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Roy Philips recently announced that the first patients were successfully treated using its innovative 3D Augmented Reality (AR) spine navigation solution at the Children's Hospital of Sant Joan de Déu Barcelona and the Armed Forces Hospital in Oman in Spain. In both cases, surgeons used the Philips integrated Spine Suite solution, which offers the company's Azurion Hybrid Operating Room (OR) with ClarifEye; This solution is an industry first that combines 2D and 3D visualizations with low X-ray dose 3D AR navigation in a single system. This allows surgeons to identify and navigate the critical path using this advanced real-time image guide for precise device placement in both open and minimally invasive spine procedures. The first patient treated with ClarifEye at the Children's Hospital of Sant Joan de Déu Barcelona involved open image-guided surgery in a 12-year-old patient with severe congenital spondylolisthesis, a condition in which the spine is misaligned due to a defect in one of the joints. Left untreated, it can affect quality of life and increase the risk of various chronic diseases. Using Philips' spine solution, pedicle screws were successfully placed at four spine levels to join several lumbar vertebrae. “The level of success of this surgery would not have been possible to achieve without ClarifEye,” said Dr Alejandro Peiró, surgeon and pediatric traumatologist Orthopedic at Sant Joan de Deu Barcelona Children's Hospital. A 51-year-old adult patient with multilevel degenerative lumbar stenosis, narrowing of the spinal canal in the lower back, was successfully treated using minimally invasive techniques at the Armed Forces Hospital in Muscat, Oman. Oman, Head of Department of Orthopedics and Spine Surgery at Hospital MoD Dr. “Philips' new technology enables us to perform less invasive procedures and produce better outcomes for patients with spinal conditions,” said Ahmed Al Jahwari. “With the high quality of the intraoperative cone beam CT imaging and the positioning flexibility of the ClarifEye system, we can ensure that the implants are in place, reducing post-operative CT scans to check implant placements.” Increased clinical accuracy and improved outcomes Treatment of spinal conditions can often be complex and delicate. Surgeons should take special care to avoid sensitive neurological and vascular structures close to the spine. Such procedures have traditionally been an 'open surgery' in which surgeons manually manipulate the patient's spine to insert implants such as pedicle screws. As technology has progressed, there has been a shift to the use of minimally invasive techniques such as making small incisions in the patient's skin, minimizing blood loss and soft tissue damage and thus reducing post-operative pain. With either approach, surgeons can now use ClarifEye's real-time imaging and 3D navigation. Intraoperative image guidance improves clinical accuracy and improves outcomes, with patients undergoing less revision surgery compared to previous standard of care. Science Reports showed that ClarifEye outperformed open surgical pedicle screw insertion without accurate 3D navigation (89% versus 94%). ,6). In addition, data from a clinical trial using ClarifEye showed 98% accuracy in pedicle screw placement during minimally invasive procedures. Increasing international adoption ClarifEye Augmented Reality Surgical Navigation was introduced earlier this year. Facilities in Spain and Oman, Schleswig-Holstein University Medical Center in Kiel, Germany, Karolinska University Hospital in Sweden, Regional Hospital in Lugano, Switzerland and complement the growing ecosystem of international innovation partners adopting this new solution. University Hospital Strasbourg, France. "We are excited about the increased international reach of ClarifEye and that more hospitals and patients are experiencing its benefits first hand," said Karim Boussebaa, Managing Director, Image Guided Therapy Systems, Philips. The latest addition to the Spine Suite, ClarifEye adds a new dimension to surgical precision for patients. This is a great example of how we are innovating procedures and helping clinicians achieve the Quadruple Goal of better health outcomes, improved patient experience and staff satisfaction, and lower cost of care." Philips is a pioneer in Hybrid OR solutions and innovative surgical navigation technology that helps surgeons perform image-guided, open and minimally invasive spine surgery. When performing delicate tasks in spine procedures, accuracy is essential to achieve the best outcome for patients. Integration between ClarifEye and the Philips Image Guided Therapy System – Azurion offers key benefits such as intraoperative cone beam CT scanning with superior image quality at managed doses, 3D spine model-based planning for each pedicle, live augmented reality guidance and intraoperative validation. Unlike more traditional surgical navigation methods, it allows physicians to focus on the patient and procedures while improving the surgical workflow. * A common example of a spine procedure is spinal fusion, which involves the permanent attachment of two or more vertebrae (the bones that make up the spine) to achieve better stability, correct a deformity, or reduce pain. https://www.spinalsurgerynews.com/2021/12/philips-expands-augmented-reality-surgical-navigation-to-two-new-international-sites-with-successful-clinical-outcomes/82736

Early Onset Scoliosis (EOS) is a spinal pathology that begins before the age of 10 and is defined as ≥10° curvature of the spine in the frontal plane. The most severe risk associated with EOS is the development of Thoracic Insufficiency Syndrome (TYS), which is defined as the inability of the thorax to support normal respiratory function and lung development, which can lead to increased morbidity and mortality. Both surgical and non-surgical treatment options have been proposed. A brace and cast may be effective for less severe curves, but surgical intervention may be necessary in more acute cases. The most widely adopted surgical treatment is based on distraction-based structures, implants that correct the main curve while allowing spinal growth through extensible rods. Magnetically Controlled Growing Rods (MBDs), used in the surgical treatment of severe early-onset scoliosis (EOS), are a distraction-based system that enables the ambulatory distraction procedure, while the alternative system, Traditional Growing Rods (TGRs), requires repetitive invasive surgeries. Perform implant lengthening with an increased risk of complications and burden for patients and their families. MSDSs are a relatively new technology, with the first prospective patient series bars published in 2012. The commercially available MKBF system is the MAGnetic Expansion Control stick manufactured by NuVasive (Nuvasive Specialized Orthopedics, San Diego, CA). Since initial use, 7 design iterations have been commercially available, with the latest (still implanted) MAGEC 1.3, 2.0,2.1 and MAGEC X first deployed in mid-2017. The most significant design change introduced with the latest rod design has been the end cap component development aimed at improving the sealing system between the extension rod and the internal mechanism. Concerns have been expressed recently about the risks associated with the use of IDBs. The latest design iteration (MAGEC X) was recalled in 2020 following an Emergency Field Safety Notice (FSN) describing a 0.5% post-implantation probability of an actuator end cap component detachment. A Field Safety Notice (SGB) was issued in the UK on 1 April 2020 by the manufacturer voluntarily suspending the supply of all MAGEC rods. The same day, the Medicines and Healthcare Products Regulatory Authority (MHRA, UK) issued an MDA advising surgeons not to implant MAGEC rods in the UK and Republic of Ireland until further notice. In the EU, on April 5, 2021, NuVasive issued a company statement announcing the temporary suspension of CE marking due to evidence gaps for the MAGEC system. SGB ​​states that failure of the implant in vivo can manifest as locking pin breakage, O-ring seal failure, metal wear debris, and rod distraction failure. In the US, the FDA approved in July 2020 a modified version of the MAGEC Model X bar designed to reduce end cap separation incidents. Additionally, in early 2021, the FDA began receiving reports with MAGEC devices describing local tissue reactions potentially associated with end-cap separation events. MAGEC X-modified implants are currently implanted in the US while not in the EU. Given the complex regulatory environment, post-market surveillance plays an important role in assessing the safety and effectiveness of IDBFs. At the Royal National Orthopedic Hospital (RNOH) Implant Science Centre, we collected over 200 explanted MBDs from the United Kingdom and the Republic of Ireland. Every implant received at our center goes through several testing steps, which we generally describe as 'retrieval analysis': 1) visual assessment of external damage; 2) plain radiographs to identify drive pin fracture in the internal mechanism; 3) functional tests to assess the distraction/force generation ability of the implants; 4) disassembly to assess the state of the internal mechanism. With the retrieval analysis of these implants, Evaluation of the performance of MBDs includes the combined evaluation of surgery, implant, and patient risk factors. Surgical factors to consider include (but are not limited to): rod configuration, shaping, positioning, fixation technique, and lengthening protocol. These surgical choices are highly influenced by patient factors such as the patient's major curve size, age, or BMI. Several studies have been published on the evaluation of implant performance through rollback analysis, which analyzes the failure of the distraction mechanism due to breakage of a drive pin, wear patterns in the telescopic region of the implant. force produced and rod elongation at the explant. We recommend that all new implant designs include take-back analysis in their post-market surveillance. https://www.spinalsurgerynews.com/2021/10/the-use-of-magnetically-controlled-growing-rods-in-the-spine/78150

A A team of US-based researchers has used an innovative head-worn device to shrink a brain tumor, potentially paving the way for a powerful new non-invasive treatment for glioblastoma. In recent studies, the team – which includes researchers based at the Peak Center for Brain and Pituitary Tumor Treatment and Research at the Houston Methodist Neurological Institute – found that the device, which produces an oscillating magnetic field, called an “oncomagnetic device,” was able to rapidly kill glioblastoma cells in culture and implant it in mice. Shrinks human glioblastoma tumors and prolongs their survival. The device was also used to shrink end-stage recurrent glioblastoma in a patient who did not have access to any other approved treatment options. Researchers describe the results of this case study in Frontiers in Oncology. As co-author Santosh Helekar of the Houston Methodist Research Institute explains, the portable, wearable device consists of "powerful permanent magnets rapidly rotated by high-speed electric motors whose rotation and timing are controlled by a programmable microcontroller powered by a rechargeable battery." Magnet and motor assemblies are housed in vibration, sound and heat insulated enclosures mounted on a helmet worn by the patient. A therapy-specific rotational frequencies and timing pattern is then used to stimulate the brain to treat the glioblastoma. Glioblastoma is the most common cancer of the brain. Helekar observes that advances in his treatment have only slightly extended the median survival of patients newly diagnosed with the disease - from nine months forty years ago to "about 15 to 20 months today." Hopefully, this single-patient case report demonstrated that one month of oncomagnetic therapy with an oscillating magnetic field for two hours up to three times a day on weekdays reduced the volume of end-stage recurrent glioblastoma. More than 30%. Helekar notes that the new technique is currently being used in both research and clinical settings under the auspices of an ongoing research project supported by the Houston Methodist Research Institute's Translational Research Initiative. Cancer cell death: Schema of the oncomagnetic device and its proposed mechanism of action. (Courtesy: Santosh Helekar) “Our recently published laboratory research findings show that the oncomagnetic device kills glioblastoma and other cancer cells in culture by increasing reactive oxygen species [ROS] in the mitochondria and cytoplasm of these cells, sparing non-cancerous cells such as neurons, astrocytes, and non-cancerous bronchial epithelial cells,” explains Helekar. “We hypothesize that the increase in reactive oxygen species is at least partially due to magnetically-induced disruption of electron flow in the mitochondrial electron transport chain,” he continues. "Rotating magnetic fields affect the spins of unpaired electrons that are replaced by free radical intermediates in chemical reactions involved in the non-moving transmembrane protein complexes of the electron transport chain. Confirmation of some predictions of this hypothesis will be published shortly." Next steps A key advantage of the new device is that it has no known serious side effects, unlike existing treatments for glioblastoma. It also does not require drug treatment and does not require shaving of the head. "The total daily treatment time on weekdays is only up to six hours," says Helekar. “The device is likely to be much cheaper due to its low cost and simplicity. The device is very easy and convenient to use because it involves wearing a helmet up to three times a day.” Multimodal spectroscopy detects brain tumors in vivo The team is currently conducting laboratory-based preclinical studies of the device to test its biophysical, cellular and molecular mechanisms of action on cells in culture, as well as its safety and efficacy in mouse models of glioblastoma. “Together with David Baskin, Peak Center director and vice president of neurosurgery as principal investigator, we continue the FDA-approved compassionate use treatment of patients with end-stage recurrent glioblastoma, as reported in a recently published case report.” says Helekar. “Our plans are to obtain regulatory approval for a pilot clinical trial to test the safety and efficacy of the device for the treatment of glioblastoma. We also plan to collaborate with other national and international institutions to conduct similar research in other types of cancer.” https://physicsworld.com/a/head-mounted-magnetic-device-shrinks-brain-tumour/

For the first time in New England, a neurosurgery team led by John H. Shin, MD, Director of Spine Deformity and Oncology Surgery and the Kingdon-Saylor Endowed Chair in Spine Neurosurgery at Massachusetts General Hospital (MGH), introduced augmented reality (AR). ) technology to the operating room while performing spine surgery. This new technology can improve surgeons' visualization of anatomy and critical structures, making complex surgery safer and more accurate. Surgeon's view with augmented reality AR is defined as technology that overlays a computer-generated image over the user's view of the real world. This allows the individual to gain an enhanced view of natural environments or situations with information not typically visible to the naked eye. Neurosurgeons are now turning to AR technology to improve patient outcomes by increasing the accuracy of spinal instrumentation placement so that the surgical plans executed match the preoperative plans discussed with each patient. When using AR, neurosurgeons wear headsets that provide computer-generated images of CT scans to the eyepieces, displaying information superimposed on the physical reality of the process in real time. Similar to GPS navigation, this technology displays computer-based surgical navigation guidance into the surgeon's field of view so surgeons can keep their eyes and hands in the field. "Our spine surgeons at MGH Neurosurgery are really excited to bring this technology to patients. When we do spine surgery, we typically work within millimeters of critical structures such as the spinal cord, nerves, and blood vessels," Shin says. “The risks are extremely high for minimally invasive or complex reconstruction surgeries. This technology not only helps us plan and perform these surgeries, it also helps ensure accuracy while minimizing surgical risks and complications. As neurosurgeons, our top priority is patients' safety. " The use of AR technology in neurosurgery also improves training opportunities for neurosurgery trainees. “Incorporating advanced technologies such as AR into our residency and fellowship programs is critical to fostering innovation in our field and educating future leaders in spine surgery,” he added. https://www.massgeneral.org/news/hotline/Augmented-reality-technology-paves-the-way-for-safer-spine-surgery

Johns Hopkins Medicine researchers provided evidence that spinal tumors were treated with "fractionated" radiation therapy in an animal study published October 1, 2021 in the International Journal of Radiation Oncology, Biology and Physics. one treatment—helps prevent vertebral compression fractures. Timothy Witham, director of the Johns Hopkins Medicine Spinal Fusion Laboratory; Alexander Perdomo-Pantoja, MD, a postdoctoral fellow at the Johns Hopkins University School of Medicine; and Christina Holmes, a former Johns Hopkins Medicine postdoctoral fellow, now at Florida State University, worked with colleagues on this research to investigate the effects of radiation therapy on spinal bone structure. The team studied two ways to deliver radiation in rabbit models. One group of rabbits received a single radiation dose of 24 Gray (Gy - a typical chest x-ray is 1/10,000 Gy), while the second group received a total of three doses of 8 Gy. A control group of rabbits was not irradiated. Next, the researchers analyzed the microstructure and morphology of the bones in the irradiated regions, tested the spinal biomechanics (stiffness and fracture load) of the exposed vertebrae, and examined the bone cellular properties in these regions. Based on their findings, Witham and colleagues concluded that bone was less affected when high-dose radiation therapy was divided into fractions rather than administered in a single dose. "The beauty of this model is that we can look at the three-dimensional structure of bone to measure its quality, density, and interdependence of structure," says Holmes. "This model was specifically designed to better understand how localized radiation causes vertebral changes in patients that ultimately lead to fractures," says Perdomo-Pantoja. "Our team found that bone samples that received a single high dose of radiation fracture more easily than those given smaller doses in separate sessions, which is associated with the microstructural and cellular damage we observed in that group." The researchers then plan to examine the timeline of bone fractures during radiation to better understand how and why they occur. They say the insight will get them to start considering preventative treatments. “Once we make a discovery in the lab and try to ensure that it has a direct impact on patient care, it can take a long time,” Witham says. "Our current project has taken several years, but the results can be directly translated clinically. Based on this work, we can immediately recommend oncologists to use fractional radiation dose in their practice and hopefully prevent further suffering." https://www.hopkinsmedicine.org/news/newsroom/news-releases/spines-exposed-to-single-radiation-dose-more-prone-to-breaks-than-if-therapy-spread-out

New research shows that minimally invasive spine surgery results in a significantly lower incidence of dural rupture and complications compared to open surgery in patients with degenerative lumbar pathologies. The study, whose findings were presented by Ayush Sharma (Dr. BAM Hospital, Mumbai, India) at the Global Spine Congress annual meeting (3-6 November 2021, Paris, France), included 420 degenerative lumbar pathology cases operated on. with at least six months of prospective follow-up. The cases were divided into open and minimally invasive surgery (MIS) groups. There were 156 patients who underwent MIS surgery, compared with 264 who underwent open surgery. The majority of the study participants were between the ages of 41-60 (48% in MIS patients and 64.4% in open cases). Incidental durotomy was documented in 52 (12%) cases. When the two groups were compared, the incidence of dural tear in the MIS group (6.4%) was significantly lower than in the open group (15.7%; p<0.05). In further analysis, the incidence of dural tears was comparable between the two groups for decompression and fusion surgeries, depending on the type of surgery, while the MIS group had a lower incidence of dural tears for discectomy and revision surgeries. Permanent dural leak or pseudo-meningocele revision was performed in four patients in the open group, but revision surgery was not performed in any of the patients in the MIS group due to complications due to dural rupture. Age, gender, and distribution of risk factors were comparable between the two groups. The incidence of dural tears was significantly higher in patients with a high Body Mass Index (BMI) and diabetes mellitus, and in those who had revision surgery, regardless of the surgical approach (p<0.05). Speaking to Spinal News International, Sharma said: "During discectomy, the MIS approach mainly involved flavectomy, or a small laminotomy in which a small amount of ligamentum flavum or lamina is removed to approach the disc. The amount of laminectomy or flavectomy in the open approach is relatively large. “This may explain why the MIS approach has a lower risk of dural rupture in discectomy cases. For revision surgery, too, the tubular approach allows the surgeon to bypass midline scar tissue and fibrosis, resulting in a reduced chance of incidental dural rupture.”

According to the results of a study conducted in the United States (USA), the Delta variant of the dangerous corona virus does not cause a more severe Covid-19 disease in children than other variants. According to a study by the US Centers for Disease Control and Prevention, the rate of severe COVID-19 in children is not much different than it was in January 2021, when the Alpha variant of the virus marked the epidemic. The research also reveals that the vaccine provides a very high level of protection in young people. In the USA, the rate of hospitalization of children up to 17 years old due to corona virus seems to increase. In mid-August, it was reported that this rate was 1.4 per 100 thousand population. On the increase, scientists compared the 3,100 cases of hospitalizations recorded in January with 164 cases of children and teenagers recently hospitalized for the Delta variant. As a result, it was announced that there was not much difference between the two in the process of overcoming the disease. IN JANUARY INVESTMENT RATE OF INTENSIVE CARE WAS 26.5 PERCENT Scientists examining whether the Covid-19 disease, caused by Delta and Alpha variants of the Corona virus, causes a more severe disease process in children, also shared data on intensive care. According to this, the rate of those who were taken to intensive care among children and young people who caught Covid-19 and were hospitalized during the period when the Alpha variant was dominant in January 2021 was 26.5 percent. It was reported that this rate was around 23.3 percent in the last period, which was marked by the Delta variant. While 6.1 percent of them were intubated before the Delta variant, it was stated that this rate was 9.8 percent in the Delta variant. While it was stated that the differences caused by the two variants in the progression of the disease in children were not statistically significant, it was pointed out that scientists should examine other data in order to reach a definite conclusion. In the USA, children can be vaccinated from the age of 12. It was noted that 59 percent of the 68 young people hospitalized in the country between 20 June and 31 July were not vaccinated, five of them had only the first dose, and only four of them had full protection as two doses. Based on this, it was noted that unvaccinated children with Covid-19 were ten times more likely to be hospitalized compared to vaccinated children. https://www.diken.com.tr/arastirma-delta-varyanti-cocuklarda-daha-agir-gecmiyor/

Spinal canal stenosis, which manifests itself more in advanced ages, is among the common causes of back and leg pain and dysfunction; It significantly reduces the quality of life of the person it knocks on. What are the symptoms of spinal canal stenosis? Calcification of the joints, changes in the bone and connective tissues around the spinal cord and nerve root canal, and wear of the discs between the vertebrae are symptoms of narrow spinal canal. The disease manifests itself most frequently with low back pain, leg pain, hip-to-leg pain that prevents walking, and urinary incontinence. The quality of life of people who apply with these complaints gradually decreases. Complaints of people depend on the posture of the body and increase with upright and weight-bearing positions, and decrease with forward leaning or unloaded postures. How is spinal canal stenosis treated? Narrow spinal canal disease is primarily tried to be treated with painkillers, injections to the waist and physical therapy. In cases where these methods fail, the only option is to surgically widen the spinal canal. The purpose of the surgical treatment of the narrow spinal canal causing the complaint; It is to protect many anatomical structures and the biomechanical function (load-bearing and mobility) of the lumbar spine while removing the compression of the spinal cord and the nerves coming out of it. Traditional surgical methods are performed by removing bone tissue in a large area. Thus, the spinal cord and nervous tissue are relieved, but this leads to the deterioration of the function of the spine. As a result, additional screw surgery is required for the patient. The long operation time, large amount of blood loss, painful and long post-operative recovery period and high failure rates are also the disadvantages of these old methods. Rapid developments in radiological imaging methods (MR) provide great benefit in the detailed detection of soft and bone tissues that cause spinal canal stenosis. In the microsurgery method applied, a 2–4 ​​cm skin incision (for 1–5 levels of stenosis) is made, depending on the level of congestion. It is entered by the leg that hurts the most, and proceeding through the canal, both sides are widened through the canal and the spinal cord and nerve tissues are relieved. With this surgical technique, which causes the least damage to the tissue on the entered side, the anatomical structures on the opposite side are not damaged at all. Since the weight-bearing and mobility of the spine is not impaired, the patient is carried out 3 hours after the operation and can even be discharged 4 hours after the operation. While there is no suture in the operation performed with the microsurgical method, the dressing can be removed and a bath can be made two days later. While the patient is allowed to sit and walk and go up and down stairs after the surgery, it is recommended that patients do not sit for more than 20 minutes at a time. The gymnastics program is started 15 days after the operation. The results obtained in spinal canal stenosis surgeries with microsurgery technique are extremely successful. This surgical technique is compared to other surgical techniques that the elderly are very afraid of; It is especially recommended because of the low bleeding, the possibility of returning to the social life of the person in a short time and the comfort of surgery.

75% of children admitted to the hospital due to trauma have head injuries. 55% are children under 5 years old. 25% are children under 2 years old. Central nervous system injuries are the most common cause of traumatic death in children, although mostly head injuries in children are moderate to mild. 10-13% of all pediatric head injuries requiring hospital treatment result in death. Such traumas; It may occur as a result of vehicle accident, falling, child abuse, recreational activities. In the clinical picture; loss of consciousness, vomiting, confusion, headache may be observed. Head X-ray, cranial USG (can be used in children under 1 year of age with open anterior fontanel) or cranial CT are preferably used in the diagnosis, considering the severity of the condition. Head injury types: Scalp injuries: These are cuts and abrasions on the skin. Skull fractures: May occur in one or more skull bones. It often does not require surgery. brain hemorrhages traumatic brain injuries Treatment is applied according to the severity of the patient. The neurosurgeon makes the decision to observe, hospitalize the patient or operate.

​​About 80% of us will experience spinal problems in one way or another throughout our lives. In most of us, this problem will come and go, but in a small part of us, the problem will continue and perhaps we will have surgery. The onset of spinal problems is around the age of 30. In general, the onset is neither too early nor too late. People forget that our spine is part of our central nervous system. We control our body with the messages our brain sends to millions of nerves. An unhealthy spine; It seriously affects our lives by causing symptoms such as numbness, tingling, weakness and pain in our arms and legs. Below are small warnings about how our spine can be healthier. good posture You remember your mother telling you, "Please don't lean forward, stand up straight!" Perhaps most of us do not pay attention to a condition that is critical to our spinal health and can be simply corrected. How about good posture? If your ears and shoulders are in line, you have good posture. What should you eat? You don't think diet affects your spine, do you? Protein-rich, healthy fats, plenty of fruit juice and vegetables strengthen our muscles that support the spine and provide us with a more upright posture. A little sunbathing every day Believe it or not, the sun has a miraculous effect on our bodies, including our spine. Sunbathing for 10-20 minutes daily provides the necessary vitamin D for our bones and spine. How long do we sleep? Studies show that lack of sleep increases neck and back problems. 6-8 hours of sleep is enough time for our spine to relax. do daily exercise

SURGERY IS THE ONLY WAY TO RELIEVE MY LUMBAR PAIN Answer: Wrong. Most of the diseases in our spine; pain relievers, hot/cold therapies and physical therapy. If your condition is not serious or there are no neurological changes such as urinary incontinence, difficulty walking, numbness, tingling, your doctor will first treat you without considering the surgical option. SURGERY TOTALLY PASSES MY BACK PAIN Answer: Sometimes. Following surgery, most patients can return to their normal activities. However, while spinal surgery corrects our spinal problems, restores functions and reduces pain, the pain does not go away completely for everyone. Correct diagnosis increases the chance of success of surgery. The important thing is to increase the quality of life in patients. Pain may recur in those who do not quit smoking or lose weight. IF I HAVE SURGERY ONCE, I WILL NEED SURGERY AGAIN IN THE FUTURE Answer: Usually, no. More complicated and multiple surgical procedures may be required to achieve spinal restoration in complex spinal traumas. These unusual cases aside, most people require only one surgical intervention. Your doctor will give you information about what to do after exercise and surgery. THE HEALING PERIOD AFTER SPINE SURGERY IS LONG AND PAINFUL Answer: Wrong. Patients need bed rest for a few days. However, he can return to work a week after the surgery. Your doctor will give you information about pain control during the recovery period. Minimally invasive spine surgery will give you a faster recovery with smaller incisions. MINIMALLY INVASIVE TECHNIQUES ARE THE MOST FREQUENTLY APPLIED PROCEDURES Answer: Correct. Most spinal diseases can be treated with minimally invasive surgery. Minimally invasive techniques cannot be applied in every surgical intervention. Minimally invasive techniques allow patients to recover faster than open techniques. It is generally the preferred method . MINIMAL INVASIVE SURGERY IS ALWAYS THE BEST OPTION IN SPINE SURGERY Answer: Wrong. While minimally invasive surgery is generally recommended, surgical indications may vary from person to person. In some cases, it is better to use traditional surgical methods. If the surgeon thinks that the minimally invasive method will not be sufficient, he may prefer traditional methods.

The spine consists of 33 vertebrae. The canal between the vertebrae of the spine contains the spinal cord, which is important for our lives. Currently, spinal problems are prevalent, especially in young people and the middle generation. Sometimes these problems can be solved on the operating table. Popularly known as spinal hernia, spinal hernia is one of the most serious diseases of the spine. The elastic structure of the intervertebral discs contributes to the mobility of the spine and its resistance to loading. There is a jelly-like area on the inside of the discs (pulpous nucleus) and a special layer on the outer surface (filrose ring). When this order is violated, the "grija" that we fear occurs. Lumbar hernia itself occurs after several stages. The condition is to prevent it at the previous stage. In the elderly, the intervertebral discs become loose and the discs lose their elasticity. Those who carry heavy loads, constant movement with a heavy load leads to this situation. People who do not hold their body upright and sit as if they are washing often get spinal disease. People with weak muscular systems and overweight people also face this situation. Those who have a sedentary job and sit in front of a computer for hours are also included here. Finally, those who are injured in an accident are among those who suffer from spinal cord injuries. Meanwhile, I would like to note that pregnant women should pay attention to the spine throughout the situation. Indifference to the body can be a problem in the future.