Spine Surgery

The Carolina Medical Center has a modern Spine Disease Treatment Center, which combines the knowledge and experience of specialists – orthopedists and neurosurgeons, as well as physiotherapists specializing in the treatment of diseases and injuries of the spine. We provide our patients with comprehensive treatment: medical consultations, diagnostic imaging, operations, as well as spine rehabilitation. We perform a full range of standard treatments and the most modern minimally invasive procedures.

Minimal tissue interference and quick recovery after surgery make the constant development of minimally invasive surgery our priority. We also use these methods in cases where the patient cannot undergo classic (open) or microsurgical surgery..

Minimally invasive treatment of spine diseases ensures:

  • an immediate return to activity, even after 24 hours;
  • intact muscle and paraspinal ligaments and bones;
  • a short stay in hospital and a short period of rehabilitation;
  • safety – low blood loss, negligible risk of infections;
  • unnoticeable postoperative scars;
  • wide possibilities of use, especially in people who, due to their age or past illnesses, cannot undergo open surgery.

Examples of minimally invasive treatment of spine diseases

Endoscopic method

Endoscopic surgery allows to operate the spine without cutting the muscles, paraspinal ligaments and bones, and the patient is exposed to less blood loss and less pain than in the case of classic treatment.

Treatments with the use of an endoscope are performed in our clinic in Warsaw. In most cases, patients leave the hospital one day after the operation.

Discopathy treated with one injection

The procedure, used in the treatment of disc hernias, consists in the percutaneous injection of the DISCOGEL® implant into the nucleus pulposus of the disc. It is anti-inflammatory by filling the cracks in the weakened fibrous ring while blocking pain receptors.

Percutaneous stabilization of the spine

The advanced transcutaneous Spine Jack® stabilization system is used in traumatic compression fractures and osteoporotic spine fractures. A 30-minute procedure involves the percutaneous insertion of two needles, thanks to which the Kirschner wire is inserted into the corpus vertebrae. Two implants are inserted inside, recreating the height of the broken corpus vertebrae. The inside of the corpus vertebrae is filled with cement, stiffening the entire structure.

Stabilization of the spine in the lumbar region using the ALIF technique

The ALIF method is based on retroperitoneal (through the abdominal cavity) access to the spine. ALIF does not leave a scar in the spinal canal, does not affect the paraspinal muscles, and provides easy access to the spinal canal.

Read more: kregoslup.carolina.pl.

Classic treatment of the spine

In our hospital, we perform a full range of classic operations on the lumbar, thoracic and cervical spine, including disc removal and implantation, decompressive laminectomy, corporectomy, stabilization, vertebroplasty and kyphoplasty. Our specialists consult and operate on patients diagnosed with tumors of the spine.

First neurosurgical consultation

Specialist consultations at the Carolina Medical Center take place during individually agreed hours. Before the first visit, the patient is asked to fill in the Patient Registration Card at the reception. Our priority is a meticulous assessment of the patient’s health and determining the optimal method of treatment. In some cases, it involves extending the planned duration of the visit. We kindly ask for your understanding if a specialist doctor will be at your disposal a little later than planned. Please remember to:

  • take your ID card (in the case of a minor, the accompanying parent / legal guardian should have their ID card),
  • arrive at least 15 minutes before the appointment, report to the reception on the 2nd floor (both in the facility in Warsaw and in Gdańsk) and pay for the appointment,
  • take your medical documentation with you, for example, the results of laboratory and diagnostic tests (e.g., X-ray, ultrasound, MRI, CT),
  • refrain from performing diagnostic tests before a medical consultation – in our clinic diagnostic tests are performed according to the guidelines of the attending physician.

Spine surgery

  1. Removal of the lumbar disc with an intercostal implant (1 level, 2 levels)
  2. Indirect decompression of the spinal canal and intervertebral openings with an inter-process implant
  3. One-level (two-level or three-level) stabilization in the lumbar region with removal of the intervertebral joint with or without an inter-corpus vertebrae implant
  4. One-level (two-level or three-level) stabilization in the lumbar region with removal of the intervertebral joint with or without an inter-corpus vertebrae implant by means of a minimally invasive method
  5. Multilevel stabilization
  6. Implantation of one, two, or three movable cervical discs
  7. Removal of one, two, or three cervical discs with bracing
  8. Cervical corporectomy – removal of the corpus vertebrae with implantation of a shaft prosthesis in
  9. Removal of a prolapsed disc with decompression of the spinal canal in the lumbar region (1 or 2 levels) by means of the classic or minimally invasive method
  10. Decompressive laminectomy (one, two, three levels or laminoplasty)
  11. Vertebroplasty of the corpus vertebrae in the thoracic-lumbar section (one, two, or three levels)
  12. Kyphoplasty of the corpus vertebrae in the thoracic-lumbar region (one, two, or three levels)
  13. Epidural PRF with an electrode inserted through the sacral foramen
  14. Reduction of the corpus vertebrae fracture using the SpineJack® System method (percutaneous spine stabilization)
  15. Removal of one cervical disc by means of the minimally invasive method
  16. Microforamitonomy – removal of the cervical disc from the posterior approach using a minimally invasive method
  17. Nucleoplasty of the lumbar disc by means of the percutaneous method
  18. Percutaneous implantation of the intervertebral disc nucleus gel prosthesis – implantation of the DISCOGEL® implant (one, two, or three levels)
  19. Stabilization of the lumbar spine ALIF (one, two, or three levels)
  20. Stabilization of the lumbar spine OLIF (one, two, or three levels)
  21. Endoscopic surgery in the lumbar spine for one or two levels (removal of a prolapsed disc, decompression of the spinal canal)
  22. Endoscopic surgery of cervical discopathy with posterior approach
  23. Stiffening of the sacroiliac joint
  24. Removal of four cervical discs with stabilization
  25. Lumbar stabilization revision with inter-corpus vertebrae restabilization, posterior cervical microforaminotomy (PCMF)

Minimally invasive treatment of back pain

  1. Blockages
  2. Thermolesia
  3. Neuromodulation
  4. Neurolysis

Spine injuries and diseases

  1. Discopathy
  2. Spondylolisthesis
  3. Compression fracture
  4. Fractures of the spine
  5. Spinal stenosis
  6. Bertolotti’s syndrome
  7. Overload-pain syndrome

Specialists at Carolina Medical Center

Neurochirudzy

lek. Jurij Kseniuk
lek. Jurij Kseniuk

Specjalista neurochirurgii, Ordynator Oddziału Chirurgii Kręgosłupa

dr n. med. Radosław Michalik
dr n. med. Radosław Michalik

Specjalista neurochirurgii i neurotramatologii

dr hab. n. med. Piotr Zieliński
dr hab. n. med. Piotr Zieliński

Specjalista neurochirurgii i neurotraumatologii

dr n. med. Mateusz Krakowiak
dr n. med. Mateusz Krakowiak

Specjalista neurochirurgii

Fizjoterapeuci

lek. Jurij Kseniuk
lek. Jurij Kseniuk

Specjalista neurochirurgii, Ordynator Oddziału Chirurgii Kręgosłupa

dr n. med. Radosław Michalik
dr n. med. Radosław Michalik

Specjalista neurochirurgii i neurotramatologii

dr hab. n. med. Piotr Zieliński
dr hab. n. med. Piotr Zieliński

Specjalista neurochirurgii i neurotraumatologii

dr n. med. Mateusz Krakowiak
dr n. med. Mateusz Krakowiak

Specjalista neurochirurgii