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Treatment of Lumbar Spinal Stenosis

➤Lumbar spinal stenosis ✔ Information about hospitals and doctors ★ Rankings ✔ Reviews $ Prices ✉ Send request to the hospital

Best hospitals and doctors for lumbar spinal stenosis treatment abroad

The selection of doctors and clinics is carried out on the basis of annual qualification reports. The main selection criterion is the number of operations or procedures performed. It takes into account experience, reputation in the medical society, the availability of quality certificates and high specialization in a certain field.

Cost for treatment

Diagnostic tests for lumbar spinal stenosis
 from  461
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
 from  3661
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
 from  4998
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
 from  4672

Hospital Neuwerk Maria von den Aposteln Moenchengladbach

10/10
location_onGermany, Moenchengladbach

Department of Spinal Surgery

The Hospital Neuwerk “Maria von den Aposteln”, which is in Mönchengladbach, has over 10 specialized operating departments. Located in the northern part of the city, the Hospital has been a coordination center of the whole region for already many years. The Hospital has 363 comfortable beds for its patients. Due
Diagnostic tests for lumbar spinal stenosis
906 help806
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
7173 help6173
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
10076 help8576
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
10988 help9488

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Adult and Pediatric Neurosurgery

Being the medical school for both Humboldt University and Free University of Berlin and having a long experience, the Charite Hospital has gained wide recognition. It is regarded as one of the most research-intensive medical facilities in Germany and the largest university medical center in Europe. With more than 100 c
Diagnostic tests for lumbar spinal stenosis
1628
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
12553
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
16869
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
19047

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 lumbar spinal stenosis
1049
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
8484
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
12035
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
13213

Rambam Health Care Campus Haifa

9.8/10
location_onIsrael, Haifa

Department of Orthopedic Surgery

Rambam Health Care Campus is the largest and the most advanced hospital in Northern Israel. Founded in 1938, the medical center has a long history and a rich experience in providing comprehensive medical services in all medical specialties. Ramdam serves over 2 million residents of the country, as well as the Israel Defense Forc
Diagnostic tests for lumbar spinal stenosis
1230 help1020
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
9659 help8059
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
12796 help10696
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
14514 help12614

University Hospital Ulm

9.2/10
location_onGermany, Ulm

Deparment of Orthopedics

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 lumbar spinal stenosis
980
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
8171
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
10632
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
12553

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 lumbar spinal stenosis
1184
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
8471
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
11554
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
13466

Primus Super Speciality Hospital New Delhi

9/10
location_onIndia, New Delhi

Department of Spine Surgery

Primus Super Speciality Hospital is a state-of-the-art multispecialty hospital located in New Delhi, which is the heart of India’s capital. It has been designed and constructed using the most advanced medical technology from all around the world. The infrastructure of the hospital and the quiet environment contribute to fa
Diagnostic tests for lumbar spinal stenosis
553.2 help461
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
4393.2 help3661
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
6258 help5215
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
5606.4 help4672

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Orthopedics

The University Hospital Würzburg has been an institution of public law since 2006. It supports the Faculty of Medicine in its research and teaching. As the center of maximum medical care, the University Hospital provides its services to the region with 1,5 million people. The patients from far more distant regions and from
Diagnostic tests for lumbar spinal stenosis
942
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
7394
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
10035
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
11239

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department for Orthopedics and Trauma Surgery

The University Hospital Carl Gustav Carus Dresden provides top-class medical care. As the Hospital of maximum care, it covers the entire spectrum of modern medicine. The University Hospital includes departments and polyclinics, interdisiciplinary centers and institutes, which maintain tight cooperation with clinical and theoreti
Diagnostic tests for lumbar spinal stenosis
1383
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
10369
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
14205
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
16382

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Neurosurgery

The University Medical Center Hamburg-Eppendorf (UKE) consists of more than 80 interdisciplinary cooperating departments, polyclinics and institutes within 14 medical centers. The Medical Center has over 1,346 beds. The University Medical Center Hamburg-Eppendorf annually treats about 92,000 inpatients and 291,000 outpatien
Diagnostic tests for lumbar spinal stenosis
1423
Diagnostic tests for lumbar spinal stenosis
1291
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
10377
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
10272

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Neurosurgery

The University Hospital Frankfurt is part of the Johann Wolfgang Goethe University Frankfurt am Main. The hospital was founded in 1914 and today it is a famous German medical institution with rich traditions. The hospital treats about 49,000 inpatients and 220,000 outpatients every year. The main objective of 32 specia
Diagnostic tests for lumbar spinal stenosis
951
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
7253
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
9916
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
11682

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Neurosurgery

The University Hospital of Giessen and Marburg (UKGM) offers medical care, modern diagnosis and comprehensive treatment at the advanced international level. As a maximum care hospital, the UKGM covers the entire spectrum of modern medicine ranging from ophthalmology up to trauma surgery and dentistry. The hospital is mainly focu
Diagnostic tests for lumbar spinal stenosis
0.00
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
0.00
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
0.00
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
0.00

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Adult and Pediatric Neurosurgery

Founded in 1834, the University Hospital Rechts der Isar Munich combines long traditions and the very latest achievements of modern medicine, thanks to which it belongs to Germany's leading hospitals. The medical facility includes 33 specialized departments, 20 interdisciplinary centers, in which patients are provided with f
Diagnostic tests for lumbar spinal stenosis
1156
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
8467
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
11726
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
13069

University Hospital Cologne

9.5/10
location_onGermany, Cologne

Department of Neurosurgery

The University Hospital Cologne is included in the Focus magazine rating of top German hospitals 2017 and offers patients first-class medical care meeting the latest medical advancements. Both doctors and researchers of the hospital are constantly searching for new techniques in the field of diagnosis and treatmen
Diagnostic tests for lumbar spinal stenosis
959
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
7279
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
10340
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
11489

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of General and Tumor Orthopedics

The University Hospital Muenster is one of the most respected multi-field medical centers in Germany. It consists of more than 30 departments and numerous research institutes and centers. Every year over 58,000 inpatients are treated here and nearly 475,000 patients receive medical care on the outpatient basis. Highly profession
Diagnostic tests for lumbar spinal stenosis
1199
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
8663
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
11470
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
13585

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Adult and Pediatric Neurosurgery

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Diagnostic tests for lumbar spinal stenosis
1029
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
7952
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
11123
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
12111

About the disease

Spinal stenosis is a compression of spinal canal in several major areas of the spine, mostly in the upper or lower sections. Compressed spinal canal can cause spinal cord narrowing or even narrowing of nerve roots, which are growing from the spinal cord. Spinal stenosis may manifest itself in cramps, leg pain or toes numbness, certain unpleasant sensations in the neck, shoulders and forearms. Patients can also experience tingling in the limbs and problems emptying the bladder or bowel. As a matter of fact, spinal stenosis is caused by osteoarthritis. Some of the symptoms of narrowed spinal canal can be alleviated by certain pain relief pills, physical therapy or corset. In more severe cases patients with narrowed spinal canal are required to undergo surgery. Depending on the location, there are such types of spinal stenosis as lumbar spinal stenosis and cervical spinal stenosis.

There are typically two types of narrowed spinal canal: initial and acquired. Initial spinal stenosis, which occurs relatively infrequently, is an inborn disease, which means it is congenital. Acquired spinal stenosis develops with age. Typically, this stenosis is the result of detrimental changes in the spine that occur, as it was mentioned before, because of the time and overload.

The main cause of this condition is osteoarthritis. Osteoarthritis is a joint disease, which happens because of detrimental changes in cartilage. With age the cartilage begins to break down and its smooth and tender surface becomes rough. If it wears out completely, bones can rub together and cause pain. In this case a person can have bone spurs. When they begin to form on the spinal facet joints, the spinal canal narrows down and thus person develops spinal stenosis.

The main cause for such process is usually the age of person. If a person led a sedentary lifestyle, didn`t lead active lifestyle and didn`t exercise enough, he can develop narrowed spinal canal.

Symptoms

The narrowed spinal canal does not necessarily cause problems. But if the whole space of the spine compresses or in any way it affects the spinal cord or spinal nerve endings, a person may develop signs and symptoms of narrowed spinal canal. They usually begin gradually and have tendency to worsen over time.

The most widespread symptoms of spinal stenosis include:

  • Leg pain
  • Cramps
  • Compression of nerve endings in the lower (also known as lumbar) spine
  • Numbness
  • Weakness
  • Tingling

Pain becomes more severe after a long standing or walking. This discomfort usually goes away when a person leans forward or sits down. Patients with narrowed spinal canal can not walk distance of 1 km. The distance which they can cross gradually decreases from 300 to 200, 100 and finally to less than 50 meters. Problems with walking clearly confirm the diagnosis and clearly indicate that surgery is necessary. It becomes difficult for a person to walk also because of the narrowing or blockage of leg arteries. Symptoms can be magnified if a person goes up the hill or when he stands for more than half an hour. A person can also experience radiating pain in the back or hip. Herniated intervertebral disc can narrow the canal of the spine and compress the nerve endings in the lower spine, which leads to pain. This pain originates in the thigh or buttocks and runs all the way down to the back of the leg. Pain can sometimes be present in the neck area or shoulders. It is felt most of all in cervical spine. The unpleasant feeling may occur from time to time or it may become chronic, sometimes it can spread to the hand or wrist. In addition, cord of the spine can get damaged, which can lead to limb weakness and problems with walking. There may be certain headaches, loss of sensations and muscle weakness. Loss of balance can also develop. It happens because the pressure on the cord of the spine can affect the nerve endings that control balance, which leads to a fall.

The loss of bowel or bladder function during narrowed spinal canal occurs because the nerves that innervate the bladder or intestines lead to full or partial fecal incontinence. Some patients may ignore the symptoms of narrowed spinal canal, believing that pain and stiffness they are experiencing are normal signs of aging. But the discomfort that prevents mobility is not normal. A person should always consult his doctor if he experiences:

  • Pain
  • Stiffness
  • Numbness or weakness in the back, legs, neck or shoulders that are not related to over exercising or stress

Diagnosis

  • The diagnosis of narrowed spinal canal can be a difficult process, because its signs, symptoms and other manifestations are often temporary and resemble many age-related diseases. To make a right diagnosis and identify other diseases, doctor will evaluate patient`s medical history and do usual physical examination, which may include diagnosis of the peripheral heart rate and a number of motor reflexes and leg reflexes. A person may need to have additional tests. He may require to undergo spine X-ray. Although X-ray can not confirm narrowed spinal canal, it can help identify problems that cause similar symptoms.
  • Magnetic resonance imaging (more commonly known as simply MRI) is also carried out for the diagnosis of spinal stenosis. MRI creates cross-sectional images of the back that X-ray can not show. Strong magnetic waves make images that other diagnostic tests can not create. This method may reveal damage of discs and ligaments, as well as the presence of a tumor.
  • Computed tomography (CT) gives a detailed image of a certain cross-layer (slice) of the human body, including the size and shape of the spinal canal.

Treatment

Many patients who are suffering from narrowed spinal canal need only conservative methods of treatment. But if the pain causes disability or significantly interferes with patient`s walking, doctor may recommend surgery for spinal stenosis. Loss of bowel and bladder control or any other important function is also a condition requiring immediate medical or surgical intervention. 

Surgery for spinal stenosis has two objectives - to remove pressure on the cord of the spine or nerve endings and ensure the integrity, mobility and strength of the spine. This can be primarily achieved by several ways, depending on the problem cause. The most common surgeries for narrowed spinal canal include:

  • Spinal decompression is also called laminectomy. During laminectomy surgeon removes the whole arc of the vertebral plate - back of the bones of spinal canal. This results in expanded space for the nerve endings and provides access to the spurs of the bone or destroyed disks, which can also be removed. Thus, the narrowing process is eliminated. A surgeon can perform decompression on the first, second, third, fourth segments, depending which of them was affected. Decompression can be combined with discotomy, which is a removal of the intravertebral disc.
  • Laminotomy is another surgical option, during which a part of the arc of the plate is removed to relieve pressure of narrowed spinal canal and provide access to the disk or spurs that compress the nerve. The risks of laminotomy are similar to risks in laminectomy.
  • The gradual stabilization process of the spine can be performed separately or simultaneously with a laminectomy. It aims to find direct connection of two or more bones of the narrowed spinal canal in the spine. Such matching is necessary to fill the space between two vital vertebrae. These fragments can be taken from a patient`s body, usually the pelvis bone. Also plate metal frames can be used, especially if the spine is unstable or if surgery is performed for correcting deformity. It does not have as many possible complications as other types of surgeries. The very next day after such surgery patient can get up and walk.
  • A rapid stabilization of the spine. Recent research proved that at the initial stages of spinal stenosis there can be an implantation of spinal cushion that can perform several functions of the spine and relieve the pain as well as normalize the condition of the affected vertebra, thereby eliminating stenosis.



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