Cervical Epidural Abscess

Update on the cervical epidural abscess case: Successful partial C4 corpectomy led to significant neurological recovery. Abscess was more phlegmon than liquid. Used fibular allograft for stability.

Key takeaways:
-Abscesses can be more solid than expected.
-Partial corpectomy offers excellent decompression + stability.
-Material choice (titanium/allograft/autograft) matters less than thorough I&D and stabilization.
-Post-op antibiotics are crucial

#neurosurgery #physicaltherapy #chiropractor #spine #spinehealth #spinesurgery #cervicalspine

What would your surgical plan be for this patient with a cervical epidural abscess and severe arm weakness?

neurosurgery #physicaltherapy #chiropractor #spine #spinehealth #spinesurgery #cervicalspine

How good is AI in Spine?

Is AI good at deciphering spinal intricacies? 🤔 #MedTwitter, take a look at this AI-rendered spine image. While it mimics the spine from a distance, the devil’s in the details – and they’re off. Much like AI in medicine: seemingly promising, yet often lacking in specific applications. Remember, AI’s efficacy hinges on the quality of data it’s fed. Let’s focus on enhancing data integrity for better outcomes. #HealthTech #DataQuality

#scoliosis #AI #spine

Safe Use of Robotics in Spine Surgery

Final Tip #6 for Spine Surgeons 🤖: Embrace tactile feedback in #Robotics. Tap, don’t push the drill. Start with high-speed bur for 1cm depth, then switch to low-speed tap. Unsure? Trust your feel & check landmarks. 🛠️ Old tools, new tricks.
Share your tips & experiences, especially Globus Medical robot users!

#neurosurgery #physicaltherapy #chiropractor #spine #spinehealth #spinesurgery #scoliosis #scoliosissurgeon #spinedeformity #spinaldeformity #idiopathicscoliosis #degenerativescoliosis #kyphosis #flatback #spinalalignment #spondylolisthesis #roboticsurgery

Safety in Robotic Spine Surgery

Tip #5 for Spine Surgeons: Master #Robotics with anatomy in mind! 🦴 For S2AI screws, clear bone that obstructs the trajectory. Be mindful of deep L5/S1 and medial PSIS – adjust or remove part of PSIS for optimal screw placement. And watch those sloped transverse processes in the thoracic spine!

#neurosurgery #physicaltherapy #chiropractor #spine #spinehealth #spinesurgery #scoliosis #scoliosissurgeon #spinedeformity #spinaldeformity #idiopathicscoliosis #degenerativescoliosis #kyphosis #flatback #spinalalignment #spondylolisthesis #roboticsurgery

Safe Use of Robotics in Spine Surgery

Tip#4 for #Spine Surgeons: Ensure safe #Robotics use in spine surgery by minimizing tissue tension. Use bilateral retractors and consider a percutaneous/transmuscular approach to prevent errors. Remember, tension & asymmetric retraction often lead to errors at UIV/LIV

neurosurgery #physicaltherapy #chiropractor #spine #spinehealth #spinesurgery #scoliosis #scoliosissurgeon #spinedeformity #spinaldeformity #idiopathicscoliosis #degenerativescoliosis #kyphosis #flatback #spinalalignment #spondylolisthesis

Safety in Robotic Spine Surgery

Tip#3 for fellow surgeons RoboticsInSpineSurgery

Start proximal to distal High torque?

Leave screws proud, tighten later

Iliac/S2AI screws last for their torque

Doubts about robot movement? Recheck landmarks

For deformities, think headless/modular screws

#neurosurgery #physicaltherapy #chiropractor #spine #spinehealth #spinesurgery #scoliosis #scoliosissurgeon #spinedeformity #spinaldeformity #idiopathicscoliosis #degenerativescoliosis #kyphosis #flatback #spinalalignment #spondylolisthesis

Safety in Robotic Spine Surgery

Tip#2 for fellow surgeons #RoboticsInSpineSurgery. Ensure all connections on the robot are secure & wait for the C-Arm to stabilize before imaging. Keeping prior screws but removing rods can aid, except for Harrington rods/hooks

neurosurgery #physicaltherapy #chiropractor #spine #spinehealth #spinesurgery #scoliosis #scoliosissurgeon #spinedeformity #spinaldeformity #idiopathicscoliosis #degenerativescoliosis #kyphosis #flatback #spinalalignment #spondylolisthesis

Embracing robotics in spine surgery

Tip # 1: Always plan your screws! It sharpens your anatomy skills, minimizes errors, and works around old hardware without removal. Let’s prioritize patient safety and share our insights

neurosurgery #physicaltherapy #chiropractor #spine #spinehealth #spinesurgery #scoliosis #scoliosissurgeon #spinedeformity #spinaldeformity #idiopathicscoliosis #degenerativescoliosis #kyphosis #flatback #spinalalignment #spondylolisthesis

Spondylolisthesis, stenosis, and lumbar kyphosis

Patients with spondylolisthesis, stenosis, and lumbar kyphosis can have major difficulties with staning upright and with day to day function.

Realignment and stabililzation of the spine can lead to a dramatic improvement in quality of life.

Patient was extremely happy postop as she was able to stand upright for the first time in many years.

neurosurgery #physicaltherapy #chiropractor #spine #spinehealth #spinesurgery #scoliosis #scoliosissurgeon #spinedeformity #spinaldeformity #idiopathicscoliosis #degenerativescoliosis #kyphosis #flatback #spinalalignment #spondylolisthesis