Dr. de la Torre, you use a column stabilization system that allows you to keep the patient's mobility, is that right?
Indeed, recently the neuroscience cabinet has introduced in Spain a new spinal stabilization system that is a real novelty since it involves performing a dynamic stabilization. That is, the fixed segment, the vertebrae that are fixed, are really mobile, they provide stability while maintaining the mobility and functionality of the treated segment.
Can you briefly explain what this system consists of?
The system consists in carrying out, after the canal surgery that is necessary - discectomy or the neurological release surgery that the patient needs - in order to later perform a dynamic stabilization and this is done by introducing some transpedicular screws and later, the great novelty is that The bar is no longer fixed, neither steel nor titanium, but it is a bar that allows flexibility and elasticity. It is made of plastic, of a very biocompatible material and with a very high resistance that allows the flexion, the extension, the torsion and the elongation, in such a way that the treated segment maintains its functionality.
Will you use this technique on a regular basis or only for very specific cases?
With this technique, a very adequate selection of the patient and the pathology required. It is a technique of use in unisegmentary or bisegmental pathology with soft discs where the segments still maintain a functionality. It is not a matter of whether the case is complex or not, it is a matter of making an adequate profile of the indication of the technique with the technique that is going to be performed to provide the patient with the best possible results.
Is it a very complex intervention?
No, it is not about the complexity of the surgery, the idea is to outline the indicated treatment according to what the patient needs, and with this type of technique that is mini-invasive we can perform an adequate neurological decompression , a neurological surgery of channel and in the same surgical time perform a dynamic stabilization that provides the treated segment with a high functionality decreasing the overload of the adjacent segments. That is, we offer in the same surgical treatment a decompressive neurological treatment and a dynamic stabilization of the treated segment , and that is to offer the best possible functional result to the treated patient.