary. Minimally invasive spinal surgery is a good way to resolve spinal canal stenosis.
The spine surgery is already possible at a price from €6,700. Please send us your inquiry with a current x-ray image to get a detailed estimate cost.
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Removal of damaged intervertebral disc tissue
Surgical treatment of scoliosis
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Since the end of October, the spinal center of the Bonifatius-Hospital Lingen has operated with a robotic assisted navigation system. The system is one of the first of its kind in Europe. In the future, it will improve the safety and precision of spine surgery.
During operations on the spine, screws are often anchored in the vertebral body to stabilize the spine. These are conventionally placed by the surgeon, who always creates new X-ray images during the surgery for orientation. The new robotic system allows the surgeon to plan these screws accurately before surgery.
First, images of the spine are taken with a computer tomograph. In these images, the surgeon can now virtually place the screws. A robotic arm uses these placements to navigate across the patient's skin to exactly where the screw is to be placed. There, the surgeon can now make an incision and place the real screw. In addition to the increased precision significantly fewer X-ray images must be recorded during the operation. Thus, the radiation exposure decreases for both the patient and the medical staff.
The robotic assisted navigation system installed at the Boniface Hospital is one of only three of its kind in Europe. "At Bonifatius Hospital, we try to be close to the pulse of the times, both medically and technically," said Managing Director Martin Diek. In addition to the improved patient care, the idea of being one of the first hospitals in Germany to be able to carry out robotic-assisted operations on the spine was one of the first things that inspired him.
VBT: New operation method in spine surgery provides more flexibility
In recent years, the possibilities for surgical correction of spinal curvature in children, also called scoliosis, have been further developed and refined. The use of "growing" systems allows correction of deformity without growth inhibition and is now routine. The conventional spine surgical techniques used so far are not very flexible and can lead to restrictions on mobility in a specific section of the spine. Since 2018, a new method of spine surgery, the so-called Vertebral Body Tethering Method (VBT), has also been approved in Germany, in which the spine of the young patients remains more mobile. The working group "Growing Spine" of the DGOU-Section Association for Pediatric Orthopedics (VKO) has published a statement on this subject.
The VBT method was developed in the US with the aim of correcting scoliosis based on the principles of growth modulation. "With the operational use of a flexible polymer band, a targeted growth control is made. While a temporary growth braking takes place on the convex-side vertebral body half, a faster growth on the inside of the curvature is made possible on the concave side. This allows the true vertebral body shape to be restored, "says Dr. Kiril Mladenov, Chief Pediatrician Pediatrician at the Altona Children's Hospital. This procedure is only possible with an existing growth potential of the vertebral bodies; a necessary residual growth of at least two years is therefore indispensable.
This spine surgery method is suitable for children and adolescent patients with idiopathic scoliosis. The following criteria apply as indication recommendation:
Chronological age> 10 years
Idiopathic scoliosis> 30 °
Corset therapy rejected or not efficient (significant increase in curvature despite adequate corset care)
Curvature in the side bending recording well flexible and correctable to <30 °
Residual growth of at least 2 years, according to Sanders Stadium
Since the patient population is currently still small, there are too few studies for a derivation of the long-term effects. The current findings are based mainly on the observation on animal models in which an effective growth modulation has been demonstrated. What long-term effects the VBT method has on intervertebral disc and joint structure in humans is still unclear. This requires further studies and long-term observations.