Spinal Neurinoma — Surgical treatment in the Best Hospitals in the World
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Department of Spinal Surgery
The Department of Spinal Surgery annually treats more than 690 patients with spinal neurinoma. 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
The Department of Adult and Pediatric Neurosurgery offers the full range of accurate diagnostics and surgical treatment of diseases of the central and peripheral nervous system. The department's surgeons annually perform over 5,000 surgical interventions, which indicates their high professionalism and tremendous experience. The key attention is paid to the treatment of cerebrovascular diseases, diseases of the spine and spinal cord, brain and skull base tumors, peripheral nerve lesions, cerebrospinal fluid circulation disorders, as well as pain therapy (functional neurosurgery). The treatment of neurosurgical diseases in children and adolescents is carried out by a specially trained team of experts.
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.
Spinal neurinomas (schwannomas) are usually benign spinal nerve sheath tumors. They grow slowly and require treatment only if they become large, show a rapid growth pace on MRI scans, or cause any neurological symptoms. The main treatment method for the disease is surgery. You can undergo your treatment abroad to get the best results with the least risk to your health. You are welcome to visit the Booking Health website to find out the prices and compare the cost of services in different hospitals.
Content
- How is surgical treatment for spinal neurinomas performed abroad?
- The results of surgical removal of spinal neurinomas
- Why to undergo your spinal neurinoma treatment abroad?
How is surgical treatment for spinal neurinomas performed abroad?
Any spinal cord tumors, including neurinomas, are removed during open surgery. A physician must have a good view of the surgical field to detect and completely remove the tumor. Complete tumor removal surgery provides the lowest risk of recurrence.
Surgical approaches can be different. A surgeon's choice depends on the level of the tumor's location (cervical, lumbar, or thoracic spine), whether it affects the anterior or posterior spinal nerve roots, and also on its size and whether it invades the intervertebral foramen (an hourglass-shaped tumor).
Whenever possible, doctors use only a laminectomy, during which they remove the vertebral arches. Such an approach is often used for posterior spinal neuromas, which grow from the sensitive spinal nerve root. Doctors abroad also use a hemilaminectomy to further reduce the invasiveness of the operation. They remove only one vertebral arch, not both, while preserving the spinous process. At the same time, less bone tissue is resected, and traumatization of the back muscles and ligaments is reduced. As a result, the spine remains stable, and patients recover faster after surgery.
Surgeons do not always manage to perform the surgical intervention through a minimally invasive approach, preserving the bony structures of the spine. If the spinal neuroma is located anteriorly (in the ventral, motor root), facet joint resection, either partial or total, may be required.
If a significant part of the vertebra is removed and there is a threat of spinal instability, doctors rigidly connect the two vertebrae or implant dynamic stabilization systems. The second option is better because it preserves the mobility of the operated segments of the spine, which reduces the risk of degeneration of the adjacent intervertebral joints.
In developed countries, surgical treatment of spinal neuromas is carried out under the guidance of neuromonitoring. Before performing direct electrical stimulation of the roots in the surgical wound, doctors insert electrodes into the innervation zone of the operated segment of the spinal cord. They can thus check whether the roots retain their function and avoid damaging functionally important tissues so as not to cause a neurological deficit.
The results of surgical removal of spinal neurinomas
The results depend on the location, size of the spinal neurinoma, the number of tumors, and their grade. Most lesions are benign, but patients with neurofibromatosis type 2 have more aggressive neuromas, often invading deeply and destroying spinal nerve roots. Such patients have multiple tumors that are characterized by rapid growth and reach large sizes. They can be not only benign but also malignant.
During the operation, doctors strive to remove the spinal cord neurinoma completely. Such a resection is called total. It provides a minimal risk of recurrence, which accounts for no more than 5% in long-term follow-up. The disease is permanently cured and never recurs in most patients. In the future, a person will not need any revision surgery or other treatment methods, such as radiation therapy.
Hospitals in developed countries manage to perform total resections on most patients. As a benign tumor, a neuroma has clear boundaries and does not invade deeply into the spinal cord or spinal nerve tissues. It is therefore easily detected, can be separated from normal tissues, and is totally resected. Preoperative and intraoperative diagnostics help doctors find all tumor fragments.
Spinal cord tumors may sometimes invade the spinal nerve root at the time of treatment. In this case, it loses its function and must be removed. After root removal, neurological symptoms manifest themselves in only 7-15% of patients. This is due to the fact that the spinal neurinoma progresses slowly. Over several years, while one spinal nerve gradually loses its function, others take on the task of innervating tissues in this area.
If the tumor invades the intervertebral foramen, it is more difficult to remove it completely, and operations become more traumatic. During the treatment of neurinomas, doctors in developed countries do not strive to remove a spinal cord tumor at any cost. Even subtotal removal gives good results, and at the same time, the invasiveness of the intervention is reduced and the risk of developing neurological and other complications is lower. Subsequently, the remaining fragment of the tumor may stop growing or grow so slowly that symptoms never appear. If symptoms do occur or if the tumor grows faster, doctors may conduct radiation therapy to destroy the neuroma with radiation.
Patients with neurofibromatosis type 2 have the most complex treatment of neurinomas. They often develop multiple tumors at different levels. Even in such a complex case, doctors abroad manage to perform a total resection on 75% of patients.
Why to undergo your spinal neurinoma treatment abroad?
Almost every country in the world has hospitals with Departments of Neurosurgery that perform operations on the spinal cord and brain. Doctors also perform surgery to remove spinal neurinomas.
However, the effectiveness and safety of treatment in different countries and different Neurosurgery Centers are not the same. There are a few reasons for you to undergo your treatment abroad. These are the following:
- high-quality preoperative diagnostics using state-of-the-art equipment enable optimal treatment planning;
- less trauma as doctors try to use more sparing surgical approaches with minimal bone tissue removal and facet joint preservation;
- spinal stability is maintained;
- If necessary, an implanted dynamic fixation system maintains the stability of the spine, which not only stabilizes the spine but also ensures its mobility;
- the preservation of the mobility of the operated segment of the spine prevents the development of degenerative changes in the adjacent intervertebral joints;
- Neurosurgery Centers abroad provide patients with high-quality intraoperative diagnostics, including ultrasound and neuromonitoring, which minimizes the risk of complications;
- doctors try to preserve the spinal nerve roots during treatment if they are not destroyed by the tumor;
- neuromas can be completely removed in most patients, which reduces the risk of their recurrence;
- full rehabilitation after surgery helps patients return to their normal lives as soon as possible and fully recover without any neurological deficits.
You are welcome to use the Booking Health service to find out the cost of treatment, compare prices at different Neurosurgery Centers, and make an appointment for your treatment abroad at the best price. Our company's employees will help you find a hospital and a doctor. Booking Health provides lower prices for treatment than if you contact the hospital directly. The cost of treatment will be lower due to the lack of taxes for foreign patients.
The initial price indicated on the website is final, and it will not increase after the start of your treatment as you will receive insurance that will protect against additional medical expenses.
When you make an appointment for your treatment through Booking Health, you will receive travel arrangement services. We will book hotel and airline tickets for you, provide you with interpreting services, meet you at the airport, and take you to the hospital by car. After the completion of your treatment, we will take care of your return transfer from the hospital to the airport.
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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