29.07.2021
Spinal diseases
According to statistics, about 80% of people experience back pain at least once in their lives. Most of them are not associated with diseases of the spine, but are a consequence of muscle spasms and overexertion. In this case, no treatment is required and the pain subsides on its own. But this happens in 8-9 patients out of 10. What should the rest of us do if the spine hurts? And how to recognize that the problem is really serious and the body needs help? To answer these questions, you need to know the main symptoms of spinal diseases.
The lower back is a special risk area
A healthy spine has a curved shape: it should not be absolutely straight, as many people believe. Physiological curves in the neck and lower back are especially noticeable - these areas are especially vulnerable due to their mobility. The thoracic region is firmly fixed by the ribs, so it is much less likely to undergo dystrophic changes. Osteochondrosis, hernias and other pathologies most often develop in the lower back, since this section is the most loaded - it accounts for the weight of the entire upper body. The risk of various injuries increases with congenital and acquired deformities, injuries, and excess weight.
Prices for basic (Moscow)
| Name of service | Price, rub.)* |
| Consultation with a neurosurgeon (initial) | 2,100 rub. |
| Consultation with a neurosurgeon (repeated) | 1,800 rub. |
| Consultation with a candidate of medical sciences | 2,700 rub. |
| Consultation with a doctor of medical sciences | 4,100 rub. |
| Professor consultation | RUB 4,550 |
| A neurosurgeon visiting your home | from 6,000 rub. |
| Consultation (interpretation) with analyzes and surveys of third parties | RUB 2,350 |
| Lumbar discectomy using microsurgical techniques at one/two/three levels (depending on the category of complexity of the operation) | from 64,000 rub. |
| Cervical corpectomy with installation of an interbody implant at one/two levels (depending on the category of complexity of the operation) | from 90,000 rub. |
| Microsurgical decompressive laminectomy at the cervical level, microsurgical at one* / two levels (depending on the category of complexity of the operation) | from 45,000 rub. |
| Laminoplasty at the cervical level | 22,000 rub. |
| Anterior cervical fusion with cage (depending on the category of complexity of the operation) | from 23,000 rub. |
| Anterior cervical fusion with plate | 38,000 rub. |
| Anterior cervical fusion with plate | 38,000 rub. |
| Anterior spinal stabilization at the cervical level using screw fixation | 40,000 rub. |
| Occipitospondylodesis | 75,000 rub. |
| Microsurgical decompressive laminectomy at the thoracic level, thoracic at one / two / three levels (depending on the category of complexity of the operation) | from 55,000 rub. |
| Transpedicular fixation of the thoracic spine (depending on the category of complexity of the operation) | from 50,000 rub. |
| Lumbar discectomy using microsurgical technique at two levels at one / two / three levels (depending on the category of complexity of the operation) | from 85,000 rub. |
| Microsurgical decompressive laminectomy at the lumbar level at one / two / three levels (depending on the category of complexity of the operation) | from 59,000 rub. |
| Decompression of the spinal canal with installation of a stabilizing system, bilateral, depending on the category of complexity of the operation) | from 60,000 rub. |
| Microsurgical decompression of the spinal canal, bilateral, on one / two (depending on the category of complexity of the operation) | from 92,000 rub. |
| Transpedicular fixation of the lumbar spine (depending on the category of complexity of the operation) | from 55,000 rub. |
| Dynamic stabilization of the spine (depending on the category of complexity of the operation) | from 35,000 rub. |
| Interbody fusion at the lumbar level with a cage (depending on the category of complexity of the operation) | from 30,000 rub. |
| Microsurgical removal of a spinal cord tumor (depending on the category of complexity of the operation) | from 88,000 rub. |
| Puncture laser thermodisplasty | 30,000 rub. |
| Laser thermodisplasty intraoperative | 20,000 rub. |
| Vertebroplasty at one / two / three levels | from 44,000 rub. |
| High frequency denervation of the facet joints | 35,000 rub. |
| Cold plasma ablation of facet joints | 14,000 rub. |
| Decompression cold plasma ablation of the intervertebral disc | 120,000 rub. |
| Plastic surgery of the dura mater (depending on the category of complexity of the operation) | from 30,000 rub. |
| Removal of metal structures (depending on the category of complexity of the operation) | from 39,000 rub. |
| Surgical intervention interrupted for medical reasons (depending on the category of complexity of the operation) | from 15,000 rub. |
| Decompression of the intervertebral disc by puncture of the disc one level (without the cost of consumables) | 100,000 rub. |
| Decompression of the intervertebral disc is performed at two levels (without the cost of consumables) | 59,000 rub. |
| Decompression of the intervertebral disc is performed at three levels (without the cost of consumables) | 80,000 rub. |
We accept bank cards VISA, MASTERCARD, MAESTRO for payment
The full price list can be found at the reception or by phone.
* The administration of the clinic takes all measures to timely update the price list posted on the website, however, in order to avoid possible misunderstandings, we advise you to check the cost of services at the reception or in the contact center by phone
+7 (495) 292-39-72
.
The posted price is not an offer.
Medical services are provided on the basis of a contract. * fixation and stabilization of the spine is necessary ** posterior stabilization of the spine may be necessary *** stabilization with a transpedicular system with possible fixation with a cage is necessary **** fixation with a cage, stabilization with a transpedicular system or dynamic stabilization may be necessary
Ankylosing spondylitis (ankylosing spondylitis)
This is a systemic inflammatory disease that affects all spinal structures. Inflammation begins in the sacroiliac joints, then spreads higher, developing in an ascending line. Over time, calcium deposits appear in the ligaments, which leads to a decrease in mobility and flexibility. Without treatment, ankylosing spondylitis progresses, and gradually the vertebrae fuse together: ankylosis occurs. The first symptoms are dull pain and stiffness in the lower back, which intensifies in the morning and decreases after physical activity and a hot shower. During the day, the pain is stronger at rest; when a person moves, it subsides. In the later stages, posture noticeably deteriorates.
Causes
In order to most accurately determine the causes of the disease in question, we will highlight several of its main types: inflammatory and degenerative diseases of the spine. When it comes to the first type, the precursors can be inflammation of muscles, ligaments, and nerve endings due to stress in a static position. As a result - myositis, radiculitis.
Also quite often, viral and bacterial diseases, severe hypothermia, and chronic diseases become provoking factors
When it comes to degenerative diseases of the spine , we can judge a person’s unhealthy lifestyle, sedentary work, low mobility, and poor nutrition. All these factors over time encourage the development of the mentioned disease, which causes significant inconvenience, pain, and limited movement.
Herniated disc
Hernial protrusion is caused by the destruction of the fibrous ring of the disc, which, under the weight of the overlying vertebrae, is flattened and extends beyond its anatomical boundaries. Hernias are detected during examination for osteochondrosis and are its complication. Hernias, like protrusions, often develop asymptomatically and may not manifest themselves in any way. Otherwise, patients complain of dull pain at the location of the hernia. It increases with walking and standing, and goes away after resting in a lying position. If a nerve root near the disc is pinched, the pain is difficult to endure because it resembles an electric shock and is sharply shooting, piercing in nature. In the area of innervation of the pinched nerve, numbness and muscle weakness are possible.
Spinal navigation
The computer-assisted surgery (CAS) system works like a navigation system in a car, continuously tracking surgical instruments against three-dimensional images of the spine. Additional visual support helps reduce the risk of damage to critical structures such as the spinal cord or nerve roots and improves the effectiveness of spine surgery.
Spinal navigation provides precision in traditional open surgical procedures and allows for advanced, minimally invasive surgical techniques. This reduces the need for intraoperative x-rays and therefore reduces the exposure of both patient and surgeon to x-rays.
Advantages of spinal navigation: • support for minimally invasive treatment methods; • more precise control for screw installation; • reducing the degree of exposure to X-ray radiation on the patient and the operating team; • reduction in the number of re-operations.
Radiculopathy (radicular syndrome)
The compression of the nerve root described above can be caused not only by a hernia. Pinching is the direct cause of back pain caused by:
- spondylosis;
- ankylosing spondylitis;
- injury;
- neoplasm;
- syphilis, tuberculosis, meningitis, osteomyelitis (inflammatory nerve damage).
Nerve damage causes a burning, stabbing pain. The affected area gets very hot and shoots, as if it had been struck by lightning.
Diagnostics
Neurologists are most often involved in clarifying the causes of pain in the spine. Patients with traumatic injuries of the spinal column are referred to traumatologists or neurosurgeons. The following diagnostic procedures can be performed:
- Questioning, general examination
. The doctor finds out when and under what circumstances the pain first appeared, how it changed over time, what factors provoked it, and what symptoms were combined with it. Examines and palpates the affected area, determines the range of movements. - Neurological examination
. The specialist evaluates superficial and deep sensitivity, muscle strength, and coordination of movements. Explores reflexes. - X-ray of the spine.
It is performed in two projections and, according to indications, is supplemented with functional tests. Allows you to identify the main causes of pain: fractures, dislocations, fracture-dislocations, anomalies, degenerative changes, areas of destruction due to infection, aseptic necrosis. Myelography can be performed to study the condition of the spinal canal. - Other imaging techniques
. Appointed to clarify data obtained during radiography. A CT scan of the spine clearly shows changes in hard structures; an MRI of the spinal column provides detailed information about the condition of the ligaments and intervertebral discs. - Functional diagnostics
. Electromyography is prescribed to assess muscle structures. If the development of radicular syndrome is suspected, a study of evoked potentials and electroneurography is performed.
Therapeutic exercises for the spine
Tips for maintaining a healthy spine
To avoid problems with the “axis of life,” therapists and neurologists advise strengthening it with the help of:
- regular and dosed physical activity. A strong muscle corset reduces the load on the spine - you can get the right “dose” even with daily walking;
- proper organization of the workplace. When working sedentarily, get up and do a warm-up every half hour or hour;
- weight control, which increases pressure on the vertebrae and discs, and they wear out faster.
Does your back still hurt? Take care of yourself and avoid heavy loads, get more rest. If you have back pain, you can contact our specialists. They know very well what spinal diseases are and are familiar with the latest treatment methods. With us you can improve your health under the guidance of an experienced doctor who will make all the necessary appointments. At the end of therapy, he will recommend how you should eat and what exercise will be beneficial for you. You can make an appointment by calling +375 29 628 85 82 or leaving your contacts in the feedback form.
Treatment of diseases
SM-Clinic specialists use in their practice only modern treatment methods and medications that have the maximum effect. Treatment of spinal diseases involves the use of painkillers, anti-inflammatory drugs, as well as medications that restore cartilage tissue, and physical methods (osteopathy, manual therapy, massage, physiotherapy).
Treatment of spinal diseases is carried out quickly and effectively , and the medical staff of the Clinic helps make your stay in the institution as comfortable as possible.