RRBSW — Intervertebral Disc Regeneration

RRBSW (Regeneration und Rekonstruktion der Bandscheiben und Segmente der Wirbelsäule) — a unique method for regeneration and reconstruction of intervertebral discs and spinal segments, developed by Prof. Babayan in 2014. This is the world's first method that allows restoration of disc height, shape, and function without surgical intervention.

What is the RRBSW Method?

Under X-ray or Cyber Navi Hand™ guidance, a spinal probe is inserted into the disc through a micro-puncture (0.8 mm). Micro-perforations are performed according to the MIBRAR® principle, then autologous regenerative concentrate ARK® is implanted under pressure.

Disc height is restored during the procedure itself, as visible on intraoperative X-ray images. Additionally, intra-articular ARK® transplantation is performed into the facet joints of the segment.

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Indications for RRBSW

The RRBSW method is indicated for pathologies traditionally treated with major invasive surgeries involving prostheses and fixation constructs:

Intervertebral disc degeneration
Disc herniations and protrusions
Spondylolisthesis (vertebral displacement)
Spinal segment instability
Facet joint arthrosis

Spinal canal stenosis
Foraminal stenosis
Osteochondrosis
Post-operative disc conditions
Chronic back pain

RRBSW Procedure Stages

1. Autologous material collection. From the patient's venous blood and subcutaneous fat, ARK® is obtained — an autologous regenerative concentrate enriched with growth factors, anti-inflammatory factors, and mesenchymal stem cells.

2. Intradiscal transplantation. Under Cyber Navi Hand™ or X-ray guidance, a spinal probe (0.8 mm) is inserted into the disc through a micro-puncture. Micro-perforations are performed, then ARK® is implanted under pressure. Disc height is restored directly during the procedure.

3. Facet joint transplantation. Intra-articular ARK® transplantation into the segment's facet joints with micro-perforation of surfaces. Joint space widening is visualized on X-ray.

4. Segment reconstruction. Displaced vertebrae return to their anatomical position due to increased disc height and longitudinal ligament tension. Sagittal balance of the spine is restored.

RRBSW Method Results

Recovery Timeline
Statistically, patients become asymptomatic within 1–30 days. Full regeneration with completed reconstruction takes a minimum of 3 months and can progressively develop for over a year.

Follow-up examinations using MRI and X-ray at 3 months, 6 months, 1 year, and 1.5 years show:

Increased disc volume and improved shape
Restoration of segment anatomy in scoliosis and sagittal deformities
Progressive recovery even beyond the follow-up period
Increased disc height visible already on intraoperative images

RRBSW vs Traditional Surgery

Parameter	Traditional Surgery	RRBSW Method
Approach	Disc removal, prosthesis or spinal fusion	Regeneration of the patient's own disc
Anesthesia	General anesthesia	Local anesthesia
Incision	Surgical incision	0.8 mm puncture
Hospitalization	3–7 days	Outpatient, home the same day
Rehabilitation	6–12 weeks	Not required
Complications	Infections, destabilization, scarring	None
Result	Structure replacement	Structure restoration