Specialised spine surgery · Bern, Burgdorf and Langnau

When back or neck pain dominates daily life, clarity comes first.

I carefully determine where your symptoms come from and which treatment fits your findings and your circumstances – without surgery, with targeted injections, or operatively. I recommend surgery only when it is medically sound and offers a clear expected benefit.

Depending on your insurance model, a medical referral may be required before the consultation.

  • FMH Orthopaedic Surgery & Traumatology, focus on spine surgery
  • Habilitation, University of Bern · Senior Researcher, Inselspital
  • AO Spine Knowledge Forum, Steering Member
Portrait of Sebastian Bigdon, MD, spine surgeon
Sebastian Bigdon, MDSpine surgeon · Privatdozent, University of Bern

Treatment guided by findings – not by method.

The starting point is never a procedure, but the question of which treatment fits your situation. Many complaints can be relieved without surgery – with physiotherapy or targeted injections. When surgery is advisable, I choose the most tissue-sparing technique the findings allow.

01

Your symptoms

Back and neck problems can have different causes. Many can initially be treated without surgery. What matters is whether symptoms, physical examination and imaging fit together.

Where do you feel the symptoms? Select a region of the spine.

Medically substantiated patient information. My recommendations follow current guidelines and scientific studies. On the detail pages you will find the sources used and the date of the last medical review.
02

Treatment spectrum

The advantage of a broadly based consultation lies in the indication: which treatment – if surgery at all – fits your findings?

Gentle first

Gentle and minimally invasive procedures

  • Endoscopic disc surgery («keyhole surgery»)
  • Microsurgical decompression of the narrowed spinal canal
  • Minimally invasive cement reinforcement of osteoporotic vertebrae
  • Image-guided treatments of the sacroiliac joint
  • Targeted injections and interventional pain therapy

When it gets demanding

Complex procedures and revision surgery

  • Instability after previous spine surgery
  • Correction of deformity, scoliosis and impaired balance
  • Osteoporotic fractures, tumour and metastasis surgery
  • Injuries of the entire spine (cervical, thoracic, lumbar)
  • Care of elite athletes
Selected procedures without general anaesthesia.Certain endoscopic procedures, minimally invasive reinforcement of osteoporotic vertebrae and selected treatments of the sacroiliac joint can be performed under local anaesthesia in suitable patients – aiming at early mobilisation. Whether this approach is possible and sensible is assessed individually.
Detailed overview
03

Profile

What you can expect from my consultation.

Clinical experience

More than ten years of experience in spine surgery, with many years at the university hospitals of Freiburg and Bern and today at Orthopädie Sonnenhof. The spectrum ranges from tissue-sparing decompressions to complex revision surgery.

Evidence-based advice

As Privatdozent at the University of Bern and Senior Researcher at the Inselspital, I critically appraise new procedures and translate scientific evidence into concrete treatment recommendations.

International exchange

Through my work with and within the AO, an international umbrella organisation for research and education, I am in continuous exchange with specialised spine centres.

More about me and my career →

04

First and second opinion

An independent assessment before an important decision.

A second opinion can be valuable when surgery has been recommended, symptoms persist despite treatment, or symptoms and imaging do not clearly fit together. You receive a clear explanation of your options – including the option not to operate.

A direct request is possible. With family-doctor, Telmed or comparable insurance models, a referral may be required in advance for cost coverage.

Typical occasions

  • Surgery or fusion has been recommended.
  • Symptoms persist despite treatment.
  • MRI, CT and symptoms do not clearly fit together.
  • New symptoms have appeared after earlier surgery.
  • You want to better understand benefits, risks and alternatives.
For referring physicians: Direct referral and collegial queries: zuweisung@bigdon.ch · +41 31 358 17 90. Urgent requests are reviewed with priority; a report with findings and recommendations follows the consultation.
05

Your path to the consultation

Four steps from the first request to a clear recommendation – so you know what to expect.

1

Request

Briefly describe your situation – online or by phone. You will receive a prompt personal reply about which step makes sense.

2

Records

Existing images (MRI, CT, X-ray) and reports can be submitted in advance – leaving time in the consultation for what matters.

3

Consultation & examination

A thorough conversation and physical examination. We look at your images together – explained in plain language.

4

Recommendation & report

A clear and honest recommendation with a written report to you and your family doctor.

Start a request Short-notice appointments are possible for urgent indications.
06

Locations

Consultations in Bern and the Emmental – three locations under the roof of Orthopädie Sonnenhof, keeping your way to the consultation short.

Consultations & surgery

Bern

Salvisbergstrasse 4
3006 Bern

Direct line spine surgery:

+41 31 358 17 90

Directions and details →

Consultations & surgery

Burgdorf

Oberburgstrasse 54
3400 Burgdorf

Appointments:

+41 34 421 22 74

Directions and details →

Consultations

Langnau i.E.

Dorfbergstrasse 10
3550 Langnau im Emmental

Appointments:

+41 34 421 22 74

Directions and details →

Which next step makes sense for you?

Briefly describe your situation. You will receive a personal reply on whether a consultation, a second opinion or another assessment makes sense first.