Spine surgeries in Puerto Vallarta and Banderas Bay

Pain Managment

Minimal Invasive Surgeries

Dr. Gustavo Navarro

Specialist in Column Surgery


NECK PAIN ASSESSMENT


LOW BACK PAIN ASSESSMENT


SCIATICA PAIN (Lumbar disk hernitation)


CERVICAL AND LUMBAR STENOSIS


DEGENERATIVE & ADOLESCENT SPONDIOLISTHESIS


SCOLIOSIS OF THE CHILD ADOLESCENT & ADULT


SPINAL DEFORMITIES CHILD ADOLESCENT & ADULT

Conservative and Surgical Treatment of Spinal Disorders

At Spine Clinic we are endorsed by the AOSpine. We have extensive knowledge in the care and treatment of all spinal conditions, including congenital deformities, degenerative diseases, spinal tumors, and spinal trauma, in both adults and children.

We are members of professional spine societies, including the Mexican Association of Spinal Surgeons (AMCICO), the AOSpine, the American Association of Orthopedic Surgeons (AAOS), and the Mexican Federation of Orthopedic and Traumatology Colleges (FEMECOT), as well as local medical societies. We continually strive to increase our awareness of new advances in the field by attending meetings and courses to learn about the latest advances in spinal care and surgery.

Back Disorders

Surgical and Non Surgical Procedures

Cervical Disc Herniation
Many factors can cause a herniated disc:


  • Lifestyle choices such as tobacco use, lack of regular exercise, and inadequate nutrition contribute substantially to poor disc health.
  • As the body ages, natural biochemical changes cause discs to gradually dry out, which affects the strength and endurance of the disc.
  • Poor posture combined with regular use of improper body mechanics can put additional stress on the cervical spine.
  • Combine these factors with the effects of daily wear and tear, injury, improper lifting, or twisting, and it’s easy to understand why a disc can herniate. A hernia can develop suddenly or gradually over weeks or months.

Sciatica pain


Sciatica is often described as mild to severe pain in one leg. Sciatica is caused by compression of one or more of the five sets of nerve roots in the lower back. Doctors sometimes call sciatica a radiculopathy. Radiculopathy is a medical term used to describe pain, numbness, tingling, and weakness in the arms or legs caused by a nerve root problem. If the nerve problem is in the neck, it is called cervical radiculopathy. However, since sciatica affects the lower back, it is called lumbar radiculopathy.

Radiculopathy occurs when compression of a nerve root by a ruptured disc or bone spur occurs in the lumbar spine before it joins the sciatic nerve.

Scoliosis


Scoliosis is a lateral curvature (to the side) in the normally straight vertical line of the spine. When viewing a person with a normal spine from the side, there is usually a slight roundness in the upper back and there is a neglect of the backward tilt in the lower back. When a person with a normal spine is viewed from the front or back, the spine appears to be straight. When a person with scoliosis is viewed from the front or back, the spine appears to be curved. There are many types of scoliosis and many causes of curvature:

  • The congenital scoliosis is the result of a bone defect that is present at the birth.
  • The neuromuscular scoliosis is the result of abnormal muscles or nerves and is often observed in patients with spina bifida or cerebral palsy.
  • The degenerative scoliosis may be the result of a traumatic bone collapse, previous major surgery back or osteoporosis.
  • Certain types of spinal cord abnormalities can also cause scoliosis.
  • The most common type of scoliosis, called idiopathic scoliosis , does not have a specific identifiable cause.

Non-surgical treatment options

Physiotherapy


Physiotherapeutic treatment is based on basic and simple modifications in your activities of daily living, postural hygiene rules, as well as other treatments that relieve pain and muscle strengthening exercises. All of these spinal conditions respond to physiotherapeutic treatment. Either for its correction or to alleviate its symptoms and prevent or avoid conflictive evolutions. The evolution in these patients is usually slow, but if proper treatment is followed, the quality of life of each patient improves significantly.

Facet and / or foraminal infiltrations


The Facet Block consists of the administration of a corticosteroid and a local anesthetic in the articular facet, which is the joint that joins two vertebrae behind. This infiltration does not enter the epidural canal. It infiltrates over the bone, to sleep the vertebral joint and eliminate the pain that comes from it when it is inflamed or worn. One or more joints can be punctured, depending on each case.

You can generally go home immediately after the blockage, except in cases where there is sedation, which is when you will need to stay in care for 30 to 45 minutes until you have recovered and have sufficient autonomy. You can gradually return to daily activities and start with spinal stretches and exercises to strengthen the trunk and abdomen (see attached sheet).

Lumbar radiofrequency ablation


It is a procedure used to treat pain in the facet joints of the lower back. The articular facets are located at the back of each lumbar vertebra. Lumbar radiofrequency ablation. Radiofrequency ablation uses radiofrequency energy to interrupt the function of the nerves. When this procedure is performed on a lumbar branch nerve, the nerve will stop transmitting pain from an injured facet joint.

Surgical procedures for pain

Minimally invasive surgery


The percutaneous implant surgery technique in the back works by making minimal incisions, dilating the tissues, without making a dissection or having to remove them. It is carried out through a tube that progressively dilates the tissues and, through which, the implant is placed in the vertebral bone. The patient can walk almost immediately because the tissues are not injured.

Endoscopic surgery


Endoscopic spinal surgery consists of trying to apply the same principles of open surgery, but with the least possible aggression to the patient’s structures. To do this, a small incision of about 15 mm is made, where we place a cannula of that size and inside this cannula we introduce an optic that allows us to expand and magnify the work field, therefore, it does not force us to perform large dissections to access the patient’s spine.

The advantages it offers, compared to conventional surgery, are several:

Smaller incision with reduction of trauma to muscle tissues.
Reduction in the rate of infections.
Less post-surgical pain, with a decrease in the consumption of analgesics.
Prompt postoperative reintegration to daily and work activities.
Better aesthetic appearance, the scar does not exceed 1.5 – 2 centimeters.
Basically, spinal endoscopy is indicated for: lumbar disc herniation surgery and canal stenosis surgery.

Not every patient is a candidate for endoscopic and / or minimally invasive surgery, the symptomatology, anatomy, as well as the previously assessed sagittal balance should be evaluated mainly.

Open spine surgery


Traditional spinal surgery, understood as an open surgery technique, is carried out to correct the cause of back pain. For example, when a herniated disc compresses a nerve root, and all non-surgical treatments have failed, this technique removes the compression. Currently this type of surgery is performed when, due to anatomical conditions, we are unable to apply less aggressive techniques such as endoscopic surgery.

Cervical Disc Prosthesis


With the current concepts of clinical diagnosis, biomechanics and technology, multiple models of cervical prostheses have been developed and, in general, with clinical results similar to the traditional anterior arthrodesis (surgical intervention in which two bone pieces are fixed, anchoring a joint). Which has biomechanical disadvantages that can represent clinical problems, especially in long-term follow-up.

There are currently many designed prostheses and many others in the development process, but there are few that have had the benefit of frequent use and in a significant number of patients and it is in those disc prostheses that Spine Clinic Vallarta works to give you the best safety to our patients

Bryan (Medtronic)

Prestige (Medtronic)

Prodisc-C (Synthes)

In general terms, the indications to place a disc prosthesis are in patients who present pathology with soft hernias and where it can be shown that the segment to be intervened remains in motion.

Contact a Specialist in Spine and Back Surgery in Puerto Vallarta


CMQ Riviera / Torre Médica

Av. Héroes de Nacozari #280, segundo piso, consultorio 315

Bucerías, Riviera Nayarit

CITAS / APPOINTMENTS

322 229 03 10

CITAS / APPOINTMENTS

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