Procedure: anterior L45, L5S1 ALIF instrumentation and fusion, then posterior Smith Peterson osteotomies w extension instrumentation and fusion down to ilium.
Surgical time: 90 minutes anterior, then 5 hour ad 10 min posterior.
Lordosis flat back correction: excellent.
EBL: 2100 cc.
Blood transfused: none.
This technique is nice alternative to pedicle subtraction osteotomy (PSO) when Harrington rod or other instrumentation fusion patients have adjacent level degeneration and failure w loss of disc height, pain, and kyphotic posture.
Dr. Lloyd Hey
Hey Clinic for Scoliosis and Spine Surgery
http://www.heyclinic.com
How can we care for scoliosis and kyphosis and spondylolisthesis better with conservative care like physical therapy, high-tech scoliosis braces, exercise and other techniques? What can be done to improve surgical care, and understand choices for surgery, learning from those around the world? How can we learn from aviation and from Deming's principles of "Standard Work" to constantly improve spine and all healthcare?
Tuesday, September 15, 2009
36 yo gentleman from Kentucky sp adolescent scoliosis instrumentation and fusion down t L4 w severe flat back syndrome fixed today
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1 comment:
Looks like a masterpiece to me. You are a blessing to my brother. Can't wait to see him have better days.
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