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Spinal Deformity Surgery : It Becomes an Essential Part of Neurosurgery
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논문 기본 정보

Type
Academic journal
Author
Hyun, Seung-Jae (Department of Neurosurgery, Spine Center, Seoul National University Bundang Hospital, Seoul National University College of Medicine) Jung, Jong-myung (Department of Neurosurgery, Spine Center, Seoul National University Bundang Hospital, Seoul National University College of Medicine)
Journal
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제61권 제6호 SCOPUS
Published
2018.1
Pages
661 - 668 (8page)

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Spinal Deformity Surgery : It Becomes an Essential Part of Neurosurgery
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Abstract· Keywords

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Among the spinal disorders, the treatment approach for spinal deformities has been discussed least among department of neurosurgery. But nowadays, more and more neurosurgeons are interested in spinal deformities as well as complex spinal disorders and are doing not a few surgeries for these kinds of disease. Nevertheless, it is mandatory to understand the course of spinal deformity, principles of treatment, and surgical outcomes and complications. Understanding of the biology, biomechanics and metallurgy of the spine and instrumentation are also required for successful spinal deformity surgery. We need senior mentors and good surgical and neurophysiologic monitoring team. Knowledge of spinal deformity may be augmented with spine fellowships and surgical experience. Step by step training such as basic knowledge, orthopedic as well as neurosurgical disciplines and surgical skills would be mandatory. Neurosurgeons can have several advantages for spinal deformity surgeries. By high-level technical ability of the spinal cord handling to preserve neurological function and familiarity with microscopic surgery, better synergistic effect could be expected. A fundamental understanding of pediatric spinal deformity and growing spine should be needed for spinal deformity surgery.
#Scoliosis #Instrumentation #Spinal deformity #Neurosurgeon #Outcomes

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References (40)

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Albert TJ / 2005 / Health outcome assessment before and after adult deformity surgery. A prospective study / Spine (Phila Pa 1976) 20:2002~2004 google schola Benzel EC / 2007 / The evolving presence of spinal neurosurgery in the spectrum of neurological surgery / Neurosurgery 60:591~592 google schola Bess S / 2009 / Pain and disability determine treatment modality for older patients with adult scoliosis, while deformity guides treatment for younger patients / Spine (Phila Pa 1976) 34:2186~2190 google schola Bradford DS / 1999 / Adult scoliosis: surgical indications, operative management, complications, and outcomes / Spine (Phila Pa 1976) 24:2617~2629 google schola Bridwell KH / 1998 / Major intraoperative neurologic deficits in pediatric and adult spinal deformity patients. Incidence and etiology at one institution / Spine (Phila Pa 1976) 23:324~331 google schola

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