Department of Spinal Neurosurgery and Peripheral Nervous System Pathology

The Department of Spinal Neurosurgery and Peripheral Nervous System Pathology has 27 beds. Continuous professional development of the Center's specialists, management of advanced achievements of medical science and innovative technologies are the key to successful operations and treatment results.

We perform neurosurgical treatment of a wide range of pathologies of the spine, spinal cord, and peripheral nervous system:

• herniated intervertebral discs of all levels (including those using endoscopic and puncture technologies, laser vaporization, radiofrequency thermal destruction);
• herniated intervertebral discs with instability of the spinal motion segments (including those replaced with cages and puncture fixation methods, the use of dynamic fixation systems);
• degenerative stenosis of the spinal canal;
• spondylolisthesis
• consequences of uncomplicated spinal trauma at all levels (including vertebroplasty, kyphoplasty);
• consequences of spinal cord injury (including correction of kyphoscoliotic deformities and meningomyeloradiculolysis);
• consequences of damage to peripheral nerves and nerve plexuses (neurolysis, neurorrhaphy, autoplasty).

Particular attention is focused on improving approaches, tactics and techniques for surgical treatment of the most complex and common neuro-oncological pathologies:

• intramedullary tumors of the spinal cord at all levels;
• extramedullary tumors of the spinal cord;
• primary and metastatic tumors of the spine;
• tumors of the peripheral nerves.

The use of intraoperative electrophysiological monitoring, as well as minimally traumatic removal techniques, allows for maximum preservation of spinal cord functions and, accordingly, an increase in the quality of life of patients after surgery. The staff of the Department of Spinal Neurosurgery and Pathology of the Peripheral Nervous System have received 5 patents for inventions, issued one monograph, and published more than a dozen scientific papers in leading domestic and foreign scientific journals. The doctors of the department are members of the WFNS (World Federation of Neurosurgical Societies), EANS (European Association of Neurosurgeons), and ACNS (Asian Congress of Neurosurgeons).

Department's equipment

All surgeries are performed under the control of a modern microscope and endoscopic equipment from leading global manufacturers (Karl Zeis; Karl Storz, Germany), neuronavigation equipment and intraoperative CT tomograph (Metronic, USA), electron-optical converter (Siemens, USA); high-frequency and plasma coagulator, ultrasonic suction (Soring, Germany); microsurgical instruments and high-speed drill (Aesculap, Germany). To perform reconstructive and stabilizing surgeries for spinal pathology, the following medical devices from leading global manufacturers are used (De Puy J&J, USA; Metronic, USA; Stryker, USA; B.Braun-Aesculap, Germany): PLIF, TLIF, VLIF cage systems; transpedicular fixation systems, including percutaneous ones; posterior interspinous dynamic stabilization systems - DIAM; transarticular fixation systems, including atlantoaxial pathology; anterior stabilization systems; systems for vertebroplasty "confidence" and others.

All specialists of the department have undergone internship and training in leading medical neurosurgical centers.

Department capabilities

In our practice we use only the most modern equipment, for example, all stabilizing operations on the spine are performed with the use of intraoperative computed tomography, neuronavigation, neurophysiological control. This allows us to significantly increase the accuracy of the installation of fixing systems, perform intraoperative control of the completeness of the performed decompression of the spinal cord and its roots, this allows the patient to return to a full life at an earlier date. Most of the surgical interventions performed in the department are high-tech neurosurgical operations of a high complexity category:

1. Microsurgical technologies and endoscopic operations for pathology of the spinal cord and spine

2. Stabilizing operations for degenerative lesions of the spine

3. Microsurgical removal of space-occupying lesions of the spinal cord and spine

4. Vertebroplasty, kyphoplasty for pathology of the spine

5. Laser vaporization of herniated disc

6. Endoscopic removal of herniated disc

7. Microsurgical removal of intervertebral discs of the spine

8. Prosthetic replacement of intervertebral discs

9. Percutaneous (transcutaneous) transpedicular, transarticular, median cortical fixation of the spine

10. Dynamic stabilization of the spine

11. Radiofrequency thermal destruction of the facet nerves of the spine.

The head of the department is Prof. Talgat Kerimbaev, academician of the National Academy of Natural Sciences of the Republic of Kazakhstan, professor, doctor of medical sciences, neurosurgeon of the highest category.