Key areas

INPATIENT SURGERIES

We generally only recommend inpatient surgery when all conservative, biological, and, if necessary, minimally invasive therapies have been exhausted. Surgery is still performed far too often, especially in the case of herniated discs.

However, if surgery is actually necessary, we perform inpatient procedures at the Dr. Lubos Clinics Bogenhausen (formerly: Surgical Clinic Munich-Bogenhausen).

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Types of surgery

DISCREET SURGERY

If a herniated disc requires surgery despite all previous therapies, we remove the herniated portion of the disc tissue using modern endoscopic or microsurgical techniques. This relieves the pressure on the nerve roots. Immediate surgery is also necessary if radiating pain in the arm or leg causes sensory disturbances or even paralysis, or if bladder or bowel dysfunction has already occurred. We perform all procedures with the utmost care to protect nerves and tissue, using the smallest instruments and an operating microscope.

MAST (Mtiny Aaccess Spine Ttechnology)

During surgery, we can use the modern MAST technique to access the intervertebral discs or spinal canal directly without damaging the back muscles. This preserves the stability of the entire back. We operate through thin hollow tubes (trocars) that can be carefully inserted through the muscle fibers without damaging them. This short channel allows for even better insertion of fine instruments and enables the surgical field to be magnified many times over with a microscope.

Minimally invasive stabilization surgeries of the lumbar/cervical spine (PLIF, TLIF, ALIF, XLIF)

When intervertebral discs need to be completely removed, in cases of spondylolisthesis, spinal stenosis, or spinal instability, it is often necessary to fuse two or more vertebrae together. In place of the disc, a small titanium implant (cage) is inserted, and the spine is stabilized with screws and rods. Today, we perform these procedures minimally invasively. This is made possible by micro-instruments and new access routes from the front (ALIF), from the back (PLIF), from the side (XLIF), or through the intervertebral foramen (TLIF).

NON-FUSION TECHNIQUES DYNAMIC STABILIZATION SURGERY

Instead of rigid stabilization (fusion), in certain cases the vertebral segments can also be dynamically and flexibly connected. For this, we use both flexible screw systems with shock-absorbing elements and flexible connecting rods. This way, the spine's mobility is maintained and the load on adjacent vertebrae is significantly reduced.

DISCREET PROSTHESIS

Increasingly, spinal fusion surgery can be avoided by implanting an artificial intervertebral disc. Thirty-five years after the development of the world's first models at Berlin's Charité hospital, modern third-generation prostheses can now replace the functions of a natural disc much more effectively and safely, relieving pressure on the spine and maintaining its full mobility. They can be used in both the lumbar and cervical spine. Sometimes, patients even receive two or three artificial discs in adjacent spinal segments.

SURGICAL CLINIC MUNICH-BOGENHAUSEN

The clinic offers the highest level of hygiene and medical technology – the prerequisite for an optimal surgical procedure.

Personalized and individually tailored treatment is of paramount importance to the attending physician (WZMO) and the staff of the Surgical Clinic Munich-Bogenhausen.