Masterclasses in spinal surgery

Spinal Anaesthesia in Spinal Surgery

P-179: Spinal Anesthesia in Laparoscopic Surgery of Infertile Patients

Background: Laparoscopy is one of the most common surgical procedures. General anesthesia as the only suitable technique for laparoscopic procedures is a concept of the past. A problem with modern general anesthetics is that even though patients can be awake and oriented shortly after cessation of the anesthetic. There is growing evidence suggesting that regional anesthesia has an important rol...

Masterclasses in medicine Recurrent uric acid stones

A 46-year-old female had a history of recurrent uric acid stone formation, but the reason why uric acid precipitated in her urine was not obvious, because the rate of urate excretion was not high, urine volume was not low, and the pH in her 24-h urine was not low enough. In his discussion of the case, Professor McCance provided new insights into the pathophysiology of uric acid stone formation....

Anterior spinal surgery alone in the surgical treatment of thoracolumbar spinal tuberculosis: a prospective study

 Background: One of the important sites for extrapulmonary TB involvement is the skeleton. Tuberculous spondylitis (Pott’s disease) comprises 50-70% of the skeletal tuberculosis. Methods: In this case series study, we prospectively investigated the result of anterior surgery alone (anterior debridement, fusion and instrumentation) in the patients with spinal tuberculosis. The patients with imma...

Instrumentation in spinal surgery.

As a result of rapid advances in the field of spinal instrumentation, the surgeon today has at his disposal many well-designed implants, such as pedicle screws, hooks, rods, plates, and interbody fusion devices. Many of these implants are modular and are used in combination, such as hooks and screws attached to rods, allowing the surgeon flexibility in selecting the appropriate implants to meet...