What is the B.E.T.R Bio-Stem Disc?
Bio-Stem Disc is an advanced, proprietary biologic tissue engineering system designed to enhance the process of disc repair and regeneration. The type of repair recommended will be based on the pre-operative evaluation of the patient specific needs.
Is used initially to treat patients with symptomatic DDD who are having mild to moderate symptoms and have minimal degenerative changes in the disc. It consists of injecting a combination of substances called Biologic Stimulants into the disc. It contains powerful growth factors (substances which stimulates multiple cell functions) capable of producing significant improvement in function and tissue repair. Biologic Stimulants can be highly successful and cost effective in patients with early symptomatic degenerative disc disease and herniated discs.
This system was designed for patients who have failed the above interventions or have moderate to advanced symptomatic DDD. It consists of using proprietary tissue engineering techniques in the Intervertebral Disc with a combination of Bio-Cellular Grafts (growth factors, biologic scaffolds) and mesenchymal stem cells (obtained from your own bone marrow, adipose tissue or umbilical cord tissue grafts). It is considered the most advanced regenerative treatment available for patients with moderate to advanced symptomatic DDD and herniated discs.
Who is a candidate for Bio-Stem Disc therapy?
Patients with painful degenerative disc disease or herniated discs, who have failed conservative therapy and or surgical procedures. The best candidates have early to moderated-advanced changes, small to moderate disc herniation and no significant central spinal canal stenosis. The procedure is not recommended in patients with complete disc collapse or large herniated disc compressing the spinal canal.
How is the procedure performed?
The procedure is performed in our state of the art facility. Local anesthesia with intravenous sedation is utilized, in order to facilitate relaxation and assist in patient comfort. Also, an intravenous antibiotic will be administered prior to the procedure. You will be taken to the procedure suite, place in the fluoroscopy bed lying on your stomach. Blood pressure and cardiac monitors will be applied.
According to the type of biologic graft or technique used, adipose tissue or bone marrow concentrate is used to obtain mesenchymal stem cells and growth factors.
Next, the skin overlying the respective discs will be cleansed with special sterilizing solutions. Then a solution of local anesthetic (numbing medication) is infiltrated in the skin and deeper tissues overlying the discs. Under fluoroscopic guidance (X-ray machine), a special needle is inserted into the respective disc. You may feel temporary discomfort during this time. Once the needle(s) are in the proper position, a small amount of contrast will be injected into the disc to verify proper location. Afterwards, the specific tissue graft or biologic is carefully injected with a proprietary technique. The needle is then removed, bandages are applied and the patient is taken to the post procedure suite.
After the procedure
You will go back to the post anesthesia care unit (if you received intravenous sedation), where you will be monitored for 30-60 minutes according to your response. Post procedure instructions will be given in a pre-printed form. A follow up appointment will be made for post procedure evaluation in approximately one week. Medications will be given post procedure to assist in managing any discomfort.
For more information on other advanced spine related conditions see The Spine Center.