Prof. Zhang Hongqi Invited to Report the Latest Findings of Spine Malformation Treatment at the Scoliosis Research Society (SRS) 53rd Annual Meeting
2018/10/14 19:47:24
Source: Dept. of Spinal Surgery    Author:     Clicks: 27

From October 10 to 13, local time in Italy, the Socoliosis Research Society (SRS) 53rd Annual Meeting was held in Bologna, Italy. More than 1,500 spinal surgery experts from around the world participated in this summit of scoliosis. Prof. Zhang Hongqi, Director of the Dept. of Spinal Surgery, was invited to the event and made two presentations - "Corrective surgery for scoliosis associated with spinal cord malformation: is neurosurgical intervention always necessary?" and "Continuous-Incremental-Heavy halo-gravity traction combined with posterior-only approach for cervical kyphosis correction in patients with neurofibromatosis-1", introducing the new technologies for the surgical treatment of complex spinal deformity, and received positive remarks from other participants from around the world.

Scoliosis Research Society (SRS) was founded in 1966. As the world’s most authoritative scoliosis research institute, it represents the worlds most advanced scoliosis research and dedicates itself to providing spinal deformity patients with the best treatment solutions. It has presided over the formulation of the "Golden Standard" for scoliosis diagnosis and treatment, providing an instructive operation specification for global scoliosis diagnosis and treatment services. The SRS Annual Meeting is the worlds top scoliosis meeting held by SRS, with 53 sessions having been held by now. It aims to offer continuing medical education for global professionals of spinal deformity treatment and funding and support for the studies of spinal deformity. As the worlds top academic organization of scoliosis, SRS would invite world-famous spinal deformity experts to every annual meeting. Therefore, the meeting is believed to be the most important international platform for the prevention, treatment and new findings of spinal deformity. The organizing committee of the meeting received more than 3,000 contributions from around the world. After rounds of peer reviews, 147 most innovative papers were selected as speeches at the meeting. The meeting included the progress in the basic and clinical research of scoliosis, involving adolescent scoliosis, congenital scoliosis, kyphosis, adult spinal deformity, neuromuscular scoliosis, etc. Among the selected papers, only 9 were from mainland China, 5 being clinical papers and 4 basic research papers. Of these 5 clinical papers, 2 were submitted by Prof. Zhang Hongqi from Xiangya Hospital, Central South University and about new technologies of surgical treatment of scoliosis combined with spinal cord malformation and cervical kyphosis due to neurofibromatosis. This is an evidence that the Dept. of Spinal Surgery of Xiangya Hospital is at the worlds advanced level in complex spinal deformity treatment.

At the meeting, Prof. Zhang Hongqi reported his findings of the diagnosis and treatment of scoliosis combined with spinal cord malformation. In general, spinal cord malformation includes syringomyelia, tethered spinal cord, and diastematomyelia. Scoliosis combined with spinal cord malformation has long been a thorny problem for spinal orthopedic surgeons. Traditionally, this type of scoliosis is treated with neurosurgery first and then spinal orthopedics. However, this treatment has many shortcomings including long duration, an increased number of operations, serious trauma and multiple postoperative complications. For this reason, Prof. Zhang Hongqi has suggested accurately evaluating the scoliosis flexibility of spinal cord malformation patients without apparent neurological signs with the results of x-ray examinations of left and right lateral flexion and suspension positions before the operation and performing scoliosis correction surgery with the assistance of nerve monitoring and wake-up test during the operation. After the operation, there are no obvious neurological complications and the correction is effective. He has also proven the feasibility of his suggestion with many cases involving long-term follow-up visits. This is very significant for improving the diagnosis and treatment for the patients.

At the meeting, Prof. Zhang Hongqi also reported his important research findings of the surgical treatment of cervical kyphosis due to neurofibromatosis by pre-operative Halo traction combined with posterior-only approach correction. The surgical treatment of cervical kyphosis due to neurofibromatosis is a challenge for spine orthopedics. Since most of the cases have such features as osteoporosis, abnormal anatomical structure, difficult screw fixation, and serious kyphosis, there has been a long-lasting absence of satisfactory treatment effect. Compared with the traditional anterior-posterior approach surgery, the pre-operative Halo traction combined with posterior-only approach correction also has advantages including short operation, low blood loss and small trauma in addition to ideal effect. The highlight of the research is the use of multi-point anchoring technique in the operation, breaking through the technical bottleneck of screw fixation.

Prof. Zhang Hongqi has long been focusing on the clinical work of spinal surgery and gathered rich experience in the surgical treatment of various spinal diseases. He is particularly accomplished in the surgical treatment of scoliosis and spinal tuberculosis. He took the lead to set up the Dept. of Spinal Surgery at Xiangya Hospital and became its first director in 2004. He has succeeded in performing more than 5,300 various complex spinal operations and initiated the "posterior-only approach debridement lumbar interbody fusion" for treating spinal tuberculosis. More than 2,300 of these operations he has performed still keep the record of "no paralysis or deaths" (no cases of permanent nervous and spinal damages by now). According to literature retrieval, his operations are top-ranking in China and at the worlds advanced level.

The event attracted many spinal surgery experts from around the world, including those from Peking Union Medical College Hospital, Nanjing Drum Tower Hospital, Chinese PLA General Hospital, and other major Chinese hospitals. This was the seventh time for Prof. Zhang Hongqi to deliver a speech about his spinal deformity research findings at an overseas top academic conference. Moreover, Prof. Wu Jianhuang and attending physician Wang Yuxiang in his team also attended the meeting. The meeting has further intensified the extensive exchange between Xiangya Hospital and the international circle of spinal research, displayed the rich clinical experience and cutting-edge techniques of the Dept. of Spinal Surgery in the realm of scoliosis and made the hospital known to the world and the department more influential at home and abroad.



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