Spine Procedures

Specialties of our Department of Neurosurgery include selective endoscopic discectomy with annuloplasty, METRx microendoscopic decompression, laser spine surgery (PLDD), and less invasive spinal fusion techniques (TLIF). All our methods combine a minimally invasive surgical approach with the maximum effect in treating degenerative diseases and ailments of the spine.

Robert Saftić, MSc, MD 

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For many people, spine surgery is the only solution to the pain they suffer every day, but fortunately a new method of treatment is emerging as a logical and least invasive option in strictly indicated cases.

Discography or discogram is a diagnostic method used to determine the structure and damage of the disc(s) as well as to determine whether a particular disc is the generator of pain.

Treatment of degenerative diseases of the locomotor system using stem cells

American neurosurgeon Parviz Kambin was the first to publish the results of the treatment he called arthroscopic microdiscectomy (AMD) in 1991.

PLDD is a minimally invasive procedure that falls into the category of percutaneous intervertebral surgeries with the aim to significantly reduce the patient’s pain and recover neurological deficit.

The METRx tubular system for spinal surgery is a less invasive version of traditional spine surgery in which a tubular retractor is applied by using microsurgical techniques to achieve nerve and spinal cord decompression and spine stability.

The annulus is the fibrous ring of the disc structure which surrounds the centrally located soft nucleus of the disc. The nucleus and annulus function together to create a pressurized structure that acts as a shock absorber.

Endoscopic lumbar foraminotomy is a minimally invasive surgery for conditions such as lumbar spine degeneration, spinal stenosis, foraminal narrowing, radiculitis, radiculopathy, spondylolisthesis, recurring disc herniation, spinal instability, or for prior failed surgery.

If you find that you have been experiencing lower back pain for more than six weeks and the pain does not respond to conservative treatment, this may be the procedure for you.

Our team at Aksis Special Hospital has completely abandoned microdiscectomy as a surgical procedure.

Cervical foraminotomy is a surgical procedure done to relieve the symptoms of a pinched nerve by enlarging the neural foramen, and it can be performed in a minimally invasive way.

At Aksis Special Hospital, we practically no longer perform traditional and open laminectomy procedures. We perform laminectomy in a minimally invasive fashion with the METRx system (minimum exposure tubular retractor).

Artificial disc replacement is emerging as an alternative to spinal fusion for the surgical treatment of severe disc problems. But lumbar artificial disc replacement still has some hurdles to overcome before it is fully accepted into the medical community.

Spinal fusion (such as TLIF) is a surgical technique to stabilize the spinal vertebra and the disc or shock absorber between the vertebra. Lumbar fusion surgery is designed to create solid bone between the adjoining vertebra, eliminating any movement between the bones.

As with all spinal fusion surgery, posterior lumbar interbody fusion surgery involves adding a bone graft to an area of the spine to set up a biological response that causes the bone to grow between the two vertebral elements and thereby stop the motion at that segment.

Pain in the neck and extremities may occur when an intervertebral disc herniates – when the annulus fibrosus (tough, outer ring) of the disc tears and the nucleus pulposus (soft, jelly-like center) squeezes out and places pressure on neural structures, such as nerve roots or the spinal cord.

Until recently, doctors were limited in how they could treat osteoporosis-related spine fractures. There are two promising therapeutic and preventive treatments for compression fractures available today: vertebroplasty and kyphoplasty.