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“第五届台海医学会骨科国际交流大会暨福建省微创脊柱外科新进展高峰论坛暨福建省骨科脊柱微创治疗与康复临床医学研究中心论坛“于2022年11月18-20日在福建莆田盛大召开。
国内外知名骨科专家、学者们通过线上、线下形式齐聚一堂，共同探讨近年来国内外骨科领域的最新技术和临床进展。
特别感谢大会东道主林海滨教授的热情邀请，他是国家二级教授、南方医科大学博士生导师、海峡两岸医药卫生交流协会台海医学会骨科主委、福建省微创脊柱外科主委。
在19日大会上，Schön Klinik 国际医院集团创始院长Mayer教授，Sana集团奥芬巴赫医院脊柱外科和重建骨科外科主任Rauschmann教授，Malteser圣玛丽森林医院跨学科脊柱及侧弯治疗中心主任Schnake教授作为国际特邀嘉宾线上参会。
Mayer教授分享《颈椎间盘置换-2022更新》课题，重点介绍了cTDR和ACDF两种术式治疗颈椎疾病的疗效对比。cTDR是ACDF的一个良好替换型术式，前者在再手术率和邻近节段退变等方面有很大的优势，并且随着植入物的设计改良，异位骨化的风险也将减少。
随后Rauschmann教授分享《治疗脊柱感染的局部抗生素疗法》课题，他认为治疗严重脊柱感染应迅速及时，并要经过详细诊断、完整清创、真空疗法、移除松动的植入物后，进行局部和全身的抗生素治疗。他总结到虽然使用局部抗生素治疗时骨融合较慢，但其优势明显，局部浓度高，全身浓度低，抗生素可得到完全溶解，治疗效果相比其他疗法更佳。
而后Schnake教授分享《脊柱外科的现代技术发展趋势》课题，他通过视频生动地展示Malteser医院现代化的手术室，他相信未来脊柱外科的发展会聚焦在手术室设备和术前规划的技术创新上。随着许多术前规划软件不断开发，未来手术室将会配备更先进的设备，在脊柱外科手术中使用机器人、导航、内镜、AI、虚拟现实等技术将会成为标准。
随后林海滨教授作专题演讲，他介绍到在脊柱微创的基础和临床研究方面，他们团队经历了一个20年的成长周期，直到现在也不断地探索在机器人和显微镜辅助技术下精准微创的治疗方法。
在讨论环节，Mayer教授和Schnake教授高度赞扬林海滨教授精湛的手术技术，通过机器人和显微镜技术使脊柱外科手术更加微创、精准和安全，并祝贺他的团队走在脊柱外科技术发展的最前端。
林海滨教授表示感谢并希望未来有机会邀请三位德国教授到福建莆田进行现场指导与交流。
林海滨教授也非常感谢包括张英泽院士、周跃教授、杨惠林教授和吕国华教授等所有国内知名骨科大咖连线大会现场并发来贺信。
林海滨教授一直相信医生应站在病人一方思考技术的发展，用自己最擅长的技术给病人带来最大的利益。这是真正的大医精诚、医者仁心，相信脊柱微创的明天会更加美好！
The 5th International Orthopaedics Forum of Cross-Strait Medical Health Exchange Association &Fujian Minimally Invasive Spine Surgery Advancement Forum & Fujian Provincial MIS Treatment and Rehabilitation Center Forum was grandly held in Putian, Fujian Province from Nov 18 to 20, 2022.
Well-known domestic and overseas experts and scholars gathered online and offline to discuss the latest technological and clinical advances worldwide in the field of orthopedics.
Special thanks go to the host Prof. Lin Haibin for his warm invitation. Prof. Lin is a Full Professor in China, Doctoral Supervisor of Southern Medical University, the Chief of Orthopaedics of Cross-Strait Medical Health Exchange Association and the Chief of Fujian Provincial Spine Surgery Association.
Prof. Mayer, Founding Medical Director of Schön Klinik Munich Harlaching, Prof. Rauschmann, Head of Department of Spine and Reconstructive Orthopaedics Surgery, Sana Klinikum, Offenbach, and Dr. Schnake, Chief of Interdisciplinary Center for Spinal and Scoliosis Therapy, Malteser Waldkrankenhaus St. Marien, were invited to participate in the conference on Nov 19 as international special guests.
Prof. Mayer shared a lecture titled "Cervical Disc Arthroplasty - An Update 2022 ". He introduced some comparative studies of clinical efficacy of cTDR and ACDF for the treatment of cervical spine diseases. cTDR is a proven alternative for ACDF with the advantages of lower re-op rates, lower incidence of adjacent segment degeneration, etc, and with new implant designs, the risk of heterotopic ossifications can be decreased after cTDR as well.
Prof. Rauschmann then shared a lecture about local antibiotic therapy as treatment of spinal infections, where he shared that the treatment of severe infections of the spine should be timely and should follow the steps of detailed diagnosis, debridement, vacuum therapy, the changing of loose implants, and aggressive local and systemic antibiotic therapies. He concluded that although bone fusion is slower when local antibiotic therapy is used, it has an obvious advantage of local high concentration and systemic low concentration, which allows complete release of antibiotic substance so as to achieve better clinical outcomes compared to other therapies.
Dr. Schnake then shared a lecture titled "Modern technical trends in spinal surgery" by first showing a nice video of the modern operating room at Waldkrankenhaus. Dr. Schnake believes that the future of spine surgery will focus on technological innovations in operating room and for preoperative planning. With the development of various preoperative planning software, operating room of tomorrow will be equipped with more advanced equipment and the use of robotics, navigation, endoscopy, AI, virtual reality and other modern technologies in spine surgery will become the standard.
Prof. Lin Haibin also shared an academic lecture in which he introduced that their team has gone through a 20-year growth cycle in terms of the basic and clinical research on minimally invasive spine surgery, and they will continue to explore more precise and more minimally invasive surgical techniques with the support of robotics and microscopy.
During the discussion session, Prof. Mayer and Dr. Schnake highly praised Prof. Lin Haibin for his superb surgical skills, which have made spine surgery more minimally invasive, more precise and safer with robotics and microscopy, and sent their congratulations to his team for standing at the forefront of the development of spine surgery.
Prof. Lin Haibin expressed his sincere gratitude and hoped that he could have the opportunity to invite them to Putian, Fujian, for further academic exchanges in the future.
Prof. Lin haibin also expressed his thankfulness to all the domestic orthopaedic experts, including Prof. Zhang Yingze, Prof. Zhou Yue, Prof. Yang Huilin and Prof. Lv Guohua, for participating the conference online and sending their best wishes.
Prof. Lin Haibin has always kept in mind that doctors should stand in the view of patients when considering the technological development and should best leverage their skills to provide the greatest benefit to the patient. This is the virtual of a great physician who has the caring heart to the patient. We believe that with their contributions, the future of minimally invasive spine surgery will be better!
