Minimal invasive rigid stabilization
Minimal invasive rigid stabilization
Chronic neck pain can have many different causes. The wear and tear, or degeneration, especially the intervertebral discs and facet joints plays a major role. However, instabilities, vertebral fractures, inflammation, misalignment or tumors may be responsible for this. At the lumbar spine, a combined approach is mostly useful and necessary in order to achieve a safe bone strength in formerly movable spine section. Due to the continuous development of medicine, it is already possible to draw even at a fusion surgery to minimally invasive techniques to largely sparing the surrounding tissue.
PD Dr. med. Berthold is an expert in the field of minimally invasive solid stabilization in the region of the lumbar and beck spine! He and his team will assist you during your treatment and tell you everything you want to know about the surgery.
Your advantages at OrthoCenter Munich
- International Excellence in Orthopaedics: Treatment of patients from around the world with multilingual care and the highest international standards.
- Scientifically Leading Expertise: Over one hundred scientific publications and international research ensure evidence-based medicine at the highest level.
- Modern Conservative and Minimally Invasive Therapies: Regenerative medicine such as PRP, hyaluronic acid or stem cell therapy combined with precise arthroscopic surgery.
- Specialisation in Shoulder, Knee, Elbow and Ankle: Individual diagnostics and treatment for all relevant joint conditions and injuries.
- High-Level Sports Orthopaedics: Modern treatment concepts and structured return-to-sport strategies for recreational and professional athletes.
- Premium Private Practice with Personal Care: Short pathways, direct communication with your physician and individual, high-quality support throughout the entire course of treatment.
Minimally Invasive Solid Stabilization (Cervical Spine)
Is a fusion surgery (spinal fusion) with proven underlying disease in the cervical spine inevitable, it is sufficient in most situations, the affected spinal segment isolated strengthening of the front. Only in exceptional cases a sole rear (screw and rod construction) or combined supply is required.
Therapy
Goal of minimally invasive solid stabilization of the cervical spine from the front is the careful replacement of the intervertebral disc with a supporting token, which is also known as Cage. Unlike intervertebral disc prostheses that Cage does not admit any mobility in the spine section supplied. The cages consist mostly well acceptable and highly stable plastic (PEEK) or a titanium alloy. They are filled with autologous bone or a bone man-made, so that in the course of a few months a bony connection (block) between the two vertebral bodies occurs. Access to the anterior cervical spine is very gentle tissue and occurs over a few centimeters long incision on the neck. While sparing the surrounding soft tissue, the surgeon gets truncated on the replaceable disc. This is then completely removed and relieves the spinal cord as a result. Under X-ray control of filled with bone Cage is now fitted. The surgical procedure is performed under general anesthesia in the supine position and takes about 90 minutes. Already after 8 hours is first started mobilizing under assistance.
Rehabilitation
In the first six weeks after surgical intervention, we recommend physical indulgence. This includes wearing a specially adapted soft cervical collar, which relieves the neck and supports the healing. Targeted physiotherapy treatment should be needed in the aftermath, if necessary, physical measures in the treatment of muscle tension can be performed concomitantly. After a period of eight to ten weeks, the usual activities at work and play can be resumed.
Lumbar Spine
Is a fusion surgery (spinal fusion) with proven underlying disease inevitable, it is important to strengthen the affected spinal segment back and forth. In exceptional cases, a sole front (Cage) or rear (screw and rod construction) is sufficient.
Therapy
Goal of minimally invasive solid stabilization of the lumbar spine from the front is the tissue sparing replacement of the intervertebral disc with a supporting token, which is also known as Cage. Unlike intervertebral disc prostheses that Cage does not admit any mobility in the spine section supplied. The cages consist mostly well acceptable and highly stable plastic (PEEK) or a titanium alloy. They are filled with autologous bone or a bone man-made, so that in the course of a few months a bony connection (block) between the two vertebral bodies occurs. The minimally invasive access to the anterior lumbar spine using either a few centimeters long horizontal or lateral applied centrally located incision over the iliac crest. While sparing the surrounding abdominal organs, the surgeon gets dull on the affected intervertebral disc. This is then completely removed and replaced under fluoroscopic control through a Cage. The surgical procedure is performed under general anesthesia in the supine position and takes about 90 minutes. Already after 8 hours is first started mobilizing under assistance.
Rehabilitation
In the first twelve weeks after surgical intervention, we recommend physical indulgence. This includes the wearing of a specially adapted stable hull corsets, which relieves the back and support the healing of the inserted implant. After twelve weeks shall physiotherapy treatment measures under the guidance be commenced to build up again the core muscles and strengthen . An outpatient or inpatient Rehabilitationsmaßnahe can support this measure and is useful. This guarantees to be able to promptly take the usual activities at work and play again. Depending on the physical load, the working capacity is four to five months made after surgical intervention again.
Lumbar Spine (perkutan)
Is a fusion surgery (spinal fusion) with proven underlying disease inevitable, it is important to strengthen the affected spinal segment back and forth. In exceptional cases, a sole front (Cage) or rear (screw and rod construction) is sufficient.
Therapy
Goal of minimally invasive solid stabilization of the lumbar spine from behind is to place without open exposure of the posterior vertebral structures (percutaneous) and taking the utmost protection of the erector spinae muscles and a screw rod construction in the affected spinal segment. The screw and solid bars are made of a titanium alloy and ensure strong tension band between the connected vertebrae. The minimally invasive access to the rear lumbar spine via a plurality of small approximately one centimeter long offset somewhat from the centerline applied incisions. Under X-ray control is then carried out with the aid of thin guide wire introducing the screws and rods. The surgical procedure is performed under general anesthesia in the prone position and takes about 90 minutes. Already after 12 hours is first started mobilizing under assistance. anesthesia in the prone position and takes about 45 minutes. Already after 12 hours is first started mobilizing under assistance.
Rehabilitation
In the first twelve weeks after surgical intervention, we recommend physical indulgence. This includes the wearing of a specially adapted stable hull corsets, which relieves the back and support the healing of the inserted implant. After twelve weeks shall physiotherapy treatment measures under the guidance be commenced to build up again the core muscles and strengthen . An outpatient or inpatient rehabilitation can support this measure and is useful. This guarantees to be able to promptly take the usual activities at work and play again. Depending on the physical load, the working capacity is four to five months made after surgical intervention again.
Your spine specialist in Munich
PD Dr. med. Daniel P. Berthold
- Board-certified specialist in orthopedics and trauma surgery with international training at TUM, LMU, and the University of Connecticut.
- Over 100 scientific publications and award-winning research.
- Modern conservative therapies such as PRP, hyaluronic acid, and stem cell procedures.
- Precise minimally invasive surgery and individualized, evidence-based treatment planning
- Expertise in diagnosing and non-surgical treatment of disc problems, facet joint osteoarthritis, and SI joint disorders
- Performing targeted injections such as facet, SI joint, and periradicular injections to reduce pain and improve function
- Individualized surgery-avoidance strategies, second opinions, and evidence-based treatment planning for acute and chronic back pain
