Postoperative visit interview with this gentleman sharing his experience at recent wedding.
Lloyd A. Hey, MD MS
Hey Clinic for Scoliosis and Spine Surgery
Raleigh, NC USA
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?
Saturday, October 13, 2007
Pedicle Subtraction Osteotomy (PSO) to correct "Flat Back Syndrome": Hey Clinic Surgery Oct 8 2007
This 61 yo woman had a long spinal fusion performed down to the pelvis elsewhere, and has had severe flat back syndrome, with leaning forward posture, upper and lower back pain, and bilateral thigh pain and difficulty walking more than short distances. She suffered with severe fatigue, needing to walk with her knees slightly flexed.
To fix this problem, we performed a L3 pedicle subtraction osteotomy (PSO), where a wedge of L3 was removed, and the gap was then closed to recreate her lumbar lordosis. Her preoperative lumbar lordosis was less than 15 degrees. Her intraoperative lumbar lordosis after performing the osteotomy was 62 degrees. At the end of surgery after the incision was closed you could immediately see the results. Preoperatively, her thoracic and lumbar spine were totally flat, along with her buttock ("washboard") After surgery, she had a nice gentle curvature in the lumbar spine, with a more normal-appearing buttock.
Her surgery went quite well, taking approximately 5 hours, with 1200 cc blood loss, using cell saver machine to recycle the blood on the surgical field.
Postoperatively, she has done just great. On her first day after surgery, she stood up perfectly straight, and her leg pain was gone. She was all smiles.
She went home Friday, on her fourth hospital day at Duke Raleigh Hospital. On Friday, she was just beaming, feeling that she was starting a whole new life.
Lloyd A. Hey, MD MS
Hey Clinic for Scoliosis and Spine Surgery
Raleigh NC USA
http://www.HeyClinic.com
To fix this problem, we performed a L3 pedicle subtraction osteotomy (PSO), where a wedge of L3 was removed, and the gap was then closed to recreate her lumbar lordosis. Her preoperative lumbar lordosis was less than 15 degrees. Her intraoperative lumbar lordosis after performing the osteotomy was 62 degrees. At the end of surgery after the incision was closed you could immediately see the results. Preoperatively, her thoracic and lumbar spine were totally flat, along with her buttock ("washboard") After surgery, she had a nice gentle curvature in the lumbar spine, with a more normal-appearing buttock.
Her surgery went quite well, taking approximately 5 hours, with 1200 cc blood loss, using cell saver machine to recycle the blood on the surgical field.
Postoperatively, she has done just great. On her first day after surgery, she stood up perfectly straight, and her leg pain was gone. She was all smiles.
She went home Friday, on her fourth hospital day at Duke Raleigh Hospital. On Friday, she was just beaming, feeling that she was starting a whole new life.
Lloyd A. Hey, MD MS
Hey Clinic for Scoliosis and Spine Surgery
Raleigh NC USA
http://www.HeyClinic.com
Friday, October 5, 2007
23 yo woman from West Virginia talks about life before after recent scoliosis surgery. Hey Clinic Postop Visit
We saw a 23 you woman back for her 3 month scoliosis visit.
In this short video, she shares her experience before and after surgery.
Dr. Lloyd Hey
Hey Clinic for Scoliosis and Spine Surgery
http://www.heyclinic.com
Raleigh, NC USA
In this short video, she shares her experience before and after surgery.
Dr. Lloyd Hey
Hey Clinic for Scoliosis and Spine Surgery
http://www.heyclinic.com
Raleigh, NC USA
13 yo girl with severe thoracic scoliosis for Surgery w/ Hey Clinic Sep 27 2007
Sept 27 2007 we helped a 13 yo girl who had a very large R thoracic scoliosis with documented progression. We used thoracic pedicle screw instrumentation and were able to keep the fusion relatively short, T5-L1.
Her surgical time was approximately 2 hours and 45 minutes, and we used "cell saver" and no blood transfusions.
Her correction was approximately 90%.
Her postop course was unremarkable, with her whole family staying with her in the large private orthopaedic room at Duke Health Raleigh Hospital.
Her rib hump is gone, and she went home 3 days after surgery with her family
doing well.
Her surgical time was approximately 2 hours and 45 minutes, and we used "cell saver" and no blood transfusions.
Her correction was approximately 90%.
Her postop course was unremarkable, with her whole family staying with her in the large private orthopaedic room at Duke Health Raleigh Hospital.
Her rib hump is gone, and she went home 3 days after surgery with her family
doing well.
Dr. Lloyd Hey
http://wwww.heyclinic.com
Sep 26 2007 Hey Clinic Surgery: 38 yo woman with severe low back pain with severe degeneration L45 and L5S1
On Sep 26, we helped a 38 yo Raleigh nurse who had severe progressive low back pain, and poor quality of life with 2-level severe disc degeneration and facet arthritis (spondylosis). She underwent a 2-level instrumentation and fusion, replacing the L45 and L5S1 discs with TLIF spacers and bone graft, and also supporting the fusion with posterior instrumentation from
L4-Iliac wing. MRI shows the severe degeneration L45 and L5S1 with severe disc space narrowing L5S1. She had central annular tear L5S1 with central disc herniation.
L4-Iliac wing. MRI shows the severe degeneration L45 and L5S1 with severe disc space narrowing L5S1. She had central annular tear L5S1 with central disc herniation.
She is now recovering at home, and advancing on her activity program.
Lloyd A. Hey, MD MS
http://wwww.heyclinic.com
Hey Clinic for Scoliosis and Spine Surgery
Raleigh, NC 27609
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