Spinal Fusion
Spinal fusion is the joining together of vertebrae in the spine with bone so that they effectively become one bone, and is used to help with symptoms of severe pain affecting the lower back.
Alternative Surgical Options
Dynamic Stabilization
These techniques aim to treat symptoms of back pain and in some cases leg pain too, by off-loading and protecting the painful degenerative structures in the spine. These structures are therefore left in place and are not excised. The downside is that these structures may still potentially give rise to symptoms. The main advantage is the preservation of movement, which will avoid transferring stress to other levels in the spine. The technique is also less invasive and more conservative so recuperation is generally quicker. There are different ways of achieving dynamic stabilization but the techniques all avoid some of the drawbacks of spinal fusion.
These techniques are limited in their application and for many problems in the spine, fusion remains the best option.
View more information about Dynamic Stabilization.
Total Disc Replacement
Total disc replacement is undertaken to help with symptoms of back pain (and sometimes with leg pain symptoms too) arising from a disc which has become worn and damaged. Pain may be coming from the damaged disc itself as well as from other structures such as the small joints at the back of the spine (the facet joints) which can become overloaded as the disc collapses and narrows. Disc replacement surgery can correct these various problems. The pain generating disc is completely cleared away. The artificial disc inserted in its place mimics a normal healthy disc, restoring normal movement at this part of the spine and avoiding the transfer of stress to other parts of the lower back. The height of the disc is returned to normal too, off-loading the facet joints and opening out the neural foramen on either side.
Once again, this technique is limited in its application. For example, it is inadvisable if the facet joints themselves are a source of pain. For these and many other situations spine fusion remains the best option.
View more information about Total Disc Replacement.
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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 had keyhole surgery by Mr Boeree in June 2006 and it was completely successful. I was no longer in any pain what so ever!! I’m really delighted that I went ahead with the surgery and want to thank Nick Boeree and his staff for everything that they have done for me!!
Elena Baltacha
