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In english

The Clinic

The Clinic for Spinal Surgery is a subsidiary of Praktikertjänst AB. We are a specialist clinic for spinal surgery, and we target our activities for patients with acute or chronic disorders of the back or neck.

Our managing director has the administrative responsibility for the clinic, while the clinic´s chief of staff has the medical responsibility. The Clinic for Spinal Surgery in Strängnäs offers treatment in spinal, orthopaedic and neurological surgery.

We provide treatment for the following diagnoses:

  • disk herniation in the cervical, thoracic or lumbar regions of the spine
  • spinal stenosis in the cervical, thoracic or lumbar regions of the spine
  • spondylolisthesis
  • segmental (discogenic) pain
  • sacroiliac joint pain
  • tumours

 

Medical results at the clinic

Lumbar spine disc displacement: 93% either full recovery or major improvement, return to work

Spinal stenosis: 92% full recovery

Our activities are characterised by a culture of high quality, based on excellent skills and excellent nursing. We use solely microsurgical techniques, in order to ensure the best possible results.
We value our own development and medical assessment highly.
The quality and the skills that we offer are ensured through:

  • accurate diagnosis
  • safe surgical techniques
  • excellent nursing
  • meaningful rehabilitation.

Accurate diagnosis is a critical part of our activities. In order to be able to make a correct diagnosis, it is important to be able to interpret the language of pain through experience, an open, listening approach, and a thorough assessment of the patient. The clinic possesses great experience in the assessment of patients with back disorders. Our physicians place a great deal of importance on the consultation at the clinic, and allow it to take the time required.
The patients can meet physicians who speak English, German, Spanish, Korean, Arabic and Kurdish.

An X-ray can sometimes reveal the cause of pain, but not always. It is always necessary to assess symptoms, clinical observations and X-rays. Surgical procedures can in some cases eliminate the cause of pain, and as gentle a technique as possible should be used in these cases.
We have been carrying out a specific pain analysis for several years with the aim of developing reliable methods that will enable us to identify these patients, and with the aim of developing clinical surgical techniques.

Our philosophy of care is to provide high-quality care based on the specific needs of each patient. The everyday nursing is carried out solely by qualified nurses, creating a unified care. All nurses have long and extensive experience within the field of spinal surgery.

We use the Primary Nursing model in our work, which in our case means that each patient who requires more than a certain amount of care is assigned a primary nurse. Other patients who require less demanding care meet a limited number of nurses from admission until discharge, including the time spent in the recovery room after surgery.

Vision and aims

The Clinic for Spinal Surgery has as goal to conduct and develop its activities in such a manner that

  • patients and those close to them recommend us to others
  • we fully satisfy the expectations of our clients
  • our staff are happy in their work and appreciate the Clinic for Spinal Surgery as employer
  • our owner obtains a long-term, balanced return on their investment.


It is our vision that the clinic will become the leading centre of excellence in Europe for spinal disorders, and that it will be active across the complete range of spinal surgery.

The clinic aims to carry out spinal surgery, together with internationally competitive research and development within the field of spinal surgery.

Microsurgery

Microsurgery involves carrying out the surgical procedure with the aid of an operating microscope and specially developed instruments.

A special operating technique is used that takes a certain amount of time to learn. Although the microsurgical instruments are aids in the work. Microsurgery is the skills possessed by the surgeon.

The spine consists not only of supporting tissue, vertebrae and discs, but also of nerve tissue, the spinal chord and nerve roots. The nerve tissue is extremely sensitive to mechanical contact and easily damaged. This means that the use of microsurgical techniques is a great advantage when operating on the spine.

Use of microsurgical techniques involves:

  • excellent illumination of the site of the operation, especially in small, deep incisions
  • high magnification of the operation site. This enables the surgeon to see properly and in this way handle the tissue very carefully
  • extremely careful bleeding control. The surgeon can see even the smallest blood vessels and this makes it possible to prevent further bleeding into the wound using electrocoagulation. The technique thus ensures a minimal loss of blood
  • usually small incisions, which is an advantage both to prevent infection and to promote healing. The damage to the tissue is less than that caused by conventional surgical techniques, and this means that the patient experiences less wound pain
  • safer surgery
  • shorter period of hospital care
  • shorter period off work.

Advantages for society

  • lower cost of care
  • shorter absence from work
  • and thus lower total costs


All surgeons at the Clinic for Spinal Surgery in Strängnäs have long experience of using the microsurgical technique for various types of spinal surgical procedures.

Activities at the clinic

Activities at the clinic are focussed into three main areas, diagnosis and surgery, nursing and rehabilitayion and training.

Diagnosis and surgery

Accurate diagnosis is a critical part of our activities. In order to be able to make a correct diagnosis, it is important to be able to interpret the language of pain through experience, an open, listening approach, and a thorough assessment of the patient. The clinic possesses great experience in the assessment of patients with back disorders.

Our physicians place a great deal of importance on the consultation at the clinic, and we have assigned 45 minutes to each patient.

An X-ray can sometimes reveal the cause of pain, but not always. It is always necessary to assess symptoms, clinical observations and X-rays. Surgical procedures can in some cases eliminate the cause of pain, and as gentle a technique as possible should be used in these cases.

Our primary aim is to achieve a successful result of surgery. This is one reason why we use solely microsurgical techniques (which should not be confused with "keyhole surgery"). The technique involves high magnification, specially developed surgical instruments, and light that is targeted onto the site of surgery. The technique offers many advantages for the patient, the principal one of which is increased safety. It also means less bleeding, a shorter period of care, and more rapid rehabilitation.

Colleagues with an orthopaedic or neurosurgical background from all over Sweden are trained in spinal surgery at the clinic. It is also possible for medical students to carry out clinical practice at the clinic, as part of their education.

The care that is given on the surgical ward is based on thorough preparation of the patient for the surgical procedure. The patient always meets and has the opportunity to discuss any topics with the anaesthesia nurse on the day before the procedure, such that he or she can feel secure and well-informed.

Nursing

It is our aim in the work carried out on the wards that each care action will give the patient the best possible care. We will be good listeners, and we will offer care that is based on:
a holistic view of care in which the participation of the patient, and his or her individual needs and resources, are central continuity in nursing care the commitment and professional skills of the nursing staff.

The quality of care is continuously assessed using patient questionnaires. The results give evidence of excellent care in which all nursing staff make a major contribution through their commitment and interest.

Rehabilitation and training

It is a fundamental aim that the patients will continue to make progress after undergoing surgery and the initial recovery period. The clinic has at its disposition a collective experience in the rehabilitation of patients with long-term back disorders. Training and treatment is tailored for those who have undergone surgery at the clinic.

Each training period is based on training in balance, co-ordination, and stability. This is supplemented as necessary with treatment of the soft tissues and pain management.