All about Back, Spinal Cord, Neck | Risks, Posture & Injuries Explained: Dr.Ram Chaddha | TRS 378

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Robotics enhance precision in spine surgery, surgeons experience emotional relief, and aim for a focused "Flow State." Spine surgeries require collaboration, emphasize decision-making, and involve a transformation for surgeons. Surgeons view their work as an art form, require competency stages, and need a team approach, while spine surgery advancements include robotics and AI-driven navigation.

Insights

Robotics enhances precision in spine surgery by aiding in accurate screw placement and implant positioning, improving patient outcomes.
Surgeons experience emotional relief post-surgery, aiming for a cathartic release, emphasizing the transformative nature of surgical experiences.
Lifestyle-related spine injuries are prevalent, influenced by factors like posture, weight, and physical strain, showcasing the importance of moderation and proper care for spinal health.

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Recent questions

What are the common tools used in spine surgery?
Drills, burs, wires, screws, and implants.

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Summary

00:00

Enhancing Precision in Spine Surgery Operations

Robotics is increasingly used in spine surgery to enhance precision in placing screws and implants.
Prolonged sitting can negatively impact the spine, likened to the effects of smoking.
Surgeons may experience emotional relief post-surgery, anticipating a cathartic cry.
Surgeons aim to enter a focused "Flow State" akin to athletes striving for immediate success.
Spine surgery involves collaboration between orthopedic and neurosurgeons.
Slip disc issues are common and can be addressed through exercises.
Surgeons emphasize the importance of the decision to operate over the surgical process itself.
Surgical errors can occur due to oversights or mistakes, impacting both surgeons and patients.
Surgeons undergo a transformation through surgeries, evolving from being informed to wise.
Surgeons view themselves as instruments of a higher force during surgeries, emphasizing detachment and purpose.

20:04

"Surgeons' Training, Challenges, and Life Lessons"

Surgeons at San Hospital undergo extensive practical training, including performing surgeries.
A spine surgeon discusses the shift from trauma-related cases to lifestyle-related spine issues over 30 years.
A challenging accident case involved rescuing a man trapped in a collapsed building at Kalba Dei.
The surgeon had to disconnect a limb to save the man and transport him to Canan hospital for further surgery.
A tourniquet was used to stop bleeding during the rescue operation.
The surgeon's focus was solely on the surgery and the ticking clock due to the time-sensitive nature of the rescue.
Improved disaster planning in 2023 would prioritize quicker transportation and reduced risks for rescuers and patients.
Post-surgery experiences lead to a deeper understanding of life, death, and faith for both patients and doctors.
Surgeons view their work as an art form, with the heart guiding the why, the head the how, and the hands the what.
Surgeons progress through stages of competency, from unconscious incompetence to unconscious competence, akin to driving a car.

38:28

"Spine Surgery: Teamwork, Tools, and Consciousness"

Spine surgery requires both an orthopedic surgeon and a neurosurgeon, ideally with differential training or one person trained in both.
The analogy of spine surgery to flying an aircraft is used, emphasizing the need for a pilot and co-pilot, highlighting the importance of teamwork.
Subspecialty interests in spine surgery include minimally invasive spine, deformity, spinal tumors, and cervical spine, with a team approach being preferred for maximum patient benefit.
The spine structure is described as a conduit between the brain and the body, with the spinal cord protected by a fortress-like covering, and issues like disc herniation or spinal stenosis causing nerve-related problems.
Tools used in spine surgery include drills or burs for bone shaving, instruments for making holes in bone, wires or screws for bone manipulation, and implants like spacers for disc issues.
A slipped disc is likened to the Indian fruit "tarola," with the nucleus pulposus fluid causing mechanical pressure and chemical irritation on nerves, leading to radiating pain and altered sensations.
The difference between elastic and plastic structures is explained, with a plastic disc being more prone to herniation due to loss of elasticity.
The brain processes sensations from the spine, with radiating pain and altered sensations being felt in the leg due to nerve irritation from a slipped disc.
Death is defined as the inability to perform bodily functions, with brain death being the final stage, contrasting with cardiovascular and respiratory cessation.
The concept of samadhi from yoga philosophy is discussed, with equanimous intellect being a higher state of human consciousness, prompting a reflection on the intersection of science and ancient wisdom in understanding human evolution.

57:02

"Internal Intuition Guides Spiritual Evolution"

Science seeks evidence through external sources, while the ultimate destination, like Nirvana or self-realization, is reached through internal intuition.
The spine's significance in yoga mirrors the progression of matter stages from Earth to Ether and the alignment with the body's chakras.
The neocortex in humans distinguishes between right and wrong, while the lyic cortex differentiates pain and pleasure, setting humans apart from animals.
The pursuit of bliss, such as Anand or Nirvana, involves understanding emptiness and impermanence, converging in various spiritual teachings.
Children may possess heightened intuition compared to adults, pondering deeper purposes beyond conventional living, hinting at untapped human potential.
Neuroplasticity suggests humans underutilize their brain's capacity, with potential for significant expansion beyond current limitations.
Karma Yoga, detachment from outcomes, and involvement in actions, offers a pathway for personal evolution and transcendence.
Kundalini energy, rising from the lowest chakra to the third eye, symbolizes a state of bliss in yoga, while the spine's anatomical role is primarily protective of the spinal cord.
Posture correction, like maintaining a straight spine, not only enhances physical appearance but also boosts confidence and overall well-being.
Road accidents can lead to severe spine injuries, like whiplash, where the spinal cord sustains damage due to sudden deceleration and impact from mobile vertebrae, akin to concussions in the brain.

01:15:35

"Neck and Chest Injuries in Wrestling"

Injuries can damage specific nerves in the neck or upper chest, leading to weakness, although such occurrences are not common in medicine.
Direct extrinsic damage to the chest area can also weaken nerves, potentially causing a hollow chest appearance.
WWE wrestlers, like Kofi Kingston, may exhibit similar chest formations due to nerve damage or muscle loss.
Building muscle mass through exercise can impact chest appearance, with effort and ailments influencing physical changes.
Chest bounce movements post-workout indicate muscle activation and response to stimuli, enhancing nervous system activity.
DDP Yoga, a program for wrestlers and athletes, aids in pain reduction and functional improvement, potentially alleviating nerve-related issues.
Core strength development through yoga and martial arts can enhance body awareness and balance, crucial for injury prevention.
Wrestling injuries, like hyperflexion from moves such as pile drivers, can lead to severe spinal damage and long recovery periods.
Neck injuries from wrestling impacts or diving accidents can result in permanent disability, emphasizing the importance of cautious movements.
Spine surgery advancements include minimally invasive techniques, robotics, and AI-driven navigation for precise implant placement and improved outcomes.

01:32:41

"Robotic Spine Surgery: Precision and Safety"

CT scan provides a 3D printout of the spine, aiding in precise pre-planning of surgeries.
Pre-planning with robotics allows for accurate screw placement, ensuring safety zones.
Robotics in spine surgery involves a robotic hand assisting in precise screw placement.
Machine in robotic spine surgery is positioned beside the surgeon, connected to the patient.
Robotic spine surgery was introduced in India 8-10 years ago, with machines costing 10-15 lakh Indian rupees.
Spine surgery costs vary based on the hospital and patient's paying capacity.
Wicket keepers in cricket often face spine injuries due to repetitive bending, straining their backs.
Lifestyle-related spine injuries are common, influenced by factors like posture, weight, and physical strain.
Weight training advice includes higher repetitions with lower weights for better results and reduced risk of injury.
Ronnie Coleman, a legendary bodybuilder, faced severe spine issues post-retirement, highlighting the risks of intense weightlifting.

01:49:01

Ronnie Coleman: Weight Training's Extreme Effects

Ronnie Coleman, a legendary bodybuilder, is currently in a wheelchair due to severe spine injuries from high-intensity weight training, showcasing the extreme effects of long-term weight training on the human body.
Coleman's approach to bodybuilding involved heavy lifting and high reps, leading to repetitive injuries to his back that caused disc degeneration, spinal curvature, and nerve compression, ultimately resulting in his current wheelchair-bound state.
The spine surgeon analyzing Coleman's case emphasizes the importance of moderation in maintaining spinal and overall health, highlighting the need for individuals to care for their bodies like they would a vehicle, underscoring personal responsibility for health maintenance.

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