GP Symposium Series 2019
Optimising Outcomes after Spinal Surgery
Professor Richard Bittar, Neurosurgeon & Spinal Surgeon
A range of advanced spinal surgical procedures are now used to treat a range of pathologies which have failed to respond to conservative management. These include keyhole surgery, minimally invasive surgery, robotic spinal surgery and artificial disc replacement. Whilst outcomes are improving, a number of patients either fail to benefit or lose an early benefit weeks or months later. There are numerous factors that can contribute to poor outcomes after spinal surgery, and this provides GPs and surgeons an opportunity to intervene in a way that maximises the chance of a satisfying outcome.
1. Identify the range of factors which can contribute to poor outcomes following spinal surgery
2. Recognise ways of modifying key risk factors and managing patients perioperatively in a way which improves the chance of a good outcome.
Neck Pain and Brachialgia: Diagnosis and Cervical Spine Surgery in 2019
Dr Hazem Akil, Neurosurgeon & Spinal Surgeon
Cervical spine pathology increases with age, and can cause debilitating neck pain, arm pain and headaches. Keyhole surgery, minimally invasive surgery, and artificial disc replacement are employed increasingly. What is their role? Do they work? Which patients may be suitable? Sinister causes of neck pain, concentrating on their early recognition and investigation, will be discussed. The post-operative management of patients after discharge will also be explored.
1. Identify the presentation of cervical spine pathology, its investigation, and the range of treatment options
2. Assess the role of artificial disc replacement (arthroplasty) as an alternative to fusion
Interventional Neck Pain Management- To Block or Not to Block?
Dr Symon McCallum, Pain Specialist
Interventional pain management options for neck pain have exploded in recent years, in terms of both diagnostic and therapeutic strategies. The role of epidural injections, nerve blocks, radiofrequency denervations, pulsed RF lesions, dorsal root ganglion stimulation, peripheral nerve stimulation, and spinal cord stimulation are among the many modalities covered in this presentation.
1. Assess the principles, indications and efficacy of nerve blocks, radiofrequency denervations, and pulsed RF lesions
2. Identify the range of non-surgical treatment options for chronic neck pain
THIS ACTIVITY HAS BEEN SUBMITTED FOR ACCREDITATION OF 4 CATEGORY 2 POINTS, AS PART OF THE RACGP QI & CPD IN THE 2017-2019 TRIENNIUM. ACTIVITY NUMBER PENDING.
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