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Lumbar Tubular Decompression: Barriers and Limitations Hampering the Technique’s Dissemination across Latin America – Lumbar Spinal Stenosis

This article explores the barriers and limitations to the widespread use of tubular lumbar spine decompressions in Latin America. A cross-sectional survey was conducted among spine surgeons in 15 Latin American countries. The results showed that 31% of surgeons needed to adapt their technique to perform minimally-invasive tubular surgeries, and 32.8% lacked access to standard equipment such as retractors or a curved high-speed drill. While 70.5% of surgeons did not consider tubular surgery expensive, there were discrepancies between their preferred equipment and its availability, with high-speed drills, bayoneted instruments, and hemostatic agents among the most important missing equipment. Overall, these findings suggest that several barriers hinder the development of tubular spine surgery in Latin America

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : innovative spine clinic in London

Published article

CONCLUSION: Several barriers limit the development of tubular spine surgery in Latin America. The most important discrepancies between surgeons’ preferred equipment and their availability for such operations are high-speed drills, bayoneted instruments, and hemostatic agents.

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World Neurosurg. 2024 Jan 31:S1878-8750(24)00165-7. doi: 10.1016/j.wneu.2024.01.143. Online ahead of print.ABSTRACTOBJECTIVES: To explore the barriers and limitations preventing the widespread use of tubular lumbar spine decompressions in Latin America.METHODS: A cross-sectional study was performed using a survey specifically designed by the authors. This survey was mailed to all spine surgeons who are members of AO,

World Neurosurg. 2024 Jan 31:S1878-8750(24)00165-7. doi: 10.1016/j.wneu.2024.01.143. Online ahead of print.

ABSTRACT

OBJECTIVES: To explore the barriers and limitations preventing the widespread use of tubular lumbar spine decompressions in Latin America.

METHODS: A cross-sectional study was performed using a survey specifically designed by the authors. This survey was mailed to all spine surgeons who are members of AO Spine Latin America. Eighty-seven surgeons spanning 15 Latin American countries answered the survey.

RESULTS: 31% of participating surgeons claimed they needed to adapt their technique to perform minimally-invasive tubular surgeries. Meanwhile, though 70.5% answered they do not consider tubular surgery expensive, 32.8% lacked access to standard equipment like a complete set of retractors or curved high-speed drill.

CONCLUSION: Several barriers limit the development of tubular spine surgery in Latin America. The most important discrepancies between surgeons’ preferred equipment and their availability for such operations are high-speed drills, bayoneted instruments, and hemostatic agents.

PMID:38307193 | DOI:10.1016/j.wneu.2024.01.143

The London Spine Unit : innovative spine clinic in London

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Lumbar Tubular Decompression: Barriers and Limitations Hampering the Technique’s Dissemination across Latin America

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World Neurosurg. 2024 Jan 31:S1878-8750(24)00165-7. doi: 10.1016/j.wneu.2024.01.143. Online ahead of print.ABSTRACTOBJECTIVES: To explore the barriers and limitations preventing the widespread use of tubular lumbar spine decompressions in Latin America.METHODS: A cross-sectional study was performed using a survey specifically designed by the authors. This survey was mailed to all spine surgeons who are members of AO

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