Does this problem bother a large number of patients or even some doctors? Isn't neurosurgery just looking at the skull? Why do you still have spinal surgery? For example, cervical spondylosis, lumbar spondylosis and so on. Is this too big a cross-border, grabbing people's orthopedic jobs or "not doing the right thing"?
This question is a good question, and it is easier to answer. The spine is the vertebrae, isn't it orthopedics? Then ask a rhetorical question, the skull is also a bone, is it also necessary for the orthopedic doctor to open the skull, and then the neurosurgeon to operate again?
Many people traditionally think that spine surgery is the field of orthopedic doctors, not neurosurgery. Of course, this is due to historical reasons. When the early neurosurgeonists opened up the cause of neurosurgery in China, they paid more attention to cranial research, paid less attention to the field of spinal cord, and did spinal canal tumor resection at most. Neurosurgery is now called "brain surgery" in many places, and the degree of neglect of the spinal cord is evident. And the orthopedic surgeon has vigorously done this part of the work, walking in front of neurosurgery for many years.
Ordinary people still feel neck, shoulder, waist and leg pain, so they look for an orthopedic doctor to see. Headaches, dizziness, etc. see a neurosurgeon. In fact, cervical spondylosis and lumbar disc herniation are essentially caused by compression of nerves, spinal cord, etc., and the root cause is actually nerve compression.
In detail, the spinal cord specialization field belongs to the 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 spinal cord nerves is cautious and cautious, often by neurosurgeons; and neurosurgeons often do spinal cord and other nerve treatments, and invite orthopedic doctors to play internal fixation.
In the United States and Europe, as well as in some Asian countries, neurospinal surgery is the main field of work of neurosurgeons, accounting for about 50% to 70% of the daily work of neurosurgery. Cervical spondylosis lumbar spondylosis surgery is clearly described in the textbook of neurosurgery, and neurosurgery can also do such surgery. 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 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.
Neurosurgery in the West has long regarded spine surgery as one of the most important parts of neurosurgery. 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.
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