Surgical Mishaps (Spine)-Surgical Mishaps (Spine)

Video Transcription

Video Summary

The conference session featured various speakers discussing a range of topics related to surgical mishaps and innovations in spine surgery. Dr. Jacob Greenberg kicked off with a presentation on when to anticoagulate patients after spine tumor surgery, using a case study to highlight the complexities and lack of comprehensive guidelines in managing thromboembolic risks post-surgery. Dr. Janjua discussed cost-effectiveness in minimally invasive surgeries for adult spinal deformity, stressing the importance of avoiding revisions to maintain cost-effectiveness. <br /><br />Dr. DiGiorgio covered vertebral artery injuries during anterior cervical discectomy and fusion (ACDF), offering preventive measures and management strategies, including potential endovascular interventions. Dr. Veeravagu examined how to handle asymptomatic misplaced screws in the foramen transversarium, highlighting the need for careful vertebral artery evaluation and possible endovascular management.<br /><br />Dr. Oppenlander presented on the risks of interbody cage misplacement leading to anterior longitudinal ligament violation, emphasizing preoperative planning to prevent it. Dr. Uribe addressed vascular injuries during lateral fusions, advocating for maintaining surgical composure and possible post-op imaging to assess vessel statuses.<br /><br />Dr. Shaffrey talked about managing proximal junctional kyphosis, presenting various surgical extension strategies to maintain spinal alignment. Dr. Steinmetz discussed managing spinal fractures in patients on clopidogrel, focusing on platelet management strategies and surgical timing, while also addressing the broader responsibility of careful opioid prescribing post-operatively, as presented by Dr. Chakar.<br /><br />Finally, additional research presented by other speakers covered topics such as the association of dynamic instability and muscle health in degenerative spondylolisthesis, evaluating interbody cage placement in surgical outcomes, and the impact of irritable bowel syndrome on surgical complexity and perioperative parameters. The session concluded with a focus on improving patient outcomes through targeted treatment strategies and surgical precision.

Keywords

pituitary adenomas

minimally invasive surgery

diagnosis

treatment options

surgical intervention

symptoms

sellar region

Dr. Manish Aghi

surgical mishaps

spine surgery innovations

anticoagulation

thromboembolic risks

vertebral artery injuries

anterior cervical discectomy

interbody cage misplacement

vascular injuries

proximal junctional kyphosis

spinal fracture management

degenerative spondylolisthesis

surgical precision