Depigmentation of the skin can be caused by a number of local and systemic conditions. The pigment loss can be partial (such as after injury to the skin) or complete (such as from vitiligo).epigmentation of the skin can be caused by a number of local and systemic conditions. The pigment loss can be partial (such as after injury to the skin) or complete (such as from vitiligo).
In the most general terms, a spine specialist is a physician who focuses on the pathology of the vertebrae, intervertebral discs, joints and neural structures of the spinal column and the spinal cord.
When a spinal condition is discovered or suspected, a primary care physician will usually refer the patient to either an orthopaedic spine surgeon or a neurosurgeon for further diagnosis and treatment. Both doctors are considered spine specialists.