<p>Spine surgery <strong>treatments</strong></p>

Spine surgery treatments

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Surgical treatments
Restore stability

Posterior approach

Cervical

In a posterior cervical procedure, the primary goal is to relieve pressure on nerve roots or the spinal cord in the cervical spine by accessing the spine through the back of the body. 

During the surgical process, the patient lies face down, and an incision is made in the back of the neck over the targeted vertebrae. To facilitate fusion and stability, screws or hooks, along with rods, are utilized. 

These screws are inserted into the vertebrae on both sides that need to be fused, and a connecting rod is employed to stabilize the spine on each side, with caps securing each screw to the rod. This approach is designed to enhance spinal stability and promote successful fusion. 

To improve accuracy in placing pedicle and lateral mass screws, your surgeon can utilize the latest patient-matched surgical instrument developed by Medacta: MySpine Cervical.

Cervical

Thoracolumbar

If your surgeon determines that your spine condition requires surgical treatment, you may find benefit from a fusion surgery. 

The primary goal of a posterior lumbar interbody fusion is to relieve pressure on nerve roots or the spinal cord and address issues with an unhealthy disc in the lumbar spine through a surgical approach from the back.  

Your surgeon will perform a discectomy to remove the diseased disc(s) from your spine. The surgeon will then replace the disc with an implant known as a "cage" to restore the disc height. The cage can be filled with bone graft material to promote bone growth between the adjacent vertebrae. The insertion of the cage can be accomplished through different surgical approaches, such as a transforaminal approach from one side of the back or a posterior approach from the middle of the back. 

Thoracolumbar

Your surgeon inserts screws and rods in the back of your spine to stabilize the vertebrae during the fusion process. Screw insertion accuracy can be enhanced through the use of MySpine patient–matched technology, provided by Medacta. 

If your surgeon deems it is appropriate to further enhance the stability of the spine, iliac or sacroiliac screws can complement lumbar fixation by providing additional support to the pelvic area.

This helps distribute stress and load more uniformly across the pelvis, potentially reducing the risk of complications arising from uneven stress distribution.

thoracolumbar

Medacta has developed innovative solutions for spinal surgeries that allow surgeons to access the spine without having to use a conventional open surgical approach.  

With MySpine MC technology, surgeons can use a midline cortical approach that reduces the need to retract muscle further laterally, thereby requiring a smaller incision.

mis myspine mc

Alternatively, the surgeon has the option to use a minimally invasive approach for spinal thoracolumbar fixation, thanks to Medacta M.U.S.T. LT technology. 

This solution provides a sleek and muscle-preserving technique that involves a shorter incision. It can be used together with NextAR augmented reality technology, which empowers your surgeon with live insights into your anatomy, enabling personalized placement of spine implants tailored to your specific requirements. This precision has the potential to improve accuracy and support a more seamless recovery journey. 

must-lt

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Surgical treatments
Restore stability

Anterior approach

Cervical 

An Anterior Cervical Discectomy and Fusion (ACDF) surgery is a procedure that is performed to treat disc degeneration and to relieve pressure on nerve roots or the spinal cord. During an ACDF surgery the surgeon removes the deteriorated disc and replaces it with a plate, spacer, and screw construct to stabilize your spine and restore normal alignment. 

Your surgeon will operate from the front of your spine to remove the damaged disc(s) (discectomy) and replace it/them with an implant called a “cage” or "interbody device" that aims at restoring the disc height and allows for bone to grow between your vertebrae. This is called fusion. 

medacta

Lumbar

An Anterior Lumbar Interbody Fusion surgery is a means of using spinal implants to help stabilize your spine. Your surgeon will operate from the front of your spine removing the diseased disc(s) (discectomy) and replacing it with an implant called a “cage” or "interbody device" to restore the disc height and allow bone to grow between your vertebrae. This is called fusion.  

Your surgeon will replace the degenerative intervertebral disc with the following components to help stabilize your spine:  

  • An interbody device to restore the correct height and alignment of your vertebrae 
  • Modular plating options to connect with the cage and stabilize and fixate the construct  
  • Multiple screws that are inserted through the interbody and plate and into your vertebrae 
lumbar
Surgical treatments
Restore stability

Lateral approach

Sacroiliac

A sacroiliac joint fusion surgery is a means of using screws to help stabilize your sacroiliac joint.

Your surgeon will make a small incision in the lateral part of your gluteus to insert the sacroiliac screws through your iliac bone into your sacrum to fixate them together to help stabilize your sacroiliac joint.

Typically, but not always, two or three devices are implanted to improve stability.

lateral
Medical tips
Assistence

Before your spine surgery

MEDICAL PREPARATION

Medical Preparation

Before undergoing your spine surgery, your doctor will provide you with a list of preoperative appointments. It is a good idea to have a coach to accompany you to your pre-op visits and be available on the day of and after surgery. This person may be a partner, an adult child, a sibling, or a close friend. You will also undergo a complete physical examination to assess your general condition and to ensure that there are no factors that could interfere with your spine surgery.

HOME PREPARATION

Home preparation

Planning for your return home after spine surgery is crucial for your recovery. Many doctors recommend having your coach assist you in the immediate postoperative period. This person should stay with you in your home after your surgery. If no one is available, your medical team can evaluate alternative options. To prevent accidents at home, it is also advised to remove loose rugs and install handrails in your bath and along the stairs.

Spine Surgery
Anesthesia
Pain after surgery

The day of your spine surgery

Your spine surgery will be preceded by pre-surgical preparation and followed by monitoring in the recovery room. 

You will spend some time in the pre-operative area and recovery room due to the time needed for your surgery preparation, administration of anesthesia, and monitoring as you recover from the anesthetic. 

Special care is taken to relieve pain after spine surgery. If an overnight stay is required, do not hesitate to call for help, even in the middle of the night. Regular checks will be made by the nurses.

surgery day
Spine surgery technologies

Spine surgery technologies

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The information contained here is intended for reference only and does not represent or constitute medical advice or a recommendation. Each patient must be examined and advised individually by a physician, and this information does not replace the need for such examination and/or advice in whole or in part. Results are not necessarily typical, indicative, or representative of all patients. Results may vary due to health status, weight, activity, and other variables. Not all patients are candidates for this product and/or procedure. The appropriate postoperative activities and pain management will differ from patient to patient. Talk to your doctor about your condition and about whether the presented procedure is appropriate for you, considering the risks associated. All content is protected by copyright, trademarks and/or other intellectual property rights of Medacta and cannot be used without the written consent of Medacta. In good faith, Medacta asserts that this material does not infringe or misappropriate any intellectual property rights of any third party.

References   
• https://www.who.int/news-room/fact-sheets/detail/low-back-pain - accessed on 12/10/2023.     
• http://www.aans.org/ - accessed on 12/10/2023.    
• http://www.srs.org/ - accessed on 12/10/2023.