Find out the process that is used to determine if back surgery might be the best treatment path for your condition. Rarely is back surgery the only option. (Dr. Peter Ullrich, Jr. on candidacy for back surgery.
Researchers found that 44 percent of young surgeons aged 27 to 35 made a significant mistake when they were distracted during a simulated operation.
The study, published Nov. 29 in the journal Archives of Surgery, also found that surgeons tested in the afternoon fared worse. The mistakes made were serious or potentially fatal, resulting in organ damage or injuries to ducts and arteries, they found.
surgeon 's insight:
"The fact is that all physicians in training pose an inherent risk to patients. We should do everything we can to minimize this risk but recognize that it may impair physicians’ self-confidence"
Richard A. Friedman, Professor of psychiatry at Weill Cornell Medical College, New York City
Steven Garfin, M.D. is professor and chair of the Department of Orthopaedic Surgery at the University of California, San Diego. He is also president of the International Society for the Advancement of Spine Surgery (ISASS). These days, Dr. Garfin is hearing a lot of angst about the fact that doctors are less in charge of patient care.
surgeon 's insight:
“This is arguably the most contentious diagnosis in terms of insurance reimbursement. Most previous studies relied on by the insurance industry are dated . This study included more than 3,000 patients using strict inclusion/exclusion criteria. Surgical fusion was confirmed as an effective treatment strategy in this patient population.”
A first-in-man study published Online First by The Lancet shows that new magnetically-controlled growing rods can treat scoliosis in children by being extended using a non-invasive technique as their spine grows, without the repeated invasive surgery used with existing rod technology. The study is by Professor Kenneth Cheung and Dr Dino Samartzis, from the Department of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong, and colleagues.
"It is very important to emphasize that this is new technology and we have not yet seen all the complications that can arise. However, I think there are many possibilities: the most interesting is that we can more closely mimic growth, realigning the rods daily if we want—children grow every day. In the past the rods would have been lengthened every six months."
Kenneth MC Cheung MBBS(UK), MD (HK), FRCS, Lead author
Following lumbar laminectomy, loss of strength and shear stiffness (SS) can be predicted in the human lumbar spinal segment using measurable parameters, according to a study published in the European Spine Journal.
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