We can sometimes help stabilize the motion without taking the disc away, using some special flexible rods in the back of the spine with the same goal of helping to relieve pain, but maintaining some element of motion to help patients function better and still treat their pain. Posterior dynamic stabilization devices are analogous to an internal brace on the spine. The goal of posterior dynamic stabilization devices is to allow controlled motion in such a way as to achieve a more normal movement of the spine. These devices have been typically used in Europe to treat patients with degenerative disc disease as dynamic stabilizers for the last 20 years.
Dynesys and Globus Medical devices are the only devices that allow multilevel stabilization in more than two segments. These systems are added to the spine without damaging the normal structure and are inserted by a Minimal Access Technique splitting muscles, not cutting them. It is the only technique with such versatility, non-compromising any other future options.
We have been using this technique for more than 12 years in more than 500 patients with excellent results in the following indications:
1. Young people with invalidating low back pain and DDD with black disc and fissures.
2. Elderly patients with canal stenosis for stabilization.
3. Recurrent disc herniation.
4. Mild segmental instability like retrolisthesis or grade I degenerative spondylolisthesis.