It is our mission to improve our patients' quality of life by preserving and restoring the pain-free function and mobility of their spines. To meet the goal of offering our patients optimized and safe therapy, we found our surgical procedures on scientific facts and studies obtained according to the principle of evidence-based medicine.
Depending on the individual medical needs of the patient, surgical treatment of herniated discs and chronic disc degeneration in the cervical, thoracic and lumbar spine may be accomplished minimally invasive, endoscopically or by replacing vertebral discs with implants. The latest generation of disc implants based on viscoelastic prosthetic technology are available for treating the cervical and lumbar spine; these ultra-modern and well-established implants feature high reliability and life-long stability. Viscoelastic artificial discs mimic the physiological three-dimensional motion of natural discs. Thanks to their dynamic stiffness and load-sharing capability under compression, they give back to the spinal column the stability it needs. At the same time, the axis alignment can be corrected and the function and mobility of the spine restored.
Surgical treatment of slipped discs in the thoracic spine is performed using endoscopic and transthoracic techniques. These involve complete removal of the diseased disc tissue, replacement with PEEK cages and splinting the affected vertebrae together.
Depending on the extent of structural destruction, vertebral fractures are reduced and stabilized by internal fixation. Afterwards, the fractured vertebrae are filled and reconstructed either with autologous bone grafts or bone substitute materials, or if necessary, with titanium vertebrae. This method has also been effective for treating vertebral metastases and vertebral tumors and in many cases achieves a significant improvement in quality of life.
In the case of vertebral fractures relating to osteoporosis, percutaneous vertebral puncture is used to straighten the affected vertebrae by inserting titanium stents; stiffening and stabilizing are then accomplished by vertebroplasty or kyphoplasty.
Spondylolisthesis or degenerative scoliosis are often associated with a slipped or herniated disc. Their stability must be restored while maintaining the mobility of the spinal segment. This is likewise ensured by the implantation of viscoelastic artificial discs and additional dorsal, motion-preserving stabilization by means of dynamic fixation. Alternatively, what is called a hybrid method can be applied where only partial stiffening of two vertebrae is combined with the implantation of intervertebral disc prostheses. The advantage of this combination is that long-segmental stiffening of the spine is avoided while offering the benefits of spinal axis realignment, the necessary decompression of the spinal canal and nerve structures. This procedure also stabilizes the affected spinal segments.
In many cases, spinal canal narrowing (spinal stenosis) can cause neurogenic claudication, i.e. a limitation of walking distance, numbness and pain in the arms or legs (paresthesia) or even paralysis (paresis). This condition requires surgical decompression and stabilization of the affected spinal segments, usually by a combined dorsal and ventral intervention.
Purulent inflammation of the intervertebral discs (spondylodiscitis abscesses) must be treated surgically. Surgical reconstruction consists of total removal of the intervertebral disc, followed by stabilization and splinting of the vertebral segment.
In about 25% of all cases, chronic back pain is due to arthrosis or chronic instability of the iliosacral joints. If conservative therapy with the DIANA procedure proves ineffective, a minimally invasive surgical method utilizing distraction interference arthrodesis is available for the surgical treatment of arthrosis of the iliosacral joints.