In this section you will learn about some types of therapy in Germany. Here we put the following fields of medicine as cardiology, cardiosurgery, orthopedics, general surgery, vascular surgery, gynecology, urology, and maternity in Germany.
Vertebral stenosis manifests itself with intermittent claudication, stronger leg and lumbar pains when walking. During microscopic vertebral canal decompression, excessive structures of abnormal intervertebral joints are removed giving place for nerve structures. The operation is performed under X-ray and microscope control. The patients leave hospital on the 4th-5th day without any leg or back pains. Most patients are over 50 or even 60 (the age limit for this kind of surgery is not specified). The operation allows the patients to restore their mobility and live full life. Nowadays, this operation is performed 10 times more often than before and takes the leading position in the spine surgery.
It’s a minimally invasive method. First, the test intervertebral joint infiltration is performed with anesthetic. If the spine pain relieves the intervertebral joint nerve terminals are activated by thermal means or by cold: a thin probe is inserted into the joint under X-ray control. The patient can feel positive effect immediately on the surgical table and can leave hospital the next day.
The method is often applied for chronic back pains and spine joint instability. The spine stabilization method is also applied for traumas: the special fixing bolts join the neighboring spinal bones in one segment. This operation always used to be very traumatic for the neighboring muscular tissue. With the stabilization method, the fixing bolts are introduced subcutaneously under X-ray control. Contemporary developments in this area allow to stabilize from 2 to 3 neighboring spine bones without disturbing the spinal muscles, so, the patient can be mobilized the next day after the operation and the risk of surgery complications when the patient has to stay in bed for a long time is much lower. The lumbar spine is stabilized for a short time using a special brace after the operation. As a rule, typical dull backaches disappear immediately after the operation. The patient can leave hospital on the 3rd-5th day.
The method is applied for the lumbar spine degenerative changes. It’s an extremely efficient osteochondrosis treatment method. Either polymeric pad or titan implant can be used as surgical material. As a result, the spine physiological mobility is preserved.
Before the operation, the patient should undergo magnetic resonance imaging (MRI).
Using the syringe, the doctor injects Chemopapain into the spine disk. It’s a special enzyme thinning the disk content which is then sucked out. As a result, the SD shrinks and the spine disk herniation is removed. This is the least traumatic method. One of the indications for it is the disc membrane integrity.
SD surgery is the most popular spinal surgery. Pain relieves after most operations and patients are satisfied with the results.
But unfortunately, pain relief doesn’t remove its cause, thus there is a chance of repeated backaches that can hardly be remedied by conservative treatment. The damaged spine disk replacement is a comprehensive solution of this problem. That’s the main trend in orthopedic surgery: you should get rid of the cause to heal the disease. That’s why the joint endoprosthesis replacement is so popular.
This method is the gold standard of contemporary spine surgery: the open operation is performed under general anesthesia through a small skin incision (about 2-3 cm) by micro instruments and under control of the surgical high-resolution microscope. The most important thing is that the surgeon has a total control over the situation and can remove the bone pathology inside the vertebral canal. By the end of the operation, special gel is applied to prevent the adhesions formation. After the nerve-compressing pathology (e.g. spine disk herniation) is removed, the patient stops feeling pain in the limbs and can move around the clinics freely. Depending on the operation complexity, the patient is dismissed from hospital on the 3rd-7th day.
It’s one of contemporary minimally invasive methods of percutaneous nucleoplasty where the patented Coblation method is applied. Coblation® implies special radiation on the thin probe end splitting water molecules into radicals. This process results into spine disc shrinking, decompression and quicker healing process. The method advantage is that fibrous ring structure is not destroyed during the operation due to the relatively low temperature. The surgery has a positive effect in about 80% of operations.
This treatment method isn’t still popular. It is applied for some chronic and acute diseases, protrusion, prolapse and spine disk sequestrum, spinal canal contracture and spondylolisthesis. The spine is needled and catheterized under X-ray and computer tomography control. The treatment procedure can be performed on an outpatient basis. The patient feels better several days after the operation. But the patient should follow the doctor’s prescriptions and do all the necessary exercises.
It implies sparing minimally invasive treatment method where the laser energy causes the spine disk herniation shrinking with the following intervertebral nerve decompression. The operation lasts for 30 minutes and its efficiency is over 85%. The chance of SD nerve damage is about zero. The laser therapy is often applied for the lumbar spine hernia.