title: Surgical correction of disc pathology in fighter pilots: a review of 14 cases.
abstract: BACKGROUND
  Disorders of the spine are common in fighter crewmembers. The high cost of training and experience for pilots makes it important to use all reasonable clinical means to restore grounded pilots to their flying duties, provided that all safety standards are maintained. To date, there has been limited research into specific surgical treatment of spine injury in pilots. This study was designed to examine the efficacy of surgical procedures in Spanish Air Force fighter pilots with injuries to the spine, as well as the aeromedical disposition of such pilots.
  
  
  METHODS
  A retrospective study was conducted using the medical records of 14 fighter pilots with symptomatic spinal disorders treated by surgery.
  
  
  RESULTS
  The 14 pilots underwent surgery: 12 cases involved fusion of vertebral structures (arthrodesis), while 2 pilots underwent discectomy. All pilots were subsequently given waivers to resume flying duties.
  
  
  CONCLUSIONS
  The successful return to flight status of these pilots indicates the practical application of surgical techniques that safely stabilize the spine. However, due the sample limited size of the sample, further studies are needed.
authors.affiliation: Departament of Aerospace Medicine, C.I.M.A, Madrid, Spain. pvaldes@oc.mde.es
authors.forename: Pilar
authors.initials: P
authors.lastname: Vallejo Desviat
authors.forename: Beatriz
authors.initials: B
authors.lastname: Esteban Benavides
authors.forename: Jose A
authors.initials: JA
authors.lastname: López López
authors.forename: Francisco
authors.initials: F
authors.lastname: Rios-Tejada
authors.forename: Alejandro
authors.initials: A
authors.lastname: Bárcena
authors.forename: Fernando
authors.initials: F
authors.lastname: Alvarez-Sala
authors.forename: Cesar
authors.initials: C
authors.lastname: Alonso Rodríguez
mesh_terms: D000328:Adult; D000337:Aerospace Medicine; D001174:Arthrodesis; D017586:Diskectomy; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000534:rehabilitation / Q000601:surgery*; D008889:Military Personnel; D009784:Occupational Diseases / Q000534:rehabilitation / Q000601:surgery*; D012189:Retrospective Studies; D013030:Spain; D016896:Treatment Outcome