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Spinal Neurosurgery and Pericheral Nervous System Pathology Department

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

We are engaged in neurosurgical treatment of a wide range of pathologies of the spine, spinal cord, peripheral nervous system:

herniated intervertebral discs of all levels (including with the use of endoscopic and puncture technologies, laser vaporization, radiofrequency thermal destruction);
herniated intervertebral discs with instability of the spinal motion segments (including replacement with cages and puncture fixation methods, the use of dynamic fixation systems);
degenerative stenosis of the spinal canal;
consequences of uncomplicated spinal injury 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, neuroraphia, autoplasty).
Particular attention is focused on improving the approaches, tactics and techniques of surgical treatment of the most complex and common neuro-oncological pathology:

intramedullary tumors of the spinal cord of all levels;
extramedullary tumors of the spinal cord;
primary and metastatic tumors of the spine;
peripheral nerve tumors.
The use of intraoperative electrophysiological monitoring, as well as minimally traumatic removal techniques, allows you to maximally preserve the functions of the spinal cord and, accordingly, improve the quality of life of patients after surgery.

Employees of the Department of Spinal Neurosurgery and Pathology of the Peripheral Nervous System received 5 patents for inventions, published one monograph, published more than a dozen scientific papers in leading domestic and foreign scientific publications. Doctors of the department are members of WFNS (World Federation of Neurosurgical Societies), EANS (European Association of Neurosurgeons), ACNS (Asian Congress of Neurosurgeons).

Department equipment

All operations are carried out under the control of a modern microscope and endoscopic equipment from leading world manufacturers (Karl Zeis; Karl Storz, Germany), neuronavigation equipment and an intraoperative CT scanner (Metronic, USA), an image intensifier (Siemens, USA); high-frequency and plasma coagulator, ultrasonic suction (Soring, Germany); microsurgical instrumentation and high-speed drill (Aesculap, Germany).

To carry out reconstructive and stabilizing operations for spinal pathology, medical devices from leading world 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; rear interspinous dynamic stabilization system - DIAM; transarticular fixation systems, including for atlanto-axial pathology; front stabilization systems; systems for vertebroplasty "confidence" and others.

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

Department capabilities

In our practice, we use only the most modern equipment, for example, in our clinic, not a single stabilizing operation on the spine is performed without the use of intraoperative computed tomography, neuronavigation, and neurophysiological control. This allows us to significantly increase the accuracy of the fixation systems installation, to 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 belong to 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 surgery for degenerative lesions of the spine

3. Microsurgical removal of the mass of the spinal cord and spine

4. Vertebroplasty, kyphoplasty for spinal pathology

5. Laser vaporization of a herniated disc of the spine

6. Endoscopic removal of a herniated disc of the spine

7. Microsurgical removal of intervertebral discs of the spine

8. Prosthetics of intervertebral discs

9. Percutaneous (percutaneous) 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.

Head of the department is Prof. Talgat Kerimbayev, Doctor of Medicine, neurosurgeon of the highest category.