Neurosurgery Clinic of Braunschweig headed by Prof. Dr. Wolf Peter Sollmann is one of the most well equipped medical centers of the group of Clinic Braunschweig. The specialists of the clinic work both in brain surgery and spine surgery fields offering a wide range of operation for numerous diseases central and peripheral nervous system.
Types of Spine Operations Done by Neurosurgeons
In modern spine surgery there are two fields of medicine involved into spine surgery that are Neurosurgery and Orthopedics Surgery. Both neurosurgeon and orthopedics surgeon can perform the same kinds of spine operations but, in any case, specialization exists. Years ago all the issues connected to the spine were considered completely a sphere of neurosurgery. Presently, there are many operations can be also done by orthopedics spine specialists. To say extremely simple, a neurosurgeon works with spinal cords, nerves and vessels and an orthopedics surgeon is someone who more involved into the bone and joints problems.
Among the operations done by neurosurgeon you could name:
- Spinal cord compression treatment
- Spinal cord reconstruction
- Pinched nerves relieving
- Intradural Operations
- Oncological neurosurgery
Spinal Cord Reconstruction
You may need spinal cord reconstructive neurosurgery by many reasons starting from congenital disorders and degenerative spine changes with neurological issues involved and finishing complex reconstructions after spinal injuries.
Pinched Nerves and Decompression Surgery
Pinched nerves is painful condition that caused by spinal cord compression. It often occurs in cervical spine and lumbar spine. When conservative methods do not help to reduce the pain and other symptoms as numbness or weakness, spinal surgery may be an option. Among the most popular procedures for decompression are:
- Discectomy. This neurological surgery involves removing of the parts of the bulged or protruded disks to reduce compression on the nerve routes.
- Spinal Fusion. Fusion is joining of one or more bones to create stronger stricter and avoid excessive mobility that may results in severe pain. In case of spinal fusion the two vertebras fixed together using bone graft.
The Sample of Complex Decompression Procedure in Cervical Spine
The classical sample of neurosurgery for cervical radiculopathy is anterior cervical discectomy and fusion (ACDF) when both of above mentioned procedures are done one after another. It is recommended for severe pain because of compression of the nerve roots. “Anterior” means “front”. Using this approach a neurosurgeon reaches the problem zone via incision in the patient’s neck. With modern progressive means operation is mostly performed by minimally invasive methods that allow operating via small “keyhole” cut.
After accessing the operative site, the surgeon removes a diseased disk and everything cleans around, e.g. spurs if present. Then, the space between the vertebras is filled with bone graft. The material for bone graft is own patient’s tissue taken from other region as pelvic bone. Titanium plates may be placed on the vertebras and fixed by screws for providing stability of the spine for the time of bone fusion that normally takes from 3 to 6 months.
The patient stays in hospital for a few days and, then, goes home for gradual recovery. You may need some neck supporting devices like braces or collar to reduce pressure for the spine while fusion is not finished completely.
The risks of the ACDF may be as following:
- Relief of symptoms after the procedure (failed surgery)
- Difficulties with swallowing (temporary or permanent)
- Nerve root damage
- Dura (one of the tree layers of the spinal cord) tear
- Injury of the major blood vessels
Intradural Tumors and Cysts Spine Surgery
Another area where the skill of neurosurgeons is demanded is intradural tumor surgery. Dura is an outer membrane layer of the spinal cord and operations below the dura are called intradural surgery. There are some specific kinds of spinal tumors or cysts may develop (e.g. thecal sac tumors) inside the dura causing pain, degenerative changes of tissues and neurological side effects.
Comprehensive Treatment of Spinal Diseases in Clinic of Braunschweig
The Neurosurgery Clinic of Braunschweig performs numerous spinal operations in cooperation with the other departments of the group as Trauma and Orthopedics Department, Cancer Center, Radiology Department that allows servicing the patients with complex spinal disorder in the optimal way. We offer the best of our practice and design your treatment plan individually. Multidisciplinary centers with the newest equipment give you the best options of diagnostics and procedures. Please contact our specialists for consultation or apply for an appointment online.