This time to stop a fusion at L4 instead of immediately to pelvis on a 16 year old girl. Hopefully he bought her many, many years.
http://drlloydhey.blogspot.com/2012/...d-up-this.html
I would like to know if these heroic measures to save lumbar levels in kids are working and if so why other surgeons might not be doing them.
http://drlloydhey.blogspot.com/2012/...d-up-this.html
16 yo Holly straightened up this morning with her severe trunk shift and lumbar scoliosis
Holly had a collapsing adolescent idiopathic scoliosis, lumbar Lenke 5C. We had to do extensive preoperative planning due to the degree of her trunk shift and some concerns about an oblique takeoff at the pelvis. Preoperative CT scan as well as bending X-Rays and in-surgery prone view with manual pressure to fully evaluate the lumbo-sacral junction was very helpful to confirm that we could safely preserve her bottom two discs, rather than having to fuse to the iliac wings.
Extra care was also taken to help with her trunk shift with fine adjustments to our correction while doing rod insertion. Some Smith-Peterson osteotomies also helped to improve her correction and ensure proper lordosis.
I think she will be very happy with her new posture!
Estimated Blood Loss was only 75 cc. No blood transfused.
Surgical time 2.5 hours, with fusion levels T11-L4.
Holly had a collapsing adolescent idiopathic scoliosis, lumbar Lenke 5C. We had to do extensive preoperative planning due to the degree of her trunk shift and some concerns about an oblique takeoff at the pelvis. Preoperative CT scan as well as bending X-Rays and in-surgery prone view with manual pressure to fully evaluate the lumbo-sacral junction was very helpful to confirm that we could safely preserve her bottom two discs, rather than having to fuse to the iliac wings.
Extra care was also taken to help with her trunk shift with fine adjustments to our correction while doing rod insertion. Some Smith-Peterson osteotomies also helped to improve her correction and ensure proper lordosis.
I think she will be very happy with her new posture!
Estimated Blood Loss was only 75 cc. No blood transfused.
Surgical time 2.5 hours, with fusion levels T11-L4.
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