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While neurosurgeons perform brain surgery, they also provide the highest level of expertise in spine disorder treatment. The majority of operations performed by neurosurgeons are spine surgeries. Physicians who graduate from a neurosurgery program have usually assisted with hundreds of spine procedures. For those who go on to complete a post-graduate fellowship, they undergo a focused and intense training on the spine for an additional one to two years. Neurosurgeons are exclusively trained to perform procedures on the entire spine, including the spinal cord and the inside lining of the spinal canal. With the spine encasing the spinal cord and nerves, many patients choose to take the extra measure of safety when undergoing spine treatment and choose a neurosurgeon.
Not necessarily. Your referring physician most likely believes that you have a disease or disorder which would benefit from diagnoses and treatment by a neurosurgeon. The decision whether or not to recommend surgery is a complex one best handled by your neurosurgeon and his team.
Each of these surgical specialists has their own areas of expertise and their skill and expertise overlap in the area of spinal surgery. Both specialties require 5-7 years of residency training, followed in some cases by additional time in fellowship training. Traditionally, neurosurgeons handled spinal operations dealing with the discs and nerves, while orthopedic surgeons handled operations on the bony spine, such as spinal fusion. More recently, though, both specialties are training their spinal surgeons to perform the whole range of spinal surgery. As neurosurgeons, we still work very closely with our orthopedic colleagues. A surgeon’s experience, training, and judgement in spinal surgery are more important than the subspecialty to which he or she belongs.
A neurologist and a neurosurgeon are similar to a cardiologist and a cardiac surgeon: the neurosurgeon can offer a surgical solution to neurologic disorders, while the neurologist identifies neurological disorders through diagnostic testing and uses solely medical means to treat them.
With minimally invasive surgery techniques patients experience less trauma and pain due to very minimal disruption of the musculature. Compared to more traditional surgical techniques patients have minimal scarring because of very small incisions, faster recovery, shorter hospital stays and can return to pre-surgery activity levels much more quickly.
Most people think of neurosurgeons as brain surgeons. However, neurosurgeons are medical specialists who diagnose and treat disorders of the entire nervous system – brain, spinal cord, skull and the spine (bony vertebral column. Of course, they operate on the brain, but they actually spend nearly 70 percent of their time helping patients with spine and peripheral nerve problems, providing surgical and nonsurgical care.
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