At Home Christian Jessen 2014 - 140

Through the
Identifying
the source
of back pain

E

very year, millions of people
in the UK experience some
form of back pain. For most,
the pain is temporary and goes
away relatively quickly, however for
some the pain is unrelenting and may
become a source of great misery in their
life. In the majority of these cases a
course of physiotherapy, injections and
/or medication will settle things down
over time, but for a small percentage
of the population who still experience
pain, surgery may be the last resort.

The source of persistent back pain is most
commonly associated with degenerative disc
disease and, for many years, one of the
surgeon's options has been to perform an open
lumbar fusion. Here, a midline incision is made
and the muscles are spread to the sides with
retractors to expose the spine. After removing
the disc and 'decompressing' the surrounding
nerves, the bones of the adjacent vertebrae are
fixed together using screws and solid rods and
an interbody fusion device which supports the
spine, facilitating healing and bony fusion.

Risks and recovery

Unfortunately, this extensive procedure has all the
usual risks of an open approach; blood loss, risk
of infection, long recovery time, and
is often associated with muscle damage at the
site where the retractors were used. In addition,
fusing the spinal levels together will reduce
the flexibility of the patient's back and may
compromise the clinical long-term benefits of
such a surgery, as it may lead to an acceleration

of degenerative changes due to shifts in the
biomechanical forces and stresses at the levels
above and below the affected disc. So, how is
it possible to protect and support a painful
deteriorating disc from further degeneration while
it remains as dynamic as the natural spine as

'RECENTLY, A NEW APPROACH
TO SPINAL SURGERY HAS BEEN
DEVELOPED BY SPINEVISION'
possible? Moreover, how can this be done in a
minimally invasive way so as little trauma is made
to the muscle and surrounding tissue as possible?

A modern innovation

Recently, a new approach to spinal surgery
has been developed by SpineVision using the
dual principles of dynamic stabilisation and
a minimally invasive approach. Firstly, the well
-known benefits of minimally invasive surgery
have been simplified for spinal surgery.
The LUMIS minimally invasive system allows
the surgeon to simply place screws and
dynamic rods through small skin incisions. By
avoiding a large incision there is less muscle
trauma (which is important as you'll need these
muscles to support the spine after surgery), less
tissue dissection and reduced blood loss which
means the patient can be discharged from
hospital and return to daily activities sooner.
Secondly, a non-fusion technique called
Dynamic Stabilisation has been developed,
allowing surgeons to implant an 'internal brace'

HOW IT WORKS

Offloading your aching spine
while preserving its motion
The rods are connected to the screws
inserted in the vertebrae. The flexible
parts of the rods are composed of
a titanium cable and a protecting
sleeve. The implants are designed to
bend with the spine but brace against
painful and damaging overloading.

Dynamic rods

'Keyhole'
approach


http://www.spinevision.net/index.php?version=int

Table of Contents for the Digital Edition of At Home Christian Jessen 2014

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