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Neurosurgeons in Japan Are Exclusively Brain Surgeons
1Department of Neurosurgery, Mita Hospital, International University of Health and Welfare, Tokyo, Japan.
Background:
In Japan, neurosurgeons have traditionally mainly treated brain diseases, with most cases involving the spine and spinal diseases historically being treated by orthopedists. Nowadays, spinal surgery is 1 of the many subspecialties in the neurosurgical field in Japan.
Methods:
Most patients with neurological deficits or suspected neurological diseases see board-certified neurosurgeons directly in Japan, not through referrals from family physicians or specialists in other fields.
Results:
Problems originating in the spine and spinal cord have been overlooked or misdiagnosed in these situations.
Conclusions:
Neurosurgeons in Japan must rethink the educational program to include advanced trauma life support and spinal surgery.
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