About the Practice

Spinal deformities in children and adolescents

Spinal deformities in children can present at any age. They clinically often manifest during the 2nd growth spurt between 8 and 13 years of age. The presentations are initially subtle and are easily overlooked. Children exhibit poor posture or mild back, waist, shoulder and chest asymmetry. There may be a real or apparent leg length difference. Frequently parents or relatives of the children live with and accept certain deformities until the deformities become very prominent.

Children in this age group are often shy, rebellious or reclusive and do not share their concerns easily with their parents. They do not undress in front of parents or siblings. Therefore deformities easily go un-noticed until they become very significant. Early detection of these deformities is essential in order to initiate timely conservative treatment and to avoid surgery or limit the extent of surgery.

For further information download this PDF file.

Spinal Revision Surgery

Spinal revision (repeat) is hardly ever straightforward. The percentage of good outcomes decreases with the number of revision surgeries and a successful outcome normally requires a multidisciplinary approach with a complex surgical approach. Patients are often disheartened by previous visits and the decision by their treating specialists that nothing further could be done for them. This is often untrue.

Revision surgery requires careful evaluation of the reasons that have led to the previous failure. It frequently requires more complex surgical approaches in order to rebalance the spine into a more advantageous position. The Neuro-Orthopaedic spinal team is widely experienced in this kind of complex approach, often involving combined anterior and posterior spinal surgery. In this way even patients with multiple previous spinal operations can often be treated successfully. The benefits and potential dangers of these procedures is carefully explained to the patients before any surgery is undertaken.

Disc replacement

Disc replacement or fusion: what is the difference?


Ulrich Reinhard Hähnle PhD

The thesis comprises the development of the Kineflex artificial disc prosthesis for implantation into the human lumbar spine. Its aim is to preserve motion of the spine where other treatment options would mean loss of mobility of the spine. Multiple design patents were filed nationally and internationally. After laboratory testing it was awarded the CE-Mark of quality in Europe. New disc prosthesis maintains spine mobility (PDF)

Is Degenerative Spondylolisthesis a Contraindication for Total Disc Replacement? Kineflex Lumbar Disc Replacement in 7 Patients with 24-Month Follow-up. (2007) (Download PDF)

Lumbar Disc Replacement for Junctional Decompensation After Fusion Surgery: Clinical and Radiological Outcome at an Average Follow-Up of 33 Months. (2007) (Download PDF)

Kineflex (Centurion) Lumbar Disc Prothesis: Insertion Technique and 2-Year Clinical Results in 100 Patients. (2006) (Download PDF)

Downloadable Forms

Microdiscectomy and Lumbar Decompression Surgery

(under construction)

Cervical Disc Replacement

Lumbar Disc Replacement

Anterior Spinal Fusion Surgery

Posterior Spinal Fusion Surgery

Front and Back Fusion / Deformity Correction Surgery

This procedure encompasses the advantages and disadvantages of anterior (front) and posterior (back) fusion surgery. It is often used in spinal problems where spinal balance / alignment is a problem and / or in spinal revision surgery.

This operation has the disadvantage of requiring two incisions onto the spine with the possible complications of either approach.

It has the great advantage of making it possible to correct the spinal alignment much more effective than posterior surgery and requiring less work inside the spinal canal (around the nervous structures). The rate of achieving a solid fusion, which is the aim of these procedures, is greatly enhanced as compared with “anterior fusion alone” or “posterior fusion alone”.

The use of the initial anterior (front) approach to the spine makes the extend of the posterior (back) approach more limited. That means that the nerve structures and muscles in the back get considerably less traumatized than in isolated back approaches. Because of the much more solid fixation quicker return to normal activities can be allowed. This usually leads to faster subjective recovery from the surgery.