WIDEN SPINAL STENOSIS
Cervical Spine Stenosis - Decompression using posterior approach
The surgery is designed to reduce pressure applied on the spinal cord. In most cases without pressure reduction a neurological deterioration can happen and can in extreme cases lead to paralysis and lack of control of the sphincters.
The surgery is done in a posterior approach to the neck and with the use of a special surgical microscope.
Due to the bone removal done to decompress the spinal canal and to prevent imbalance, the use of special screws and rods to stabilize the area is frequently needed. Hospitalization should last a day or two. After the surgery the patient is required to wear a hard collar for a month and a half. Mobility is not limited after the surgery.
Cervical Spine Stenosis - Decompression anterior approach
The surgery is designed to take off pressure from the spinal cord. In most cases without taking off the pressure a neurological deterioration could happen and in extreme cases can lead to paralysis and lack of control of the sphincters. The surgery is performed via an anterior approach to the neck. Instead of the cervical disc or vertebral body which I remove in order to decompress the spinal cord, I insert a specialized cage or Total Disc Replacement .
After the surgery the patient stays under supervision for a day.
If only a single disc is cut there is no need for a hard collar, but if more than one disc or part of the vertebra is cut the hard collar should be worn for a month and a half.
Hospitalization should take between a day or two. There are no mobility limitations.
Lumbar Spinal Stenosis
Lumbar Spinal Stenosis commonly occurs in people over the age of sixty. Degenerative changes in the spine narrow the spinal canal and put pressure on the spinal sack and roots. This pressure causes pain and a decrease in ability to walk long distances and a forward leaning walk. The pains are usually projected from the back to the buttocks and lower limbs.
The surgery is performed in a minimally invasive method. During the surgery I remove some of the ligaments and back elements of the lumbar spine in order to widen the canal and lessen the pressure on the spinal cord and roots. Usually there is no spinal instability prior to the surgery and since the surgery doesn't cause it either there is no need to fuse the back with screws and rods. The surgery has high success rated and low risks.
Hospitalization should last a day. There is no need to wear a back brace after the surgery. There are no mobility limitations after the surgery.