Webinar Episode 8. Mid-October 2023

Welcome to Webinar number eight with Mr Syed Aftab and Joel Proskewitz. Streamed ‘live’ on Youtube on the 17th October 2023.

The questions addressed and their respective time stamps were as follows:

0:00 - Welcome to another Q & A Joel and guest spinal surgeon Syed Aftab
2:15 - What is the definition of spinal trauma and examples of?
4:35 - Are we out living our spines? Human expectations have progressed plus surgery tech. 
7:10 - The use of AI and Virtual Reality spine surgery.
8:10 - Has technology reduced a spine surgeon’s skill (e.g. robotics)?
10:15 - Are new surgeons getting the hands on training still?
11:18 - What is a robot and navigation in spinal surgery?
18:05 - Stem Cell use for back pain and disc based pain. The differing types of stem cells and the evidence.
20:40 - Stem cells and regenerating discs
22:30 - Degenerating discs is a one way process 
24:10 - Procedure to seal the annulus portion of a disc when compromised
27:40 - Uneven hips and fusion surgery  
31:40 - What clues do you look for to identify instability?
35:30 - Does the presence of degeneration does not mandate surgery 
37:20 - ACDF and adjacent segment disease
41:10 - Lost motion at a segment post fusion at S1 L5
44:20 Fusion or disc replacement before degeneration occurs.
46:20 Loose fragments inside and outside of the disc
49:00 Golfing, micro-discectomy, spinal pars and force migration.
54:10 Yoga and Pilates for 'spondylolisthesis'. What are the pain generators?
55:50 Back pain following a fall but scans show no structural abnormality.