Academic Hospital Merheim Cologne

Cologne, Germany

Surgical treatment of spinal stenosis in combination with instability with decompressive laminectomy and the stabilizing operation (4 segment) (program ID: 276361)

Alhadi Igressa

Dr. med.

Alhadi Igressa

Department of Neurosurgery

Specialized in: neurosurgery

About the department keyboard_arrow_down

In the Department of Cologne-Merheim, in the hospital with the highest level of medical care, in the Department of Neurosurgery a competent professional team of specialists in the diagnosis and treatment of diseases, malformations and injuries of brain, spinal cord, spine and peripheral nervous system is wainting for patients. In addition to surgical procedures, for a careful dealing with sensitive brain and nerves in the Department innovative techniques are offered: microsurgical technique with the most modern microscopes; computer neuronavigation and the so-called intraoperative neurophysiological monitoring for the highest possible safety in a complex intervention.

In the Department of Neurosurgery of Cologne-Merheim patients with brain injuries, brain tumors and cerebrovascular diseases, trauma, spine tumors and degenerative diseases of the spine are treated. Patients with pain and diseases of the peripheral nervous system (except the brain and spinal cord nerves) are treated here as well.

In three operating rooms around 3 100 operations a year are carried out. The main activities are focused on the brain and spinal cord tumors, on spinal stabilizing surgery preserving mobility, as well as on treatment of intervertebral disc diseases and spinal canal narrowing (stenosis).

Department of Neurosurgery in Cologne-Merheim offers an unusually wide range of services for the treatment of:

  • Craniocerebral traumas or spine injuries after an accident
  • Hernias of intervertebral disks
  • Degenerative diseases of the vertebral column
  • Tumors of brain, meninges or other parts of the nervous system
  • Hydrocephalus
  • Nervous system disorders
  • Head and spinal vascular lesions
  • Pain, e.g., neurology of the trigeminal nerve
  • Skull base surgery

A particular specialization of the Department:

  • Neurooncology:
    • Brain tumors and their modern specific treatment
    • Stereotaxy
    • Skull base surgery
    • Hypophysis tumors
    • Intraoperative neurophysiological monitoring
    • Neuronavigation
    • Neuroendoscopy
  • Degenerative diseases of the spine and intervertebral hernias:
    • Stabilization of the spine through the ventral, dorsal, lateral or combined intervention in all areas of the spine
    • Minimally invasive spine surgery
    • Spinal canal stenosis
    • Operations on the intervertebral discs (cervical spine, thoracic spine and lumbar spine)
    • Vertebroplasty
    • Spineoplasty and kyphoplasty
    • Stabilization of the subcutis
    • Intervertebral disc prosthetic devices
  • Spinal neuronavigation:
    • Spinal tumors
    • Neurotraumatology:
    • Craniocerebral injuries
    • Outer skull base fracture
    • Complex intensive medical therapy
  • Rehabilitation after sutureless operations in neighboring Neurosurgical Rehabilitation Department:
    • Hydrocephalus/ syrinx
    • Peripheral nerves
    • Trigeminal nerve neurology
    • Invasive non-ablative treatment of pain (intrathecal drug pump or spinal stimulation SCS)
    • Children's neurosurgery

Program includes:

  • Initial presentation in the clinic
  • clinical history taking
  • review of medical records
  • physical examination
  • laboratory tests:
    • complete blood count
    • general urine analysis
    • biochemical analysis of blood
    • inflammation indicators (CRP, ESR)
    • indicators blood coagulation
  • neurological examination
  • functionality x-ray 
  • neuropsychological tests (on indications):
    • ENMG (electroneuromyography)
    • SEPs (somatosensory evoked potentials)
  • CT/MRI of the spine
  • myelography
  • preoperative care
  • decompressive laminectomy and discotomy  (4 segments)​
  • postoperative MRI control
  • symptomatic treatment
  • control examinations
  • the cost of essential medicines and materials
  • nursing services
  • full hospital accommodation in 2 bedded room 
  • developing of further guidance
Total costs:
Type of program :
Duration of program:

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