Neurosurgeon Athens

Panagiotis Ι. Kyriakogonas


    elcome to neurosurgeon Panagiotis I. Kyriakogonas’ site. Its purpose is to present the most common spinal diseases as well as the latest methods in treatment. All the photos are of patients treated during my practice.

During the last few years with the development of new methods and instrumentation, it is possible to replace a damaged or degenerated cervical disc with and artificial one.

Microdiscectomy is a minimally invasive surgical procedure to treat  a herniated disc, in order to relieve the pressure on a spinal nerve.

Kyphoplasty is a method used to treat symptomatic (pain) compression fractures of the spine. The patient is placed at prone position under local or general anesthesia.

Spinal Fusion is a surgery to stabilize (arthrodesis) of two or more adjacent vertebrae. It is performed when spinal instability is present …

Interesting Cases

Take a look at the treatment of interesting cases by the neurosurgeon Panagiotis Kyriakogonas, in Kolonaki, Athens.

Patient 5 – Spinal Tumor

The patient, a 67 year old male, was referred from another medical institution to our hospital, complaining of...

Patient 4 – Re-Operation

The patient, 78 years male, presented with back pain, as well as pain in both lower extremities, (L)...

Patient 3 – Ankylosing Spondylitis

The patient presented with cervical pain as well as sensory and motor deficit of the left C7 nerve...


First of all, it must be pointed out that back pain (or lumbar sciatica, if there is also leg pain) is a symptom and not a disease. It is as if we have a headache. The causes are various, but all people will suffer from back pain, as a symptom, at least once in their life. 90% of these cases can be treated through conservative treatment and only 10% of back pain cases are due to a disease which must be surgically treated.

What one must always have in mind, is the fact that doctors operate patients and not magnetic resonance images, as well as that the surgical operation should consist the last resort in a patient’s treatment. Whether a patient should be operated or not depends on the kind of symptoms they have, their severity, their chronicity, as well as the existence of accompanying diseases. It goes without saying, of course, that the patient must have previously undergone a conservative treatment which failed. An exception to the above is the existence of tumors and of a neurological damage.

This depends on the kind of the disease and the type of surgery. In a microdiscectomy as well as in all of minimally invasive methods the hospitalization time is usually 24 hours, while in the case of a spinal fusion it is approximately 3-5 days.

After a microdiscectomy, the minimum time of absence from work is approximately 20 days, while after a spinal fusion it is approximately 6 weeks. This, of course, does not mean that someone must stay at home or remain in bed for all this time, but rather suggests the time when a patient can return to their full daily activities. It must be also remarked that we do not refer to painful and particularly demanding works (for example digging) or sports activities (for example jumps or bungee jumping).