Tag Archives: scoliosis

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 #spinehealthContinue reading “Safe Use of Robotics in Spine Surgery”

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 #spinehealthContinue reading “Safety in Robotic Spine Surgery”

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

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”

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”