Dynamic Stabilization with Flexible Rods
Dynamic stabilization offers a much less invasive alternative to traditional methods, and unlike other procedures, is completely reversible.
The Operation
How long does the surgery take?
The operation usually takes a couple of hours but this will depend upon whether other procedures such as decompression of the nerves in the spinal canal or removal of a disc protrusion are being undertaken at the same time.
Where is the incision made?
This may depend upon whether a decompression operation is also being undertaken together with the stabilization. If so the patient is positioned face down and a midline incision is made over the affected level. This will be about 8 to 10 cm long for a single level operation. If no decompression is required two smaller (4-5 cm) parallel incisions may be made about 3 cm to either side of the midline.
What happens during the procedure?
After making the incision and moving the muscles sufficiently to reach the insertion point for the screws these are carefully positioned down the pedicle and into the vertebrae of the levels concerned. The position of each screw is checked using x-ray control. Any additional procedures required, such as decompression, are undertaken next. An epidural catheter is placed to help with any post-operative pain relief. If the nerve roots have been exposed these are covered with a barrier gel (Adcon-L) to reduce the risk of scarring.
Measurements between the screws are taken and the appropriate flexible rods are selected and properly fixed to the screws. During this stage of the operation the vertebrae may be separated a little to help open out the space for the nerves. Once everything is locked into place the surgical incision is closed.
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In memory of Nick Boeree
Following the sudden death of Nick Boeree we have set up a tribute page to allow you to share your memories, thoughts, and feelings. Click here.
I can't imagine how things could have gone any better - and so I extend the greatest of thanks to Nick Boeree, as well as to a wonderful anaesthetist Dr. McGill, and to all the staff at Nuffield. So far so good - or as the locals fondly say, touch wood!
Tyler Dylan-Hyde
