In our lives, patients with lumbar spondylosis, cervical spondylosis, the first thing that comes to mind is to go to the orthopedic department, and now there are more and more neurosurgery departments in China that have also carried out such surgery, so what is the difference between orthopedics and neurosurgery, the two departments? Which one to choose?
At present, spinal disorders often choose orthopedics, or physiotherapy, pain, rehabilitation, etc., and neurosurgery is often not considered. On the one hand, this is due to the limitations of the early development of neurosurgery in China, due to the more emphasis on the brain and spinal cord, such as tumor removal, etc., ignoring the study of bone structure fixation of the spine, common cervical and lumbar degeneration by the orthopedic department to diagnose and treat, in the patient's treatment of neurosurgeons also often recommend its recommendation to orthopedics, think that this is not their own business; on the other hand, the main reason is the lack of education of relevant knowledge, although there will be this part of the content in neurosurgery textbooks, But often it is two words to take it, the doctor himself does not pay attention to this aspect of learning, thinking that neurosurgery is "brain surgery". In this way, in most hospitals, orthopedic doctors think that neurosurgeons do cervical spondylosis and lumbar spondylosis, which is "beyond the line".
In fact, the above mentioned cervical spondylosis lumbar spondylosis surgery is clearly described in the textbook of neurosurgery, and neurosurgery can also do such surgery. Spinal neurosurgery is a typical interdisciplinary discipline, including both the bony structure of the spine, as well as the structure of the spinal cord and spinal nerves. The traditional division makes orthopedics pay more attention to the bone structure of the spine, and the operation of the spinal cord nerves is cautious and cautious, often by neurosurgeons; and neurosurgeons do neuroprocessing such as the spinal cord, and invite orthopedic doctors to play internal fixation. As early as the 1960s, Professor Duan Guosheng of the Department of Neurosurgery of the PLA General Hospital had already carried out such surgery. With the understanding and popularization of spinal cord knowledge, more and more neurosurgeons have begun to engage in the research of spinal cord diseases, and Professor Suga Fengzeng of Xuanwu Hospital is also the first to carry out and lead the treatment of spinal cord diseases in several hospital centers in The country. Trained and qualified spinal cord neurosurgeons who perform both spinal internal fixation and process the spinal cord and nerves.
In a 2016 prospective questionnaire survey conducted by Kern Singh, an orthopedic surgeon in Chicago, USA, 52% of patients preferred to choose a doctor with neurosurgical training background by distributing anonymous questionnaires to 231 patients who were looking for a spinal surgeon, 23% of patients had no preference. Patients are willing to choose a doctor with an orthopedic training background . In addition, Cleveland physician Andrea Seicean published the results of another study in Spine in 2014. The study analyzed 50,361 cases of spinal fusion or decompression in the U.S. National Surgeon Quality Improvement Program database between 2006 and 2012, of which 33,235 were completed by neurosurgeons, or 66 percent of the total; 17,126 cases were completed by orthopedic surgeons, orthopedic surgeons, or 34 percent of the total. Compared with neurosurgery, there are more cases of blood transfusion during orthopedic surgery, the incidence of surgical complications is high, there are more cases that still need to continue nursing care after discharge, more cases have prolonged hospitalization, and the cost of hospitalization has increased accordingly. Post-matching analysis suggested that although short-term prognosis did not differ significantly between neurosurgery and orthopedics, blood transfusions were twice as common during orthopedic surgery as in neurosurgery, and there were more cases of prolonged hospital stays.
The technical advantage of neurosurgery is the skillful operation and application of microscopy, which can significantly reduce the injury of the spinal cord and spinal nerves and reduce the occurrence of bleeding. Neurosurgeons learn the fixation and biomechanical techniques of orthopedics, and orthopedics learn neurosurgery's protection and stress reduction techniques for blood vessels and nerves, learn from each other, tolerate and welcome each other, and the two go hand in hand to relieve diseases and pain for patients. This may be the right way to open up treatment in the field of spinal cord in the country at present and in the future.
After learning and training the theory and operation related to the spinal cord of the neurospinal spine, patients with cervical spondylosis and lumbar spondylosis can also get satisfactory treatment when they go to the neurosurgeon, which is also the general trend of the development of the neurosurgery spine field.
Traditional ideas need to be changed! Welcome patients with cervical spondylosis and lumbar spondylosis to neurosurgery!
#Popular science ##Health Decryption##Cervical Spondylosis##腰椎 #