Treatment of lumbar herniated disc with endoscopic or microscopic nucleotomy (1 segment) in Helios ENDO-Clinic Hamburg

About the department

According to the Focus magazine, the Department of Adult and Pediatric Spinal Surgery at the Helios ENDO-Clinic Hamburg ranks among the best medical facilities in Germany in the area of its specialization!

The department provides patients with the full range of diagnostic services and surgical treatment of pathologies of all parts of the spine. The department performs operations of any complexity for various spinal pathologies in adults and children. In most cases, the specialists of the medical facility use advanced minimally invasive and microsurgical techniques, thanks to which patients recover in the shortest possible time. The department's doctors have excellent qualifications in treating spinal tumors and metastases, inflammatory processes and vertebral fractures, repairing spinal deformities (for example, scoliosis and kyphosis), treating spinal injuries, and peripheral nerve compression syndromes. The department is also competent in revision spinal surgery. The clinical activity of the medical facility is certified in accordance with the standards of the German Spine Society.

The Head Physician of the department is PD Dr. med. Ralf Hempelmann. The doctor has vast clinical experience and deep knowledge in the field of his competence. For his outstanding achievements in spinal surgery and scoliosis repair, the doctor was awarded the Leading Medicine Guide Certificate. The specialist was also awarded a Master's Certificate from the German Society for Spine Surgery (DGW). In many years of his clinical practice, the surgeon has already performed more than 5,000 interventions on the spinal cord, spine, and peripheral nerves.

Many patients with spinal disc herniation seek medical attention in the department. The department's medical team successfully treats herniated discs in the cervical, thoracic, and lumbar spine. In the early stages of a hernia, doctors often use only conservative treatment methods that are aimed at eliminating the pain syndrome. If such therapy is ineffective, the specialists then resort to surgery. Surgical treatment involves the use of microsurgical techniques. Minimally invasive laparoscopic techniques are also used whenever possible. Thanks to this modern approach to treatment, the patient's mobilization begins on the evening of the operation, and there is no need for a long stay at the hospital.

Cases of spinal stenosis are quite common in the department. In the early stages, spinal stenosis practically does not cause any symptoms, and therefore, at the time of detection of the disease, conservative treatment methods are ineffective. Consequently, patients with this diagnosis rarely manage to avoid surgery. The department's spinal surgeons most often resort to decompression interventions, the essence of which is to relieve the nerve roots from compression. In some cases, dynamic stabilization systems can also be used during surgery. Spinal stenosis surgery is performed using microsurgical techniques. In addition, surgeons always use an operating microscope. After the operation, a patient is provided with all the necessary therapeutic measures for the rapid restoration of mobility and a return to their usual way of life.

Of particular interest to the department's team of doctors is the repair of spinal deformities, the most common of which are scoliosis and kyphosis, or a combination of these two deformities. Spinal deformities may develop in both adults and children. Non-surgical treatment is provided whenever possible. Patients are usually prescribed to wear a corrective corset, and undergo massage, physiotherapy and other methods. If, after the prolonged use of conservative methods, it is not possible to improve a patient's condition, the attending physician decides on a surgical intervention.

Patients with chronic back pain are offered highly effective interventional procedures: facet joint infiltration and denervation, sacroiliac joint infiltration and denervation, and periradicular therapy. The procedures are performed under the guidance of X-ray or computed tomography, which guarantees high accuracy of injection of painkillers directly into the pathological focus. Interventional pain management can significantly relieve pain in the back for a long period of time. In addition, the therapeutic procedure can be repeated many times.

The department's main clinical activities are as follows:

• Cervical spine surgery
  • Surgery for spinal stenosis accompanied by myopathy and cervical disc herniation 
  • Ventral fusion with the Cage technique or intervertebral disc replacement surgery, dorsal decompression (spondylectomy with the implantation of special plates can also be performed, if required)
  • Stabilization surgery for cervical instability
  • Correction of cervical deformities (through ventral or dorsal approach)
• Thoracic spine surgery
  • Surgical treatment of thoracic spinal stenosis and thoracic disc herniation
  • Intervertebral disc replacement surgery through ventral approach
  • Kyphoplasty for osteoporotic fractures
  • Correction of deformities (scoliosis and kyphosis) through posterior, anterior or combined approach
  • Stabilization surgery for thoracic instability and destructive processes
• Lumbar spine surgery
  • Minimally invasive and microsurgical operations for lumbar disc herniation
  • Implantation of intervertebral disc prostheses, repair of deformities and lumbar instability (instrumental repair and fusion)
  • Decompression for spinal stenosis
  • Vertebral body prosthetic repair through ventral approach
  • Repair of deformities (scoliosis and kyphosis)
• General spinal surgery
  • Surgical treatment of spinal deformities (scoliosis, kyphosis and post-traumatic deformities)
  • Removal of spinal canal tumors (meningiomas, ependymomas, and neurinomas)
  • Spinal cord tumor removal with neuromonitoring
  • Surgical treatment of syringomyelia
  • Surgical treatment of complications or consequences of surgical interventions in all parts of the spine (revision surgery)
  • Surgical removal of spinal metastases
  • Surgical treatment of inflammatory spinal diseases
  • Treatment of facet syndrome and sacroiliac joint syndrome (infiltratio and denervation)
  • Interventional therapy for spinal pathologies (drug infiltration and periradicular therapy)
  • Peripheral nerve surgery
  • Surgical spinal oncology
  • Treatment of peripheral nerve compression syndromes (carpal tunnel syndrome, cubital tunnel syndrome and tarsal tunnel syndrome)
• Conservative therapy for spinal deformities in adolescents (for example, the use of corsets)
• Multimodal pain management
• Other medical services