Joint Surgeons in Germany

Gelenk Klinik Orthopaedic Clinic

Alte Bundesstrasse 58

D-79194 Gundelfingen


fon: +49-761-55 77 58 28

fax: +49-761-58 974 650

Minimally Invasive Spine Surgery

Minimally Invasive Spine (MIS) or Endoscopic Spine Surgery

Thanks to endoscopically guided spinal decompression, the herniated material of spinal discs, can be effectively removed via endoscopic vision. The process is gentle and supports rapid recovery of mobility.

Endoscopic Spine Surgery in Germany A herniated disc is putting pressure on a nerve root: Open surgery VS Endoscopic Spine Surgery? A disc herniation can be identified and removed through a tubular device without open back surgery. © Joimax

Spine surgery should always be the last resort when it comes to treating chronic back pain. What does this mean?
Only after failed physiotherapy and pain therapy, should surgery of any kind, be considered at all. The spinal cord is part of the central nervous system. The density of important nerves in the area around the spine, makes this area particularly vulnerable to the possible complications of open spine surgery. The results of open spine surgery are not always successful in reducing chronic back pain. One of the reasons for failed back surgery is the formation of irritating scar tissue in the area of the spine following open spine surgery.

What is minimally invasive or endoscopic back surgery?

Endoscopic surgery takes place through a tubular device that avoids incisions into skin, muscles, nerves and bones.

Endoscopic, minimally invasive Disc-FX disc surgery for discogenic pain

Bulging vertebral discs - Surgery

Treating the bulging disc with the Disc-FX system. Bulging discs are caused by the liquid nucleus pulposus shifting inside the disc. The fibrous ring of the disc is deformed, but not yet ruptured

Disc-FX is a technique in the field of minimally invasive spine surgery. Disc-FX only requires an endoscopic working access through a hollow needle with a diameter of only 2 mm. This approach allows treatment and removal of disc tissue inside and outside of the spinal canal (extra-and intraspinal) to remove. The fiber ring of the spinal disc can be stabilized.

Hydrogel - Filling the degenerated spinal disc with chondroid gel

Fig. 1: The generated disc has a reduced volume. The height of the disc space is reduced. This causes increasing strain on the vertebral body and the facet joints (vertebral joints), resulting in pain. Injecting the hydrophylic Hydrogel draws fluid back into the disc. The volume, thus the height of the disc space, increases. Disc function increases again. ©

Back pain can have a number of different causes.

One common cause is degeneration of the disc. Wear or loss of disc tissue is a normal part of ageing. The loss of fluid, loss of protein structure over the course of life cause the disc to change. It becomes less and less elastic, fragile and its height decreases.

Increasing the disc volume with Hydrogel

Using the Hydrogel injection method we’d like to illustrate how we can counteract the loss in height in the degenerated disc: By injecting the highly expansive polymer substance Hydrogel considerably increases water retention in the viscid core of the disc. The highly water-binding, expansive Hydrogel increases the disc diameter in the long term again. This effect lasts for years.

Kyphoplasty or Vertebroplasty: Repair of Vertebral Compression Fractures

Kyphoplasty enables the reconstruction of  fractured vertebral bodies Osteoporotic Fracture of the Vertebral Spine: Kyphoplasty enables the reconstruction of fractured vertebral bodies. © Bruce Blaus via Wikimedia Commons

Kyphoplasty or Vertebroplasty is a method of repairing a spine damaged by osteoporotic fracture of a vertebral body. In advanced spinal centres the repair of osteoporotic vertebral fracture is performed via a percutaneous (minimally invasive) surgical procedure.

The osteoporotic fracture of the vertebral spine is very painful. It has the potential to alter the height of the spinal column and the function of spinal cord and nerve roots permanently if left untreated. Kyphoplasty aims to achieve pain relief for the patient and restore the height of the collapsed vertebral bone.

Disc Protrusion or Disc Herniation: Percutaneous Endoscopic Disc Nucleoplasty (Thermo Ray)

Percutaneous Disc Nucleoplasty Percutaneous Disc Nucleoplasty: Intradiscal Electrothermal Therapy is designed to reduce volume, by evaporating part of the liquid core of the spinal disc.© Viewmedica

Percutaneous Disc Nucleoplasty is surgery to reduce the volume of a protruded (bulging) or herniated disc. In both cases the spinal disc puts pressure on a nerve root, or the spinal cord and causes back pain or sciatic pain.

Nucleoplasty is a minimally invasive procedure to treat lumbar disc-related back pain and leg pain.

Infusion therapy to resolve chronic back and sciatic pain: RACZ Epidural Neurolysis

RACZ Caudal Neurolysis RACZ Caudal Neurolysis: Minimally Invasive treatment of chronic back pain, without surgical trauma to the soft tissue around the spine. © Viewmedica

RACZ Epidural Neurolysis is an injection (or series of injections) into the spine as therapy for chronic back pain. This injection procedure is a very effective way to relieve pain in the lower back and also pain radiating into the leg.

Racz Epidural Neurolysis can avoid the need for spinal surgery for many patients with chronic back and sciatic pain. This injection treatment has the potential to provide immediate and significant relief of chronic back pain and discomfort.

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Orthopaedic Clinic Germany

orthopedic clinic and surgeon in Germany

MVZ Gelenk-Klinik
Orthopaedic Clinic

ISO 9001:2008 certified quality

Alte Bundesstrasse 58

D-79194 Gundelfingen


Back & Spine Specialists

Team of orthopedic surgeons in Germany

Bijan Ganepour
Expert Consultant for Spine and Neurosurgery

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Map and Route

Location of Gelenk-Klinik Gundelfingen
View Details of the location
  • Distance to EURO-Airport Basel: 80 km (45 mins)
  • Distance to Zurich: 161 km (1h 40)
  • Distance to Frankfurt: 259 km (2h 20)

Centre for Arthroplasty

Center of Excellence in Arthroplasty

Certified Centre for Arthroplasty (Centre for Endoprosthesis)