Spinal Pathology

In the Neurosurgery Department we treat spinal pathologies with the most innovative and beneficial technology and surgical techniques for the patient.

Degenerative disorders at the spine level are a frequent cause of pain and disability for patients.

Cervicalgia, cervicobrachialgia, lumbago or lumbosciatica are the most common diagnoses derived from this pathology and are caused by vertebral instability, disc degeneration, disc herniation, root compression, spondylolisthesis, etc.

At present, conservative treatment is the first option when there are no neurological deficits, but when this first step fails, surgery offers various solutions depending on the cause of the pain: spinal arthrodesis, dynamic spinal stabilization implants, arthroplasty and discectomy.

Imagen del icono de la consulta de Segunda Opinión. Clínica Universidad de Navarra

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  • Pseudoartrosis

  • Cirugía fallida

  • Enfermedad de nivel adyacente

  • Recidiva discal

Spinal and medullary surgery

The Clinic's Neurosurgery team has extensive experience in the latest surgical techniques for the treatment of spinal problems. In addition, in the indicated cases, the intervention is carried out by means of minimally invasive surgery with a great benefit for the patient in terms of pain, size of the incision and later recovery.


This intervention consists of approaching the spinal canal to remove the herniated disc that is compressing the nerve roots. To do this, the paravertebral musculature is separated and the yellow ligament and sometimes part of the lamina (bone) is removed.


This technique is used for posterior predominant channel compressions due to hypertrophy of the ligamentum flavum (yellow ligament) or hypertrophy of the interapophyseal joints. It consists of removing the bone and ligaments that are performing such compression through a laminectomy.

Ligamentoplasty - Interspinous Device

It is used in canal stenosis and/or lumbago associated with sciatica. With these devices, an attempt is made to maintain the junction hole through which the roots pass, increasing the caliber of the spinal canal and limiting lumbar extension.

Dynamic transpedicular stabilization

It is used to preserve anatomical structures by limiting the mobility of the vertebrae through the pedicles without eliminating it. With these systems, a more physiological stabilization of the spine is achieved.

Total disc replacement, TDR (disc prosthesis)

It is used in the treatment of some fractures or other disorders such as hemangiomas, although less frequently. They are performed under general anesthesia and percutaneously.


It consists of the injection of a biocompatible cement into the affected vertebra(s) to control pain. The cement increases stability and through an exothermic reaction when introduced into the body, partially burns the nerve endings in that area of the vertebra.


Kyphoplasty, unlike vertebroplasty, requires the use of balloons or structures that swell with radiological contrast to create a cavity and attempt to improve the height of the vertebrae.

  • Transpedicular fixation.
  • Rear approach (TLIF).
  • Anterior approach (ALIF).
  • Lateral approach (XLIF)

They are tools for the diagnosis and/or treatment of some low back pain. They are performed without general anesthesia, guided by X-rays with virtually no side effects on the patient.

Infiltrations or facet or sacroiliac blocks.

It consists of introducing an anesthetic and an anti-inflammatory in the posterior joints of the vertebrae in order to relieve pain or locate it for a diagnosis.

Facet rhizolysis (radiofrequency)

It consists of the denervation of the posterior joints of the vertebrae with the same purpose as the infiltrations, but with a longer duration.