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robotics and navigation                              should i haVe sPine surgery?
             This refers to the use of special machines that allow   Despite all these modern techniques and the available
             the surgeon to accurately and safely insert spinal   technologies, spine surgery should only be performed when
             instrumentation into the vertebra, thus lowering the risk   all other conservative or non-operative measures have been
             of damage to the spinal cord and surrounding tissue.  exhausted. However, spine surgery, when done for the right
                                                                  reasons in the proper fashion, can yield excellent results.
             neuromonitoring
             special monitors are used during these surgeries to   Netcare Waterfall City Hospital has a fully integrated
             assess spine and nerve activity which makes surgeries   Multidisciplinary Spinal Team - Spine at Waterfall
             safer and prevents injury to nerves and the spinal cord.   Our team involves an Orthopaedic spine surgeon, a Physiotherapist,
                                                                  a Biokineticist, a Dietician and a Psychologist. Each member of the
             spinal instrumentation                               team has a special interest or further training in the management
             Modern spinal instruments are stronger, smaller,     of spine conditions. We use a patient-based approach combined
             have lower profiles and are made of materials that   with shared protocols to ensure each patient is comprehensively
             allow faster and safer integration. There are also   assessed and treated. A team approach also means no unnecessary
             more options such as cervical disc replacements,     surgeries and true surgical cases are correctly identified, worked up

             which avoid a fusion and are motion-sparing.         and prepared. We also ensure team-based post-operative care.

                                                                                                   Waterfall Issue 2   2020  21
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