Thursday, February 26, 2009

Amazing Disappearing Juvenile Scoliosis!




Abigail is a young lady who was placed in a brace 3 years ago at age 7 and has decreased her curve from 40 degrees to 4! This is an interesting example of a juvenile scoliosis case, which you typically see in children between 5 and 7 years old. Unlike congenital, adolescent scoliosis and adult scoliosis, some juvenile scoliosis curves can improve or even resolve as they get older. Even though some juvenile scoliosis curves will improve, careful follow-up is always indicated when you have any form of scoliosis to document curves over time.



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Lloyd A. Hey, MD MS
Hey Clinic for Scoliosis and Spine Surgery
Raleigh, NC USA
Member, Scoliosis Research Society (SRS) http://www.srs.org


Wednesday, February 25, 2009

South carolina gentleman w failed unilateral instrumentation and fusion done elsewhere fixed today

Xrays show halo effect around screws.
Pain was severe.
Surgery this afternoon went well.
Screws grossly loose and replaced.
L4-iliac wing revision decompression and fusion w bmp.
Surgical time: 2.25 hrs.
Blood transfused: none.
Room aura:excellent.
Estimated hospital stay: 2 nights

Dr. Lloyd Hey
Hey Clinic for Scoliosis and Spine Surgery
http://www.heyclinic.com

Anterior-posterior ALIF spinal reconstructive surgery for flat back sydrome fixed today for woman years sp L2-5 fusion done elsewhere

Surgical time 5.5 hrs.
Anterior L5 S1 ALIF, posterior osteotomy and decompression and L2 to iliac wing instrumentation w bmp.
EBL 1200 cc
Complic: none.
Correction of Lordosis: excellent.

Dr. Lloyd Hey
Hey Clinic for Scoliosis and Spine Surgery
http://www.heyclinic.com

Tuesday, February 24, 2009

L1 laminectomy this afternoon for gentleman w clumsy legs

After finishing our big kyphoscoliosis reconstruction around 1:30, I talked to very thankful husband, grabbed quick lunch, then saw 12 yo girl in clinic w scoliosis which has progressed frome 26 to 44 degrees in 6 months. Nice family from Wilmington NC.

After that, I went back over to OR, where we just helped this man with severe leg clumsiness with a minimally invasive lumbar decompression laminectomy. You can see the severe stenosis on the mri above.

A very good day.

Dr. Lloyd Hey
Hey Clinic for Scoliosis and Spine Surgery
http://www.heyclinic.com

Major kyphosis and spondylolisthesis correction for this 60 yo woman today

Preop kyphosis was 79 degrees.
T2-Iliac wing instrumentation and fusion. L5 Gill procedure.
Did well.
Surg time 5 hrs.
Excellent correction. No more "hump"!

Dr. Lloyd Hey
Heyclinic for scoliosis and Spine Surgery
http://www.heyclinic.com