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, March 31, 2009
14 yo girl 3 months after scoliosis surgery doing flips on trampolene. Getting people back to sports after scoliosis surgery.
This morning's scoliosis surgery: 42 yo woman w 54 degree R thoracic curve
T5-L1 instrum and fusion
Surgical time: 2 hour 40 min.
EBL: 350 cc.
Blood Transfusion: none.
Complications: none.
Correction: excellent.
A good morning.
Our 14 yo kyphosis guest from Indiana got home safely last night.
Dr. Lloyd Hey
Hey Clinic for Scoliosis and Spine Surgery.
Raleigh, NC USA.
http://www.heyclinic.com
Monday, March 30, 2009
Afternoon surgery today: approx 70 yo w degenerative scoliosis, flat back syndrome, spondylolisthesis, and sever 4 level stenosis.
Could barely walk preop.
L1-Iliac wing instrum and fusion w 4 level lumbar laminectomies and osteotomies.
Surgical time: 3 hours.
EBL: 1200 cc
Blood transfused: none.
Correction: good in both planes. Lordosis dramatically improved.
Dr. Lloyd Hey
Hey Clinic for Scoliosis and Spine Surgery
http://www.heyclinic.com.
12 yo girl w long 43 degree scoliosis fixed this morning.
Severely out of balance preop.
T5-L3 instrumentation.
Surgical time: 2 hour 15 min.
EBL: 500 cc
Cell saver: 225 cc.
Blood transfused: none.
Correction: 90+ percent.
Our 14 yo from Indiana who had kyphosis surgery last friday is in the air now flying home from RDU. She did great with another 2+ inches in height and a beautiful new posture!
Saw 17 yo w 78 degree kyphosis this morning for second opinion regarding need for anterior posterior surgery. I think she could do great w posterior approach only w osteotomies. I thing the young lady and her parents were relieved!
Dr. Lloyd Hey
Hey Clinic for Scoliosis and Spine Surgery
http://www.heyclinic.com
Thursday, March 26, 2009
Today's Hey Clinic surgery: 14 yo young lady with 81 degree Scheuermann's Kyphosis now quite straight
Surgery: T3-L2 nstrumentation and fusion with 4 posterior Smith-Peterson Osteotomies.
Surgical time: 4 h 50 min.
Estimated Blood loss: 1000 cc
Blood transfused: none.
Correction: excellent
Room Aura: excellent.
Radio Station: john mayer mix on pandora ( nurse kelly sang along!)
Postop guest location: recovery room to large private room w 2 beds.
Dr. Lloyd Hey
http://www.heyclinic.com



