| Uvula movement and pharyngeal and, Experts in Ukraine, USA and European countries note disability population growth due to chronic low back pain. The numbers of surgical procedures performed independently were 511 (mean, 95% confidence interval (CI) 413-610), supervised were 514 (95%CI 360-668) and assisted were 752 (95%CI 485-1019) throughout residency. Complication rates and short- and mid-term outcomes following LSS decompression were comparable for patients operated on by supervised neurosurgery residents and senior neurosurgeons. Patients who underwent an ACDF were identified in the database and reviewed for the occurrence of postoperative anterior cervical infections. 2019 Oct;161(10):1977-1979. doi: 10.1007/s00701-019-04048-3. | ... We evaluated the current status of resident training in Germany. The amount of persons that did not succeed to be rehabilitated increased depending on duration of period of disability. In this series, there were 9 male and 5 female patients with a mean age of 11.1 years. Neurosurgeons trained in higher-case-volume, accredited programs, mostly in the UHs, performed better in terms of scientific activities and productivity in Turkey. Have they changed over time since the year 2000? Multiple logistic regression analysis was used to assess the effect size of the relationship between responder-specific variables (e.g., age, gender, postgraduate year (PGY), country) and the outcomes (e.g., satisfaction). Injuries of the cervical spine are not to be underestimated in their frequency and severity. Surgical approach included predominantly anterior for cervical spine and posterior for thoracic and lumbar spine. Part Two: a prospective clinical study evaluating a new algorithm to evaluate the cervical spine in polytrauma patients. 35-month period: enrolled 153 patients, 12,000 patients seen in trauma unit. Neurosurgical resident education in Europe-results of a multinational survey, Working time of neurosurgical residents in Europe-results of a multinational survey. Neurosurgery in and around Germany About Germany. Butler le nomme PKB (Prone Knee Bend). • PKB (Prone Knee Bend) ou test de tension du nerf fémoral Ce test est appelé pour certains " Lasègue inversé " , pour d'autres, le test porte le nom de " test de Léri ". The consequence of the highly condensed and demanding neurosurgical working environment is an urgent need for training scenarios that effectively shorten the conventional learning curves of the "see one, do one, teach one" era . It is important to note that it is not difficult to obtain Specialist Medical Training positions for those candidates who have completed their basic medical education or M.D. In total, 29 % of European residents were satisfied with their current working time, 11.3 % indicated to prefer reduced working time. Patients of the medical university in Hannover from the years 2006-2011, who had an equestrian accident, were identified. The primary endpoint was morbidity at discharge, defined as a postoperative decrease of ≥10 points on the Karnofsky Performance Scale (KPS). What is important is not to slavishly follow any guidelines for sequencing material but to understand the concepts of competency-based training as a way to assure the competency of training program graduates and to prepare them for the next phase of postgraduate medical education which leads to mastery of our field . Eighty-two percent of all respondents has seen or treated a purely ligamentous injury of the c-spine. Methods: An electronic survey was sent to European neurosurgical trainees between 06/2014 and 03/2015. Conclusions: the primary task for the decline of disability index among people with the degenerative spine we consider an improvement of medical care organization for such patients. Introduction: This report describes a case in which a cervical disc herniation was treated surgically at the wrong level. Greater part of contingent investigated were 87,6 % patients with injuries and disorders of the lumbar spine. Conclusions: Majority of the current literature is from South Asia. Residents from France and Turkey (OR 4.72, 95 % CI 1.29-17.17, p = 0.019) and Germany (OR 2.06, 95 % CI 1.15-3.67, p = 0.014) were more likely to work >60 h/week than residents from other European countries. They will be explained in detail in this article. In 13.1% of patients, there were 71 cervical spine injuries (92.4% female; 7.6% male). In addition, data concerning the operation and the postoperative course including common complications were assessed. General aspects, Cervical disc herniation missed at operation: a case report, Trends in Spinal Surgery for Pott’s Disease (2000-2016): An Overview and Bibliometric Study, Clinical features and long-term outcomes of pediatric spinal meningiomas, Spinal Fracture-Dislocations and Spinal Cord Injuries in Motor Vehicle Crashes, Cervical Spondyloptosis Caused by an Aneurysmal Bone Cyst: A Case Report, Anterior Cervical Infection: Presentation and Incidence of an Uncommon Postoperative Complication, Herausforderungen und Besonderheiten der Spondylodiszitiden der Halswirbelsäule. The re-operation rate 4.5 years after the index surgery was also similar for both groups, at 10%. Neurologic examination revealed bilateral tongue wasting, loss of tongue protrusion, and right vocal cord paresis. analysis of 194 disability cases in 1999-2003 and of 164 ones in 2007-2009 due to degenerative disorders of the spine is performed. Morsani College of Medicine Neurosurgery & Brain Repair. Appropriate allocation of operations according to case complexity and the resident’s experience level, however, appears essential. Kinikum Stuttgart is regarded as one of the best hospitals in Germany, and is a referral center for oncology, ENT, pediatrics and more. With an average of 137 procedures, burr hole trepanation was the procedure that was most frequently performed independently. Doctors. She had severe deforming polyarthropathy. The effect of the actual working time on the theoretical and practical knowledge of neurosurgical trainees appears to be insignificant. Conclusion: Secondary endpoints included 3-month (M3) morbidity, mortality, the in-hospital complication rate, and complication type and severity. Conclusions: During last 15 months 340 international doctors have begun residency in Germany by means of this program. Eighty-one percent of the OTA respondents utilize the standard three view cervical spine trauma series, only 31% of the NASS members adhere to this guideline. Technique neurodynamique Ces tests sont toujours réalisés en continu lors du diagnostic et en mobilisation lors du traitement. Nous décrivons un test basé sur la flexion du genou. An electronic survey was sent to all Turkish Neurosurgical Society members (n = 1662 neurosurgeons) between September and November 2019. This study estimated the annual count of spinal cord injuries (SCIs) in motor vehicles crashes by type and seat belt use using 18 years of NASS-CDS data. There was a significant linear relationship between the country-specific EBE-NS result in the written part and the country-specific composite score for satisfaction with quality of theoretical training [adjusted regression coefficient (RC) −3.80, 95 % confidence interval (CI) -5.43–7 -2.17, p < 0.001], but not with practical training or working time. Conclusion: For this purpose, both screen- and model-based simulations are under investigation. Doctor’s visit. Neurosurgery program in Germany - NEUROSURGIC FORUMHello to all,I am a medical student, final year and i am planning to follow a residency program in Germany. Evaluation of the Cervical Spine in the Polytrauma Patient, [Cervical spine injury in equestrian sports]. The aim of this study was to test the hypothesis that early introduction of supervised residents to non-complex spinal surgical procedures within a structured and supervised educational program does not harm the patient in terms of higher complication rates or worse pain- and health-related quality of life (HrQOL) outcomes. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Patients from both groups scored virtually equal results on various pain, functional, and hrQoL metrics, and the re-operation rate was similar. eCollection 2020 Oct. Neurospine. Surgical experience of neurosurgical residents in Europe: an alarming trend. Each residency is linked to additional information … Stienen MN, Bartek J Jr, Czabanka MA, Freyschlag CF, Kolias A, Krieg SM, Moojen W, Renovanz M, Sampron N, Adib SD, Schubert GA, Demetriades AK, Ringel F, Regli L, Schaller K, Meling TR. The highest rate was 0.220 ± 0.056% in rollover crashes and the lowest rate was 0.032 ± 0.009% in frontal crashes. considered significant. 2020 Oct;162(10):2303-2311. doi: 10.1007/s00701-020-04513-4. My passion has always been neurosurgery . Introduction Efficient neurosurgical training is of paramount importance to provide continuing high-quality medical care to patients. MRI (figure, A and B) demonstrated a large cervical synovial pannus extending across the skull base. The completed questionnaires show a significant variation in 1) the demands for education prior to obtaining a neurosurgical training position, 2) in the theoretical training programme and 3) in the surgical experience obtained within the training period. Approximately 100% of Czech trainees vs. 88.7% of trainees from other European countries performed a surgical procedure as the primary surgeon within the first year of training (Pearson Chi2 test 2.28; p = 0.131). After exclusion of six cases because of incomplete data, a total of 287 ACDF(I) operations were enrolled into the study, of which 82 (29.2 %) were teaching cases and 199 (70.8 %) were non-teaching cases. Neurosurgery is a medical discipline specializing in the operative and nonoperative management, prevention, diagnosis, evaluation, treatment, critical care and rehabilitation of disorders that affect the central, peripheral and autonomic nervous systems including their supporting structures and vascular supply and the operative and nonoperative management of pain. It has a seven-year neurosurgery residency program, but also offers a three-year fellowship for further specialization, such as in spinal surgery. Since neurosurgical education remains heterogeneous worldwide, we argue that a more standardized curriculum across different nations would greatly facilitate the interaction of different centers, allow a direct comparison of available services, and support the exchange of vital information for quality control and future improvements. Influence on the number of participants was 289 ( 17.4 % ) would prefer to work more hours/week if would... 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