Originally posted by burdle
View Post
Announcement
Collapse
No announcement yet.
Why surgeons are not recommending Vbs/Vbt
Collapse
X
-
Playing hookie today....Bubonic plague has set in....a flea made the critical decision to jump, and ruin my day. Ha ha
The spine surgeons will go into their spine meetings which are held globally and discuss stapling and tethering.....I couldn’t imagine ANY scoliosis surgeon not being interested in something like this.
What’s very important is that there is success. The outcomes have to be stimulating enough that other surgeons get motivated to train in the new techniques.
As far as tethering is concerned, they can do hybrid and fuse certain levels for various reasons and tether the levels that offer hope. There will be compromised levels that will need discectomies, or other interventions. (mostly adults)
What would be the cats meow would be to have a device that works like Magec that can control the cord tensioning from outside the body without doing another surgery. Calculating the tension has got to be tricky due to the variances in stiffness in each patient.
We can only hope that the majority of the outcomes is positive enough to tip the scales of indecision.
Ed49 yr old male, now 63, the new 64...
Pre surgery curves T70,L70
ALIF/PSA 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
Comment
-
Originally posted by flerc View PostNobody responds why fusion only surgeons don't tell to their clients that something like Vbt exists!.
Comment
-
Originally posted by flerc View PostNobody responds why fusion only surgeons don't tell to their clients that something like Vbt exists!.
One of the famous surgeons many years ago wrote articles on minimally invasive surgery while in its infancy, he was quite hesitant.
Now, things are different. MIS is now quite popular......
Nothing happens fast.
Ed49 yr old male, now 63, the new 64...
Pre surgery curves T70,L70
ALIF/PSA 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
Comment
-
Minimally invasive surgery....(Through portals)
For example, XLIF is done this way, through the side. My shoulder rebuild was done this way, so was my gall bladder removal.
The cords are either UHMW or PET. These are plastics, and yes they can stretch under tension.
https://en.wikipedia.org/wiki/Polyet..._terephthalate
https://en.wikipedia.org/wiki/Ultra-...t_polyethylene
The big question is when is the failure point? Like pulling a rubber band apart. Will it break and when?
Ed49 yr old male, now 63, the new 64...
Pre surgery curves T70,L70
ALIF/PSA 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
Comment
-
The question that was deleted was “What is MIS?”
This will explain post #38
With unanswered questions lurking like failure point, do you tether 100,000 teenage girls or do you wait for results?
I am sure the insurance companies would have some interest in this.
This is why things take time.....
Ed49 yr old male, now 63, the new 64...
Pre surgery curves T70,L70
ALIF/PSA 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
Comment
-
Originally posted by titaniumed View PostThe question that was deleted was “What is MIS?”
This will explain post #38
With unanswered questions lurking like failure point, do you tether 100,000 teenage girls or do you wait for results?
I am sure the insurance companies would have some interest in this.
This is why things take time.....
Ed
I did mention that insurance companies are a business, but I could tell you why:
I don't live in the US. Where I live there is public-funded health care and private practitioners. My country is poor so I was not admitted to surgery in the public because the state could not afford it. But I was lucky enough to have paid premiums for a private insurance company so that when I needed surgery they covered part of the cost. But the insurance company has not given the money I had paid them through the years. That's why I said it is a business. I am being honest.
I don't know the reality in the US.Last edited by richardis; 01-30-2017, 12:15 PM.
Comment
-
Originally posted by burdle View PostHow do you know that they don't talk about VBT? - if it is not an option why would they mention it unless asked ? It is NOT a replacement option for all fusion surgery. Some curves can be managed by VBT but not all. I assume that as VBT becomes more and more commonplace it will be offered to more and more people.Last edited by flerc; 01-30-2017, 12:23 PM.
Comment
-
Excuse my ignorance, but doing an osteotomy (on inserting something into the body of the vertebrae) in each vertebrae deformed so they get the normal shape isn' a better option to VBS or VBT? I am bringing up this option for adults of course. But I mean, if they do that mobility is not lost and the vertebrae will get the normal shape to straighten up the spine. Of course, I am getting into the realm of science-fiction, but it may be possible. What do you think?
And talking about fused-bones, I am pretty sure that in the next years it will be possible to reverse a fusion. If they know how to do a fusion, scientists can find the answer to unfuse it by reverse-engineering the technique. If we use science everything is possible.
Comment
-
Originally posted by richardis View PostAnd talking about fused-bones, I am pretty sure that in the next years it will be possible to reverse a fusion. If they know how to do a fusion, scientists can find the answer to unfuse it by reverse-engineering the technique. If we use science everything is possible.
Comment
-
Originally posted by richardis View PostExcuse my ignorance, but doing an osteotomy (on inserting something into the body of the vertebrae) in each vertebrae deformed so they get the normal shape isn' a better option to VBS or VBT? I am bringing up this option for adults of course. But I mean, if they do that mobility is not lost and the vertebrae will get the normal shape to straighten up the spine. Of course, I am getting into the realm of science-fiction, but it may be possible. What do you think?
Comment
Comment