Guiroy Alfredo José, Duarte Matias Pereira, Cabrera Juan Pablo, Coombes Nicolás, Gagliardi Martin, Gotfryd Alberto, Carazzo Charles, Taboada Nestor, Falavigna Asdrubal
Department of Orthopedics, Hospital Español, Mendoza, Argentina.
Department of Orthopedic, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Surg Neurol Int. 2020 Nov 11;11:385. doi: 10.25259/SNI_600_2020. eCollection 2020.
Our aim was to evaluate differences in neurosurgeons versus orthopedists access to technologies needed to perform minimally invasive spine surgeries (MISS) in Latin America.
We sent a survey to members of AO Spine Latin America (January 2020), and assessed the following variables; nationality, level of hospital (primary, secondary, and tertiary), number of spinal operations performed per year, spinal pathologies addressed, the number of minimally invasive spine operations performed/year, and differences in access to MISS spinal technology between neurosurgeons and orthopedists.
Responses were returned from 306 (25.6) members of AO Spine Latin America representing 20 different countries; 57.8% of respondents were orthopedic surgeons and 42.4% had over 10 years of experience. Although both specialties reported a lack of access to most of the technologies, the main difference between the two was greater utilization/access of neurosurgeons to operating microscope (e.g., 84% of the neurosurgeons vs. 39% of orthopedic spine surgeons).
Although both specialties have limited access to MISS spinal technologies, orthopedic spine surgeons reported significantly lower access to operating microscopes versus neurosurgeons ( < 0.01).
我们的目的是评估拉丁美洲神经外科医生与骨科医生在获取进行微创脊柱手术（MISS）所需技术方面的差异。
我们向拉丁美洲AO脊柱协会成员发送了一份调查问卷（2020年1月），并评估了以下变量：国籍、医院级别（初级、二级和三级）、每年进行的脊柱手术数量、处理的脊柱病变、每年进行的微创脊柱手术数量，以及神经外科医生和骨科医生在获取MISS脊柱技术方面的差异。
来自拉丁美洲AO脊柱协会的306名（25.6%）成员回复了问卷，他们代表20个不同国家；57.8%的受访者为骨科医生，42.4%有超过10年的经验。尽管两个专业都报告难以获取大多数技术，但两者之间的主要差异在于神经外科医生对手术显微镜的利用率/获取率更高（例如，84%的神经外科医生使用，而骨科脊柱外科医生为39%）。
尽管两个专业在获取MISS脊柱技术方面都有限，但骨科脊柱外科医生报告称，与神经外科医生相比，他们使用手术显微镜的机会显著更低（<0.01）。
