Spine Surgery
The spine is a complex array of segments that act in unison to provide both mobility and support for the rest of the body and protection of the spinal cord and nerves. However, with so many articulating parts and a continued life-long load the spine is at risk of injury and disability resulting in pain, dysfunction or nerve compromise.
Dr David Kieser is a subspecialist in complex spinal conditions. He uses advanced surgical techniques with state of the art equipment to deliver surgical solutions for your spine. David believes in minimally invasive spinal surgery and accurate restoration of spinal balance to achieve long lasting spine health. David has a specialist interest in the elite contact sports spine and complex spinal disorders. |
David offers all spinal procedures including:
Discectomy: A slipped disc or disc prolapse can occur for many reasons and may cause severe back or limb pain as well as nerve dysfunction. A discectomy involves the removal of the prolapsed disc fragment. David offers this procedure in order to alleviate the pain and stop the compression on the nerve structures.
Decompression: The spinal canal or the bony tunnels from which the nerve roots exit the spine can narrow with age or injury. This may result in pain or nerve dysfunction. A decompression involves the removal of bone and soft tissue from around the spinal canal and nerve roots. David offers this procedure to alleviate pain and stop compression of the nerve elements.
Cervical disc replacement: A cervical disc replacement is an artificial joint replacement for an intervertebral joint in the neck that has failed or degenerated. David offers this procedure to preserve spinal motion and therefore prevent delayed damage to the adjacent spinal segments.
Spinal deformity correction: Spinal deformity is a side-to-side (scoliosis) or a front-to-back (kyphosis or lordosis) curve that may develop as a child or an adult. In severe or advanced cases this curve may progress, leave you unbalanced or cause you pain or nerve dysfunction. In these cases, David offers surgery to control the curve and alleviate symptoms.
Interbody fusion: An interbody fusion involves the placement of an artificial cage into the intervertebral disc. David offers these procedures in order to stop the motion that is causing pain or to supplement a decompression of the nerve roots or spinal cord in order to prevent spinal instability or recurrence.
Sacro-iliac joint fusion: The sacro-iliac joints are the joints that connect your spine to your pelvis. While these joints only have minimal movement, they can be a source of pain. David offers this procedure as a last resort for patients with continued sacro-iliac pain.
Discectomy: A slipped disc or disc prolapse can occur for many reasons and may cause severe back or limb pain as well as nerve dysfunction. A discectomy involves the removal of the prolapsed disc fragment. David offers this procedure in order to alleviate the pain and stop the compression on the nerve structures.
Decompression: The spinal canal or the bony tunnels from which the nerve roots exit the spine can narrow with age or injury. This may result in pain or nerve dysfunction. A decompression involves the removal of bone and soft tissue from around the spinal canal and nerve roots. David offers this procedure to alleviate pain and stop compression of the nerve elements.
Cervical disc replacement: A cervical disc replacement is an artificial joint replacement for an intervertebral joint in the neck that has failed or degenerated. David offers this procedure to preserve spinal motion and therefore prevent delayed damage to the adjacent spinal segments.
Spinal deformity correction: Spinal deformity is a side-to-side (scoliosis) or a front-to-back (kyphosis or lordosis) curve that may develop as a child or an adult. In severe or advanced cases this curve may progress, leave you unbalanced or cause you pain or nerve dysfunction. In these cases, David offers surgery to control the curve and alleviate symptoms.
Interbody fusion: An interbody fusion involves the placement of an artificial cage into the intervertebral disc. David offers these procedures in order to stop the motion that is causing pain or to supplement a decompression of the nerve roots or spinal cord in order to prevent spinal instability or recurrence.
Sacro-iliac joint fusion: The sacro-iliac joints are the joints that connect your spine to your pelvis. While these joints only have minimal movement, they can be a source of pain. David offers this procedure as a last resort for patients with continued sacro-iliac pain.
Advanced Technologies
Endoscopic spinal surgery is keyhole surgery where the procedure is performed through a tube using a fiberoptic camera. Where appropriate David offers endoscopic spinal surgery for minimal soft tissue disruption and enhanced recovery.
Navigated spinal surgery uses an intra-operative CT scan to determine the position of the skeletal structures. David uses this technology in challenging anatomy and when deformity obstructs clear anatomical landmarks.
Micro-surgery uses a microscope to enhance the visualisation around key structures. David uses micro-surgery when he feels he needs greater magnification and illumination during the surgery.
Neuromonitoring is used to monitor the nerve impulses travelling down the spine and nerves to ensure that their function is maintained throughout a procedure.
Navigated spinal surgery uses an intra-operative CT scan to determine the position of the skeletal structures. David uses this technology in challenging anatomy and when deformity obstructs clear anatomical landmarks.
Micro-surgery uses a microscope to enhance the visualisation around key structures. David uses micro-surgery when he feels he needs greater magnification and illumination during the surgery.
Neuromonitoring is used to monitor the nerve impulses travelling down the spine and nerves to ensure that their function is maintained throughout a procedure.