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Midline Lumbar Spine decompression (for spinal stenosis) surgical technique

Overview

Learn the Midline Lumbar Spine decompression (for spinal stenosis) surgical technique with step by step instructions on OrthOracle. Our e-learning platform contains high resolution images and a certified CME of the Midline Lumbar Spine decompression (for spinal stenosis) surgical procedure.

Lumbar spine decompression is undertaken for spinal stenosis where non operative management has failed and the neurogenic claudication (or radicular) type symptoms are sufficiently severe to warrant the risks of spinal surgery. A patient is always counselled on the non-operative management options and should under normal circumstances have had a trial of these. Spinal stenosis is an age related condition which may become more prevalent as the population ages.

Lumbar spine decompression is indicated where leg symptoms are interfering with current enjoyment of life and may well be reducing  exercise tolerance or simply the ability to walk. Any back pain should be manageable and non-specific (in other words no causative pathology identified).

The MRI should have confirmed the diagnosis of  lumbar spinal stenosis.

The surgical steps in undertaking a midline sacrificing lumbar decompression are described here from set up through to post operative care.

 

Author : Mr Andrew Young FRCS (Tr & Orth)

Institution : The Royal Orthopaedic Hospital , Birmingham ,UK.

Feedback

  • Each operation and the questions associated become a named course in the CPD section
  • The operative technique itself is read as a lesson as is any company implant information if this is being assessed.
  • You’ll need to tick the box to confirm this has been done and can do this immediately if you have already read the op tech.
  • The vast majority of operations have a 10-15 MCQ quiz covering all aspects of the decision making and the technique
  • There are four possible answers of which one is correct (or on occasion more correct) than the others.
  • There are additional quiz modules on the surgical steps, the implants and problem cases being added continually
  • The course is completed once all the lessons are read and quizzes submitted and passed.
  • On successful completion of each quiz you will receive validated CPD points that add to the certificate in your CPD folder.
  • Your dashboard also will contain a record of the time you have spent logged onto and using the site.
  • The timer suspends after 5 minutes though if there is no activity.
  • When you restart you will resume at the same point in the module.
  • Once you have completed each quiz you will need to feedback on the module first then click “submit” and your paper will be marked.
    The pass mark is 75%.
  • If you fall below this level you will be directed back to re-read the slides where you’ve tripped up.
  • Once these have been read you can re-do just the questions you failed on.
  • Once you have passed the quiz you can return at a future stage & resit .

CPD Points:

  • Operation Quiz – 1 CPD point
  • Surgical steps Quiz – 1/4 CPD point
  • Implants Quiz – 1/4 CPD point
  • Problem case Quiz – 1/2 CPD point

One CPD point equates to one hour of academic activity

COURSE

Welcome to the Professional Development question section. The objective of taking these tests is to demonstrate that you have understood all aspects of the assessment and management of patients requiring surgical intevention. On successful completion you will receive a certificate accredited by both the Royal College of Surgeons of both England and Edinburgh as well as the British Orthopaedic Association.

Our content is designed for both Surgeons in independent practice and Surgeons in training.

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