PDA

View Full Version : Non-Invasive Surgery



gabs mum
10-12-2009, 07:08 PM
Hi,
My husband googled scoliosis on 'news' and this story popped up in the search results.
http://www.vancouversun.com/health/walks+tall+after+history+making+surgery/2085498/story.html
What do you all think and is this what Dr. Anand was talking about?

Donna

SIsForSarah
10-12-2009, 09:07 PM
I just saw this on the canada.com link (I've posted it in the adult surgery section). Incredible!

LindaRacine
10-12-2009, 09:36 PM
I can't tell for certain without seeing films, but it sounds like this is the standard minimally invasive anterior surgery that's been performed here in the states for several years. Here's a good summary of this type of surgery:

http://www.spineuniverse.com/displayarticle.php/article489.html

And, a more thorough article starts here:

http://www.spineuniverse.com/displayarticle.php/article482.html

(see links at the end of each article to advance to the next one.)

Lastly, here's an abstract of a study published in 2007:

http://www.ncbi.nlm.nih.gov/pubmed/18007260?ordinalpos=2&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsP anel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum

gabs mum
10-12-2009, 09:50 PM
I'm not sure Linda, but I think this sounds more like what Dr. Anand is doing.
I have read the article a few times and is doesnt sound like the anterior type of surgery.
Donna.

LindaRacine
10-13-2009, 12:43 AM
I'm not sure Linda, but I think this sounds more like what Dr. Anand is doing.
I have read the article a few times and is doesnt sound like the anterior type of surgery.
Donna.

Hi Donna...

Thanks for pointing that out. Actually, after looking at it again, I think it's something entirely different altogether. When I first viewed the article, the image at the top didn't come up. I made an assumption that the 3 incisions meant a thorascopic approach. It looks to me like they've done a minimally invasive posterior procedure. If that's the case, I'd be really concerned about the rate of non-fusion, because I don't think they're removing facet joints or doing any grafting in the posterolateral space. I'd also be concerned about getting good sagittal alignment. (By the way, I have the same concerns with Dr. Anand's procedure.)

While these procedures sound great because they're so much less invasive, I think we need to wait for some 2 year outcomes to know if this will really work.

Regards,
Linda

titaniumed
10-13-2009, 01:28 AM
Edward C. Benzel, MD

Dr. Picetti has presented a comprehensive treatise on the surgical technique for anterior thoracoscopic correction of idiopathic scoliosis. For the consumer and patient who desire to be informed, this is a worthwhile and valuable document to carefully scrutinize. The reader is cautioned to not extrapolate the information provided by Dr. Picetti to all clinical situations. In particular, many surgeons may utilize modifications of the strategies outlined by Dr. Picetti or may in fact use significantly different approaches. All may be appropriate. Dr. Picetti’s meticulous and well-prepared monograph should be used as a guideline. It is emphasized, however, that it is not the only way of ‘skinning the cat’.
-------------------------------------------------------------------------

Maybe this new method that Dr Anand is doing is a posterior thorocoplasty???

Also, with rods not bent before insertion, Dr Picetti uses the rack and pinion device for compression. This must be the way they bend the rod while inside.
--------------------------------------------------------------------------
Rack and Pinion

The Compressor is inserted through one of the portal sites with the portal removed. Once in the thoracic cavity, it can be manipulated by holding the ball shaped attachment with the compressor holder. The rack and pinion compressor fits over two screw heads on the rod and can be compressed by turning the Compressor Driver clockwise and compressing the two screws together (Fig. 28). Compression is started at the inferior end of the construct with the most inferior screw’s plug fully tightened. Once satisfactory compression has been performed on a level the superior plug is fully tightened using the Plug Driver through the Plug Introduction Guide. Compression is sequentially performed superiorly until all levels have been compressed. After all levels are compressed each plug is torqued to 75 in/lbs. with the Torque-Limiting Wrench. The construct is complete at this point.

The pics are in Dr Picettis article.

I agree with Linda, there needs to be some more history. Dr Anand has 24 patients at 1 year, last June.

http://www.infospine.net/webdocuments/latimesarticle.pdf

Ed

gabs mum
10-13-2009, 05:41 AM
Always good advice. Thanks, it is appreciated.
Gabbys surgery is 7 weeks away and we both panicked when we read this article, thinking that we may miss out on a new type of surgery. We cant wait two years though so the decision is made I guess.
This will be interesting to follow though.
Regards
Donna.