SERVICES
Clinico
SERVICES
We have a wide range of options to solve your problem and improve your health.
Attention to our patients
Attention to our patients
NEUROSURGERY CONSULTATION
When making your appointment, you may request to be seen by any of our Neurosurgeon Staff doctors, for this purpose the information of the members of our spine clinic has been made available to you.
CONSULTATION FOR DISEASES OF THE SPINE
Attention to our patients
When making your appointment, you may request to be seen by any of our doctors from the Staff of Neurosurgeons or Orthopedists specializing in DISEASES OF THE SPINE, for this purpose the information of the members of our spine clinic has been made available to you.
PHYSICAL THERAPY AND REHABILITATION
Attention to our patients
We have highly trained professional staff specialized in the care of pathologies that require management with PHYSICAL MEDICINE AND REHABILITATION. We have the necessary equipment for Rehabilitation in patients with Orthopedic, Neurological and Spine conditions.
NEUROPHYSIOLOGICAL DIAGNOSIS
Attention to our patients
In Neurological and Spinal Column diseases, it is necessary to complement the diagnosis with NEUROPHYSIOLOGICAL STUDIES, for this purpose we perform ELECTROMIOGRAPHY, NERVOUS CONDUCTION SPEEDS AND DERMATOMAL AND SOMATOSENSORY EVOCATED POTENTIALS in our facilities. These studies serve to complement the clinical information obtained after a neurological examination and clearly help to define a precise diagnosis and the best treatment.
JOINT REVIEW OF CLINICAL CASES
Attention to our patients
The pathology of the VERTEBRAL COLUMN and the therapeutic options are complex, so it is not uncommon to find cases that require the participation of a collegiate body that can contribute ideas and comments in order to obtain the necessary feedback to bring the problem to a successful conclusion. of the patient. At CLINICO, we have the joint participation of specialists in various areas with which we can offer the best alternatives to our patients.
INTERNAL MEDICINE CONSULTATION
Attention to our patients
You can schedule an appointment with the internist at our clinic, who can help you control metabolic diseases.
NUTRITIONAL ASSESSMENT
Attention to our patients
We have a nutritionist on our team who can support you with preparation before undergoing any treatment and with subsequent follow-up.
PSYCHOLOGICAL THERAPY
Attention to our patients
We work with you to support you with your concerns before and after undergoing treatment.
Non-surgical
APPLICATION OF BOTULINUM TOXIN FOR SPASTICITY
Non-surgical
Botulinum Toxin type “A” is a very effective medication to treat spasticity and some types of dystonia. Its use is of great help in some spinal column conditions where muscle contracture plays an important role in the patients' disability. Its effect as a powerful muscle relaxant is used as a therapeutic alternative for patients before or after a surgical procedure. Likewise, the combination of the use of Botulinum Toxin with Physical Therapy has become a highly valuable alternative for many patients with spinal conditions.
BOTULINUM TOXIN FOR MIGRAINE
Non-surgical
Botulinum Toxin is a simple, effective and safe treatment for migraine control. The standardized application technique is an easy method to reproduce. A consultation and complementary studies are required to assess the number of punctures and the total area of application. This is a management option that should be considered in the pain control of patients suffering from this condition.
INFILTRATIONS FOR PAIN
Non-surgical
The value and usefulness of “infiltrations” as a conservative therapeutic method for the treatment of acute or chronic pain in some spinal column conditions is well known. Its use has become widespread in various areas of medicine; however, we must not forget that we frequently use medications that may have a beneficial effect in the short term but a deleterious effect in the medium or long term, which is why other less risky options must be explored. which we will detail in “MINIMAL INVASION SURGERY”, however infiltrations are still very useful.
TEMPORARY BLOCKS
Non-surgical
Therapeutic blockade refers to the application of local anesthetics in highly sensitive or painful areas or in areas that have a more extensive anatomical area. The purpose is to temporarily block the painful sensation regardless of its origin. It has a dual purpose, on the one hand to improve the patient's clinical condition by eliminating the pain that complains and on the other, it is a non-aggressive and completely reversible diagnostic test that allows us to corroborate the precise site where the pain originates and, in this way, to be able to prepare another alternative that is definitive.
REGENERATIVE MEDICINE
Non-surgical
Regenerative IV therapy: Regenerative IV therapy center that contains vitamins, minerals and natural antioxidants that help improve your health and general well-being.
Stem Cells: By applying mesenchymal stem cells, various conditions can be significantly improved, from diabetes, hypertension, joint pain, respiratory problems, autoimmune diseases, to deterioration of the nervous system and cognitive system, such as Parkinson's, Alzheimer's and Multiple Sclerosis.
MINIMALLY INVASIVE SURGERY
VERTEBROPLASTY
Minimally invasive surgery
By definition, it consists of the administration of surgical cement in the vertebral body, this in order to give it support when it has fractured. Currently we have “MINIMUM ACCESS” strategies that allow the cement to be introduced through a cannula of a few millimeters in diameter, which makes this procedure quite safe and practically outpatient.
XIPHOPLASTY
Minimally invasive surgery
Similar to VERTEBROPLASTY, but in this case a balloon or similar device is previously introduced that allows the height of the vertebral body to be recovered before the cement is introduced, with this, in addition to strengthening the vertebra, the height and shape are recovered, thereby the restoration becomes more anatomical.
INTERSPINOUS DEVICES
Minimally invasive surgery
When there are problems of vertebral overload, and the articular facets or the intervertebral disc are not adequately exercising their function, it is possible to help restore support through the placement of a small and simple device that is placed between the spinous processes of two vertebrae, in this case the device absorbs the load and allows the other structures to rest and in some cases regenerate. The spinous process is an appendage that comes out of the vertebra towards the back, so its access is simple, quick and safe. However, there are currently MINIMUM ACCESS strategies that allow this device to be placed through a small lateral incision. approximately one centimeter, this procedure can also be outpatient.
RADIOFREQUENCY
Minimally invasive surgery
It is a physical principle that is applied in various areas of medicine and through which a controlled thermal effect is obtained that is used to perform DENERVATIONS, that is, permanently block the sensory terminals in the pain areas, so that they are achieves local, precise and permanent control without using medications that have long-term deleterious effects. It is performed by MINIMAL ACCESS through the introduction of very thin electrodes that do not require surgical incisions, it is a procedure that can be performed on an outpatient basis. Its greatest usefulness in spinal column pathology is in the treatment of facet pain, although it can be used in intervertebral disc pathology, especially in the case of discogenic pain rather than in DISC HERNIATION. In the latter case, we recommend the following alternative.
SPINE JET / HYDROCISION
Minimally invasive surgery
It is a system through which we aspirate the INTERVERTEBRAL DISC CORE. This aspiration is carried out through a 2.3 mm diameter cannula and for this a water pressure system is used that sprays the contents of the intervertebral disc so that it can be aspirated. through the same device. Unlike Radio Frequency, it is a system that does not generate heat, making it safer when the case warrants it. Its application is very useful, especially in cases of DISC HERNIATION.
PERCUTANEOUS SCREWS
Minimally invasive surgery
When the pathology of the spinal column has progressed enough to require more aggressive therapeutic strategies, we currently have technological resources that allow us to even carry out INSTRUMENTATION OF THE VERTEBRAL COLUMN through MINIMUM ACCESS, that is, to carry out from the decompression of the roots, placement of intervertebral disc replacements and the placement of screws and bars, all through tubular systems that can range from 1 cm to 2 or 3 cm in diameter. With this technique we avoid the large and bloody accesses that were necessary until recently, which favors a safer, less aggressive procedure, with less risk of infections and less bleeding, making blood transfusions practically unnecessary.
Conventional surgery
INTERBODY BOXES
Conventional surgery
These are implants that are placed in the space where an intervertebral disc is removed, especially when you want to add greater stability to an UNSTABLE VERTEBRAL COLUMN. Their usefulness is also intended to promote ARTHRODESIS, that is, bone fusion between the two vertebral bodies where the implant is placed. There are several options today but in general they are divided according to the type of material from which they are made. Polycarbonate (PEEK) and Titanium boxes are some examples, both with their advantages and disadvantages, so it should not be a paradigm to always use the same type of INTERSOMATIC BOX, each case must be individualized.
CERVICAL PLATE
Conventional surgery
It is a laminar support that is placed in the anterior part of the cervical spine after a discoidectomy and/or placement of INTERSOMATIC CAGES. CERVICAL PLATES were developed years ago to provide greater support to an unstable cervical spine but above all to prevent the migration and expulsion of the bone grafts that were placed between the vertebral bodies after the resection of the intervertebral disc, in this way the ARTHRODESIS, that is, the bone fusion between the two vertebral bodies where the implant or graft is placed. Years later with the development of CERVICAL INTERSOMATIC CAGES, whose design per se made them less likely to be expelled, the use of CERVICAL PLATES has become less and less necessary, however they still constitute an additional safety strategy that has not fallen completely disused.
CERVICAL MESHES
Conventional surgery
When the case warrants it, sometimes it is necessary to completely resect one or more vertebral bodies, in which case the vertebral body(s) must be replaced with cylindrical implants that are commonly known as CERVICAL MESHES. These have different diameters and different lengths according to the needs of each patient. They are especially used when a very extensive decompression of the cervical spine is necessary.
POSTERIOR CERVICAL FIXATION
Conventional surgery
Typically, approaches to the cervical spine, especially for degenerative pathologies, are done through the anterior route, this is because it is less aggressive and above all to be able to free the structures that compromise the motor pathway, however, sometimes it is required or preferred to perform a posterior approach where, due to the underlying pathology or the technique used, the spinal column remains unstable, therefore it is necessary to perform POSTERIOR CERVICAL FIXATION for which screws are used that are placed in bone structures called facets and these screws in turn are fixed to each other with longitudinal bars.
ARTHROPLASTY / DISC PROSTHESIS
Conventional surgery
In some pathologies of the spine, in addition to decompression or surgical treatment, PRESERVATION OF MOVEMENT is preferred. For this, it is necessary to use devices called DISC PROSTHESIS. These prostheses have the particularity of having been developed to resemble a normal intervertebral disc as much as possible. They are devices that allow the mobility of the treated area in all axes such as flexion, extension, rotation and lateralization. Not all patients are candidates to receive a DISC PROSTHESIS, since all the characteristics of the affected area must be observed. DISC PROSTHESES can be both cervical and lumbar, however in the latter case there must be extensive discussion with the patient since the risks of the surgery for their placement are very high.
TRANSPEDICULAR SCREWS
Conventional surgery
Although in previous lines the technique of applying TRANSPEDICULAR SCREWS through MINIMUM ACCESS was mentioned, sometimes and due to multiple reasons, it is necessary to resort to conventional strategies, it is not that these have fallen into disuse, in fact, in the Currently, the majority of SPINE SURGEONS still use them, however, whenever possible, MINIMAL INVASION techniques should be preferred.
Other services
COMPLEMENTARY SERVICES
Transportation – Customized ground transportation to and from our center.
Hotel – Preferential cost for our patients in hotels in the area.
Fast lane – We have cross-border medical passes so you avoid waiting in long lines to return to the United States.
Crossborder – If you prefer, we will pick you up from the other side of the border.
Comprehensive surgical package - Laboratories, imaging studies, preoperative assessment, hospital expenses, hotel and your treatment.
Help with your insurance – We help you with the necessary procedures for you to use your medical expenses insurance.