Today I will be talking about the ConforMIS iview for this custom knee replacement. The current iview I am looking at is from a right knee. The iview consists of two pages. The first page is the tibial side of the procedure. The second page is for the femoral side of...
Today I am going to be talking about a Conformis iView. The first page of the iView will give us all the detailed information as it relates to the tibial section of the custom knee replacement procedure. The first image in the tibial section is going to show us the...
Today, I am going to talk about the Conformis iView. The iView is a customized plan that is provided to the surgeon by Conformis, that is based off of the patient’s CT. The surgeon will receive this plan about two weeks before the custom knee replacement is set...
Today, I will be talking about the Conformis iView. The Conformis iView is a customized plan for a patient’s knee replacement that is based off of the patient’s CT scan, and it’s provided to the surgeon approximately 2 weeks before the procedure. The...
Today, I would like to discuss the conformance eye view. The first eye view for this custom knee replacement that I am looking at here is of a right knee. The eye view is broken down into two pages. The first page provides the tibial images. The first set of images on...
On this patient’s left knee, eye view, first image I’m looking at is the placement of the tibial cutting jig. This image is going to show you exactly where the image, where the jig should sit during this custom knee replacement. This is important because...
Today I’d like to talk a little about the conformace eye view. The first one I’m looking at is a left knee. The very first page of the eye view will reference the tibia. The first image on this page is going to show us how the tibial iJig should be seated...
Today, we are going to discuss a Conformis iView for a patients right custom knee replacement. The first page of the iView shows us all of the tibial images that we need. The very first image that we are provided with details the proper location for the T1 tibial...
Today I will be discussing the ConforMIS iView. The iView consists of two pages and is provided for each custom knee replacement patient to the surgeon around two weeks before the procedure is scheduled to take place. The iView is a customized plan based off of a...
Okay, so looking at this eye view, I see it’s a left knee. First thing I want to look at is the first image on the tibial page of the eye view. I’m looking to see if we have a lot of osteophytes that will serve as good reference points during this custom...
The Conformis iView I will be discussing for this custom knee replacement is a left knee. The first page of the iView is the tibia. The very first image on the tibial page of the iView is going to discuss the tibial cutting jig or T1. This image will show us where the...
Today, I am going to discuss the Conformis iView. The Conformis iView is a unique plan that is customized for each patient’s surgery. And is provided to the surgeon at least two weeks before the procedure. The iView that I am currently looking at is of a right...
ACDF – one of the most common cervical spine surgery. It’s done from the front, very safe surgery, minimal blood loss, patients usually can be sent the same day or the next day out of the hospital. In which we clean the disc, put a bone graft or an implant...
To start with, we’ll start with the clinical case, there’s a 78 year old male presents with bilateral hand clumsiness and balance problems. He has a history of a distant fall about four years back, which was managed conservatively and he had no fracture,...
So, spine surgery is not without complications and I think actually, it has more complications than other orthopedic surgeries. Rather, a big study from the database showed that long, degenerative deformity correction surgeries can have risk of minor and major...
Presentation: Those patients of degenerative spine usually present with radiculopathy which is characterized by the dermatomal levels from C4. Most common involvement is C6, but C5, 6, 7, 8. Occasionally T1 can be involved, and the radiculopathy is mostly diagnostic....
The natural history of these patients. So, most Odontoid fractures in elderly population can be treated conservatively, non-surgically, they are put in a C collar, they do really well. Only patients, either if there’s a young patient who has an Odontoid fracture...
As a clinical case, there’s an 80 year old male who is active and healthy, presents with clumsiness, has a fall, neurological status declining since two to three weeks, and then suddenly increased neurological deterioration following fall. Patient has upper...
90% of these patients get better over four to six weeks. They may have recurring episodes, they may have deterioration. As I talked, patients with spondylolisthesis, instability, 33% will worsen overtime, 33 will stay stable, 33 will get better. So patients who are...
Various type of surgeries that we do: Non-fusion surgeries, these are nobel surgeries, these are surgeries in which we are trying to keep the motion of the cervical spine intact because restricting the motion in the form of fusion leads to many other problems. So,...
So, what are the pathologies that we usually see on a cervical spine? This is a case of a congenital cervical stenosis. These patients usually are asymptomatic throughout their life, unless they have superimposed degenerative changes or superimposed injury. In case of...
So, apart from this, there are thoracic spine, rarely the patients can have a thoracic spine problems, mostly they are fractures, which are treated conservatively. Sometimes patients can have, rarely, can have thoracic myelopathy in which there is a bad disc, causing...
What are recent advances into the field of spine surgery? So we have started using more of navigation now. We have these sensors, infrared sensors. We have these fiducial we put down the bone, and then our drill, the sleeves, they are all marked. So these help us in...
Presentation: Dermatomal Presentations. So most of the patients with spine pathologies will have some back pain, but more of radiculopathy. And radiculopathies patients who have radiculopathy do better with surgical treatment. The dermatomal level status where the...
A clinical case, 70 year old male presents with L4-5 degenerative spondylolisthesis, severe spinal stenosis L4-5, treated conservatively with multiple epidural injections. Had relief at some point of time, but deteriorates. So these patient’s natural history is...
These are the non-fusion decompression surgeries. So these are the patients who have stable spine, who have single or multiple level stenosis. These can even be done at all five levels of decompression. These are done from the back essentially. This is central...
Differential diagnosis can be anything from SI joint, visceral pathologies, hip, knee, neuropathies, and in fact, most patients who are in the older age group usually need a neurological consult also. They get a pain physician who will help them get epidural...
Next we have the lumbar spine. The next most mobile segment of our spine. Lumbar spine has five lumbar vertebrae, and it articulates with sacrum below. So actually sacrum also comes into the same gambit. Read more about Back Pain here
This is a degenerative spondylolisthesis. This is also a degenerative condition, essentially though it can happen in young, but it’s a desiccation, disc desiccation which causes this, leading with annular tear, posterior PLL (Posterior Longitudinal Ligament)...
So what are the non-fusion surgeries on lumbar spine? These are essentially done for fractures, kyphoplasty and vertebroplasty. These are patients who have what you call a compression fracture. They have no breach posteriorly, sometimes we did do them on the patients...
So, last slide. This is who needs spine surgery, finally. So cervical radiculopathy – not relieved for four weeks despite measures, epidural injections, medications. Lumbar radiculopathy not relieved for four to six weeks. This should be debilitating. Patients...
So what are the non-fusion surgeries on lumbar spine? These are essentially done for fractures: kyphoplasty and vertebroplasty. These are patients who have a vertebral compression fracture. They have no breach posteriorly. Sometimes we did do them on the patients who...
These are the usual fusion surgeries. There’s a whole gambit of fusion surgeries. Now, we can go from front, back, side, lateral, this, that everything, what we can find an angle, we can go do a fusion surgery. This is the most common one, TLIF. We go from the...
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ACDF – one of the most common cervical spine surgery. It’s done from the front, very safe surgery, minimal blood loss, patients usually can be sent the same day or the next day out of the hospital. In which we clean the disc, put a bone graft or an implant...
