10 years ago, an editorial in the journal Spine talked about the future of Spinal Surgery. Presaged a highly technological world, minimally invasive surgery (MIS), robotized and treatment methods that allow the column to retain its qualities unaged. Ten years later we can say that vision was not very successful, and that having achieved great technological advances in surgery, MIS the rest of no progress both fields.
Currently the challenges we face in the coming years are very different. A more individualized and humanized treatment, which manage to adapt to the needs and expectations of each patient, with special emphasis on the treatment of elderly patients, which will constitute the largest population group.
Treatment of elderly patients
It is the clearest example of the need for individualized medicine. It is a fact that the aging population in our country. We are the second country in the world with a longer life expectancy. In 2030 25% of the population will be over 65 years. And this growing population has a better functional status, allowing them to make an active life. Treatment of these patients is a challenge, as they present some diseases that can complicate surgical procedures and a poor quality bone and muscle.
In the FJD we were pioneers in the treatment of these patients, becoming the first center in Spain to start implementing percutaneous techniques cementation of osteoporotic vertebral fractures. Also, we can be the first to develop and use fenestrated screws, allowing cementation of the vertebrae. An anchor of them instrumental to the vertebra, similar to that of younger patients was achieved.
In all, over the past 15 years we have been able to make the treatment of major spinal deformities that was unthinkable a decade ago. Technical improvements, combined with the analysis of the results in a database with more than 2,000 patients, in which all functional outcomes and complications are collected in recent years, have allowed us to change our techniques and better adapt to different groups old.