Mikhail Lew P. Ver, MD, FPOA

Philippines

Lecture Topic: Spinal Cord Injuries and Sports

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Dr. Mikhail Lew P. Ver had his postgraduate degree for Doctor of Medicine at the UP College of Medicine in 2011, and he completed his residency training in orthopedic surgery at the UP Philippine General Hospital in 2016. He subspecialized in spine surgery completing a 3 month spine fellowship in Seoul National University Hospital, South Korea in 2017, and a 2 year combined research and surgical fellowship at the Norton Leatherman Spine Center, United States from 2017 to 2019. He is currently a practicing consultant at St. Luke’s Medical Center – Global City and Quezon City, and a faculty staff for orthopedics at the St. Luke’s Medical Center College of Medicine – William H. Quasha Memorial.


Lecture: Spinal Cord Injuries and Sports  

Abstract:

Sports related spinal cord injuries (SCI) comprise 6-10% of all SCIs worldwide. The most commonly injured level is the cervical spine, and an increasing trend of incomplete cord injuries are seen. The same is true for the adolescent pediatric population which is attributed to the increasing level of competition. Basic principles of treatment start similarly with acute trauma life support with a special emphasis on spinal immobilization. Common injuries include stingers, cervical cord neuropraxia, disc herniations and catastrophic neurologic injuries. All sports related SCI injuries are treated according to its pathology, with the exception of stingers where immediate return to play can be allowed. Time is spine is a concept which emphasizes maximal neurologic recovery. Latest evidence highlight the use of high dose methylprednisolone for 24 hours if started within 8 hours of injury onset, maintenance of mean arterial pressure (MAP) above 85-90 mmHg, and early decompressive surgery within 24 hours, help achieve beneficial gains in neurologic recovery and functional outcomes.