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Major selection criteria for patients diagnosed with: Spinal stenosis

Spinal stenosis: Compare Costs for a treatment abroad

See the best foreign clinics for the treatment of "Spinal stenosis". Our rating is formed according to the official data on the quality of medical services. If you need help choosing a clinic, contact us. Our coordinators will help you choose the medical solution and provide full service support. We will arrange treatment for you as soon as possible, provide you with a transfer, an interpreter and insure your trip. With Booking Health you will be able to focus on your treatment, without worrying about the hassle of  organizational issues.

Age: 15 years or older
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University Hospital Cologne

9.8/10 from 82 Votes

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.

Spinal stenosis diagnosis
2445
Treatment of spinal canal stenosis (2-3 segments) by decompressive laminectomy
7583
Treatment of spinal stenosis (1 segment) by decompressive laminectomy
6139
Treatment of spinal stenosis (1 segment) by decompressive laminectomy and discotomy
7684
location_onCountry: Germany
location_searchingCity: Cologne

University Hospital Rechts der Isar of the Munich Technical University

10/10 from 70 Votes

The Rechts der Isar Hospital is the University Hospital of the Technical University of Munich. There is intensive cooperation between the research facilities of the TU and the hospital in numbers of areas.

Spinal stenosis diagnosis
3615
Treatment of spinal canal stenosis (2-3 segments) by decompressive laminectomy
10178
Treatment of spinal stenosis (1 segment) by decompressive laminectomy
8501
Treatment of spinal stenosis (1 segment) by decompressive laminectomy and discotomy
10198
location_onCountry: Germany
location_searchingCity: Munich

Charite University Hospital Berlin

9/10 from 95 Votes

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.

Spinal stenosis diagnosis
5066
Treatment of spinal canal stenosis (2-3 segments) by decompressive laminectomy
13934
Treatment of spinal stenosis (1 segment) by decompressive laminectomy
11419
Treatment of spinal stenosis (1 segment) by decompressive laminectomy and discotomy
13967
location_onCountry: Germany
location_searchingCity: Berlin
certificate

University Hospital Muenster

9.8/10 from 78 Votes

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.

Spinal stenosis diagnosis
2794
Treatment of spinal canal stenosis (2-3 segments) by decompressive laminectomy
8611
Treatment of spinal stenosis (1 segment) by decompressive laminectomy
7684
Treatment of spinal stenosis (1 segment) by decompressive laminectomy and discotomy
8443
location_onCountry: Germany
location_searchingCity: Muenster

University Hospital Frankfurt am Main

10/10 from 97 Votes

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.

Spinal stenosis diagnosis
2865
Treatment of spinal canal stenosis (2-3 segments) by decompressive laminectomy
8796
Treatment of spinal stenosis (1 segment) by decompressive laminectomy
7569
Treatment of spinal stenosis (1 segment) by decompressive laminectomy and discotomy
8707
location_onCountry: Germany
location_searchingCity: Frankfurt am Main

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes

With more than 36,000 patients annually and 1,000 beds, the Academic Hospital Bogenhausen is one of the largest clinics in Munich.

Spinal stenosis diagnosis
2748
Treatment of spinal canal stenosis (2-3 segments) by decompressive laminectomy
8632
Treatment of spinal stenosis (1 segment) by decompressive laminectomy
6999
Treatment of spinal stenosis (1 segment) by decompressive laminectomy and discotomy
8778
location_onCountry: Germany
location_searchingCity: Munich

Academic Hospital Schwabing Munich

8.5/10 from 7 Votes

The Schwabing Clinic is a modern medical facility with a high level of service. The clinic has high-tech modern equipment, making it one of the best hospitals not only in Germany but also in Europe. There are comfortable single and double rooms with shower and toilet, TV, telephone and radio.

Spinal stenosis diagnosis
2635
Treatment of spinal canal stenosis (2-3 segments) by decompressive laminectomy
8117
Treatment of spinal stenosis (1 segment) by decompressive laminectomy
6662
Treatment of spinal stenosis (1 segment) by decompressive laminectomy and discotomy
8036
location_onCountry: Germany
location_searchingCity: Munich

PAN Clinic Cologne

9/10 from 14 Votes

The PAN Clinic has gained universal recognition due to highly professional doctors and their responsive and careful approach to the treatment.  A team of experienced doctors specialized in 25 medical focuses takes care of the patients' health.

Spinal stenosis diagnosis
2602
Treatment of spinal canal stenosis (2-3 segments) by decompressive laminectomy
8060
Treatment of spinal stenosis (1 segment) by decompressive laminectomy
6507
Treatment of spinal stenosis (1 segment) by decompressive laminectomy and discotomy
7936
location_onCountry: Germany
location_searchingCity: Cologne

Vivantes Neukölln Hospital Berlin

10/10 from 23 Votes

The Vivantes Neukölln Hospital is the maximum care hospital and one of the largest healthcare facilities in Berlin.   There are more than 20 specialized departments and centers, including pediatric departments. In total, the hospital has 1,200 beds.

Spinal stenosis diagnosis
3608
Treatment of spinal canal stenosis (2-3 segments) by decompressive laminectomy
10084
Treatment of spinal stenosis (1 segment) by decompressive laminectomy
8445
Treatment of spinal stenosis (1 segment) by decompressive laminectomy and discotomy
10301
location_onCountry: Germany
location_searchingCity: Berlin

Alfried Krupp Hospital in Essen-Ruettenscheid

7.4/10 from 42 Votes

With 900 beds and approximately 2,050 employees in two branches, the Alfried Krupp Hospital is one of the larger hospital institutions in Essen.

Spinal stenosis diagnosis
2767
Treatment of spinal canal stenosis (2-3 segments) by decompressive laminectomy
8626
Treatment of spinal stenosis (1 segment) by decompressive laminectomy
7527
Treatment of spinal stenosis (1 segment) by decompressive laminectomy and discotomy
8785
location_onCountry: Germany
location_searchingCity: Essen

Tel Aviv Sourasky Medical Center

9.9/10 from 23 Votes

The Tel Aviv Sourasky Medical Center (Ichilov) is the second largest and one of the most advanced healthcare and research institutions in Israel. Founded in 1961, it still enjoys popularity among the local population and draws thousands of international patients.

Spinal stenosis diagnosis
0.00
Treatment of spinal canal stenosis (2-3 segments) by decompressive laminectomy
0.00
Treatment of spinal stenosis (1 segment) by decompressive laminectomy
0.00
Treatment of spinal stenosis (1 segment) by decompressive laminectomy and discotomy
0.00
location_onCountry: Israel
location_searchingCity: Tel Aviv

Rambam Health Care Campus Haifa

9.8/10 from 23 Votes

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.

Spinal stenosis diagnosis
0.00
Treatment of spinal canal stenosis (2-3 segments) by decompressive laminectomy
0.00
Treatment of spinal stenosis (1 segment) by decompressive laminectomy
0.00
Treatment of spinal stenosis (1 segment) by decompressive laminectomy and discotomy
0.00
location_onCountry: Israel
location_searchingCity: Haifa

University Hospital for Neurosurgery Salzburg

9.6/10 from 39 Votes

University Clinic of Neurology specializes in the surgical treatment of acute and chronic diseases of the central and peripheral nervous system, its blood supply, and nerve sheaths, as well as in preoperative and postoperative care for patients.

Spinal stenosis diagnosis
7551
Treatment of spinal canal stenosis (2-3 segments) by decompressive laminectomy
25215
Treatment of spinal stenosis (1 segment) by decompressive laminectomy
22458
Treatment of spinal stenosis (1 segment) by decompressive laminectomy and discotomy
22820
location_onCountry: Austria
location_searchingCity: Salzburg

University Hospital of the Ludwig-Maximilians-University Munich (LMU)

9.2/10 from 40 Votes

The Hospital of the Ludwig-Maximilians-University (LMU) Munich is a center of high-end medicine, medical innovation and medical and technical progress, which enables an individual and safe patient care.

Spinal stenosis diagnosis
3519
Treatment of spinal canal stenosis (2-3 segments) by decompressive laminectomy
10022
Treatment of spinal stenosis (1 segment) by decompressive laminectomy
8298
Treatment of spinal stenosis (1 segment) by decompressive laminectomy and discotomy
10284
location_onCountry: Germany
location_searchingCity: Munich

University Hospital Tuebingen

9.2/10 from 55 Votes

The University Hospital Tubingen - abbreviation UHT - is a modern center of high-quality university medicine, research and teaching. As a clinic of maximum care, UHT is also known far beyond the region. For the city and the district of Tubingen the University Hospital Tubingen functions as a district hospital.

Spinal stenosis diagnosis
2746
Treatment of spinal canal stenosis (2-3 segments) by decompressive laminectomy
8739
Treatment of spinal stenosis (1 segment) by decompressive laminectomy
6872
Treatment of spinal stenosis (1 segment) by decompressive laminectomy and discotomy
8758
location_onCountry: Germany
location_searchingCity: Tuebingen

University Hospital Erlangen

9.1/10 from 51 Votes

University Hospital Erlangen is one of the leading university hospitals in Bavaria and offers advanced medicine, characterized by a tight integration of patient care with university research and teaching. It pursues a very innovative concept.

Spinal stenosis diagnosis
2877
Treatment of spinal canal stenosis (2-3 segments) by decompressive laminectomy
8666
Treatment of spinal stenosis (1 segment) by decompressive laminectomy
7548
Treatment of spinal stenosis (1 segment) by decompressive laminectomy and discotomy
8553
location_onCountry: Germany
location_searchingCity: Erlangen
certificate

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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