Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Brain & Spine, Department of Neurosurgery, Hospital of the Babcock University, Ilishan-Remo, Ogun State, Nigeria.
Neurosurg Rev. 2024 Jun 10;47(1):265. doi: 10.1007/s10143-024-02503-z.
The provision of specialized spine care in Nigeria presents a pressing challenge amid limited resources and geographical disparities. This correspondence offers a comprehensive roadmap for improving spine surgery and care within the country. We examine the current state of spinal health infrastructure, highlighting barriers such as limited access to specialists and facilities, particularly in rural areas, and financial constraints for patients. Innovations in spinal treatment, including the adoption of minimally invasive techniques and advancements in surgical modalities, are discussed alongside persistent challenges such as disparities in access and equipment costs. Training and education of spine surgeons emerge as critical areas requiring attention, with a shortage of qualified professionals exacerbated by inadequate training programs and resource constraints. We advocate for fostering local and international collaborations to address these gaps, emphasizing the role of partnerships in capacity building and knowledge exchange. Additionally, we explore the potential of public-private partnerships and investments to enhance the Nigerian spine healthcare system, calling for strategic initiatives to modernize infrastructure and improve accessibility. Finally, we propose a strategic blueprint encompassing infrastructure enhancement, training programs, research initiatives, policy advocacy, and public awareness campaigns. Through concerted efforts from local stakeholders and international partners, we envision a future where spine care in Nigeria is comprehensive, accessible, and of high quality, leading to improved health outcomes and a higher quality of life for those affected by spinal conditions.
在资源有限和地理差异的情况下,尼日利亚提供专业的脊柱护理服务是一个紧迫的挑战。本通信提供了一个全面的路线图,以改善该国的脊柱手术和护理。我们检查了脊柱健康基础设施的现状,强调了一些障碍,如专家和设施的获取有限,特别是在农村地区,以及患者的经济限制。讨论了脊柱治疗的创新,包括采用微创手术技术和手术方式的进步,以及在获得机会和设备成本方面存在的持续挑战。脊柱外科医生的培训和教育是需要关注的关键领域,由于培训计划不足和资源限制,合格专业人员的短缺问题更加严重。我们提倡建立本地和国际合作关系来解决这些差距,强调伙伴关系在能力建设和知识交流中的作用。此外,我们探讨了公私合作伙伴关系和投资的潜力,以加强尼日利亚的脊柱医疗保健系统,呼吁采取战略举措来实现基础设施现代化和提高可及性。最后,我们提出了一个战略蓝图,包括基础设施加强、培训计划、研究计划、政策倡导和公众意识运动。通过本地利益相关者和国际合作伙伴的共同努力,我们设想尼日利亚的脊柱护理服务将变得全面、可及且高质量,从而改善受脊柱疾病影响的人的健康结果和生活质量。