Computers Shrink Orthopedic Surgeons' RolesComputers already fly airplanes and direct trains. They can beat humans at the games of Go, chess, and Jeopardy! How long before they can make diagnoses and perform surgery?
The technical barriers are falling fast, experts say. Soon, it may only be a matter of preference that keeps human surgeons in charge. And orthopedics could among the first specialties to feel the change.
Orthopedic surgery lends itself to robotic surgery because the bones and soft tissue that orthopedic surgeons treat are relatively easy to image accurately. Already, the specialty makes use of robots for multiple procedures.
Helpful Virtual Tools for Orthopedic Surgeons
Virtual reality simulated training and procedural videos are gaining popularity among surgeons. Not only do they allow users to view how to perform a procedure, but they also enable surgeons to try complex procedures and determine which one will lead to the best outcomes for patients. Jon J.P. Warner, MD To find out more about simulated trainings and preoperative planning, Medscape editor Anya Romanowski interviewed Jon J.P. Warner, MD, who is a co-owner and board member of VuMedi, a popular video education platform for surgeons. Dr Warner is chief of the Massachusetts General Hospital Shoulder Service, professor of orthopedic surgery at Harvard Medical School, and co-director of the Boston Shoulder Institute. Utilizing Simulation Software for Preop Planning
Valuable Tools for Spinal Surgery PlanningAdult spinal deformity (ASD), a deviation in the alignment of the spinal column, can significantly affect an individual’s quality of life. According to the Hospital for Special Surgery (HSS), patients seeking medical intervention typically fall into one of five categories of deformities: (1) a curvature of the spine from childhood or adolescence that has become more symptomatic in adulthood, (2) an injury-related deformity, (3) a collapsed vertebra caused by osteoporosis, (4) a focal problem that led to degenerative changes to the spine, or (5) a need for revision surgery owing to wear and tear or to the position of a previous fusion. Frank J. Schwab, MD Medscape recently interviewed Frank J. Schwab, MD, the new Chief of Spine Service at HSS, who developed a descriptive classification for ASD and a software program (Surgimap) to assist surgeons in studying spinal deformities and surgical planning.ditor Anya Romanowski interviewed Jon J.P. Warner, MD, who is a co-owner and board member of VuMedi, a popular video education platform for surgeons. Dr Warner is chief of the Massachusetts General Hospital Shoulder Service, professor of orthopedic surgery at Harvard Medical School, and co-director of the Boston Shoulder Institute. Utilizing Simulation Software for Preop Planning
Multidisciplinary Review Reduces Unnecessary Lumbar SurgeriesLOS ANGELES — The review of patients scheduled for lumbar spine surgery by a multidisciplinary team of specialists significantly alters decision making and in a large percentage of cases avoids unnecessary and costly surgeries, a new study shows.
“When nonsurgeons are empowered to make decisions, nearly 60% of patients who were recommended surgery were found to have nonsurgical options,” first author, Vijay Yanamadala, MD, said in presenting the study here at the American Association of Neurological Surgeons (AANS) 2017 Annual Meeting.
With lumbar spine surgery increasing eight-fold over the past 30 years and a troubling number of randomized controlled trials showing overall outcomes to be no better than those seen with nonoperative care, centers are increasingly subjecting such cases to review by a broad range of specialists instead of just following the recommendation of a single surgeon, the researchers note.
At Virginia Mason Medical Center in Seattle, Washington, where Dr Yanamadala is a complex spine surgery fellow under Rajiv Sethi, MD, the multidisciplinary specialists can include anesthesiologists, pain specialists, rehabilitation specialists, neurosurgeons, orthopedic spine surgeons, physical and occupational therapists, and nursing staff.
Minimally Invasive Surgery Versus Open Surgery Spinal Fusion for Spondylolisthesis
Abstract Study Design. Systematic review and meta-analysis. Objective. Compare minimally invasive surgery (MIS) and open surgery (OS) spinal fusion outcomes for the treatment of spondylolisthesis. Summary of Background Data. OS spinal fusion is an interventional option for patients with spinal disease who have failed conservative therapy. During the past decade, MIS approaches have increasingly been used, with potential benefits of reduced surgical trauma, postoperative pain, and length of hospital stay. However, current literature consists of single-center, low-quality studies with no review of approaches specific to spondylolisthesis only. Methods. This first systematic review of the literature regarding MIS and OS spinal fusion for spondylolisthesis treatment was performed using the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines for article identification, screening, eligibility, and inclusion. Electronic literature search of Medline/PubMed, Cochrane, EMBASE, and Scopus databases yielded 2489 articles. These articles were screened against established criteria for inclusion into this study.