This boy's thoracic spine actually was sinking in (20 deg lordosis), w progressive scoliosis as well. He has arthrogryposis. His subsequent chest volume for heart and lungs was getting much smaller, since distance between thoracic spine and anterior chest wall was shrinking.
We fixed it today using a special surgical technique to slowly "draw" the thoracic spine back using pedicle screws, simultaneous rods and special insertion instruments.
We obtained an excellent correction, and his chest wall now comes "out" as opposed to "in".
Surgical time: 3 hrs 3 min.
EBL 800
Blood transfused: none.
Complications: none.
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, June 22, 2009
11 yo boy w scoliosis and severe thoracic hypokyphosis from Philippines fixed today.
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