Spinal Meningioma — Microsurgical Resection: treatment in the Best Hospitals of Germany
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Department of Spinal Surgery
The Department of Spinal Surgery annually treats more than 720 patients with spinal cord meningioma. The specialists remove the tumor endoscopically with the best possible preservation of healthy nerve tissue. The surgery involves the use of a three-dimensional O-Arm x-ray system that provides additional protection for the spinal cord. The department is headed by Dr. med. A Bitter, who specializes in microsurgical spinal interventions.
Department of Spinal Surgery
The Department of Spinal Surgery at the Vivantes Auguste-Victoria Hospital all diseases of the spine - both conservatively and operatively. Patients with herniated intervertebral discs, displacement of vertebrae, stenosis of the spinal canal or back pain are treated here. In addition, specialists of the department have a unique experience in the field of complex reconstructive and revision surgeries, which are conducted to continue or correct the previous surgical treatment.
Department of Spinal Surgery
The Department of Spinal Surgery offers the full range of effective treatment methods in the area of its specialization. A highly qualified team of doctors is at the service of the department's patients, who have in their arsenal advanced conservative and surgical treatment methods for pathological changes in the spine. Spinal surgical procedures are performed in modern operating rooms, the technical equipment of which allows spinal surgeons to perfectly perform both major open surgery and sparing interventions: minimally invasive, endoscopic, and microsurgical. Surgical treatment is complemented by a carefully planned course of physiotherapy. This includes procedures such as therapeutic exercises, manual therapy, massage, osteopathic treatment, etc. The department's team of doctors consists of 10 highly qualified specialists who, together with experienced nursing staff, admit more than 1,300 inpatients annually. The medical facility is certified by the German Society for Spine Surgery (DWG) as a level II specialized center. The department's medical team makes every effort to provide each patient with optimal treatment in a pleasant and friendly atmosphere.
Department of Adult and Pediatric Neurosurgery, Spinal Surgery
The Department of Adult and Pediatric Neurosurgery, Spinal Surgery offers all the possibilities of modern surgical treatment for diseases of the central and peripheral nervous system in patients of all ages. More than 6,000 surgical procedures are performed annually in the department's high-tech operating rooms. Both planned and emergency neurosurgical procedures are performed here. The department's surgical team focuses on patients with cerebrovascular diseases, brain and skull base tumors, spine and spinal cord diseases, cerebrospinal fluid circulation disorders, and pathologies of the peripheral nervous system. The department's team of physicians also has extensive experience in functional neurosurgery: specialists perform deep brain stimulation for movement disorders, spinal cord stimulation for back pain, and vagus nerve stimulation for epilepsy. The department works closely with neurologists, radiologists, and nuclear medicine specialists to provide patients with the highest level of comprehensive medical care. The department is recognized as one of the top neurosurgical centers in Germany and beyond, as evidenced by consistently high treatment success rates and numerous quality certifications, including the German Cancer Society (DKG) Certificate, the German Spine Society (DWG) Certificate, and the Leading Medicine Guide Certificate.
Department of Neurosurgery and Spinal Surgery
The Department of Neurosurgery and Spinal Surgery offers the full range of modern surgical procedures for patients with diseases of the brain, spinal cord, spine, and peripheral nervous system. The department has state-of-the-art equipment, including navigation systems, monitoring devices, surgical microscopes, intraoperative X-ray diagnostic systems, angiography systems, and laser equipment. In addition, a system for minimally invasive stereotactic interventions has been installed in the department's operating room. The department's neurosurgeons use the latest microsurgical and endoscopic techniques in their work. The medical facility is one of only three in Europe to successfully use the VISUALASE™ device for MRI-guided laser ablation to treat epilepsy. This minimally invasive procedure is highly effective and represents a real breakthrough in epilepsy surgery. The department's neurosurgeons always strive to provide the patient with optimal medical care. They talk in detail about each stage of treatment and are happy to answer the patient's questions. Neurologists and specialists in the field of neuroradiology are often involved in the therapeutic process, which guarantees a comprehensive approach to treatment.
Department of Adult and Pediatric Neurosurgery
The Department of Adult and Pediatric Neurosurgery offers the full range of surgical treatment of diseases of the brain, spine, spinal cord and nerves in adults and children. The department keeps pace with new trends in medicine, as well as contributes significantly to their development. Therefore, the most modern diagnostic and therapeutic methods are available here. An individual approach to each clinical case is crucial to ensure optimal treatment results with the preservation of all neurological functions.
Department of Adult and Pediatric Neurosurgery
According to the Focus magazine, the Department of Adult and Pediatric Neurosurgery ranks among the top German medical facilities specializing in the surgical treatment of brain tumors! The department offers the full range of diagnostics and surgical treatment of diseases of the central and peripheral nervous system. A specially trained team of pediatric neurosurgeons provides treatment for various neurosurgical pathologies in children. During the treatment, the doctors use state-of-the-art equipment, in particular, imaging-guided neuronavigation, functional imaging (fMRI), intraoperative mapping, intraoperative videoangiography, etc.
Department of Adult and Pediatric Neurosurgery, Spinal Surgery
The Department of Adult and Pediatric Neurosurgery, Spinal Surgery offers modern diagnostics and effective treatment of the full range of diseases, injuries, inflammatory processes, tumors and malformations of the brain, spinal cord and their meninges, as well as spinal diseases. Spinal surgery is performed in collaboration with doctors from the Department of Adult and Pediatric Traumatology, Orthopedic Surgery. The department admits adults and children with malformations of the nervous system, brain and spinal cord tumors, drug-resistant epilepsy and other diseases. As one of the largest medical facilities of this kind in Germany, the department's doctors annually perform more than 2,500 surgical interventions on the brain and spinal cord, peripheral nerve endings. The department's specialists also perform over 400 spinal surgical procedures annually. To achieve high success rates of the surgical treatment, doctors use the very latest equipment, including neuronavigation systems. Thanks to this, surgeons not only successfully eliminate the pathology, but also guarantee the patient maximum safety. The department has 78 beds, including 14 beds in the Intensive Care Unit. The priority goal of the department's medical team is to provide high-quality treatment focused on the patient's needs.
Department of Neurosurgery and Spinal Surgery
The Department of Neurosurgery and Spinal Surgery provides top-class medical care for patients with diseases of the central and peripheral nervous systems. The medical facility performs surgery of any complexity on the brain, spinal cord, spine, and peripheral nerves. The department is the largest healthcare facility of this kind in Germany and has a team of highly professional neurosurgeons with long clinical experience. The department's specialists focus on patients with brain tumors (gliomas, meningiomas, and brain metastases), neurovascular diseases (aneurysms, arteriovenous malformations, and dural arteriovenous fistulas), and traumatic brain injuries. Spinal surgeons operate on patients with herniated discs, spinal canal stenosis, spondylolisthesis, spondylodiscitis, spinal fractures, and spinal tumors. The department extensively uses minimally invasive surgical techniques that allow for good therapeutic results with high safety in surgical manipulations. The medical facility has two hybrid operating rooms with state-of-the-art equipment, including the Zeego® intraoperative robotic angiography system and the intraoperative Brainsuite® MRI.
Department of Adult and Pediatric Orthopedics
The Department of Adult and Pediatric Orthopedics is the center of maximum orthopedic care and offers the diagnostics and treatment of all diseases and injuries of the musculoskeletal system. Along with the full range of modern operative and conservative orthopedics, the department specializes in hip and knee replacement surgery using the minimally invasive methods, replacement/revision of prostheses, orthopaedic oncology, foot surgery and patella problems in the patella.
Department of Adult and Pediatric Orthopedics, Trauma Surgery, Foot Surgery
The Department of Adult and Pediatric Orthopedics, Trauma Surgery, Foot Surgery offers the full range of diagnostics, conservative and surgical treatment of musculoskeletal diseases and injuries. The department is a certified Endoprosthetics Center – more than 1,000 primary joint replacement surgeries are performed here annually. The surgeons of the Endoprosthetics Center also specialize in particularly complex clinical cases and revision procedures for the replacement of previously implanted artificial joints. In addition, the department has the status of the interregional Trauma Center certified in accordance with the standards of the German Trauma Society. The department has also been awarded a Certificate of Excellence from the German Orthopedic Foot and Ankle Society (DAF) in the field of foot surgery. A separate area of clinical activity is the treatment of diseases, injuries and congenital malformations of the musculoskeletal system in children. Depending on the severity of the clinical case, both conservative and surgical techniques are used in the treatment of orthopedic pathologies in children. The department's medical team prefers sparing low-traumatic surgery, while open operations are performed only if other therapeutic options are ineffective.
Department of Adult and Pediatric Neurosurgery, Spinal Surgery
The Department of Adult and Pediatric Neurosurgery, Spinal Surgery provides a full range of services in its areas of expertise. The department's doctors operate on patients with brain and spinal cord tumors, central nervous system malformations, epilepsy, traumatic brain injuries, degenerative disc diseases, spinal stenosis, spinal cord injuries, and peripheral nervous system pathologies. Neurosurgeons specialize in treating patients of all ages, including children and adolescents. Pediatricians, pediatric oncologists, radiologists, and neuroradiologists are involved in the treatment of young patients. Surgical procedures to treat pathologies of the nervous system are performed by highly qualified surgeons with extensive clinical experience. The physicians use state-of-the-art equipment in their work: intraoperative imaging systems, neuronavigation devices, and fluorescence imaging. Advanced technologies are key to effective and safe treatment, as damage to vital anatomical structures of the brain or spinal cord may cause severe neurological deficits. More than 2,000 operations are performed annually in the department's state-of-the-art operating rooms, the majority of which are for brain tumors. The department treats more than 11,000 patients each year. For many years, it has been one of the leading neurosurgical centers in Germany that treats patients from many European countries.
Department of General Orthopedics and Orthopedic Oncology
The Department of General Orthopedics and Orthopedic Oncology offers the full range of conservative and surgical treatment of all musculoskeletal diseases. The department ranks among the largest medical facilities of this kind in Germany, as well as among the specialized authoritative departments for the treatment of bone and soft tissue tumors in the European medical arena. The treatment is carried out both on an outpatient and inpatient basis, including the outpatient operations. In addition to its successful clinical activities, the department is proud of its productive research work, which has given birth to many innovations in orthopedics, for example, the department's specialists have patented the very latest prosthetic systems, particularly in the field of orthopedic oncology.
Department of Adult and Pediatric Neurosurgery
The Department of Adult and Pediatric Neurosurgery offers the full range of modern services in this medical field. The high level of technical equipment in the department allows for the performance of all highly specialized surgical interventions to treat pathologies of the central and peripheral nervous system. The clinical practice mainly focuses on the diagnostics and surgical treatment of diseases, injuries of the brain, spine, spinal cord, intervertebral discs, nerve plexuses, functional neurosurgery and the treatment of neurosurgical pathologies in children.
Department of Adult and Pediatric Neurosurgery
The Department of Adult and Pediatric Neurosurgery offers all modern surgical interventions for the treatment of pathologies of the nervous system. The clinical focuses include the treatment of oncological diseases of the nervous system (neuro-oncology), skull base surgery, vascular neurosurgery, spinal surgery and functional neurosurgery, including the surgical treatment of epilepsy. As a state-of-the-art medical facility, the department has the advanced systems for deep brain stimulation, multimodal neuronavigation devices, intraoperative neuronavigation using CT, ultrasound systems, fluorescence imaging devices and endoscopy equipment. Thus, the department has all the possibilities to ensure effective treatment according to the international standards.
Department of Adult and Pediatric Neurosurgery, Spinal Surgery
The Department of Adult and Pediatric Neurosurgery, Spinal Surgery offers the full range of services in these fields and specializes in the surgical treatment of diseases of the brain and spinal cord, peripheral nervous system and spine. The important areas of the department's clinical activity also include neuro-oncology, vascular neurosurgery and pediatric neurosurgery. The treatment is provided in four state-of-the-art operating rooms equipped with all the necessary facilities. The department admits about 2,700 inpatients and 4,100 outpatients annually. The team of the department's neurosurgeons is distinguished by high professionalism, and performs many operations using sparing minimally invasive surgical techniques. Navigation systems, intraoperative monitoring devices, 5-ALA fluorescence are successfully used during the surgical treatment. Each operation is carefully planned using advanced navigation devices (under the guidance of CT and MRI scanning). In general, the department's surgeons annually perform more than 4,000 neurosurgical interventions, and therefore they are justifiably proud of their unique clinical experience and treatment results.
A meningioma is usually a benign tumor that grows from the spinal cord meninges. Up to 90% of meningiomas are grade 1 (the lowest grade) neoplasms, and only 1% of these tumors are malignant. The standard treatment for the disease is surgical removal. You can undergo your surgical treatment in Germany so that it is safe and has the maximum probability of helping you get rid of your meningioma forever. On our website, you can find out the cost of treatment in Germany and compare prices at different hospitals.
Content
- Principles of surgical treatment of spinal meningiomas
- How is spinal meningioma removal surgery performed?
- Minimally invasive surgery for spinal meningiomas
- Results of surgery for spinal meningiomas
- Advantages of spinal meningioma treatment at German hospitals
Principles of surgical treatment of spinal meningiomas
Although meningiomas are benign tumors, they always tend to progress. Doctors can therefore only use monitoring when the tumor size is minimal and patients have no symptoms. If neurological symptoms manifest themselves, a patient will then need treatment.
In most cases, surgery is preferred. But still, radiation therapy can be used as an alternative treatment option for patients with contraindications to surgery.
The goal of surgery is to remove the meningioma and its bed so that the tumor does not recur and to perform spinal cord decompression for the patient's neurological status improvement.
How is spinal meningioma removal surgery performed?
Microsurgical resection of meningiomas is the main treatment for this disease and is used in most patients. If you have your treatment in Germany, you can expect that the tumor will be completely resected and unlikely to recur in the future. After surgery, a neurological deficit decreases or disappears completely in most patients.
In the classic version, a laminectomy is used as a surgical approach. Doctors remove the vertebral arches, thereby approaching the spinal cord. The meningioma is then excised, and the tissues are coagulated to stop the bleeding. Doctors remove or coagulate ("cauterize") the tumor bed to avoid any continued growth or recurrence. Dura mater plastic surgery may also be performed if necessary.
Surgical treatment usually does not compromise spinal stability. In some cases, doctors have to resect a significant amount of bone tissue to get a good view of the surgical field, approach the tumor, and remove it completely. The spine will be stabilized to prevent the development of complications. Doctors can rigidly fix two vertebrae in place. This is the easiest way, but after such a stabilization option, adjacent spinal segments may be affected, since due to impaired mobility of the spine, adjacent intervertebral joints have an increased load. German hospitals often use dynamic spinal stabilization systems as they retain mobility, minimizing the risk of developing long-term complications after spinal cord surgery.
Doctors at German hospitals perform safe removal of meningiomas. Doctors use intraoperative ultrasound guidance, intraoperative monitoring, and powerful surgical microscopes to control their actions and not damage the functionally important areas of the spinal cord.
Minimally invasive surgery for spinal meningiomas
In recent years, a minimally invasive technique for meningioma treatment has been increasingly used at specialized Neurosurgery Centers. Its essence lies in a more sparing surgical approach. Doctors dissect less soft tissue and bone to remove the meningioma.
A hemilaminectomy is used for a surgical approach. When performing this procedure, doctors remove only one vertebral arch, not two, and preserve the spinous process. Such an operation is much less traumatic, although technically more difficult. However, studies show that the results of such operations at Neurosurgery Centers with extensive experience are not worse than those of standard interventions. Doctors also achieve a similar rate of complete meningioma resection, and the risk of tumor recurrence is not increased. This minimally invasive treatment method has a number of advantages. These are the following:
- minimal damage to the back muscles, thanks to which doctors can activate a patient much earlier after surgery and speed up rehabilitation;
- reduced blood loss;
- preservation of the facet complex and posterior tendon bundles;
- mild postoperative discomfort;
- the stability of the spine is maintained, so the placement of stabilizing systems is not required.
You are welcome to leave your request on the Booking Health website to get a consultation. We will select for you a hospital in Germany that specializes in minimally invasive surgery to remove meningiomas.
Results of surgery for spinal meningiomas
Meningioma treatment surgery is aimed at solving the following two problems:
- elimination of neurological symptoms;
- complete tumor removal so that the meningioma does not recur in the future.
When performing surgery, doctors always strive for complete tumor resection. If it is partially removed, this is practically a guarantee of a relapse. After 5 years, every third patient has a tumor recurrence, and more than 90% of patients have a meningioma recurrence after 15 years.
German doctors usually manage to remove the meningioma completely. The tumor bed, which is the area of the dura mater from which it grows, is also removed. Therefore, the risk of recurrence is low. Within 15 years of monitoring, the tumor will recur in only one of the three patients.
The second important objective of treatment is the elimination of neurological symptoms, which is achieved in most patients. Improvement in neurological status or complete relief of symptoms of the disease is observed in 80% of cases following surgery. 15% of patients do not have any regression of their symptoms, but no worsening occurs either. Only in 5% of cases is there an aggravation of the neurological deficit after surgery.
Poor functional outcomes after surgical treatment may occur due to the following risk factors:
- a long period of time from the onset of symptoms to surgery;
- a higher tumor grade;
- meningioma invasion into the spinal cord and spinal nerve roots with their further destruction;
- tumor calcification (hardening due to salt deposits);
- anterior fusion with the dura mater;
- elderly age;
- worse neurological status at the time of surgery.
You can undergo neurorehabilitation in Germany to improve your neurological status. It restores most of the impaired functions of the spinal cord, stimulating the regeneration of damaged tissues and also forcing adjacent spinal nerves to take on completely lost functions.
Advantages of spinal meningioma treatment at German hospitals
You can opt to undergo your treatment at one of the Neurosurgery Centers in Germany to expect good treatment results with a low risk of complications. This country is known for its top-class medical services. German hospitals are equipped with state-of-the-art equipment. The medical facilities use the latest methods of operations that will help get rid of your meningioma once and for all.
Treatment in Germany has the following advantages:
- high-precision diagnostics using advanced equipment will allow doctors to optimally plan surgical treatment and assess its results;
- minimally invasive techniques for removing spinal cord tumors are used;
- the stability of the spine is preserved;
- if doctors have to resect a significant amount of bone tissue, they will implant dynamic spinal stabilization systems instead of a rigid fixation of two vertebrae, which prevents the development of any disease in the adjacent spinal segments;
- German doctors use neuromonitoring and intraoperative ultrasound to make the operation safer;
- the frequency of complete tumor removal at the best centers reaches 98%, compared with the global average of 80-90%;
- after meningioma treatment in Germany, the tumor is unlikely to recur even in the distant future;
- early rehabilitation using the latest methods and technologies allow most patients to improve their neurological status and return to their normal lives in the shortest possible time.
You are welcome to visit the Booking Health website to find out the cost of treatment in Germany and choose a medical care program at the best price. We will help you find the most suitable hospital and organize your trip. When you make your treatment appointment through our service, the cost of treatment in Germany will be lower for you. The price reduction is due to the absence of taxes for foreign patients.
Authors:
The article was edited by medical experts, board-certified doctors Dr. Nadezhda Ivanisova and Dr. Vadim Zhiliuk. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!
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