800 participants, experts and interested people, and 25 international speakers, who participated in the work of the Saudi International Conference, warned about the most prominent developments in the treatment of diseases of the bones, joints, fractures and spine, organized by Fakih Hospital under the auspices of His Excellency the Minister of Health in charge, Adel Fakih, of the wrong way of sitting for long periods in front of computer screens and office work for long periods With immobility and lack of exercise that strengthens the muscles of the abdomen and back, which leads to weight gain.
And they stressed that poor health habits are another reason for loading the focal point on the knee and foot joint and not on the lower back, which causes severe pressure on the lower back muscles and joints. They explained that back pain in general is the most common disease after a cold, as it is estimated that the number of those who complain of back pain (once in the age of about 90% of the world''s population) and pain in the spine and ribs
The participants in the conference were briefed on one of the most important operations that were performed in the Kingdom of Saudi Arabia and that achieved a distinguished success using a neurosurgical endoscope, for patients suffering from a herniated lumbar herniated disc, who were discharged within one day after the operation. They noted that endoscopic surgery is a medical revolution that contributes to eliminating spinal pain within only half an hour
They said that spinal pain, especially lower back pain, is one of the high rates of complaints from patients attending various medical clinics. This type of pain is considered one of the most important causes of absenteeism from work at the global level, and lower back pain is one of the disadvantages of civil, and one of the main causes of torsion diseases. Orthopedic and Spine Department at Dr. Soliman Fakeeh Hospital in Jeddah, Head of the Subspecialties Training Program for Spine and Scoliosis Surgery. Spine diseases vary from problems in the vertebrae and joints to multiple herniated discs, particularly in the lumbar spine. Emphasis is placed on diseases of the herniated disc in the lumbar vertebrae with narrowing of the nerve canal and nerve outlets, as this leads to pressure on the nerves of the lower extremities, causing pain in the lower back and legs, then difficulty sitting and walking with weakness of the muscles of the lower extremities. The patient needs intensive treatment, as these pains affect the nature of his work and his productivity.
He added that the methods of treatment and diagnosis differ from one case to another, starting from regular x-rays to metamorphosis with magnetic resonance imaging of the vertebrae and peripheral nerve planning, where the doctor usually begins the treatment program as soon as the diagnosis is determined, beginning with the patient’s advice to rest, taking analgesic medicines with weight reduction and doing physical therapy exercises. And qualifying. In some severe cases that do not respond to treatment, surgical intervention is recommended to remove the cartilage and expand the lumbar canal.
Dr. Mahdi Al-Bassi pointed out that this type of surgery has gained a great development, ranging from traditional operations to remove the cartilage and expand the lumbar canal, to surgical microscopy to make a small incision in the skin and reduce the percentage of tissue exposure to surgical intervention, to treatment by removing the cartilage using a fragmentation device. With sound waves, and ending with laparoscopy, which is one of the latest methods of surgery that is less dangerous for the patient.
He stressed that the neurosurgical endoscope is one of the latest programs, as the laparoscope gives both the doctor and the patient a number of advantages and advantages, as it only needs a small wound that does not exceed one centimeter in the skin and does not need a large opening in the muscles adjacent to the spine and provides clarity of vision, as well as strong lighting of the place The surgeon with the ability to move in all directions, and although this opening is small, it can move from level to level with ease in working in both directions, the entry and the opposite side, and in a time, the operation is shorter, not exceeding half an hour to forty-five minutes, and in Usually, the patient does not lose any of his blood during the operation and the length of stay in the hospital is less, as the patient can leave the hospital within one day.
Dr. Mahdi Al-Bassi stated that this event and scientific progress contributed to improving the surgical performance and reducing the risks of spine operations, which have long caused great concerns and concerns for patients with herniated disc and neural canal narrowing.
He said that these operations are only performed by a doctor who has previous experience with surgical endoscopes and has skill in controlling surgical tools with the endoscope because the surgical scalpel is small and cannot tolerate error. Also, the endoscope is not suitable for all pathological conditions associated with the spine that require removal of a tumor or fixation of channels with screws and metal strips. The surgical decision to use the endoscope is subject to the opinion of the surgeon regarding the pathological condition after examining the patient and special radiations. It is also worth noting that laparoscopic operations are considered to be of low risk
Participants in the conference held a workshop on cadavers under the name of the first workshop for spinal surgery using a neurosurgical endoscope, which is the first of its kind in the Kingdom, to introduce the laparoscope and the methods of its uses. International experts and specialists discussed with their Saudi colleagues in this field the latest developments in minimally invasive, delicate surgeries in treating lower spine problems using a neurosurgical endoscope.
During the conference, a number of surgical procedures were transferred directly from the operating room by closed circuits equipped for this purpose, for patients suffering from a lumbar herniated disc at the bottom of the spine with severe pressure on nerves and narrowing of the nerve exit channel, in which the surgical endoscope was used, which is one of the The latest technology in this field. All these patients were discharged from the hospital within one day after the operation.
For his part, Dr. Khaled Al-Jana Yeni, a consultant in back and spine pain, a Chiropractic doctor at Fakih Hospital, said that the conference fulfilled the aspirations of doctors in the field of neurosurgery and spine surgery in keeping up with the global development in fine medical technology and provided them with the opportunity to develop their skills in this modern field of surgical endoscopic uses Which has become a bright feature of the era in which we live now.
The head of the orthopedic and spine department at Dr. Soliman Fakeeh Hospital in Jeddah, head of the Subspecialties Training Program for Spine and Scoliosis Surgery, said that Dr. Mahdi Muhammad Busi said that the conference discusses a number of important issues, foremost among which are irrigated accidents that are a major cause of orthopedic diseases and (deviation surgery) The spine) as well as fractures of all kinds, different treatment methods, and how to prevent complications,
He added that the conference also discusses surgery for deviations of the spine and back pain in general, and the lower back in particular, which is one of the most common health problems among people and one of the most common body pain that consumes large quantities of painkillers of various kinds, and one of the most common causes of absence from work and study
