Lumbar spine

SPINE SURGERY

• Lumbar disc herniation

Microdiscectomy, micro-decompression. The symptoms are back pain or radiation in the legs (lumbago, sciatica) sometimes associated with paresthesia (the sensation of tingling, tickling, pricking, or burning of a person’s skin) or a motor deficit (loss of motricity in the leg or foot). The microscopy technique permits the removal of pieces of the disc that are in contact with a nerve and preserves all the muscle, bone and ligament structures. There is no loss of mobility after the surgery, the stay in the clinic is between 3-4 days, and the return to professional activity in generally within 3-4 weeks. As soon as you return home, physiotherapy can begin.

• Foraminal and extra-foraminal disc herniations
• Narrow lumbar canal / lumbar stenosis

Laminectomy and selective micro-decompression. An extremely frequent situation where progressive compression of the lumbar nerve roots occur in the spinal canal following wear on different spinal structures (intervertebral discs, ligaments, articulations). The symptoms can be either back or leg pain, an intolerance to prolonged standing, walking difficulties (neurogenic claudication), paresthesia or problems with motricity. The aim of the intervention is to make space for the nerve structures, thus permitting a rapid, important and durable improvement of the symptoms.

• Fractures

Traumatic, osteoporotic or tumor fractures (Kyphoplasty, Kivaplasty, Vertebroplasty), percutaneous fixation. Recently new techniques permit the treatment of these problems using skin micro-incisions and by single injection in the vertebra of biological cement.

• Lumbar Discopathies

Progressive wear of the disc (disc degeneration) is responsible for chronic pain in the lower back, lumbago, the loss of lumbar comfort or a reduction in quality of life.

Possible techniques (every indication is the result of a detailed study of your clinical situation and your radiology file):

• ALIF: Anterior Lumbar Interbody Fusion
• TDR: Artificial Disc,Total Disc Remplacement
• XLIF: Extreme Lateral Interbody Fusion
• Lumbar Decompressions and Instrumentations
• PLIF: Posterior Lumbar Interbody Fusion
• TLIF: Transforaminal Interbody Fusion
• MISS: Minimally Invasive Spine Surgery
• Complex spine: revision spine surgery – degenerative scoliosis