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Cervical Spinal Stenosis. Treatment in Germany

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Cost for treatment

Diagnostic tests for cervical spinal stenosis
475
Treatment of cervical spinal stenosis (1 segment) with decompressive laminectomy
3619
Treatment of cervical spinal stenosis (4 segments) with decompressive laminectomy
5608
Surgical treatment of cervical spinal stenosis in combination with instability with decompressive laminectomy and the stabilizing operation (4 segment)
10783

Hospital Neuwerk Moenchengladbach

10/10
location_onGermany, Moenchengladbach

Department of Spinal Surgery

The Hospital Neuwerk, which is in Moenchengladbach, has over 10 specialized operating departments. Located in the northern part of the city, the hospital has been a coordination center for the region for many years. The hospital has 310 comfortable beds for ist patients. Due to a wide range of medical services, the hospital offe
Diagnostic tests for cervical spinal stenosis
2149 help1649
Treatment of cervical spinal stenosis (1 segment) with decompressive laminectomy
12792 help11792
Treatment of cervical spinal stenosis (4 segments) with decompressive laminectomy
16576 help14576
Surgical treatment of cervical spinal stenosis in combination with instability with decompressive laminectomy and the stabilizing operation (4 segment)
23796 help21496

Vivantes Auguste-Viktoria Hospital Berlin

9.7/10
location_onGermany, Berlin

Department of Spinal Surgery

The Vivantes Auguste-Victoria Hospital, has special expertise and received international recognition in the field of Urology, especially in the treatment of prostate cancer and also Oncology, Neurology, Cardiology and other directions. The possibilities of urological treatment include robot-assisted surgeries using the Da Vinci
Diagnostic tests for cervical spinal stenosis
1942
Treatment of cervical spinal stenosis (1 segment) with decompressive laminectomy
11833
Treatment of cervical spinal stenosis (4 segments) with decompressive laminectomy
17046
Surgical treatment of cervical spinal stenosis in combination with instability with decompressive laminectomy and the stabilizing operation (4 segment)
29084

Catholic Clinic Koblenz-Montabaur

10/10
location_onGermany, Koblenz

Department of Spinal Surgery

The Catholic Clinic Koblenz-Montabaur positions itself as a modern medical facility, which provides high-quality diagnostics and treatment in accordance with the international standards. The medical complex is the Academic Hospital of the University Hospital Mainz, which gives patients the opportunity to have access to the most
Diagnostic tests for cervical spinal stenosis
1822
Treatment of cervical spinal stenosis (1 segment) with decompressive laminectomy
11372
Treatment of cervical spinal stenosis (4 segments) with decompressive laminectomy
16301
Surgical treatment of cervical spinal stenosis in combination with instability with decompressive laminectomy and the stabilizing operation (4 segment)
27123

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Adult and Pediatric Neurosurgery

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Diagnostic tests for cervical spinal stenosis
2406
Treatment of cervical spinal stenosis (1 segment) with decompressive laminectomy
16464
Treatment of cervical spinal stenosis (4 segments) with decompressive laminectomy
23974
Surgical treatment of cervical spinal stenosis in combination with instability with decompressive laminectomy and the stabilizing operation (4 segment)
41051

Beta Klinik Bonn

9.7/10
location_onGermany, Bonn

Department of Neurosurgery and Interventional Neuroradiology

Beta Klinik is a modern hospital which consists of 30 specialized departments. The hospital is equipped with the state-of-the-art equipment of the university level. The operating rooms, an intensive care unit and the rehabilitation center correspond to the highest standards. It also concerns highly qualified physicians of the ho
Diagnostic tests for cervical spinal stenosis
1981
Treatment of cervical spinal stenosis (1 segment) with decompressive laminectomy
12573
Treatment of cervical spinal stenosis (4 segments) with decompressive laminectomy
18078
Surgical treatment of cervical spinal stenosis in combination with instability with decompressive laminectomy and the stabilizing operation (4 segment)
30577

University Hospital Freiburg

9.7/10
location_onGermany, Freibung

Department of Adult and Pediatric Neurosurgery

The University Hospital Freiburg is famous for its rich history and is one of the oldest and most prestigious medical facilities in Germany (one of the three best medical institutions in the country). The hospital was based on the Faculty of Medicine of the Albert Ludwig University of Freiburg, which celebrated its 550th anniver
Diagnostic tests for cervical spinal stenosis
2056
Treatment of cervical spinal stenosis (1 segment) with decompressive laminectomy
12635
Treatment of cervical spinal stenosis (4 segments) with decompressive laminectomy
18069
Surgical treatment of cervical spinal stenosis in combination with instability with decompressive laminectomy and the stabilizing operation (4 segment)
30600

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Adult and Pediatric Neurosurgery

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
Diagnostic tests for cervical spinal stenosis
1791
Treatment of cervical spinal stenosis (1 segment) with decompressive laminectomy
11115
Treatment of cervical spinal stenosis (4 segments) with decompressive laminectomy
16227
Surgical treatment of cervical spinal stenosis in combination with instability with decompressive laminectomy and the stabilizing operation (4 segment)
26971

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Adult and Pediatric Neurosurgery, Spinal Surgery

According to the Focus magazine, University Hospital Erlangen ranks among the best medical facilities in Germany! The hospital is one of the leading healthcare facilities in Bavaria and offers top-class medical care distinguished by the close intertwining of clinical activities with research and training of medical students. The
Diagnostic tests for cervical spinal stenosis
1886
Treatment of cervical spinal stenosis (1 segment) with decompressive laminectomy
11800
Treatment of cervical spinal stenosis (4 segments) with decompressive laminectomy
17546
Surgical treatment of cervical spinal stenosis in combination with instability with decompressive laminectomy and the stabilizing operation (4 segment)
28669

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Neurosurgery

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Diagnostic tests for cervical spinal stenosis
1870
Treatment of cervical spinal stenosis (1 segment) with decompressive laminectomy
11709
Treatment of cervical spinal stenosis (4 segments) with decompressive laminectomy
17096
Surgical treatment of cervical spinal stenosis in combination with instability with decompressive laminectomy and the stabilizing operation (4 segment)
28953

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Adult and Pediatric Orthopedics

According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
Diagnostic tests for cervical spinal stenosis
1798
Treatment of cervical spinal stenosis (1 segment) with decompressive laminectomy
11160
Treatment of cervical spinal stenosis (4 segments) with decompressive laminectomy
16413
Surgical treatment of cervical spinal stenosis in combination with instability with decompressive laminectomy and the stabilizing operation (4 segment)
27283

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Adult and Pediatric Orthopedics, Trauma Surgery, Foot Surgery

According to the reputable Focus magazine, the University Hospital Carl Gustav Carus Dresden ranks among the top five German hospitals! The hospital is the benchmark for modern high-quality medicine. Positioning itself as a maximum care medical facility, the hospital represents all medical fields. There are 26 specialized depart
Diagnostic tests for cervical spinal stenosis
2266
Treatment of cervical spinal stenosis (1 segment) with decompressive laminectomy
14433
Treatment of cervical spinal stenosis (4 segments) with decompressive laminectomy
20786
Surgical treatment of cervical spinal stenosis in combination with instability with decompressive laminectomy and the stabilizing operation (4 segment)
35869

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Adult and Pediatric Neurosurgery

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
Diagnostic tests for cervical spinal stenosis
2279
Diagnostic tests for cervical spinal stenosis
2197
Treatment of cervical spinal stenosis (1 segment) with decompressive laminectomy
14287
Treatment of cervical spinal stenosis (1 segment) with decompressive laminectomy
14263

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of General Orthopedics and Orthopedic Oncology

According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
Diagnostic tests for cervical spinal stenosis
2034
Treatment of cervical spinal stenosis (1 segment) with decompressive laminectomy
12435
Treatment of cervical spinal stenosis (4 segments) with decompressive laminectomy
18105
Surgical treatment of cervical spinal stenosis in combination with instability with decompressive laminectomy and the stabilizing operation (4 segment)
30710

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of Adult and Pediatric Neurosurgery

According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
Diagnostic tests for cervical spinal stenosis
1880
Treatment of cervical spinal stenosis (1 segment) with decompressive laminectomy
12595
Treatment of cervical spinal stenosis (4 segments) with decompressive laminectomy
17982
Surgical treatment of cervical spinal stenosis in combination with instability with decompressive laminectomy and the stabilizing operation (4 segment)
30834

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Adult and Pediatric Neurosurgery

The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
Diagnostic tests for cervical spinal stenosis
1737
Treatment of cervical spinal stenosis (1 segment) with decompressive laminectomy
10797
Treatment of cervical spinal stenosis (4 segments) with decompressive laminectomy
15403
Surgical treatment of cervical spinal stenosis in combination with instability with decompressive laminectomy and the stabilizing operation (4 segment)
25507

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Orthopedics, Trauma and Reconstructive Surgery

According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
Diagnostic tests for cervical spinal stenosis
1802
Treatment of cervical spinal stenosis (1 segment) with decompressive laminectomy
11202
Treatment of cervical spinal stenosis (4 segments) with decompressive laminectomy
16226
Surgical treatment of cervical spinal stenosis in combination with instability with decompressive laminectomy and the stabilizing operation (4 segment)
26743
| from Booking Health GmbH

Cervical spinal stenosis is a health condition with an active process of reducing or narrowing the lumen of the spinal canal due to the development of various pathological structures. In terms of prevalence, cervical spinal stenosis is much less common than lumbar spinal stenosis.

As a rule, the propensity to spinal stenosis is most common in people over 55 years of age. Cervical spinal stenosis is diagnosed in many older people. Without timely treatment, cervical spinal stenosis becomes the cause of disability.

Content

  1. What causes cervical spinal stenosis?
  2. How is the diagnosis established?
  3. Treatment principles in Germany
  4. Conservative treatment
  5. Surgery
  6. What can you expect from surgery for spinal stenosis?
  7. Why undergo spinal stenosis treatment in Germany?
  8. The cost of treatment in Germany
  9. Treatment with Booking Health

What causes cervical spinal stenosis?

 

Spinal stenosis (abnormal narrowing) mainly develops in the elderly, and is the result of continuous, slowly developing, degenerative changes affecting the mobile segments of the spinal column. The intervertebral discs become less flexible and the small joints between each vertebra lose their mobility. These two components of the spine responsible for its flexibility continue to perform their functions despite the changes. The ligaments at the front and back of the spine thicken as they are no longer flexible themselves. The thicker these ligaments become, the more they compress the spinal cord at the front and back. This pressure leads to poor blood flow to these areas, and therefore to poor spinal cord function.

The cervical spine is the most mobile, with an initially narrow spinal canal, but a huge neurovascular network. Its vertebrae are distinguished by their small size and specific structure, while the muscular framework, which provides support and performance of the cervical elements of the spine, is anatomically insufficiently strong and enduring. All this explains the widespread occurrence of various kinds of degenerative and traumatic lesions characterized by vivid neurological symptoms in this spinal area.

The possible causes of cervical spinal stenosis are:

  • Herniated vertebral discs (very rarely isolated; more often accompanied by kyphosis and hypertrophy).
  • Spondylosis (formation of bony outgrowths inside the spinal canal).
  • Spondylolisthesis (displacement of one vertebra in relation to another).
  • Spondylitis (inflammation of the vertebrae).
  • Spinal tumors.

Degenerative disc disease also may be a cause of spinal stenosis. Stenosis usually develops over a long period, as a rule, for several years, but it can also become acute, if large herniated discs occur. However, the pathology can also be congenital.

Of great concern is the fact that cervical pathologies are often accompanied by very serious consequences, including paresis and paralysis of the limbs (especially the arms). In addition, a neglected disease can provoke severe respiratory failure, rapid deterioration of vision and hearing, acute dysfunction of blood circulation in the brain tissue, etc. Therefore, the treatment of cervical spinal stenosis is extremely important to start as soon as possible, just as a person feels the first discomfort in the corresponding area.

How is the diagnosis established?

 

The diagnosis of cervical spinal stenosis is based on:

  • Patient complaints.
  • Objective signs of the disease that a doctor detects during the initial examination (muscle weakness, loss of sensitivity, and other symptoms of spinal cord and nerve compression).
  • Radiological findings (the data from magnetic resonance imaging (MRI), computed tomography (CT), X-rays, or myelography are most often required).

If cervical spinal stenosis is suspected or if the diagnosis is already confirmed, a consultation with a neurosurgeon is necessary.

Cervical spinal stenosis is narrowing of the spinal canal in the neck region.

Treatment includes administering painkillers and anti-inflammatory medications, physical therapy, surgery.

Cost of treatment with decompressive laminectomy is from €3,619. You can find other prices on the Booking Health website.

The best hospitals in Germany are:

  1. University Hospital of Ludwig Maximilian University of Munich
  2. Helios Hospital Krefeld
  3. University Hospital Frankfurt-am-Main
  4. University Hospital Rechts der Isar Munich
  5. Clinic of Advanced Biological Medicine Frankfurt-am-Main

Treatment principles in Germany

 

The experience of German specialists shows that the main manifestation of stenosis is not back pain, but rather walking problems triggered by various sensations in the limbs.

Cervical spinal stenosis puts a pressure on the ligaments that are near the spinal canal, causing their irritation and leading to their thickening and the developing inflammation. The spinal cord and nerves can also become constricted, making it difficult for the patient to walk long distances due to a feeling of heaviness and numbness.

In addition, a very typical feature associated with spinal stenosis is the fact that when the patient's body is tilted forward, the severity of symptoms decreases significantly. This is because the spinal canal becomes wider with this movement. After all, the tension of the ligaments is relieved at the moment.

The treatment of spinal stenosis is selected depending on the intensity of the symptoms and the cause of the narrowing of the spinal canal. In most cases, the specialists attempt to help the patient through conservative therapy, which is aimed at eliminating or alleviating the pain syndrome through the use of medications or injections and strengthening the muscles through therapeutic exercises.

Conservative treatment

 

The course of such treatment is chosen for each patient, taking into account the peculiarities of each health condition:

  • Analgesic drugs (NSAIDs) with anti-inflammatory effects.
  • Hormone therapy (may reduce swelling, tissue compression, and pain).
  • Diuretics (resolve cerebrospinal fluid and relieve swelling).
  • Magnetic therapy.
  • Massage.
  • Therapeutic exercises (special exercises for spinal stenosis help to strengthen the cardiovascular system, various groups of muscles).
  • Manual therapy.
  • Spinal traction (type of decompression therapy to relieve spinal compression).

Surgery

 

Modern spine surgery has made great strides forward in terms of its application for the treatment of spinal stenosis. The unique techniques of spine surgery in use today are distinguished by:

  • High efficiency (from 90% and higher).
  • A minimum degree of trauma to anatomical structures.
  • Maximum preservation of normal function of the area of surgery.
  • Low probability of intra- or postoperative complications (up to 5% on average).
  • Short hospitalization period (from 3 to 10 days).
  • Shorter recovery time after surgery (2 – 3 months).

The methods of surgical treatment of spinal stenosis depend on how severe the disease is and what health problems spinal stenosis causes. For example, with milder forms of spinal stenosis, it is effective to use conservative treatment, which consists of compliance with the regime of rest, proper distribution of loads on the body, and performing therapeutic physical exercises. When spinal stenosis is accompanied by pain syndrome in the lumbar region of the spine and the thoracic spine, painkillers can reduce pain. If these treatments do not contribute to the desired result, blockades are used. A blockade is an injection of a combination of an anti-inflammatory hormone and an analgesic, which relieves swelling from inflamed tissues and pressure from irritated nerves.

Basically, spine surgery for spinal stenosis is used when no other medical and conservative methods show the effectiveness and the disease is progressing, causing serious physiological disorders.

Among the existing surgical techniques used to restore the functionality of the cervical spine, decompression tactics are the most widespread. Such a medical technique is used in cases of compression syndrome, that is, when the pathological defect that occurred within the vertebrae produces pressure on the nerve roots, arteries, spinal cord, and other structures in the corresponding area. The following surgical techniques can be used for decompression:

  • Microsurgical discectomy (a surgical procedure used when the intervertebral hernia is the cause of spinal stenosis;  this surgery is performed with partial or total removal of the intervertebral disc, under the guidance of a microscope).
  • Laminectomy (partial or total removal of the vertebral arch, facet joints, and ligaments).
  • Endoscopic surgery (a surgical procedure performed with the use of an endoscope through miniature access).
  • Laser nucleoplasty ("evaporation" of a small fragment of tissue for retraction of the formed disc protrusion with a laser beam).

The stabilizing tactics of surgery can also be used for cervical spinal stenosis, each of which, by the way, can go together with other types of surgery. The most popular of the stabilizing surgical techniques are:

  • Arthrodesis or spondylodesis (fixed connection or fusion of two or more vertebrae when they are unstable).
  • Vertebroplasty (surgery that involves the placement of high-strength bone cement into the damaged vertebral area to restore its integrity and strength).
  • Transplantation (implantation of a fragment of spinal tissue taken from the patient to strengthen the resulting defect after surgery, for example, to fill the space between vertebrae and fix them after the extraction of the intervertebral disc).
  • Prosthetics (as a rule, the implantation of special dynamic or fixed metal structures or replacement of the intervertebral disc with a prosthesis).

What can you expect from surgery for spinal stenosis?

 

The surgical treatment of spinal stenosis can avoid such complications as severe pain, cramps in the upper extremities, loss of sensation in the upper and lower extremities, and muscle atrophy.

However, it is worth considering that, although surgery can eliminate spinal stenosis and related painful symptoms, it is still a disease that is correlated with age and tends to occur as a result of the aging of the body. Therefore, avoiding many other degenerative changes in the spine with the help of surgery is not possible. To do this, you need to observe the regime of rest and sleep, take good care of your spine, and do regular physical exercises.

Be sure to seek help from a medical specialist, if you are experiencing the first symptoms of spinal disorders to avoid the aggravation of the diseases.

Why undergo spinal stenosis treatment in Germany?

 

According to statistics, Germany ranks first in diagnostic accuracy. This undeniable advantage of German medicine can be explained by the responsibility of high-class professional doctors, state-of-the-art diagnostic technology, unique equipment, huge experience (German doctors diagnose pathologies not only in their fellow citizens, but also in patients from all over the world), and excellent organization of the German healthcare system, ensuring quality control of medical facilities in Germany.

One of the advantages of conservative treatment of spinal pathologies, including spinal stenosis treatment in Germany, is the highly developed pain management therapy, the importance of which in the treatment of spinal diseases cannot be overestimated. The methods of rehabilitation medicine in German hospitals have long been recognized in the world. To make sure, just research the country most frequently chosen by athletes for spinal treatments.

The advantages of spine surgery in Germany primarily include extensive use of minimally invasive endoscopic and microscopic surgeries, which have the following advantages:

  • Minimally invasive surgery is not demanding regarding the condition of the patient's body (such surgical procedures can be performed without any risk in old age, as well as in patients with severe spinal diseases).
  • Low percentage of postoperative complications.
  • Shorter recovery period.

Another important advantage of spine surgery in Germany is the development of surgical techniques aimed at restoring functions of damaged segments of the vertebral column. German hospitals perform the following types of surgery:

  • Biological renewal of intervertebral discs.
  • Total and partial replacement of intervertebral discs.
  • Prosthetics of the cervical and lumbar vertebrae, etc.

Special emphasis should be made on the complex surgery of orthopedic correction, which is used in the treatment of many pathological processes in the spine. Besides, many well-known surgical techniques got the names of their authors – German neurosurgeons.

The cost of treatment in Germany

 

A huge number of people opt for spinal stenosis treatment in Germany, which indicates that the cost of treatment fully complies with its quality. There are many reasons for this: the trust in foreign methods of disease management, the progressiveness of the treatment methods used, and the high competence of the doctors. The cost of treatment, in turn, depends on the specifics of the health condition, the need for surgery or the choice of conservative treatment sequence, the need for and duration of a rehabilitation course, and the duration of the hospital stay.

The average prices are listed below:

  • The price of diagnostics starts from 475 EUR.
  • The price of decompressive laminectomy starts from 3,619 EUR.
  • The price of combined decompressive laminectomy and stabilizing surgery starts from 8,097 EUR.

You can find out the cost of treatment at German hospitals by contacting Booking Health. Please fill out the request form for a medical advisor to contact you.

Treatment with Booking Health

 

Booking Health will help you to arrange your treatment in Germany for spinal stenosis, making the whole process much more convenient as opposed to doing it on your own.

Booking Health will initiate the negotiation with the chosen hospital, and tell you which medical documents are required for the start of the treatment. The company will also take care of the organization of your trip, and support you throughout the whole treatment journey.

Do not hesitate to contact Booking Health for any information you need.

Authors: Dr. Nadezhda IvanisovaDr. Farrukh Ahmed




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