Spine Surgery. Herniated disk treatment

The symptoms of the involvement of nerve roots and/or the spinal cord (paresis, myelipathy, and acraturesis) are the indications for herniated disk treatment. An urgent surgery is necessary in this case. Sometimes the surgical intervention is recommended to avoid possible effects of nerve structure pressure. Limb pain stable for long-term conservative treatment is also successfully treated by surgical interventions and is an indication for the surgery.

Chemonucleolysis in the spinal hernia treatment

A special enzyme Chemopapain that causes diffluence of the disc is introduced with help of a medical syringe into the intervertebral disc. The lining is drawn off after that. The decrease of an intervertebral disk and the removal of intervertebral disk hernia are the result of the treatment method. This method is least traumatic. The integrity of the disk membrane is necessary for this method.

Treatment of intervertebral disk hernia through laser

This method means an attenuated low-invasive treatment method. The intervertebral hernia is decreased and thus the decompression of intervertebral nerves is induced with help of laser energy. The surgery lasts 30 minutes and the effectiveness is more than 85%. The risk of damage of the intervertebral nerve is practically equal to zero. The laser is used in case of the hernia of the lumbar spine especially often.

Herniated disk treatment through intradermal endoscopic nucleotomy

This herniated disk treatment method is carried out outpatiently under local anesthesia through a small incision with the help of an endoscope. A small spiral is introduced into the intervertebral disk. The rotating spiral ablates the region of the intervertebral hernia pressing the nerve. The surgery lasts 15 minutes. The effectiveness of this herniated disk treatment method is above 85%. Rehabilitation is not required.

The method can be used in case of almost any type of disc hernia. The intervertebral disc hernia in the thorax and lumbar spine (especially the lateral (side) localization) are applied most frequently. Endoscopy techniques may be slightly different depending on the type of endoscope.

Herniated disk treatment through the clamped method of microscopic nucleotomy

This method is the gold standard of modern spinal surgery and is carried out under general anesthesia in an open way. The surgical intervention is carried out through a minimum skin incision (from 2-3 cm) by means of micro-tools under the control of the surgical microscope with high resolution. Complete control over the situation and the opportunity to eliminate the bone pathology within the spinal canal are the adventures of this method. A special gel is introduced at the end of the surgical intervention in order to prevent the synechia formation. The patient does not have the usual pain in the limbs anymore and can move freely within the clinic after removal of pathology pressing on the nerve structures (e.g. intervertebral disc hernia). The discharge of the patient is in 3-7 days depending on the complexity of the surgical intervention.

Microscopic nucleotomy in the cervical spine

The removal of a disc hernia in the cervical spine is usually carried out through the front access. The intervertebral disc is replaced by different items. A piece of the patient's pelvic bone or items of different nature such as titanium (most common) could be used. Today, intervertebral disk replacements are gradually winning more and more popularity among doctors and patients. The main advantage of such surgical interventions is the instant disappearance of pains in the limbs, as well as a zero probability of the recurrence of the hernia in the cervical segment. The patient is discharged from the hospital on the 3rd day. We recommend you to wear a cervical semirigid collar for 4 weeks. It is not necessary to wear a cervical assistant in case of intervertebral disk replacements.

Treatment of spinal canal stenosis by use of microscopic laminectomy

While the spinal canal stenosis, there is severe persistent back pain often accompanied by convulsions. The part of the spine bone that narrows the canal and presses on a nerve is removed under local anesthesia. The operation is carried out by use of an endoscopic method under the control of high-resolution surgical microscope.

Intervertebral disc replacement, including in case of osteochondrosis

This method is used in case of degenerative changes in the lumbar. It is a very effective method for osteochondrosis treatment. The material is a polymer pulvillus or a titanium implant. It makes possible to preserve the physiological mobility of the spine.

An examination by means of magnetic resonance tomography is necessary before the surgical intervention.

Prosthesis of the intervertebral disc is installed by the front access. The discission is made on the periphery of the abdominal rectus muscle, usually on the left. Then the enucleation of the intervertebral disc and the remove of the disc prolapse are carried out. An implant (prosthesis), which allows the segment to regain its former properties, is exhibited at the end of the surgical intervention under the control of the microscope and X-ray. Today, chronic back pain in patients with so-called “black disk” (on the MRI images) is the main scientific proven indication for intervertebral disc prosthesis in the lumbar. The patient may be discharged from the hospital in 3-5 days after the surgical intervention.

Epidural/perineural infiltration

It is a low-invasive treatment method used in case of certain chronic and acute pain, protrusion, prolapse and sequester of intervertebral discs, as well as pains associated with the narrowing of the spinal canal and spondylolisthesis. The introduction of the catheter is carried out under the X-ray control (computer tomography). The procedure may be carried out on an outpatient basis. The patient feels better in just a few days after the surgical intervention. After the procedure, the patient must strictly follow the doctor's requirements and perform the necessary exercises.

Percutaneous thermocoagulation, intervertebral joint cryotherapy

It is a low-invasive method. Initially, the test infiltration of intervertebral joints is carried out by means of anesthetic. In the case of the improvement of back pain, a target intervention on the nerve endings in the area of these intervertebral joints is carried out by use of thermal exposure or cold. A thin catheter is introduced into the joint area under the X-ray control. The patient may fell the positive effect of the surgical intervention right on the operating table. The patient can leave the hospital on the following day.

Percutaneous intradiscal thermocoagulation

It is a low-invasive treatment for patients with discogenic pain. A thin thermal probe is introduced into the intervertebral disk under the X-ray control followed by thermal coagulation of the fibrous ring.

Coblation method “Coblation ®”

This low-invasive method is one of the methods of modern percutaneous nucleoplasty using the patented coblation technology. While Coblation, special irradiation at the tip of a thin probe is performed in order to split water molecules in the radicals. This process leads to a decrease of the intervertebral disk, reducing the pressure and contributing to the rapid regenerative process. The fact that there is no destruction of fibrous ring structures due to relatively low irradiation temperatures is very positive. The positive effect after such surgical interventions is achieved in 80% of the cases.

Interspinous “spacer”

It is a low-invasive method to treat lumbar spinal stenosis of functional nature. The so-called “spacer” is implanted between the spinous processes in order to increase the lumen of the intervertebral canal and intervertebral foramen. This avoids the classical intervertebral joint surgery. This surgical intervention should be made on the basis of preliminary results of the examination. This guarantees the success of the surgical intervention. There are various models of the “spacer”. “X-Stop”, “Coflex” and “Superion” are most common. The patient may be discharged in 2-3 days after the surgical intervention. The effect of the surgical intervention can be seen the next day.

Minimally invasive stabilization of the intervertebral segment

This method is often used while chronic back pain and spine joint instability. In case of injuries the spine stabilization method is applied by means of special fixing screws securing the interfacing vertebrae in a single segment. This surgical intervention has always been enough traumatic for the surrounding muscle tissue. The fixing screws are introduced through the skin under the X-ray control. Recent developments in this area allow you to carry out the stabilization of the 2-3 interfacing vertebrae without violating the integrity of the back muscles. This mobilizes the patient the next day after the surgical intervention and reduces complications related to the long stay of the patient in bed. After the surgical intervention an additional stabilization of the lumbar is carried out during the short term with the help of a corset. Typical nagging back pain usually terminates immediately after the surgical intervention. The patient may be discharged in 2-3 days after the surgical intervention.

Microscopic decompression of the spinal canal in case of stenosis

The intermittent claudication clinic with increasing pain in the legs and waist while walking indicates spinal canal stenosis. The redundant patterns of intervertebral joints are removed through microscopic decompression of the spinal canal in order to free the space for the nerve structures. The surgical intervention is carried out under the X-ray and microscope control. The patient may be discharged in 2-3 days after the surgical intervention without pain in the legs and back. Most of the patients are over 50-60 years old (the maximum age for such surgical interventions is not restricted). The surgical intervention allows a patient to regain mobility and to continue a full life. The frequency of such surgical interventions has increased 10 times in recent years and has a leading position in spinal surgery.

Definition of the indications for the intervertebral hernia surgery through the paid part-time consultation of Professor Hassler (leading neurosurgeon and head of the Neurosurgery center of the Wedau-Hospital in Duisburg)

Please read and fill out the questionnaire. This will allow us as soon as possible to process your request and in most cases to take a concrete decision on the treatment for your disease. We need all the medical report extracts and images in addition to the questionnaire.

You should pay particular attention to the transfer of your images.

You can send your images per E-mail medicaltravel@yandex.ru if the files do not exceed 15-20 MB (depending on the technical capabilities of your mailbox). You may need to pack all the images in one file and divide into several parts in order to send individually.

But there is a more convenient and reliable way to send large files. We send you per e-mail instructions how you can quickly download a lot of your images directly on our server.
There is also an opportunity to send your photos per post to:

As our experience shows, a carefully filled questionnaire, all the medical report extracts and images make it possible to significantly save time and quickly provide the information you need!

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*Consultations of the images are carried out with the personal participation of Professor Hassler. The cost of such consultations is 200 euro. Payment is made by bank transfer on the account of the Medical Travel Company in Germany.

If you have any questions about treatment of intervertebral hernia and osteochondrosis in Germany,
please call us 8-10-49-2351-67-235-0 or write us a mail