2018 AANS Annual Scientific Meeting-Charles Tator Lecture: Spinal Cord Injury: A 40-year Perspective

Video Transcription

Video Summary

In this video, Dr. Penzl gives a talk about spinal cord injury and its historical context. He begins by expressing his gratitude for being able to work with renowned neurosurgeon Dr. Mike Steinmetz. He then shares his personal journey in the field of spine trauma and highlights the significance of the Cleveland Clinic in his career. <br /><br />Dr. Penzl discusses the early pioneers who studied spinal cord injury in the early 1900s and the development of techniques such as the weight drop technique. He also emphasizes the important contributions of Sir Ludwig Guttmann, who established the Stoke Mandeville Hospital and organized the Stoke Mandeville Games, which later became the Paralympics. <br /><br />The video covers various topics related to spinal cord injury, including advancements in imaging, spinal shock, heat loss, spinal cord perfusion pressure, and the importance of nutrition. Dr. Penzl also discusses surgical advancements, including the use of fixation devices, laminectomies, and the treatment of gunshot wounds. <br /><br />He concludes by discussing future directions in the field, including pharmacological strategies, stem cells, and functional electrical stimulation. However, he expresses skepticism about the practicality and effectiveness of these approaches. Dr. Penzl emphasizes the importance of continued research, transparency about complications, and maintaining meaningful dialogue with patients and their families. The video ends with a reminder about the privilege of serving patients with spinal cord injuries.

Asset Caption

Edward C. Benzel, MD, FAANS

Keywords

spinal cord injury

historical context

neurosurgeon

Cleveland Clinic

early pioneers

advancements in imaging

surgical advancements