The document discusses World Spine Day 2023. The theme emphasizes the importance of movement in addressing spinal pain and disability. An estimated 1 billion people worldwide suffer from spinal pain, which is the leading cause of disability globally. This year's World Spine Day campaign calls for greater commitment to tackling spinal pain and lack of access to spine care. It encourages people to stay mobile and avoid inactivity to help their spines.

2. WORLD SPINE DAY 2023
Dr. Shamiul Alam Siddique
Assistant Professor
Department Of Neurosurgery
Mymensingh Medical College Hospital

3. Theme of 2023’s World Spine Day campaign

4. The theme emphasizes the importance of movement in addressing spinal pain
and disability as part of the global burden of disease and addresses the need for
movement education to all regions, cultures, backgrounds, and across the life
course worldwide.

5. An estimated one billion people worldwide suffer from spinal pain. It is the
most significant single cause of disability. Low and middle-income countries
often have limited access to healthcare resources or spinal health professionals.
Effective management and prevention are vital, and this year’s World Spine
Day will encourage people to be kind to their spines.

6. This World Spine Day, we are calling for action to focus on the global burden
of spinal disorders while emphasizing how to #MOVEYOURSPINE;
prioritizing a condition that is more prevalent than cancer, stroke, heart disease,
diabetes, and Alzheimer’s Disease combined.

7. The campaign calls for greater global commitment to tackling spinal pain
and disability by governments, communities, and public health bodies.

8. World Spine Day also recognizes the lack of access to quality spine care and
rehabilitation in under-served communities, which results in chronicity and
permanent deformity. For many populations, spinal pain and disability is not just
a minor inconvenience – it can mean not being able to work and provide food
and sustenance.

9. #MOVEYOURSPINE will focus on highlighting ways in which all
people can help their spines by staying mobile, avoiding physical
inactivity, not overloading their spines, and adopting healthy
habits such as weight loss and smoking cessation.

10. Believed to be the largest global public health event dedicated to promoting
spinal health and well-being, World Spine Day is observed by health
professions and public organizations concerned with spine care throughout the
world.

11. First stage: Formation of notochord.
Second stage:( Blastemal stage) =Mesodermal condensations.
Formation of mesenchymal vertebral column. Sclerotomes
surround notochord and neural tube.
Third stage: (Chondrification) of mesenchymal vertebral column.
Fourth stage:( ossification) of the vertebrae.
Development of Vertebral Column: 4 stages
Notochord contribute to formation of nucleus pulposus where it
surrounded by mesenchymal tissue which form annulus fibrosus. Together
they form intervertebral disc

12. Once the neural tube closes, neuroepithelial cells begin to give rise to another cell type
characterized by a large round nucleus with pale nucleoplasm and a dark-staining nucleolus. These
are the primitive nerve cells, or neuroblasts). They form the mantle layer, a zone around the
neuroepithelial layer. The mantle layer later forms the gray matter of the spinal cord.
The outermost layer of the spinal cord, the marginal layer, contains nerve fibers emerging from
neuroblasts in the mantle layer. As a result of myelination of nerve fibers, this layer takes on a white
appearance and therefore is called the white matter of the spinal cord
Development of Spinal Cord

13. A spina bifida can also be subtyped as:
1. Open: (80-90%) especially if detected antenatally 4
a. Myeloschisis
b. Myelomeningocele (mostly open, associated with Chiari ii malformation)
2. Closed: if covering skin present
a. Meningocele (may be open)
b. Lipomyelomeningocele
c. Myelocystocele
d. Tethered cord
e. Diastematomyelia
f. Syringomyelia
Spina Bifida Occulta

15. Common Spine Disease
 Mechanical Back pain
 Inflammatory back pain
 Mechanical Neck pain
 Compressive/Non-compressive myelopathy
 Traumatic spinal cord disease
 Infection- TB
 Tumour of Spine
 Vascular Disease of spine

16. Common Investigation Of Spine Disease
 X-ray
 MRI
 Inflammatory marker: CBC, CRP, RF, ACPA, ANA etc.
 CT scan

17. Modification of life style
Drugs
Physiotherapy
Surgery
Mode Of Treatment In Spine Disease

18.  Prolapse Lumbar Intervertebral Disc
 Prolapse Intervertebral Disc cervical region
 Compressive Cervical Myelopathy
 Spondylolisthesis
 Compressive Myelopathy from Trauma, TB
 Spinal Tumor
Common Spine Surgical Condition

19. Excellent
Most of spine problem need conservative management
Accurate diagnosis is vital
Surgical spine condition – treated urgently with surgery, delay
can cause disability.
Outcome Of Treatment In Spine Disease

20. Lower Back Pain From Sitting
As we move towards occupations that require us to sit longer and move less,
back pain and other musculoskeletal pain seem to be on the rise.
In one study office workers were asked to sit for 2 hours at a computer as their
discomfort level was measured throughout this time. The results showed that
discomfort increased significantly over time across the entire body – but low
back pain was reported to have increased the most.

22. 1. Excessive Sitting (Longer than 30 Min)
2. Sitting with Hunched Posture (Kyphosis)
3. Sitting in a Static Position
4. Sitting with Flattened Low Back
5. Sitting with Excessively Arched Low Back
5 Possible Causes For Low Back Pain From Sitting

23. 1. Stand Up/Walk Around/Exercise Every 30 min
2. Vary Your Posture/Move While Sitting
3. Use a Sit-Stand Desk
4. Get Lumbar cushion support
5. Raise your laptop to eye level
What can you do about it?

24. Ergonomics In Daily Life

28. Ergonomics In Surgery

34. Maintain Ergonomics Everywhere
Move Your Spine
Take Home Message

35. Thanks Spine.