Basic principles of spine surgery
Any surgical exposure destroys the integrity of the patient’ body, for his own benefit. Sometimes, the spine intervention is performed for urgent life-saving indications and is guided by the Straightforward Principle. In other cases, there are no life-saving indications, but surgery aims to rest...
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"
2016-12-01
|
| Series: | Хирургия позвоночника |
| Subjects: | |
| Online Access: | https://www.spinesurgery.ru/jour/article/view/210/1267 |
| Summary: | Any surgical exposure destroys the integrity of the patient’ body, for his own benefit. Sometimes, the spine intervention
is performed for urgent life-saving indications and is guided by the Straightforward Principle. In other cases, there are no
life-saving indications, but surgery aims to restore function and improve appearance. The first step includes careful prepa-
ration and planning of surgery. The main principle is a protection of neural structures of the spinal cord and its nerve roots.
Slow incremental correction of spinal deformity is often more effective and safer than fast and dramatic one. The ultimate
3D-harmony of the whole spine as a part of the body is better than just a correction of the Cobb angle. The purpose of any
surgical fusion is the achievement of 3D-balance both at the whole body level and at levels of junctional discs above and be-
low the instrumentation. The lecture describes in details patient positioning, approaches, instrumentation and implants,
main strategies for deformity correction, analysis of deformities (global and local), different ways of correction, most ap-
plicable corrective techniques (compression, distraction, translation, and axial rotation), and postoperative examination
with particular emphasis on the spine alignment and the achieved balance. Each patient should be regarded as unique, and
its treatment should be personalized. It is important to realize that the most effective and urgent treatment should be de-
livered in cases complicated by neurological symptoms. |
|---|---|
| ISSN: | 1810-8997 2313-1497 |