Facet Replacement (TOPS)

Motion preservation is always desirable, but facet degeneration and spinal stenosis are serious limitation to anterior disc replacement. These conditions are impossible to treat correctly from an anterior approach. Now TOPS (PremiaSpine) is the answer in motion preservation for patients…

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Robotic Surgery

Pedicle screw based spinal surgery is the most commonly practised one in Spine Surgery Units. The rate of missed trajectories using traditional free-hand or Xray guided methods can be quite low when surgery is performed by a well trained experienced…

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iFuse®

Low back pain can be of different origins, one of which is the sacroiliac joint. Pain in this region is frequently misdiagnosed for facet pain o discogenic pain. Some expertise and a thorough clinical examination is needed to rule out this…

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ApiFix® Surgery

Patients with adolescent scoliosis above 30º must use corsets in order to avoid progression and surgery. When a curvature grows beyond 45º, children are candidates for spine surgery, which means assuming moderate to high intraoperative and postoperative risks, specially those related to spinal…

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ADR (ESP)

Our surgical team has been pioneering dynamic surgery in Spain. First Bryan prostheses were implanted in Zaragoza by Dr. Ferrández in 1998 and first lumbar Maverick (Medtronic) in 2002, and ever since, he has been practising this kind of bio-dynamic…

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GelStix® Hydrogel

Hydrogels are water insoluble hydrophilic polymers used in a wide range of medical fields for drug delivery or tissue replacement: heart surgery, gynecology, ophthalmology, plastic surgery, and orthopedic surgery. These polymers show highly biocompatible characteristics and low tissue adherence. GelStix is a new application of hydrogels…

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Deformity Surgery

Deformity surgery includes two radically different problems: adolescent kyphoscoliosis and degenerative scoliosis. Both arise from different phenomena and both require absolutely different approaches. The spine of young people can be easily manipulated by mechanical maneuvers, including derotation and translation, whereas…

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MAST Surgery

Spinal Minimal Access Surgical Techniques were born at the begining of the last decade. In 2002, our surgical team developed their own lumbar transmuscular approach, based on Wiltse’s, and combined it with the TLIF technique described by Jurgen Harms in…

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