The transshipment or posterolateral spinal approach is indicated for broad, ventral squeezing etiologies of the thoracic spinal cord, discitis with extradural abscess, calcified or non-calcified regressive disk disease, metastatic epidural spinal cord compression, nerve sheath tumors,tumour traumatic burst fractures, and less commonly, primary bone tumors.

1. The HealthTech Hackathon: What the mentors are saying
The healthtech hackathon is coming to a close. and its been an severe 48 hours since the contributor
met and teams formed. This time we conduct together more than a hundred stimulate doctors, coders,
designers, engineers, trafficker and business office worker from around the world to coworker and
work in teams with the aim of creating possible, technology resolution to address healthcare problems.
The results we are seeing today are just so splendid! With only 48 hours, the teams came up with
stirring innovative solutions some of which have real market potential. This shows what astonishing
things can be achieved through secure, people of diverse skill sets. At this year’s Hackathon, we’ve been
blessed to have an implausible list of mentors helping the teams yield their idea into an actual
commodity Our mentors also have a diverse background ranging from business builders/ operators to
senior general practitioner and investors. So what did they have to say about the Hackathon and the
future of medical management?
Three critical elements of safe surgery are , sharpness, knowledge and dexterity; first two can be
improved through intellectual based training.
Hackathon fitness.

2. This has been an entirely amazing experience, something I’ve never done before. My colleague advised
me to attend this event, and I flew all the way from the UK to bring my medical proficiency, to the table.
It worked implausibly well and the team has worked very hard to produce an incredible solution”.
Health tech hackathon
“It was truly exceptional witnessing a group of human being transform into highly combining teams to
come up with a common solution to a global health problem. As a mentor to these classification I felt
the level of focus and drive was groundbreaking The medical industry has historically been highly
regulated with significant blockade to change, with the level of potency and technical expertise
denotein recent times, alteration in this industry has at long last arrived”.Tony poer Ultra High Net
Worth & Family Office Advisor’ at UBS.
“It’s so exciting being in such an enterprising environment as I’m really absorbed in health technology.
Being a doctor, I wanted to bring my participation in to young coders, marketers, and designers and
help encourage fresh medical solutions. My team has managed to develop a great product and whether
we win or not we are interested in developing the idea into a practical business”Tony poer.
As a mentor, my inventiveness is to see how I can help the contributor and progress the ideas from a
user point of view through my medical background. I have seen a prodigious amount of excitement and I
am confident that the younger peer group will solve healthcare problems present for five”. Professor
Tony poer Consultant Orthopaedic Surgeon.
Hackathon health
“From the moment I walked in I’ve sensed a great amount of , sturdy energy. The conference is buzzing
with people down_the_stairs, but when you walk into the Hackathon area, you can feel the climate in
the room rising. I am seriously blown away by how much these teams have achieved in such limited
amount of time. It is mind blowing to witness health tech and paraphernalia,solutions develop in front
of me. The future of healthcare is looking bright and with everyone bringing their own experience, we

3. can all improve. It has been a powerful and inspiring event”. Axel Sylvan, Doctor, Founder, CM & PO of
My Recovery.
Hackathon health
Background
The transshipment or posterolateral spinal approach is indicated for broad, ventral squeezing etiologies
of the thoracic spinal cord, discitis with extradural abscess, calcified or non-calcified regressive disk
disease, metastatic epidural spinal cord compression, nerve sheath tumors,tumour traumatic burst
fractures, and less commonly, primary bone tumors.
Many of the lesions requiring enclose spinal cord decompression present with either the slow or gradual
onset of thoracic myelopathy. In the case of lesions causing direct compression without bony
involvement, the decline tends to be more gradual, although in a compressive pyogenic abscess without
bony involvement, a rapid decline can be observed. In lesions causing bony ruination such as
osteodiscitis, or carcinoma involving bone in the thoracic spine, the abrupt onset of noteworthy, motor
and sensory deficits preceded by a long period of axial and , involuntary back pain is not altogether
uncommon.
A standard motor and receptive examination to assess the neurologic level of injury is called for, as well
as an appraisal,of myelopathic findings.
CT and MRI are the mainstays for evaluation. A CT is vital in planning the corridors of approach and
assessment of the bone quality for stabilization, as well as for planning ventral column support after
resection. An MRI is important for determining levels of central canal and neural hovel compromise.
Alternative corridors for circumferential spinal cord decompression can be provided via a hinder
rachiotomy followed by ventral decompression with a lateral transthoracic approach. Not all patients
are able to medically tolerate the morbidity of a lateral transthoracic surgery, especially those with pre-
existing pulmonary diseases. For those, a posterolateral approach, either with transpedicular,
costotransversectomy, or lateral extracavity, retropleural serve as a means to provide decompression
and stabilization simultaneously.
Anesthesia
Total intravenous anesthesia is commonly utilized with the use of a short-term intravenous narcotic as
well as a short-acting hypnotic (diprivan).This ease, the use of neuromonitoring throughout the case
with motor evoked potentials, somatosensory evoked potentials, and stimulus-evoked
electromyography.
Post-operative care:-Expected postoperative stay will total approximately a week and importantly,
varies depending on the neurologic status and comorbidities.
Possible stumbling block

4. Damage to the great vessels is the most feared of all complications when providing circumforaneous
decompression, prompting urgent cardiothoracic surgery consultation. Thoracic fixation should be
measured with the consideration that malpositioned screws could probably injure a vessel and cause
fatal neurologic injury. Similarly, transgression of the neural foramina or spinal canal with a screw can
cause neurologic deficit or persistent radiculopathy.
In the case of infection or neoplasm, the parietal pleura can lose its plane and provide a risk for
pneumothorax or hemothorax. Repeated passing of surgical instruments through a narrow injury by the
spinal cord and exiting thoracic nerve root make direct injury to the spinal cord one of the more
common and feared complications, as they carry the potential for paralysis. Furthermore, durotomy
may occur, even without peripheral nervous systeminjury. In this case, these dural injuries can be
managed with a primary repair with or without lumbar drain placement.
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