Spinal Surgery

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What is it?

A spinal surgeon specialises in diagnosing and treating conditions of the spine, neck and spinal cord. Within the specialism, a neurosurgeon operates on the nervous system, while an orthopaedic surgeon will treat the bones and joints.

The use of robotics in spinal surgery and the medicolegal implications

by Mr Alexander Montgomery, Consultant Spinal Surgeon

Robotics confer several advantages when used in spinal surgery. First, the accuracy of screw placement is enhanced compared to those inserted freehand, with some studies reporting a misplacement rate approaching zero. Second, exposure to fluoroscopy is significantly reduced, benefitting not only the patient but also the surgeon and other operating theatre personnel.

A medicolegal perspective on spinal tumours

Spinal tumours are rare but serious, often causing pain and neurological decline. Most are secondary cancers from other sites. Early MRI is crucial due to vague symptoms. Treatment includes surgery, radiotherapy, and chemotherapy, aiming to relieve symptoms and preserve function. Despite risks, rehab can significantly improve quality of life.

Cauda Equina Syndrome following lumbar spine procedures

Cauda equina syndrome (CES) is a compressive neuropathy of the nerve roots that leave the lower end of the spinal cord, which is a relatively rare complication following lumbar disc surgery (possibly due to underreporting).