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Why surgeons are not recommending Vbs/Vbt

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  • #31
    Originally posted by burdle View Post
    Can I ask why you think there is a conspiracy against VBT?
    I have just said 'it seems to be a cosnspirancy' against Vbt. Do you understand the difference?.

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    • #32
      And cetainly why are you talking about a conspirancy against surgeons here?

      Comment


      • #33
        Originally posted by burdlePooka1 View Post

        Why do you think that your opinion that no-one should have Fusion surgery is more valid than a trained surgeon?

        Quote where I said there it or be honest and delete it!

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        • #34
          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.

          Ed
          49 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


          • #35
            Nobody responds why fusion only surgeons don't tell to their clients that something like Vbt exists!.

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            • #36
              Originally posted by flerc View Post
              Nobody responds why fusion only surgeons don't tell to their clients that something like Vbt exists!.
              How 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.

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              • #37
                Originally posted by flerc View Post
                Nobody responds why fusion only surgeons don't tell to their clients that something like Vbt exists!.
                I’m sure that if a perfect tethering candidate walked in that a referral would happen.....It depends on the individual surgeon.

                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.

                Ed
                49 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


                • #38
                  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?

                  Ed
                  49 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


                  • #39
                    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.....

                    Ed
                    49 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


                    • #40
                      Originally posted by titaniumed View Post
                      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.....

                      Ed
                      Thanks for sharing, Ed! I deleted the post because I google it and I found the answer so I I wouldn't bother you to answer. When I deleted it there was no answer. Sorry. but thanks for your insightful answer that expanded the knowledge I could find online.


                      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


                      • #41
                        Originally posted by burdle View Post
                        How 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.
                        I know that in all spanish spoken countries surgeons are not talking about Vbt. If you doubt, enter as I did in all scoliosis sites and you can verify that NOBODY knows about Vbt, even in Spain where it is used in an hsopital, and ALL of them visits surgeons since years ago so the logic conclusion is that surgeons didn't mentioned it to them and they are not ignorants, they know about it. In this forum I don't see nobody evaluating Vbt, certainly it seems that at least few people know about it. Certainly a young women said some months ago that her surgeons didn't tell her, otherwise probably she woud had not decided to have fusion as she did.
                        Last edited by flerc; 01-30-2017, 12:23 PM.

                        Comment


                        • #42
                          'in all spanish spoken countries surgeons are not talking about Vbt.' the same happens in Brasil.
                          Certainly in a lot of scolsiis Face groups in Usa or Canada nobody knows about Vbt and of course all of them goes with surgeons too.

                          Comment


                          • #43
                            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


                            • #44
                              Originally posted by richardis View Post
                              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.
                              I thought I was the only one around the world talking about that possibility. The problem is really not what may science do or not but what people using it want to do or not..

                              Comment


                              • #45
                                Originally posted by richardis View Post
                                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?
                                As I know is mainly used in not idhiopatic scoliosis and only during growth. In an adults I think it cannot be enough because all the other deformed tissues. Something like Spinecor for adults sure should to be used in order to hold the spine straight. But in adults bone remodeling is a fact, so if the spine remains straigt with Vbt (or Spinecor for adults), vertebraes may be normalized.

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