Spinal surgery

1. Anatomy

Anatomy of the vertebral column and spinal stability


2. Radiology

X-ray development, physics, uses, risks and regulation

Normal spinal radiological neuroanatomy

MR based imaging techniques

Spinal myelography

Nuclear medicine based techniques


3. Autonomic function

Neurological control through the autonomic nervous system

Neural control of the bladder

Neurological control of sexual function

Autonomic Failure primary and secondary

Investigation and management of Neurogenic bladder dysfunction

Investigation and management of neurogenic sexual dysfunction

Neurogenic bowel dysfunction

Pelvic organ dysfunction following cauda equina damage

Peripheral nerve disorders bladder, bowel and sexual dysfunction

4. Clinical examination and assessment of the spinal patient

Neurological history: general approach and common pitfalls

Common Neurological symptoms: Behavioural and Organic Mental Symptoms

Examination of the limbs

Neurological assessment: weakness and sensory loss

Neurological examination: Gait

Neuromuscular assessment

Principles of neurological investigation

Neuropathic pain

Complex Regional Pain Syndrome

5. Surgical principles

The modern theatre environment

The operating microscope

Advanced microsurgical skills

Preparing the operative site

Surgery in children

Intraoperative neurosurgical electrophysiological monitoring


6. Surgical techniques

Performing a posterior fossa decompression for Chiari

Application of a halo or traction to the cervical spine

Performing an anterior cervical discectomy

Performing posterior cervical decompression procedures

Fusing C1 to C2

Performing a posterior cervical fusion

Anterior approaches to thoracic and lumbar spine

Posterior thoracic approaches

Inserting pedicle screws

Minimally invasive surgical approaches to the posterior thoracolumbar spine

Vertebroplasty and Kyphoplasty

Performing a lumbar microdiscectomy

Performing a lumbar laminectomy

Principles of surgical scoliosis correction

Inserting or revising a syringopleural shunt

Closing a neonatal myelomeningocoele

7. Spinal trauma

Principles of surgical treatment of spinal injuries

Spinal injuries in children

Initial management of spinal injury and spinal shock

Pre-operative assessment and anaesthetic management of patients with spinal cord injuries

Atlanto-axial Cervical Spine Fractures

Subaxial Cervical Spine Fractures

Fractures of the Spine

Thoraco-lumbar Fractures

Sacral Fractures

8. Elective spinal disease

Medical conditions affecting the spine

     Rheumatoid disease

     Seronegative spondyloarthropathy



     Managing Cervical Degenerative Disease

     Atlantoaxial subluxation



     Thoracic disc prolapse


      Management of lumbar disc prolapse and cauda equina syndrome



      Diagnosis and treatment of back pain

      Surgical management of chronic back pain

      Sacroiliac disease


      Spinal dyraphism


      Congenital Scoliosis

      Idiopathic scoliosis

      Early onset scoliosis (thoracic insufficiency)

      Neuromuscular scoliosis

      Degenerative scoliosis



CSF pathologies         

      Disorders of the foramen magnum

      Management of syringomyelia

      Investigation and treatment of spinal cerbrospinal fluid leaks

      Spinal arachnoiditis

Vascular disease

      Spinal Vascular Malformations


     Quantative Assessment of pain

9. Neoplastic spinal disease

Bony tumours

     Primary bony tumours of the spine

     Malignant spinal cord compression

     Principles of radiotherapy and radiosurgery

Intradural tumours

     Principles in managing intradural, extramedullary spinal tumours

     Radiology of Spinal Intradural Extramedullary Tumours

     Surgical treatment of spinal intradural extramedullary tumours

     Intramedullary spinal cord tumours

     Imaging features of intramedulary spinal cord tumours

    11. Spinal rehabilitation

    Management of spasticity and associated features

    Maintaining activities of daily life

    Orthotics and the avoidance and management of contractures

    Management of spasticity in children

    Role of occupational therapy in neurorehabilitation

    Vocational Rehabilitation following neurological trauma or illness

    Aetiology and management of pressure sores

    Last modified: Sunday, 17 March 2019, 2:35 PM