scoliosissurgeon

Maintaing Global Balance

The body is a complex machine that often compensates to maintain balance. Our recent study sheds light on the importance of global alignment and lower extremity compensation. We found that asymptomatic volunteers used compensatory mechanisms such as slight pelvis retroversion, knee flexion, and neck extension to maintain an aligned sagittal posture with their head centeredContinue reading “Maintaing Global Balance”

Individualized Surgical Planning using the #MEANS concepts

Matching the Thoracic kyphosis, Lumbar Lordosis, and Pelvic Incidence in the sagittal plane is the key to optimal alignment in adult spinal deformity surgery The concept applies to the coronal plane as well. We need to match the fractional lumbosacral curve, lumbar scoliosis, and thoracic scoliosis. This patient with a prior harrington rod who underwentContinue reading “Individualized Surgical Planning using the #MEANS concepts”

Spinal alignment varies with an individual’s race !

A Multi-Ethnic Alignment Normative Study (MEANS) Spinal alignment is determined by more than just the PI or SS.We compared individuals from three main races: Asian (A), Arabo-Bèrbère (B), and Caucasian (C). Key points:-Pelvic morphology including pelvic incidence (A: 51.0, B: 52.0, C: 52.5, p = 0.37), pelvic tilt (A: 11.9, B: 12.3, C: 12.9, pContinue reading “Spinal alignment varies with an individual’s race !”

Guidelines for Assessment and Management of Osteoporosis in Adult Patients Undergoing Elective Spinal Reconstruction

Following the topic of Bone Health in Adults undergoing spine surgery from my previous post. Here are the guidelines we published for evaluation and treatment of patients with osteoporosis. neurosurgery #physicaltherapy #chiropractor #spine #spinehealth #spinesurgery #spinesurgery #scoliosis #scoliosissurgeon #spinedeformity #spinaldeformity #idiopathicscoliosis #degenerativescoliosis #kyphosis #flatback #spinalalignment https://pubmed.ncbi.nlm.nih.gov/34690329/

Bone Health treatment before spine surgery

Alignment may be #1 but Bone Health is a close #2 in preventing mechanical failure in patients undergoing adult spinal deformity surgery This study published by us in JBJS shows the significance of medical treatment of osteoporosis prior to adult spinal deformity surgery. Next step is to identify the osteopenic patients who will benefit fromContinue reading “Bone Health treatment before spine surgery”

What is Normal Lumbar Spine Alignment and segmental lordosis ?

A Multi-Ethnic Alignment Normative Study (MEANS) Here is what we learnt for Lumbar segmental alignment and distribution from the MEANS population. Key Points: Equation for predicting L1-L4 lordosis which I use:L1-L4 = -0.4(PI) + 2.2 Equations for predicting L1-S1 lordosis were given in the earlier post. L4-S1 lordosis can be calculated as a difference betweenContinue reading “What is Normal Lumbar Spine Alignment and segmental lordosis ?”

What is Normal Spinal Alignment ?

A Multi-Ethnic Alignment Normative Study (MEANS) We have had the privilege of collaborating with multiple international sites to establish a cohort of asymptomatic volunteers (468) with no prior spinal pathology. This was done to develop a more detailed understanding of spinal alignment. We have to understand normal to identify abnormal ! I am proud toContinue reading “What is Normal Spinal Alignment ?”

Navigating Airport Security with Spinal Implants

Attention to those with spinal fusion implants or considering scoliosis surgery! You may be detected by metal detectors at the airport. Ease your travel by filling out the TSA notification card and present it to the agents. Opting for the Advanced Imaging Technology (AIT) machine is often a smoother choice instead of the walk-through metalContinue reading “Navigating Airport Security with Spinal Implants”

Title: 🚨 Untreated Scoliosis Alert! Consequences of delay in detection or treatment 💔

⚠️ Parents & Teens ⚠️ Untreated scoliosis can lead to severe progression, pain, limited mobility, and even affect lung function. Early detection is vital! These are X-rays from a patient of mine in her early 40s whose scoliosis went unnoticed and untreated, now facing severe consequences in her 40s. Early treatment as a child couldContinue reading “Title: 🚨 Untreated Scoliosis Alert! Consequences of delay in detection or treatment 💔”

🌟 Scoliosis Screening with a Scoliometer: Your Pediatrician’s Powerful Tool! 👨‍⚕️

Hello, teens and parents! 🌈 Today, let’s dive into how your pediatrician or primary care physician can use a scoliometer to screen for scoliosis. This simple yet effective tool is a game-changer in ensuring early detection and optimal spine health! 📋 What is a Scoliometer? A Scoliometer is a device that your pediatrician might useContinue reading “🌟 Scoliosis Screening with a Scoliometer: Your Pediatrician’s Powerful Tool! 👨‍⚕️”