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History of cervical spine surgery : from nihilism to advanced reconstructive surgery

DWEIK A; VAN DEN BRANDE E; KOSSMANN T; MAAS AI
SPINAL CORD , 2013, vol. 51, n° 11, p. 809-814
Doc n°: 165468
Localisation : Centre de Réadaptation de Lay St Christophe

D.O.I. : http://dx.doi.org/DOI:10.1038/sc.2013.107
Descripteurs : CA71 - TRAITEMENT CHIRURGICAL - RACHIS

Review of literature.Objectives:To review and analyze the evolution
of cervical spine surgery from ancient times to current practice. The aim is to
present an accessible overview, primarily intended for a broad
readership.Methods:Descriptive literature review and analysis of the development
of cervical spine surgery from the prehistoric era until today.Results:The first
evidence for surgical treatment of spinal disorders dates back to approximately
1500 BC. Conservative approaches to treatment have been the hallmark for
thousands of years, but over the past 50 years progress has been rapid. We
illustrate how nations have added elements to this complex subject and how
knowledge has surpassed borders and language barriers. Transferral of knowledge
occurred from Babylon (Bagdad) to Old Egypt, to the Greek and Roman empires and
finally via the Middle East (Bagdad and Damascus) back to Europe. Recent advances
in the field of anesthesia, imaging and spinal instrumentation have changed
long-standing nihilism in the treatment of cervical spine pathologies to the
current practice of advanced reconstructive surgery of the cervical spine. A
critical approach to the evaluation of benefits and complications of these
advanced surgical techniques for treatment of cervical spine disorders is
required.Conclusion:Advances in surgery now permit full mechanical reconstruction
of the cervical spine. However, despite substantial experimental progress, spinal
cord repair and restoration of lost functions remain a challenge. Modern surgeons
are still looking for the best way to manage spine disorders.

Langue : ANGLAIS

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