spine-addiction-2018-keynote

4 / 11

Page 12
Notes:
Journal of Neurology and Neurorehabilitation Research | Volume 3
allied
academies
November 26-27, 2018 | Dubai, UAE
Spine and Spine Disorders
Addiction Research and Therapy
3rd International Conference on
International Conference on
Joint Event
&
Discogenic pain is one of the commoner problems facing
the spinal surgeon, but has been very variably managed.
Lumbar fusion has become the gold standard of treatment,
but we are all familiar with the long-term issues of fusion; as a
result, arthroplasty of the lumbar spine has gained in popularity
in Europe, less so in the United States.
Selecting cases suitable for lumbar total disc replacement,
requires considerable input. Triaging the patients is discussed,
together with the necessary diagnostic work-up. The author’s
experience of over 500 cases demonstrates the utility of certain
diagnostic tests pre-operatively, the use of pre-habilitation and
the multi-disciplinary approach necessary for managing these
patients.
Surgical techniques tips are discussed, with particular reference
to minimizing the trauma to the patient and surgeon.
Speaker Biography
John Sutcliffe trained as an undergraduate in Edinburgh, gaining the year prize for
Systematic Surgery and qualifying in 1983. His early medical post-graduate training was
also in Edinburgh, after qualification, taking in a large number of specialties including
Plastic, Orthopaedic and Paediatric Surgery before focusing on Neurosurgery. He
undertook Neurosurgical training posts in Sheffield and London and developed an
extensive experience of treating spinal conditions ranging from tumours and trauma
to the commoner degenerative spinal conditions. He was appointed as a consultant
neurosurgeon in 1993 and since that time has concentrated exclusively in themanagement
of patients with Spinal Disorders. He developed the concept of the multi-disciplinary team
approach to Spinal Disorders, setting up the London Spine Clinic in 1997 and resigned
from the NHS in 2000. He remains an Emeritus Consultant at Barts’ and the London NHS
Trust. The London Spine Clinic was the first unit of its kind in the UK and continues with the
same philosophy today. Mr. Sutcliffe has trained many young spinal surgeons, as training
director in his NHS career and as supervisor for the spinal fellowship at the London Spine
Clinic and London Clinic Hospital. He runs a regular teaching and training program within
the Clinic, in both surgical and non-surgical aspects of Spine care. Mr. Sutcliffe no longer
undertakes open surgical procedures, but will focus on triaging the patients, arranging the
multi-disciplinary management of their symptoms and running the London Spine Clinic as
efficiently as possible.
e:
John Sutcliffe
London Spine Clinic, UK
Disc replacement surgery: When should you “refuse to fuse”?