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Treatment of Lumbar Spinal Stenosis in Germany

Due to the difficulties associated with the organization of treatment in Turkey, Switzerland, South Korea and India, we are not currently processing requests to these regions.

If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Diagnostic tests for lumbar spinal stenosis
498
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
3670
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
5058
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
5908

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 lumbar spinal stenosis
1738 help1638
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
11048 help10048
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
14643 help13143
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
15761 help14261

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 lumbar spinal stenosis
1866
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
11995
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
16119
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
17400

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 lumbar spinal stenosis
1822
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
11224
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
15075
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
16603

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 lumbar spinal stenosis
2407
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
15884
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
21859
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
23919

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
1882
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
12626
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
16504
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
17954

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
1892
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
12328
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
16673
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
18105

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 lumbar spinal stenosis
1820
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
11151
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
14983
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
16328

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 lumbar spinal stenosis
1960
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
11813
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
15695
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
17075

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 lumbar spinal stenosis
1902
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
11823
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
15641
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
17396

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 lumbar spinal stenosis
1812
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
11073
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
14843
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
16036

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 lumbar spinal stenosis
2275
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
14525
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
18959
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
21356

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 lumbar spinal stenosis
2180
Diagnostic tests for lumbar spinal stenosis
2280
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
14440
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
14403

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 lumbar spinal stenosis
2048
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
12411
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
16609
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
18057

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 lumbar spinal stenosis
2061
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
12628
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
16930
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
18479

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 lumbar spinal stenosis
1716
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
10836
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
14078
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
15209

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Adult and Pediatric Neurosurgery, Spinal Surgery

The University Hospital Rechts der Isar Munich was founded in 1834. It combines long traditions with the very latest advances in modern medicine. The medical facility includes 33 specialized departments and 20 interdisciplinary centers, where patients can receive top-class medical care in all medical fields. The hospital annuall
Diagnostic tests for lumbar spinal stenosis
1982
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
12337
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
16621
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
18213
| from Booking Health GmbH

Lumbar spinal stenosis is a narrowing of the spinal canal. Narrowing of the bony spinal canal can be caused by bone overgrowths, and herniated spinal discs. These usually result in load-dependent pain, irradiating on one or both sides. Subsequently, load-dependent symptoms in the legs as well. The problems usually occur when people walk, while they are almost non-existent during cycling (i.e., when the spine is bent forward).

This condition is fraught with disability and serious complications, and therefore requires adequate, and most importantly, timely treatment.

Content

  1. Overview of lumbar spinal stenosis
  2. Causes and symptoms of lumbar spinal stenosis
  3. Diagnosis of lumbar spinal stenosis
  4. Tactics of treatment of lumbar spinal stenosis in Germany
  5. Conservative treatment of lumbar spinal stenosis in Germany
  6. Surgery of lumbar spinal stenosis in Germany
  7. Rehabilitation after surgery
  8. Prognosis of lumbar spinal stenosis
  9. The cost of treatment of lumbar spinal stenosis in Germany
  10. Treatment of lumbar spinal stenosis in Germany with Booking Health

Overview of lumbar spinal stenosis

 

One of the most important functions in the human body is performed by the spinal canal. It protects the spinal cord inside the vertebrae. The spinal cord and brain form the central nervous system that regulates the functions of the human body. Therefore, for the spinal cord to function properly, the spinal canal needs to be intact.

Spinal stenosis is a chronic pathological process characterized by a stenosis (narrowing) in the diameter of the spinal canal and intervertebral foramen due to bone and cartilage overgrowth. The normal size of the spinal canal at the lumbar level is 15 – 25 mm and transverse is 26 – 30 mm. Spinal stenosis is a decrease in its size relatively up to 12 mm. At the same time, clinical manifestations may not be present at all. A decrease to 10 mm or less is called absolute spinal stenosis. This stenosis already has clinical signs.

Lumbar spinal stenosis is narrowing of the spinal canal in the small of the back.

Treatment includes physical therapy, pain and anti-inflammatory medications, surgeries.

Cost of decompressive laminectomy and discectomy in 1 serment is from €3,670. 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. University Hospital Rechts der Isar Munich
  3. University Hospital Frankfurt-am-Main
  4. Helios Hospital Krefeld
  5. Clinic of Advanced Biological Medicine Frankfurt-am-Main

Causes and symptoms of lumbar spinal stenosis

 

Lumbar spinal stenosis can be either congenital or acquired.

Congenital lumbar spinal stenosis is a rather rare condition. This condition is usually associated with narrowing of the spinal canal caused by abnormalities in the postnatal stage of development

The majority of clinical cases of stenosis still occur because of the underlying process of inflammation in the intervertebral discs initiated by the infection or injury.

Even though anatomical spinal canal narrowing is a pretty obvious and definitive component of lumbar spinal stenosis, it is not always obvious when undergoing the diagnostics. It can be diagnosed, if the degree of narrowing causes compression of neurovascular structures and impairs their function.

Patients also frequently experience impaired coordination, sensory dysfunction, and muscle weakness in the lower limbs. However, any problems in the lower extremities are not usually caused by stenosis, even when MRI shows severe anatomical damages caused by the disease.

There is a dynamic component to lumbar spinal stenosis as well. So, for instance, when walking or standing symptoms intensify, and on the contrary, when sitting or lying down patients feel relief.

Diagnosis of lumbar spinal stenosis

 

Medical diagnosis, like with any other pathology in medicine, starts with first examining the complaints and medical history in detail. A neurologist will ask about the nature of pain, where it is localized, how it relates to movement, etc. The specialist will also ask about other symptoms of diseases of the nervous system: decreased skin sensitivity, muscle weakness, and dysfunction of the pelvic organs.

Next, a physical examination is performed. It allows the doctor to make a preliminary diagnosis and determine the patient's further examination plan. A medical specialist examines and palpates the body parts where the patient feels pain, numbness, or weakness. To assess the function of the spinal cord, tendon reflexes are examined, as well as skin sensitivity and muscle strength are measured.

Additional instrumental diagnostic tests are usually needed to confirm the diagnosis. For spinal stenosis, specialists will prescribe a spinal X-ray and MRI. In some cases, a multislice computed tomography scan may be needed in addition to an MRI scan.

Tactics of treatment of lumbar spinal stenosis in Germany

 

Lumbar spinal stenosis treatment tactics depend on the severity of neurological disorders caused by stenosis, pain intensity, and the features of narrowing.

There are surgical and conservative (non-surgical) approaches to treatment. When treating patients with lower back pain, rational psychotherapy and various types of physical therapy are of great importance. Currently, the efficacy of physiotherapeutic methods for the treatment of back pain is being studied.

It is always advisable to start with conservative treatment, which includes therapeutic exercises, physiotherapy, manual therapy and massage, vitamins, and anti-inflammatory drugs. In most cases, a positive result can be achieved without surgery. The surgical treatment of spinal stenosis should be resorted to only in the absence of the effect from conservative therapy. This is due to the fact that any surgical treatment can be associated with the development of the most common complication of spine surgery – scarring and fibrosis. Therefore, it is extremely important to consider all the pros and cons for choosing the best option, to conduct a thorough analysis of the results of clinical examination and diagnostic imaging methods. Lumbar spinal stenosis cannot be treated without a comprehensive preliminary diagnosis.

Conservative treatment of lumbar spinal stenosis in Germany

 

The conservative treatment of stenosis is similar to conservative treatment of other degenerative diseases of the spine. The conservative treatment of lumbar spinal stenosis consists of a comprehensive and individualized approach, including recommendations for changes in lifestyle and motor activity, prescription of drugs from NSAID groups, anticonvulsants, vasoactive drugs, prostaglandin E1, calcitonin, epidural administration of glucocorticosteroids and local analgesics, and B vitamins.

The conservative treatment that includes drug therapy, physical therapy, massage, and epidural injection of steroids is effective for moderately pronounced symptoms of lumbar spinal stenosis. The latter method consists of injecting solutions of glucocorticoid hormones into the peridural space in the area of lumbar spinal stenosis. The effect of glucocorticoids is based on pain syndrome reduction due to the reduction of inflammation in the area of nerve compression. Glucocorticoid hormones are often used in combination with local analgesics, which quickly relieve pain, but have a rather short-term effect. In contrast, the effect of glucocorticoid hormones develops quite slowly and lasts for 2 – 4 weeks. Epidural injection of steroids is effective in 50% of patients with lumbar spinal stenosis. At the same time, this method of treatment can cause complications, so it is used only when other methods of conservative therapy are ineffective.

The surgical treatment is indicated if conservative therapy is ineffective.

Surgery of lumbar spinal stenosis in Germany

 

The main indication for surgery is the irresponsiveness of patients with lumbar spinal stenosis to conservative therapy. Considering the fact that the disease may be accompanied by periods of remission and exacerbation, doctors mostly resort to surgery when severe symptoms persist.

The following options can be used for lumbar spinal stenosis surgery:

  • Stabilizing surgery (stabilizing and expanding of the spinal space with subsequent enhancement of support function by implanting braces).
  • Decompression laminectomy (a surgical procedure to expand the spinal canal by removing some parts of the bone tissue, the arch of the spine, and ligaments; this surgery is considered one of the most traumatic).
  • Microsurgical decompression (a surgical procedure involves the use of a fixation system after the stenosis has been eliminated; most importantly, the function and flexibility of the spine is preserved after surgery).
  • Microdiscectomy or laser vaporization (types of interventions performed sometimes together with a laminectomy, in cases where the stenosis is caused by a herniated disc).

Surgery is aimed at alleviating compression on the nerves that are the common subject to it. The approach to spine surgery varies, but the goal stays the same. And the most widespread technique for it is conventional laminectomy.

Minimally invasive spine surgery for decompression consists of percutaneous removal of the hypertrophic ligament. A randomized study, which evaluated the outcomes of treatment over 6 weeks in 38 patients, showed no significant differences in the symptom relief between the patients who had minimally invasive spine surgery compared to the group receiving epidural steroid injections. Although, pain relief was higher in the group of patients who received minimally invasive spine surgery for decompression.

The use of one or another method of surgical intervention depends on the clinical situation. In most cases, the patient fully recovers after surgery. An important role in rehabilitation is played by the patient's behavior, compliance with all restrictions and rules established by the doctor.

Rehabilitation after surgery

 

Rehabilitation after the surgery for lumbar spinal stenosis can take place both on an inpatient and outpatient basis. For the first few days, patients remain under the supervision of a neurosurgeon, who performs daily bandaging and assesses the quality of healing of the postoperative wound. After discharge from the hospital, the patient gradually returns to his/her normal way of life.

The stitches are removed on the 7th or 10th day after surgery. A complete recovery takes 1-6 months, depending on the aggressiveness of the disease prior to treatment and the extent of conducted surgery. During this time, it is recommended to limit physical activity and stress factors. It is necessary to follow a diet, rest and adhere to the recommendations of the neurosurgeon.

Prognosis of lumbar spinal stenosis

 

Medicine cannot yet provide us with any concrete patterns for a good prognosis, since most people require individualized treatment.

The patients without severe progression usually have very good chances for recovery from stenosis. There are some cases when symptoms worsen after treatment, but in general, people remain symptom-free.

A recent study, based on MRI monitoring and general observation of 34 patients with spinal stenosis, showed that 60% of patients had regression of symptoms, despite condition worsening on MRI. Other studies have shown that manifestations of stenosis can have both negative and positive dynamics, regardless of stable condition according to MRI.

The cost of treatment of lumbar spinal stenosis in Germany

 

The financial aspect of treatment is one of the main considerations in choosing a destination. How much does treatment in Germany cost?

Many hospitals in Germany have a quite similar cost of treatment due to the unified pricing system, which is based on the diagnosis of the patient in a standardized case and the calculation of the cost of treatment in the German hospitals based on the average prices for different treatments. The cost of treatment in German hospitals is individualized for each case and also depends on the number of narrowed areas, the severity of the disease, the duration of a hospital stay, and other factors:

 Medical procedurePrice
1Diagnostics in suspected lumbar spinal stenosisfrom 498 EUR
2Spinal stenosis treatment with decompressive laminectomyfrom 3,999 EUR
3Spinal stenosis treatment with decompressive laminectomy and discectomyfrom 3,670 EUR
4Spinal stenosis treatment with decompressive laminectomy and additional stabilizing surgeryfrom 8,781 EUR
5Rehabilitation course after the treatment completionfrom 540 EUR per day

You can contact Booking Health to estimate a preliminary cost of treatment in Germany. This will allow you to assess your financial capabilities in advance.

Treatment of lumbar spinal stenosis in Germany with Booking Health

 

Booking Health will assist you in every matter regarding the organization of treatment in Germany. We will help you to get a medical visa, book the airline tickets and accommodation for you and the accompanying person (if needed), and even provide you with a personal interpreter for the period of your stay in Germany.

To get more information on how to proceed, please leave your request on the Booking Health website, and our medical advisor will contact you.

Authors: Dr. Vadim ZhiliukDr. Sergey Pashchenko




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