Marienhaus Hospital St. Elisabeth Neuwied
Department of Spinal Surgery and Neurotraumatology (289997)
spine surgery, neurotraumatology
About the department
The Department of Spinal Surgery and Neurotraumatology at the Marienhaus Hospital St. Elisabeth Neuwied offers the full range of modern surgical treatment for spinal diseases. It performs both microsurgical interventions on the spine (for example, in the case of spinal disc herniation, post-nucleotomy syndrome) and comprehensive treatment of acute spinal injuries, including management of patients with traumatic brain injuries. The department's team consists of highly qualified neurosurgeons, traumatologists and orthopedists who apply all their experience and professional knowledge for the restoration of the patients' health. The department is headed by Dr. med. Walter Richter.
The department operates an Emergency Medical Service. It specializes in emergency surgical interventions on the spine and skull, therapeutic procedures for compression syndromes, etc.
The plans for non-urgent operations are developed in advance using the cutting-edge computer equipment. For example, minimally invasive spondylodesis is routinely performed in patients with fractures or with spinal cancers. The department's surgeons have exceptional experience in spondylodesis, which significantly reduces any risks for the patient. When performing this operation, the broken or destroyed vertebrae is replaced with a special fixing device made of titanium.
In addition, the department's specialists are proud of outstanding success in the field of operations on the cervical spine. The department applies several effective techniques, which have won recognition in the international medical arena. The special fixation devices are implanted into the intervertebral space in the case of stenosis caused by pathological changes in bone structures. Joint replacement surgery is the best treatment option in the case of minor dislocation and spinal disc herniation. In addition to replacement of the affected disc, the prosthesis additionally protects the adjacent discs. In this case, the spine remains fully mobile. If it is necessary to remove the bodies of one or more vertebrae, both anterior and posterior vertebral fusion can be performed.
The department is one of the few medical facilities in Germany, which has an O-arm intraoperative computed tomography scanner. This tomograph guarantees maximum accuracy during the placement of implants, and also helps to significantly reduce radiation dose (X-ray intensity during surgery is reduced by 90%). In addition, the use of the O-arm tomography scanner helps to control intraoperative hemostasis and contributes to a significant reduction of blood loss during surgery. In addition, the device allows the doctors to control the function of nerve endings in the operating field, which is especially important for spinal tumor resection.
The department's range of medical services includes:
- Surgical treatment
- Microsurgical interventions on the spine, including operations for spinal disc herniation, post-nucleotomy syndrome
- Surgery for degenerative changes in the cervical and lumbar spine
- Operations for spinal fractures (transthoracic, transabdominal access)
- Operations for spinal fractures in osteoporosis, with filling the vertebrae with bone cement (minimally invasive surgery)
- Operations for vertebral displacement, spinal instability
- Operations for spinal instability, after previous surgical interventions (for example, after a laminectomy, operations for inflammatory processes)
- Dorsal screw osteosynthesis of the cervical spine (for example, in case of pseudarthrosis, cervical myelopathy)
- Surgery to remove benign and malignant spinal tumors
- Surgery for stenosis of the cervical and lumbar spine using the most effective techniques
- Decompression for spinal stenosis
- Conservative treatment
- Conservative measures in back pain (for example, injection therapy)
- Physiotherapy, occupational therapy and massage (or a combination of these methods depending on the specific clinical cases)
- Therapy using Halo vest system, corsets
- Other therapeutic options
Education and Professional Career
- 1980 - 1986 Study of Medicine at the University of Cologne.
- 1987 - 1994 Professional training for Neurosurgeon at the Cologne-Merheim Hospital.
- 1994 Board certification in Neurosurgery.
- 1998 Work at the position of Senior Physician.
- 2006 Appointed as Chief Physician in the Department of Spinal Surgery and Neurotraumatology at the Marienhaus Hospital St. Elisabeth Neuwied.
- Surgery for spinal instability.
- Replacement of intervertebral discs in the cervical spine.
- Microsurgical operations on the intervertebral discs.
Memberships in Professional Societies
- German Society of Neurosurgery.
- German Spine Society.
- AO Spine International Community.
Department of Spinal Surgery and Neurotraumatology.
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