In modern Orthopaedics and traumatology, which recently emerged from a field of General surgery and was considered, and still is considered by many, small, narrow section of surgery, are new. It is to such that the newly born, and is such that many call the new section of medical science. Probably, so it is significant and important, and difficult, which referred not to orthopedics and traumatology and not even to surgery, and called the new section of medical science!
Such is the study of diseases and injuries of the spine. If to be a pedant and accurately translate this word into English, it will sound as the doctrine of the vertebra, as it comes from the Latin word "vertebra", which means the vertebra, and the Greek "logos" - doctrine. The vertebrology I do. Do routinely already for twenty-five years: every day, and often at night.
About this science, know little, not so, as for example, heart surgery, which devoted a lot of serious, less serious and popular books. I mention cardiac surgery because she was young, very difficult and I would say, steeped in romance - romance inhuman resistance surgeon, fanatically devoted to their work, their patients. My specialty is too difficult, and I have no doubt that when it will be recognised, it may be even more will be covered with romanticism than surgery heart, because effective. It transforms people - many of my patients, she is very responsible, more responsible, than cardiac surgery. May be it is perceived by the untrained people, as a paradox, but it is true.
Heart surgery is produced when the disease puts the person suffering it, to the brink of life and death, or in the near future will put it on this face, and, therefore, are for health reasons and not make them impossible. This patient has no choice and no choice at the fair, responsible physician. Surgery is the only chance to save or prolong the patient's life. There is no alternative. Or operation, and possibly, life or death. This fact justifies the taking of operative treatment no matter what happens, even in the most tragic.
Back surgery significantly different from heart surgery. In particular, they differ in that in so many diseases and injuries of the spine patient's life is out of danger. He can live many years, and in a number of diseases - up to a ripe old age. Another thing is how to live (physically and mentally), but to live! Surgical risk in operations on the spine is very high and often surgery is not for health reasons. This, in particular, the operational vertebrology is different from heart surgery. Surgeon-vertebrologist have to have confidence and will, based on the knowledge and ability to decide on such surgical intervention.
I have aimed to tell about the new, emerging, and exciting profession, transforming the lives of many in the recent past was considered incurable people.
Spinal diseases known to mankind since ancient years, people suffered them even in ancient times. They found from a number of mummies found in ancient tombs, x-ray method. The great Hippocrates knew many diseases of the spine and treating them. However, the treatment was very peculiar, because it is based on the idea of corresponding to the level of development of knowledge of that time, quite far from modern.
Such methods are, of course, could not be of benefit to patients. However, they indicate that already in the past, attempts were made, let original and unacceptable from the point of view of our modern knowledge and ideas, effective care for people suffering from diseases of the spine. Already in the times of Hippocrates to treat diseases of the spine were widely used massage, corsets and a number of special devices and equipment.
With the development of the doctrine of the human body, medical science in General, and the rudiments of surgery deepened knowledge about the structure of the spine, the role, significance of the human body, and hence diseases.
For many centuries among the methods of treatment of injuries and diseases of the spine dominated massage and apparatus (corsets, heat, air and sun baths). Even much later, when surgery receives a scientific basis, captures the various areas of the human body, victorious marching across countries and continents, spine remains intact for the surgeon. All the same massage, corsets, gymnastics, resorts for a long time remain the main weapons used in the treatment of various pathological conditions and diseases. There is no doubt that such behaviour of doctors was correct and reasonable, it is determined by the possibilities of surgery that time, the location of the spine in the human body and its functional characteristics. The spinal column is located in the centre of the human body goes through all the body from the base of the skull to the pelvis, forming its sacral Department of the back wall of the latter.
Apart support function, which performs the spine, it is the body, because it's here that the human body can take a variety of poses. In addition, in the bone channel of the spine is a spinal cord, without a clear which a normal human life is impossible and for which he is the case, rather, reliable armored safe. These peculiarities of the spine was due to the inability surgery on it in the very recent past. Rare attempts by individual physicians to actively intervene in the course of diseases of the spine ended tragically and for himself and for the patient.
Back surgery followed by large blood loss and shock. The fact that surgery on the structures of the spine due to the peculiarities of their anatomical structure is almost always entails significant bleeding and, if time and not fully make up the blood, operated perish. Shock (state reaktivnost) - the absence of the body's own reactions, which empties into the human body due to massive blood loss and pererazbiyeniya cortex, arising out of pain impulses, coming from the field of surgery. Blood loss and shock were the main causes of death operated. Surgery until recently had no reliable methods and ways of overcoming the consequences of massive bleeding and operational shock.
Only in the postwar period with the emergence of powerful antibiotics, ensuring smooth healing of postoperative wounds, the development of modern service of blood transfusion and blood substitutes that simultaneously implement filling very large, massive blood loss, and most importantly, with the development of anesthesiology - the teachings about the methods of life-support of the human organism that falls under extreme conditions in the process of implementing major surgery, surgery, and first of all breast, has received new opportunities. Thanks to these new factors most advanced orthopaedic surgeons already in the fifties began more active surgical treatment of some diseases and injuries of the spine.

In section contains the substance of a new area of medical science, vertebrology, which is a little known not only to readers of the masses, but even doctors-surgeons. As a pioneer of domestic vertebrology, Cevian J. L. based on accurate scientific facts and using the technique of the art of narration, talks about the essence of vertebrology, spine diseases, methods of their treatment, of a complex multifaceted work of the clinic, its features, challenges and joys of everyday work of a surgeon, about the difficult fate of his patients, his pupils and assistants.
For a wide circle of readers.