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- Talk
- 23/09/2021
- UK
Histopathological and Microbiological Assessment of Paraspinal Muscle Tissue following Spine Surgery at a Tertiary Care Centre
Description
The presentation led by Dr. Sudeep Date focuses on a study regarding histopathological and microbiological changes in paraspinal tissue following spinal surgeries performed at a tertiary care center. Dr. Date, a registrar at Cumberland Infirmary in Carlisle, discusses his research conducted in India, highlighting the impact of surgical approaches on paraspinal muscle integrity. He explains how traditional midline dissections can lead to damage and atrophy of crucial spinal muscles, particularly the multifidus.
The study involved a retrospective assessment of 150 patients over two years, analyzing intraoperative muscle biopsies to explore changes in muscle tissue and the presence of infection. Results indicated significant muscle necrosis with a correlation to surgical duration, showing that lengthy procedures and muscle retraction can exacerbate muscle injury. Dr. Date emphasizes the importance of minimizing tissue damage by employing a minimally invasive technique that allows for reduced pressure on muscles, potentially mitigating the observed necrosis.
The anecdotes presented in his conclusions point to key takeaways such as the necessity of proper incision length and surgical technique to maintain muscle health during spine surgeries. Following the presentation, a Q&A session explores the implications of the findings, including the potential for further clinical application and the need for randomized controlled trials to strengthen evidence and clinical protocols.