Neurosurgical Therapies for Treatment

In the surgery, the anamnesis, the neurosurgical examination, the discussion of the findings and the advice on the sensible possible therapies take place. I carry out the conservative inpatient treatment as well as the surgical services in the Medical Center Bad Vigaun.

Additional insurance is not absolutely necessary for inpatient admission to the MZ Bad Vigaun; a cost estimate will be sent to you in advance.

There are no or low additional payment costs for patients with additional insurance (consult with your private insurance company).

Clarification, precise therapy planning and detailed advice
Cervical spine - Surgical therapy

  • Degenerative disease: Herniated disc and stenosis
  • Tumor
  • Trauma
  • Inflammatory disease often associated with polyarthritis of the 1st and 2nd cervical vertebra deformities Thoracic spine - surgical therapy degenerative diseases trauma Post-Traumatic
  • Deformities Cement injection for osteoporotic fractures tumor

Thoracic spine - Surgical therapy

  • degenerative diseases
  • trauma
  • Post-Traumatic Deformities
  • Cement injection for osteoporotic fractures
  • tumor

Lumbar spine - surgical therapy

  • Degenerative disease – herniated disc and stenosis
  • Degenerative Deformities
  • Cement injection for osteoporotic fractures
  • tumor
  • trauma
  • Post-Traumatic Deformities
  • Inflammatory diseases

ISG-sacroiliac joint:

  • Conservative therapy and stiffening with NADIA technique
  • Inpatient conservative therapies in the Medical Center Bad Vigaun
  • Pain therapy with infusions, drug therapy and physiotherapy
  • Targeted infiltration treatment under X-ray
  • Drug therapy directly in the spinal canal
  • Clarification with myelography
  • (X-ray contrast examination of the spinal canal for
    Assessment of spinal canal narrowing and
    changes in exercise and load)

For a precise clinical examination, the clarification is carried out by means of MR or CT in order to obtain a holistic picture of your symptoms/findings.

The treatment of spinal problems depends on the one hand on the intensity and on the other hand on the cause. If there is no absolute surgical indication (paralysis, weakness, sensory disturbances), one can try conservative therapy with physiotherapy with muscle building and administration of painkillers, further steps such as X-ray or CT-specific infiltrations can be carried out.

If the pain is largely gone with this conservative therapy, it is usually "non-specific low back pain", where of course nobody talks about an invasive or surgical therapy.

Causes can be degeneration with intervertebral disc problems, vertebral displacements (listhesis, scoliosis), arthrosis of the joints, disturbed position of the entire spine (distorted profile) and also a dysfunction or arthrosis of the sacroiliac joint.

In addition, serious diseases such as inflammation, infection, tumor, vertebral fracture can also be found as a cause.

If the pain persists despite infiltration and intensive therapy, and if the finding explains the problem, then the OPERATION should clearly be carried out in order to prevent the consequences of the ongoing pain.

The consequences can be mood swings up to depression, ongoing sick leave, which can then also lead to job loss, as well as hopelessness up to suicide.

There are also studies that clearly show that return to work depends on the duration of the pain.

If there is no improvement after 8-12 weeks of therapy, surgery should clearly be recommended. However, if there is paralysis (weakness in a muscle group) or a bladder/intestinal disorder or a problem with the spinal cord (cross section, unsteady gait, feeling like walking on cotton wool, coordination disorders), this is an emergency and should usually be followed by an immediate operation.

If a neurological deficit persists for weeks or months, the chances of an improvement in the deficits are minimal, despite the surgery that has then taken place.

The worst option is to do nothing and live with the pain.
The clarification should be carried out by a spine specialist, as should the therapy planning and implementation. Information from dubious websites as well as books and newspaper articles should be evaluated critically - the European Spine Society also warns about this.

Help and the resulting improvement can be achieved for most problems - healing and freedom from pain is not realistic. Statements like: "You have to live with that, you can't do anything about it, you can't even operate on it, are fundamentally wrong.

I would be happy to accompany you on your way to recovery and the restoration of your quality of life in everyday life!


Dr. Helmut Hiertz