“第五屆臺海醫(yī)學(xué)會骨科國際交流大會暨福建省微創(chuàng)脊柱外科新進(jìn)展高峰論壇暨福建省骨科脊柱微創(chuàng)治療與康復(fù)臨床醫(yī)學(xué)研究中心論壇“于2022年11月18-20日在福建莆田盛大召開。

國內(nèi)外知名骨科專家、學(xué)者們通過線上、線下形式齊聚一堂，共同探討近年來國內(nèi)外骨科領(lǐng)域的最新技術(shù)和臨床進(jìn)展。

特別感謝大會東道主林海濱教授的熱情邀請，他是國家二級教授、南方醫(yī)科大學(xué)博士生導(dǎo)師、海峽兩岸醫(yī)藥衛(wèi)生交流協(xié)會臺海醫(yī)學(xué)會骨科主委、福建省微創(chuàng)脊柱外科主委。

在19日大會上，Sch?n Klinik 國際醫(yī)院集團(tuán)創(chuàng)始院長Mayer教授，Sana集團(tuán)奧芬巴赫醫(yī)院脊柱外科和重建骨科外科主任Rauschmann教授，Malteser圣瑪麗森林醫(yī)院跨學(xué)科脊柱及側(cè)彎治療中心主任Schnake教授作為國際特邀嘉賓線上參會。

Mayer教授分享《頸椎間盤置換-2022更新》課題，重點介紹了cTDR和ACDF兩種術(shù)式治療頸椎疾病的療效對比。cTDR是ACDF的一個良好替換型術(shù)式，前者在再手術(shù)率和鄰近節(jié)段退變等方面有很大的優(yōu)勢，并且隨著植入物的設(shè)計改良，異位骨化的風(fēng)險也將減少。

隨后Rauschmann教授分享《治療脊柱感染的局部抗生素療法》課題，他認(rèn)為治療嚴(yán)重脊柱感染應(yīng)迅速及時，并要經(jīng)過詳細(xì)診斷、完整清創(chuàng)、真空療法、移除松動的植入物后，進(jìn)行局部和全身的抗生素治療。他總結(jié)到雖然使用局部抗生素治療時骨融合較慢，但其優(yōu)勢明顯，局部濃度高，全身濃度低，抗生素可得到完全溶解，治療效果相比其他療法更佳。

而后Schnake教授分享《脊柱外科的現(xiàn)代技術(shù)發(fā)展趨勢》課題，他通過視頻生動地展示Malteser醫(yī)院現(xiàn)代化的手術(shù)室，他相信未來脊柱外科的發(fā)展會聚焦在手術(shù)室設(shè)備和術(shù)前規(guī)劃的技術(shù)創(chuàng)新上。隨著許多術(shù)前規(guī)劃軟件不斷開發(fā)，未來手術(shù)室將會配備更先進(jìn)的設(shè)備，在脊柱外科手術(shù)中使用機器人、導(dǎo)航、內(nèi)鏡、AI、虛擬現(xiàn)實等技術(shù)將會成為標(biāo)準(zhǔn)。

隨后林海濱教授作專題演講，他介紹到在脊柱微創(chuàng)的基礎(chǔ)和臨床研究方面，他們團(tuán)隊經(jīng)歷了一個20年的成長周期，直到現(xiàn)在也不斷地探索在機器人和顯微鏡輔助技術(shù)下精準(zhǔn)微創(chuàng)的治療方法。

在討論環(huán)節(jié)，Mayer教授和Schnake教授高度贊揚林海濱教授精湛的手術(shù)技術(shù)，通過機器人和顯微鏡技術(shù)使脊柱外科手術(shù)更加微創(chuàng)、精準(zhǔn)和安全，并祝賀他的團(tuán)隊走在脊柱外科技術(shù)發(fā)展的最前端。

林海濱教授表示感謝并希望未來有機會邀請三位德國教授到福建莆田進(jìn)行現(xiàn)場指導(dǎo)與交流。

林海濱教授也非常感謝包括張英澤院士、周躍教授、楊惠林教授和呂國華教授等所有國內(nèi)知名骨科大咖連線大會現(xiàn)場并發(fā)來賀信。

林海濱教授一直相信醫(yī)生應(yīng)站在病人一方思考技術(shù)的發(fā)展，用自己最擅長的技術(shù)給病人帶來最大的利益。這是真正的大醫(yī)精誠、醫(yī)者仁心，相信脊柱微創(chuàng)的明天會更加美好！

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 Sch?n 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!