In agony preop.
Fixed today T12-Iliac wing instrumentation and fusion w revision L2-L5 laminectomy.
Surgical time 4.5 hrs.
EBL 1,300 cc.
Did well!!
Lessons to learn: laminectomy alone for stenosis w listhesis and or deformity usually should be accompanied w instrum and fusion to prevent recurrance and further instability.
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?
Monday, February 9, 2009
Severe spondylolisthesis , and scoliosis and stenosis status post previous laminectomy elsewhere
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1 comment:
I am 43 years old and had a harrington rod implant in 1979 (6 months with a body cast)for scoliosis (S curve-78 degrees upper curve), and also wore a backbrace for 5 years prior to the sugery (the terrible Milwaukee Brace). As I have gotten older, my back problems have gotten worse. I have spinal stenosis (level 3) and spondylotisthesis at about 75%. The 2 vertebae have fused together on their own, but still bulge. I suffered a terrilbe degree of pain (that lasted about 6 weeks) 4 years ago. I have no idea what brought it on! Somehow the nerves were being piched and caused the worst pain that I ever experienced! It was a very talented chiroporactor that actually relieved my pain and helped me to walk again. I have an orthopedic surgeon who will not operate until I can't function on a daily basis due to severe pain. I clearly agree with this. Is my case unique or do many others have these typical problems that all are associated with one and other? I wish that I had someone to talk with.
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