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Thread: Non-Invasive Surgery

  1. #1
    Join Date
    Apr 2009
    Location
    Queensland, Australia
    Posts
    44

    Non-Invasive Surgery

    Hi,
    My husband googled scoliosis on 'news' and this story popped up in the search results.
    http://www.vancouversun.com/health/w...498/story.html
    What do you all think and is this what Dr. Anand was talking about?

    Donna
    Mother to 14 year old daughter, Gabrielle (Gabby).
    Discovered her scoliosis on her 14th Birthday in February 2009. Due to be operated on for curves of 57 and 54 degrees (S Curve) in December 2009 with Dr. Askin in Brisbane.

  2. #2
    Join Date
    Mar 2008
    Location
    Ottawa, Canada
    Posts
    100
    I just saw this on the canada.com link (I've posted it in the adult surgery section). Incredible!
    - 37 years old
    - At age 14, curve progressed from 45 degrees to 62 degrees in two months.
    - Surgery in 1990 at the Children's Hospital of Eastern Ontario (CHEO) with Dr. Letts. Fused T5 to L2. Corrected to about 30 degrees.
    - Harrington rod
    - Herniated disc - L5/S1 - January 2008. Summer 2009 - close to making a full recovery.
    - New mommy as of February 2011

  3. #3
    Join Date
    Sep 2003
    Location
    Northern California
    Posts
    6,227
    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/display...rticle489.html

    And, a more thorough article starts here:

    http://www.spineuniverse.com/display...rticle482.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/1...ubmed_RVDocSum

  4. #4
    Join Date
    Apr 2009
    Location
    Queensland, Australia
    Posts
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    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.
    Mother to 14 year old daughter, Gabrielle (Gabby).
    Discovered her scoliosis on her 14th Birthday in February 2009. Due to be operated on for curves of 57 and 54 degrees (S Curve) in December 2009 with Dr. Askin in Brisbane.

  5. #5
    Join Date
    Sep 2003
    Location
    Northern California
    Posts
    6,227
    Quote Originally Posted by gabs mum View Post
    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

  6. #6
    Join Date
    May 2008
    Location
    reno,nevada
    Posts
    2,776
    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/webdocument...mesarticle.pdf

    Ed
    Last edited by titaniumed; 10-13-2009 at 12:38 AM.
    49 yr old male, now 55, the new 39...
    Pre surgery curves C12,T70,L70
    A/P T2-Pelvis 01/29/08, 01/31/08 7" pelvic anchors BMP
    Dr Brett Menmuir St Marys Hospital Reno,Nevada

    Bending and twisting pics after full fusion
    http://www.scoliosis.org/forum/showt...on.&highlight=

    My x-rays
    http://www.scoliosis.org/forum/attac...2&d=1228779214

    http://www.scoliosis.org/forum/attac...3&d=1228779258

  7. #7
    Join Date
    Apr 2009
    Location
    Queensland, Australia
    Posts
    44
    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.
    Mother to 14 year old daughter, Gabrielle (Gabby).
    Discovered her scoliosis on her 14th Birthday in February 2009. Due to be operated on for curves of 57 and 54 degrees (S Curve) in December 2009 with Dr. Askin in Brisbane.

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