Spine

Treatment

Therapeutic Injection

Is a precisely carried out injection, which is intended to reduce the patients pain by reducing the swelling and local inflammation. This is achieved by injecting a mixture of local anesthetic and glucocorticoid. It has anti-inflammatory functioning and is a decongestant.

Under the control of a multi-faceted X-ray machine with the ability of live examination (so-called C-arm) the place responsible for pain is located. By maintaining a constant overview, the Radiological needle is introduced into the previously specified location. During this time, the patient should remain still and answer questions about the newly created pain areas. After the injection of the drug, the needle is removed and a sterile dressing is applied. During the entire procedure, the patient remains under the care of an anesthesiologist who makes sure the patient does not feel pain.

The Vertebroplasty technique

Vertebroplasty is a minimally invasive procedure for the treatment of painful vertebral compression fractures, which are fractures involving the vertebral bodies that make up the spinal column. In vertebroplasty, physicians use image guidance to inject a cement mixture into the fractured bone through a hollow needle. For vertebroplasty procedures, x-ray equipment, a hollow needle or tube called a trocarorthopedic cement, and a cement delivery device are used. Fluoroscopy, which converts x-rays into video images, is used to watch and guide progress of the procedure. After a few hours the patients may return to basic daily activities.

Discectomy

Diskectomy is the surgical removal of the damaged portion of a herniated disk in your spine. A herniated disk can irritate or compress closely located nerves and cause pain, numbness or weakness — which may radiate down into a patients arms or legs. Most people who have back pain or neck pain find relief with more conservative treatments, such as pain medications or physical therapy. Your doctor may suggest diskectomy if conservative treatments haven’t worked or if your symptoms worsen. There are several ways to perform a diskectomy. Many surgeons now prefer a type of diskectomy that uses small incisions and a microscope for viewing. The operation is performed under general anesthesia.

Lumbar stabilization

This procedure is performed in order to stabilize the affected part of the spine and eliminate the oppression on the nerve structure causing the pain. This is achieved through the insertion of appropriate implants, allowing a connection of vertebra affected by disease from behind. Fragments of the pathologically modified bone, which cause the compression of the neural structures are also removed. For adequate stability it is possible to insert an implant between vertebral bodies.

The cut is performed in the middle of the back, only to such lengths to smoothly enter the implants and make the decompression of neural structures. The operation involves precise insertion of screws through the base of the vertebra to the stems which require stabilization, and the introduction of the implant between the shafts to retain the proper distance between the shafts. The insertion of the screws is under the control of sight, touch and X-ray machine to minimize the risk of damage to neural and vascular structures. Screws are connected by bolt rods to provide adequate fixation. The inserted implants become the scaffolding, thanks to which a bony union between the vertebrae is created. This guarantees a lifetime stability of the operated area.

A special version of stabilization is percutaneous surgery. During this type of operation, each implant is inserted through a small incision separately. This significantly reduces the load of the body (for example, less bleeding), but does not result in bone healing. Therefore, this type of operation is required for a situation where we want to obtain the stabilization for a period of time, for example after the a vertebra crack, with no compression of the nerve structure.