Prof. Shahzad Shams presently works as Head and Professor of Neurosurgery Department at Lahore General Hospital, LGH, Lahore.
LATEST TECHNIQUES OF ENDOSCOPIC MINIMALLY INVASIVE KEYHOLE SPINE SURGERY
Trauma to the spinal column occurs at an incidence of approximately 2-5/100000 population. Although the majority of spinal injuries do not affect the cord or spinal roots, about 10% will result in quadriplegia.
Adolescent and young adult males are the most commonly affected group.
Most of the serious spinal cord injuries are a consequence of road traffic accidents although there are other, major causes of quadriplegia, for example water sports, especially diving into shallow water, and injuries following skiing accidents
.Few years back spine surgery was done only from the posterior side of the vertebral column but now anterior approaches have also made a huge difference in the results.
These days for cervical spine anterior titanium cage fixation ,anterior plate fixation are done. Anteriorly peek material and charite mobile discsa are placed.
For thoracic spine anterior thoracotomy is done to fix spine anteriorly by using expandable titanium cages , lateral body fixation with screws and rods or plates. Posterior transpedicular fixation and Posterior Hartshill fixation with wires and rectangles are used.
For lumbosacral spine anterior retroperitoneal approaches are used and cage fixations can be done and poserioriorly transpedicular fixations are done .