Thursday afternoon after our five hour anterior/posterior spinal reconstruction, I performed a 45 minute microsurgery to remove a huge free fragment disc from a young gentleman who was in absolute agony for 3 weeks with radiating leg pain, trouble standing and walking, and leg weakness. His MRI showed a huge L5S1 disc herniation with huge […]
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Hey Clinic: Arthrogryposis and Scoliosis in a Six-Year Old Boy.
Last week I saw a 6 yo boy with arthrogryposis who was adopted from India by a wonderful couple in Durham, NC. He has a severe R thoracic scoliosis and also severe clubfoot deformity, which has been operated on once in India. The issue for this little boy is this: when should he have his […]
Hey Clinic: Infantile Idiopathic Scoliosis in a 2 year old
We saw a 22 month old young boy back in clinic this week who has infantile idiopathic scoliosis with about a 20 degree curve. He does not appear to have any congenital scoliosis, which would typically show up with mis-shapen vertebra. His pediatrician astutely picked up on this curve on a well-child visit, and noticed […]
Hey Clinic Spondylolisthesis Day. Physical Examination findings for spinal instability. Using TLIF distractor to jack open foramen for better visualization.
Last week we had an interesting day surgically, and in the clinic. In the morning, we fixed a woman with C7T1 anterolisthesis below a previous long fusion using an anterior cervical discectomy and fusion with an allograft bone wedge and andterior cervical plate. This young lady would walk around holding her head up, and tilted […]
Hey Clinic Sep 10 2007 Surgery: Severe collapsing thoracolumbar scoliosis after 2 laminectomies fixed with T10-Iliac Wing Instrumentation, decompress
Today we helped Craig, an 80 yo gentleman who had 2 previous laminectomies, who presented with severe back and bilateral leg pain, and trouble walking more than a few feet. His X-Rays showed severe multilevel thoracolumbar degenerative kyphoscoliosis, and his MRI showed severe multilevel stenosis, including the levels that were previously decompressed, but had gone […]