Spine surgeons, regardless of specialty, seem to achieve equivalent outcomes. Synergy in Having Co-Surgeons Research shows that when an orthopedic surgeon and a neurosurgeon who are properly trained perform a spinal surgical procedure as a team, patient safety rates improve dramatically. The research, which evaluated patients, found that after surgery performed by a neurosurgeon and an orthopedic surgeon working together, patients were three times less likely to develop major complications such as wound infection, deep vein thrombosis, pulmonary embolism, and urinary tract infections.
Patients were also less likely to have to return to the operating room within 90 days after surgery. Sethi, M. Another research study published in Spine Deformity in evaluated the two-surgeon theory for pedicle subtraction osteotomies that restore the normal curvature of the spine. This is a very challenging procedure for any spine surgeon. It has a high complication rate and it places a substantial physical burden on the patient. The cases of 78 patients were studied for estimated blood loss, length of surgery, length of hospital stay, rate of return to the operating room within 30 days, and medical and neurological complications.
This approach also may decrease the rate of premature case termination and return to operating room in 30 days. We work very closely with Dr. Any surgery involving anatomy in close proximity to the nerves of the spinal column is a big deal. The risks are significant. Again, both orthopaedic spine surgeons and neurosurgeons train side-by-side learning the same techniques and procedures, and the line between them is becoming less and less definite. Selecting a board-certified and fellowship-trained surgeon ensures the doctor has been properly trained and prepared for the risks and magnitude of back and neck surgeries.
Grady McBride, M. Goll, M. Weber, D. Patients are diagnosed by digital x-ray and magnetic resonance imaging MRI scans, as well as electromyography EMG studies to test the integrity and functionality of nerves. Patients recover with an emphasis on education in spinal pain and injury prevention, physical therapy and rehabilitation, including exercises and bracing. Specialists at Orlando Orthopaedic Center educate patients about all of their options for treatments empowering them to be involved in the decision of which treatment is best for them.
As a referring physician, it is important to familiarize yourself with local spine specialists who can help prevent, diagnose, treat and rehabilitate your patients experiencing spinal conditions, injuries and pain.
Patients are treated in facilities featuring the latest technologies in prevention, diagnosis, treatment and rehabilitation.
If surgery is required, nerves and spinal stability are of utmost concern. Pain is managed and, in many cases, eliminated in the least invasive way so patients can get back to work and enjoy a pain-free quality of life. Orthopaedic Spine Surgeon. The number of surgeries available for each resident to be trained should not vary.
This means that the average individual resident often gets more surgical experience during neurosurgical residency than orthopedic residency. Lastly, since neurosurgeons are specifically trained to preserve and work carefully around the nervous system, some argue that treating conditions compressing the nerves such as disc herniations, spondylolisthesis or tumors are better treated by a neurosurgeon. This of course is a subjective opinion.
Scoliosis, on the other hand, which involves primarily correcting the bone alignment may be better treated by orthopedic spine surgeons. Again, this is subjective as neurosurgeons also treat scoliosis. No matter which specialty spine surgeon you see, verify their outcomes. This is best achieved by knowing someone else who had surgery with this provider.
Internet rating sites can be highly manipulated and misleading. However, multiple recent studies have researched general cost and complication rates between neurosurgery and orthopedic specialists. In a recent study comparing the cost of fusion, the differences in cost did not appear to vary between specialty but more so between individual surgeons. Some surgeons operate at surgery centers where they are a partial owner.
Some surgeons have contracts with instrumentation companies and only implant expensive instrumentation which makes them more money. However, when it comes to surgical care for the spine, there are two types of specialists who are trained to perform spine surgery: orthopedic spine surgeons and neurosurgeons. Because the spine is a highly complex and critical component of the human body, it is important that patients know which type of surgeon to seek surgical treatment from when they are experiencing a spine-related injury or condition, such as neck pain, scoliosis, or spinal stenosis.
Both surgeons are highly skilled specialists with extensive medical training; however, what differs between orthopedic surgeons specializing in spine care and neurosurgeons lies in the focus of their surgical practices as well as in their training. An orthopedic surgeon is a medical doctor or a doctor of osteopathic medicine that has completed a five-year residency in orthopedic surgery.
This residency focuses on the treatment of the musculoskeletal system and provides the surgeon with an in-depth knowledge of the body's bones, joints, muscles, tendons, and ligaments, just like a general orthopedic surgeon. Following residency, the surgeon will complete a year of fellowship training that is exclusively focused on the spine as well as spine surgery. As orthopedic surgeons, orthopedic spine doctors concentrate primarily on repairing problems of the cervical, thoracic, and lumbar spinal anatomy.
These surgeons spend every day assessing, diagnosing, and treating patients with spine-related injuries and conditions, including:.
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