[Tips for Neurological Examinations in Spinal Surgery].

ABSTRACT

The appeal of spinal surgery is that it can dramatically improve patients' symptoms. To achieve this goal, establishment of preoperative diagnosis based on neurological examination is important. In this article, we will outline some tips for neurological examination in spinal surgery. The exam starts with listening to the patient's complaints. Pay attention to the patient's symptoms which change in relation to posture or movement. The muscle strength tests, sensory exams, and deep tendon reflex testing should follow. It would be fascinating if your examination skills were good enough to identify the responsible lesion causing the patient's symptoms without referring to the MRI. Neurosurgeons will be able to enjoy blissful moments with their patients, if the patients are relieved from pain or other symptoms after surgery.