google_counter
Lumbar Spinal Disc Herniation | Discotomy With Intervertebral Disc Replacement Prosthesis Treatment. Hospital Prices, Ranking, Reviews - Bookinghealth

Lumbar Spinal Disc Herniation — Discotomy With Intervertebral Disc Replacement Prosthesis: treatment in the Best Hospitals in the World

➤Treatment of lumbar herniated disc with discectomy and intervertebral disc prosthesis ★ Direct prices from the best hospitals in the world $ We will help you save money on treatment ✔ Patient support 24/7

Treatment prices are regulated by national law of the corresponding countries, but can also include additional hospital coefficients. In order to receive the individual cost calculation, please send us the request and medical records.

Hospital Neuwerk Moenchengladbach
All inclusive

Department of Spinal Surgery

The Department of Spinal Surgery annually treats more than 920 patients with lumbar herniated discs. The specialists remove the affected disc with endoscopic equipment and replace it with prosthesis. The surgery involves the use of a three-dimensional O-Arm x-ray system, which completely protects the spinal cord. The department is headed by Dr. med. A Bitter, who specializes in microsurgical spinal interventions.

Andrej Bitter
Dr. med.Andrej Bitter
certificate
Hospital directly 20713.24
BookingHealth Price: 18713.24
Vivantes Auguste-Viktoria Hospital Berlin
Best choice

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.

Mario Cabraja
PD Dr. med.Mario Cabraja
Price: 22421.52

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.

Francis Kilian
Dr. med.Francis Kilian
certificatecertificate
Price: 21420.33
Charite University Hospital Berlin
Choice of patients

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.

Peter Vajkoczy
Prof. Dr. med.Peter Vajkoczy
certificatecertificatecertificatecertificatecertificate
Price: 31769.5
Beta Clinic Bonn
Specialized hospital

Beta Clinic Bonn

Overall rating 9.7 / 10

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.

Thomas Gasser
Prof. Dr. med.Thomas Gasser
Price: 23845.54
University Hospital Freiburg
Specialized hospital

University Hospital Freiburg

Overall rating 9.7 / 10

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.

Jürgen Beck
Prof. Dr. med.Jürgen Beck
Price: 23606.46
University Hospital Frankfurt am Main
Specialized hospital

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.

Volker Seifert
Prof. Dr. med.Volker Seifert
certificatecertificatecertificatecertificatecertificate
Price: 21552.92
University Hospital Erlangen
Specialized hospital

University Hospital Erlangen

Overall rating 9.1 / 10

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.

Michael Buchfelder
Prof. Dr. med.Michael Buchfelder
certificatecertificatecertificatecertificate
Price: 22626.15
University Hospital Ulm
Specialized hospital

University Hospital Ulm

Overall rating 8.7 / 10

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.

Christian Rainer Wirtz
Prof. Dr. med.Christian Rainer Wirtz
certificatecertificatecertificatecertificatecertificate
Price: 22865.22
University Hospital Würzburg
Specialized hospital

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.

Maximilian Rudert
Prof. Dr. med.Maximilian Rudert
certificatecertificatecertificatecertificatecertificate
Price: 21297.14
University Hospital Carl Gustav Carus Dresden
Specialized hospital

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.

Klaus-Dieter Schaser
Prof. Dr. med.Klaus-Dieter Schaser
certificatecertificatecertificatecertificatecertificate
Price: 27929.67
University Hospital Hamburg-Eppendorf
Specialized hospital

Department of Adult and Pediatric Neurosurgery

The Department of Adult and Pediatric Neurosurgery offers the diagnostics and comprehensive treatment of neurosurgical pathologies, including tumors of the central and peripheral nervous system. The department is the leading Center of Neurosurgery in Northern Germany and is responsible for the implementation of new algorithms for the treatment of patients with brain tumors. To this end, there is an active participation in the international researches and the development of new surgical methods, for example, operations in the waking state. Close interdisciplinary cooperation also contributes to the achievement of optimal treatment results.

Manfred Westphal
Prof. Dr. med.Manfred Westphal
certificatecertificatecertificatecertificatecertificate
Price: 27698.94
University Hospital Muenster
Specialized hospital

University Hospital Muenster

Overall rating 9.8 / 10

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.

Georg Gosheger
Prof. Dr. med.Georg Gosheger
certificatecertificatecertificatecertificatecertificate
Price: 23573.06
University Hospital Jena
Specialized hospital

University Hospital Jena

Overall rating 8.9 / 10

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.

Rolf Kalff
Prof. Dr. med.Rolf Kalff
certificatecertificatecertificatecertificatecertificate
Price: 24177.53
University Hospital Marburg UKGM
Specialized hospital

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.

Christopher Nimsky
Prof. Dr. med.Christopher Nimsky
certificatecertificate
Price: 20071.48
University Hospital Rechts der Isar Munich
Specialized hospital

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.

Bernhard Meyer
Prof. Dr. med.Bernhard Meyer
certificatecertificatecertificatecertificatecertificate
Price: 32044.27

A discectomy (intervertebral disc removal surgery) with the subsequent disc replacement is a complex operation that allows a patient to get rid of chronic pain and neurological symptoms, as well as return to an active life. Doctors at hospitals abroad use the latest types of prostheses that last a long time and do not cause any complications. The operation will almost certainly end the problem of a hernia in the operated segment of the spine once and for all. You can undergo this operation at one of the world's best hospitals. You are welcome to use the Booking Health service to find out prices and make an appointment for treatment abroad at a favorable cost.

Content

  1. Indications and contraindications for intervertebral disc prosthetics
  2. What endoprostheses can be used abroad for spinal disc hernias?
  3. Where to undergo your treatment for herniated disc with discectomy and prosthetics?

Indications and contraindications for intervertebral disc prosthetics

 

Proper patient selection is even more important than surgical technique and implant quality to achieve good endoprosthetic outcomes. The indications for this operation are the following:

  • persistent pain in the spine and other symptoms after conservative therapy for intervertebral hernia for 6 months;
  • symptomatic lumbar disk hernias at the same level (L3-S1);
  • fully developed spine;
  • grade 1 spondylolisthesis (vertebral displacement) but not higher;
  • previous unsuccessful operations for spinal disk hernias, such as microdiscectomy or spinal fusion (fixed vertebral fusion).

Contraindications for intervertebral disc prosthetics are the following:

  • vertebral fractures;
  • spondylolysis, which is non-union of the vertebral arch;
  • spondylolisthesis above I grade;
  • facet joint syndrome;
  • facet joint removal surgery in the medical history;
  • spinal stenosis (central or lateral);
  • nucleus pulposus hernias with root infringement;
  • a lack of mobility of the spinal problem segment;
  • osteoporosis (decreased mineralization of the spine).

Replacement surgery produces the best results in patients under the age of 40. Patients over the age of 60 are considered the least suitable candidates for this operation. In recent years, data have been obtained on the use of new types of prostheses, which refute this information because the operation is now effective at any age.

Patients with a single-level lesion of the spine are considered the best candidates for intervertebral disc prosthetics. Acceptable results can be achieved in the case of double disk replacement, but the frequency of revision surgeries increases.

What endoprostheses can be used abroad for spinal disc hernias?

 

Prosthetics for spinal disk hernias have been used since the 1960s, when Fernström first implanted prostheses in the form of metal balls into the patient's cervical spine. The results obtained were the same as in the case of a rigid (fixed) connection of the vertebrae.

Dr. Karin Büttner-Janz and her colleagues performed the world's first artificial intervertebral disc prosthetics at the Charite University Hospital Berlin in the 1980s. The prosthesis was implanted in the lumbar spine. Since that time, the era of disk replacement surgery has begun. Subsequently, the disk model was refined several times. In 1994, a very successful version of SB Charité III appeared, which was initially used in the departments at European hospitals and, in 2004, was approved by the FDA for use in the United States.

Today, a large number of other models of artificial disks have been developed and used. These are, for example, Acroflex, Maverick, Kineflex, FlexiCore, LP-ESP, and M6-L. Several other models are currently being tested as part of clinical trials.

Endoprosthetics as a treatment method for spinal disk hernias has experienced its ups and downs and is now on the rise again. After the development of the first models of disks, these operations began to be widely used in spine surgery. They gave good immediate results, but long-term results were below expectations. The number of replacement surgeries has decreased, and insurance companies in developed countries have stopped paying for these interventions. However, that all changed with the advent of third-generation endoprostheses such as activL. It has been used in Europe since 2005 and was approved in the US in 2015. Since then, the number of disk prosthetics has steadily increased. Insurance companies have begun to pay for these interventions again. For example, about 65% of companies in the US already pay for this service as compared with 13% in 2012.

Trials have shown good immediate and long-term results after the implantation of the activL disk. Only 1% of operated patients require revision surgery after 5 years of follow-up. 

Where to undergo your treatment for herniated disc with discectomy and prosthetics?

 

If conservative treatment of pain in the low back is ineffective, it is time to have surgery. A discectomy with a lumbar disc prosthesis placement is a good treatment option, especially for younger patients. You can undergo your treatment abroad to expect the best results. The Booking Health service will help you find out prices and choose a medical care program.

Hernia treatment abroad has the following benefits:

  • high-tech operations on the spine;
  • sparing surgical approaches that shorten the rehabilitation period;
  • high-quality intraoperative diagnostics;
  • a low risk of complications;
  • vast experience in discectomy with the subsequent disk replacement as such operations have been performed in Germany since the 1980s, while in most other countries they began to be carried out only in the 21st century;
  • doctors in developed countries use the latest endoprostheses, the implantation of which provides the best long-term results;
  • about 99% of patients do not require any revision interventions on the spine within 5 years after surgery;
  • you will receive high-quality care, symptomatic therapy, and comprehensive rehabilitation following the operation to help you return to your normal life in the shortest possible time.

You are welcome to leave your request on the Booking Health website to have a consultation with medical tourism specialists. We will help you select a hospital, taking into account the quality of medical care, the cost of hernia treatment, the next available appointment date, and other factors. When you make your appointment through our service, the prices will be lower than when you contact the hospital directly, due to the lack 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!

 

Sources:

National Spine Health Foundation

SPINE-health

Healthline