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Sunday, 20 August 2017

Doctor Wears Back Brace To Better Understand Scoliosis Patients

 A doctor at the Rocky Mountain Hospital for Children, RMHC, has spent a week learning what life is like for his young patients who must wear a back brace.
Dr. Jaren Riley, a pediatric orthopedic surgeon, has been wearing a back brace much like the ones he prescribes to treat scoliosis, a sideways curvature of the spine.
back brace doc 5pkg frame 394 Doctor Wears Back Brace To Better Understand Scoliosis Patients
Dr. Jaren Riley being fitted with a back brace (credit: Rocky Mtn. Hospital for Children)
It hasn’t been easy, but what he’s learned has made it all worthwhile.
“I feel like a tube of toothpaste that has the last little bit of toothpaste in it and someone’s trying to squeeze it out of me,” said Riley.
back brace doc 5pkg frame 816 Doctor Wears Back Brace To Better Understand Scoliosis Patients
Dr. Jaren Riley (credit: CBS)
For seven days now, the surgeon has challenged himself to walk in the shoes of his young patients.
“It is eye opening to say the least,” Riley told CBS4 Health Specialist Kathy Walsh.
back brace doc 5pkg frame 1169 Doctor Wears Back Brace To Better Understand Scoliosis Patients
CBS4’s Kathy Walsh interviewsDr. Jaren Riley (credit: CBS)
He has been wearing the stiff, plastic, back brace for 18 hours a day.
“It comes up way up into the armpit to get a good push on the side chest wall,” he explained.
back brace doc 5pkg frame 666 Doctor Wears Back Brace To Better Understand Scoliosis Patients
Dr. Jaren Riley (credit: CBS)
Riley prescribes the braces for his patients with scoliosis to keep the curve in their spines from getting worse and to try to avoid surgery.
Now, when fearful patients, the majority 12-year-old girls, ask what it’s like wearing a brace, the doctor can speak from experience.
back brace doc 5pkg frame 936 Doctor Wears Back Brace To Better Understand Scoliosis Patients
(credit: CBS)
“It’s hot and it gets in your way,” he said.
He demonstrated how it limits the wearer.
back brace doc 5pkg frame 1499 Doctor Wears Back Brace To Better Understand Scoliosis Patients
(credit: CBS)
“You can’t really bend over and get it you kind of have to get down like this,” Riley said. “Instead of being able to turn around this way, I actually have to turn my whole self around.”
back brace doc 5pkg frame 2008 Doctor Wears Back Brace To Better Understand Scoliosis Patients
(credit: CBS)
Riley now understands the tears he sees in his clinic.
“It gave me a lot of respect for these kids who do not complain and really tough their way through it,” he said.
back brace doc 5pkg frame 242 Doctor Wears Back Brace To Better Understand Scoliosis Patients
Dr. Jaren Riley (credit: Rocky Mtn. Hospital for Children)
At 7 p.m. Tuesday, the brace experiment ends.
“I am shamefacedly admitting that I am really am looking forward to taking it off,” Riley said.
back brace doc 5pkg frame 153 Doctor Wears Back Brace To Better Understand Scoliosis Patients
Dr. Jaren Riley (credit: CBS)
The doctor will now take on a new challenge, coming up with a better way to treat scoliosis.
Some patients wear the brace for up to three years to prevent the curvature of the spine from worsening.




Source : CBS Denver , 15 Aug 2017 

New SpineScreen app helps parents detect signs of scoliosis in kids : TAMPA,FLA


Parents can now check their child's spine for possible signs of scoliosis with the new app SpineScreen developed by Shriners Hospitals for Children. Available for free on the App Store and Google Play, SpineScreen detects curves as the cell phone is moved along a child's back, giving parents a quick, informal way to regularly monitor their child's spine.
Scoliosis is an abnormal curvature of the spine that can restrict movement and in some cases lead to other serious medical conditions. It is most commonly diagnosed between 10 and 15 years of age, when children grow rapidly. Some cases, however, can go undetected. At this point in a child's life, fewer vaccinations are required, so they may see a doctor less often. Since early detection is crucial, Shriners Hospitals physicians encourage parents to download the free SpineScreen app and check kids as part of their back-to-school routine each year. 

Video Link : http://katu.com/news/local/app-could-detect-earliest-signs-of-scoliosis



"Because there is often no known cause, monitoring for scoliosis is an important part of a child's ongoing health care," says Amer Samdani, M.D., chief of surgery for Shriners Hospitals for Children — Philadelphia. He adds, "It is a progressive condition, so early detection is key. At Shriners Hospitals, our care ranges from routine monitoring to some of the most advanced treatments for scoliosis. The earlier we see a child, the more options we have available."

Shriners Hospitals created the app as part of a broader initiative to highlight the importance of regular screenings and to educate parents on the signs of scoliosis and treatment options. 

"With doctors and staff who are global leaders in the treatment of scoliosis care, parents turn to Shriners Hospitals for Children because they know their children will receive the best care possible," Gary Bergenske, chairman of the Board of Directors for Shriners Hospitals for Children. "Since scoliosis usually requires ongoing medical treatment throughout childhood, our commitment to provide care regardless of the families' ability to pay is a huge relief to parents."




Source : New Kerala , 15 Aug 2017 

International Conference of Spine Surgeons begins in Thiruvananthapuram


Former president of Association of Spine Surgeons of India (ASSI) and Indian Orthopedic Association Dr S Rajasekaran said that spinal disorders constitute one of the leading causes of disability worldwide. More than eighty percent of the adult population experience a back or neck pain attributable to a spinal condition during their lifetime. He was speaking at the three-day International conference on Spine health and Care which began at the Leela Kovalam here on Friday.



Eminent Faculty from across the country and abroad, including researchers and experts in treatment of Spinal disorders and interventions started deliberations on a wide spectrum of spinal conditions, latest scientific and technological advancements in the field and the best treatment methodologies. The conference is organised by the Trivandrum Spine Society along with Association of Spine Surgeons of India (ASSI), one of the largest professional organisation of Spine Surgeons globally.





"Unhealthy lifestyle and work conditions have led to a high prevalence of these problems in India. Spinal disorders have a direct adverse impact on the productive years of life. He reiterated that these need to be addressed as a public health issue. It is all the more important to be aware that that most conditions are treatable non-surgically and surgically with good long term outcome, Rajasekaran said. Dr. K.V.Menon, organising chairman and Dr. Ranjith Unnikrishnan, organising secretary spoke in the inaugural session.






The conference is giving special focus on long term outcome of different spinal treatment modalities. Dr. Ranjith Unnikrishnan, spine specialist at KIMS Hospital Thiruvananthapuram said that human spine, subjected to daily stress, loses flexibility and discs start degenerating. People should make conscious effort to ensure that their day to day activities do not take a toll on their spine subjecting it to unusual and undesirable wear and tear. Health sector need to create awareness so that people with recurring back pain, aches and joint stiffness would come forward for proper diagnosis and corrective treatment at an early stage.





The conference, on its first day, saw case studies and deliberations on treatment options for spinal conditions mostly affecting adults and those in aging process like wearing down of Inter Vertebral disc (Degenerative disc disease), shrinking and narrowing of spinal canal (Spinal Stenosis), Disc prolapse, Spinal arthritis, Degenerative Spondylosthesis (vertebra slips forward due to weak joints and ligaments of spine and loses alignment) and Compression fractures.







The three-day scientific sessions include talks, workshops and seminars on surgical and minimal invasive options for all major conditions affecting spine including Spinal Trauma, Infections, TB spine, Osteoporotic Vertebral Compression fractures, Tumors, Thoracic Disc Herniations, Paediatric Spinal Deformity, Adolescent Scoliosis, Supra Axial Spine and Adult Spinal deformity.




Some of the leading international faculty attending the Conference are Dr. Kyung-Soo Suk, Professor Department of Orthopaedic Surgery, Yonsei University, Korea, Jong-Beom Park, Professor and Director of Spine Surgery Department of Orthopaedic surgery, The Catholic University of Korea, Dr. Jin Sup Yeom, Proffesor, Department of Orthopaedic surgery, Seoul National University, Korea and Dr. Senthil T. Nathan, Special Orthopaedic Surgeon, Dubai.






Source : Times Of India , 11th Aug 2017 

Tuesday, 27 June 2017

Teenager with spinal deformity cured through new medical technology : MUMBAI

A 14-year-old girl, born with scoliosis, a sideway curvature of the spine which also caused her breathing issues, has been treated using a new technology called 3D C-arm and spinal navigation, which helps corrective surgery to be performed more accurately, said doctors on Wednesday.


Disha's problem started after her deformity became noticeable after she turned 10. Her condition started worsening in terms of appearance when her parents noticed her prominent ribs, disproportionate shoulder level and an uneven hump on the left side of the hip when she bent over.




Doctors said the scoliosis also created discrepancy in the length of her legs.


"She started having problems in breathing as the area in the rib cage region was confined drastically. When she arrived at our clinic, her long erect x-rays revealed significant scoliosis as result of D12 hemivertebra. This basically means that her 12th thoracic vertebra was half in size," said Arvind G. Kulkarni, head of Spine Scoliosis and Disc Replacement Centre at Bombay Hospital.


Only the right triangular half of the vertebra was formed and the left half was missing, which led to bending of the spine on the missing side, leading to scoliosis. The right shoulder blade was more prominently protruding along with one hip higher than the other.



The doctors said that though surgery was the only solution they chose to do it with the help of the new technique which creates a virtual image of the curved spine on the screen and optimised the placement of the pedicle screws and rods with close to 100 per cent accuracy.


As the condition was progressing with time, the highly-challenging deformity correction and spinal fusion surgeries was performed with the help of the new techniques.


"The use of neuromonitoring as well as spinal navigation increases the safety of deformity surgery thus minimising the risk of spinal cord damage. We utilise the services of spinal navigation and neuromonitoring to make deformity correction surgery extremely safe.. She has recovered well and is now confident about her appearance," said Kulkarni.




Source : Business Standard , 21st June 2017

Rashid Hospital surgeon corrects spine curvature with a novel, first time surgery in the UAE

* Degenerative scoliosis of a woman in her sixties using a minimum invasive method *

Rashid Hospital doctors succeeded in correcting the degenerative scoliosis of a woman in her sixties using a minimum invasive method used for the first time in the UAE. The Arab national came to the hospital complaining from backache and leg pain due to degenerative scoliosis.

Rashid Hospital doctors succeeded in correcting the degenerative scoliosis of a woman in her 60s using a minimum invasive method used for the first time in the UAE.


Degenerative scoliosis, which usually starts after the age 50 is a side-to-side curvature of the spine caused by degeneration of the facet joints and intervertebral discs — which are the moving parts of the spine. This causes backache to excruciating sensations that shoot down the leg, commonly referred to as sciatica, which can make walking difficult or impossible.


Dr Najmeddeen Attabib, consultant neuro and spine surgery at Rashid Hospital who conducted the operation said: “We conducted a two-stage surgery using a new technique called endoscopic assisted oblique lateral interbody fusion. While this method is evolving all over the world, it is the first time in the UAE that this method was used with endoscopy allowing for minimal invasive treatment.”


Dr Attabib explained that in the first phase, a small incision is made from the side of the belly and by working in an oblique angle cages are inserted to correct the curve allowing the foramen to open up and reliving the patient from the pain that was caused by the deformity squishing the nerves.


He added that in the second stage, percutaneous pedicle screw insertion was done with minimal invasion so that the bones heals together.


He said that the alternative to the surgery, would have been a much invasive surgery where a big incision in the back and front. Such surgeries have a higher morbidity risk, cause more blood to be lost and hence her hospital and healing process would have taken longer.


“The advantages of the surgery conducted is that it is minimally invasive allowing the patient to heal faster. Following the surgery, the patient was happy as the pain she suffered from was relieved and she was discharged shortly,” Dr Attabib concluded.
 
 
 
Source :  Gulf News , 27th June 2017

Sunday, 16 April 2017

Denbighshire girl with 85-degree curve in spine grows two inches overnight after life-changing surgery

A youngster became a couple of inches taller overnight after having a major operation to make her stand straight.
Katy Cook was diagnosed “by chance” with scoliosis, a condition which causes the abnormal twisting and curvature of the spine, after her mum Andrea noticed one of her shoulder blades was severely protruding.
By the time the 12-year-old from Prestatyn was sent down to theatre more than a year later, her spine was curved by 85 degrees.
She needed two titanium rods and 20 screws to straighten her crooked back but, when she stepped out of bed two days after surgery, Katy was more than two inches taller.
Andrea said Katy’s diagnosis in January last year was a “pure fluke” as, while visiting a relative in hospital in Manchester, they asked a nurse to have a look at her shoulder.
The mum-of-three said: “I noticed Katy’s shoulder was sticking out quite a lot and she seemed to have the shape of a lung in her back.
“While we were visiting her nanny in hospital, I just happened to mention it to one of the nurses and asked if she could have a look.
“As soon as she saw it, she told us to go to A&E straight away.
Katy's X-rays before and after surgery

Katy's X-rays before and after surgery


“The doctor there asked her to bend over and drop her head and all her spine came up on one side.
“They knew there and then that she had scoliosis and said she needed an urgent referral.”
The family had to wait months to be seen and even then Andrea said they had to “fight” for follow-up appointments to progress Katy’s treatment.
Meanwhile, the youngster’s spine was getting worse and she was in lots of pain until she was eventually referred to specialists at Gobowen, who transferred her to Alder Hey after an MRI scan.
“The specialists said an operation needed to be done within six months, because there was a risk her bones would start crushing her organs and her rib cage had already moved right around by then,” said Andrea.
“She had nothing on the left hand side of her back.

Katy Cook standing tall at home after the operation
Katy Cook standing tall at home after the operation




“Two weeks before the operation, the curve was 81 degrees and progressing at two degrees a week.
“By the time she went down to surgery on March 11, it was 85 degrees, and she needed to have two titanium rods and 20 screws inserted into her spine.
“She was in hospital for six days but was up and about on the second day, as she was so determined to get out of bed.
“She’s so brave and hasn’t complained once. She’s been an absolute star.”
Katy’s spine could take up to a year to fuse but she should make a full recovery.
Andrea said: “It’s like scaffolding, and now all her muscles will have to do the work of dragging the rest of her body straight.
“She has to go back to hospital in three months so they can see how she’s getting on.
“It was heartbreaking watching her in front of the mirror looking at her crooked body and trying to correct herself but she couldn’t.
“If one more family can be spared all of this, then I’d be happy, as it’s so easy to find.”

Source : Daily Post , 25th March 2017 











'My whole back looked like an 'S' shape': Young woman, 20, with severe scoliosis of the spine opens up about her struggle to dance again

  • Amy Johnson, 20, was diagnosed with scoliosis when she was in year seven

  • The university student has a mechanical rod in her back to straighten her spine


  • A car accident in 2015 jolted the screws in her back so she'll need more surgery


  • Daily tasks leave her with intense pain so she's looking forward to the operation


  • The Sydney-based performing arts student has suffered from the debilitating curve in her spine since year seven.

    Miss Johnson was attending Newtown Performing Arts school when her back began to feel sore. Her mum put it down to her busy dancing and swimming schedule but when the pain persisted they consulted a doctor.


    'It was then I found out I had a curve of 27 degrees. My whole back looked like an "s" shape. I had to wear a brace in year eight and nine, kind of like a corset, to try and straighten my spine.

    Amy Johnson, 20, has severe scoliosis that was partially fixed by inserting a metal rod and screws into her back


    Amy Johnson, 20, has severe scoliosis that was partially fixed by inserting a metal rod and screws into her back




    The dancer shows what her back was like before (pictures on the left) and what it looked like post-surgery (pictured on the right)


    The dancer shows what her back was like before (pictures on the left) and what it looked like post-surgery (pictured on the right)




    'You can't eat with the brace on because it presses on your stomach, and I couldn't dance with it on either, so I wasn't able to wear it as much as I wanted to,' the now 20-year-old told Daily Mail Australia.

    Miss Johnson went back to her specialist at the Sydney Children's Hospital looking for another answer. Her doctor recommended an operation that would see two metal rods inserted on either side of her spine.

    'It would essentially cement my back in place. There were no promises I'd be able to walk again let alone dance. I've been dancing since I was two and the thought of stopping was devastating,' she said.

    At the tender age of sixteen Miss Johnson made the decision to have full back surgery. Her spine was at an 84 and 79 degree curve by this point.




    The 20-year-old's mother thought the initial back pain might have been due to swimming and dancing lessons

    The 20-year-old's mother thought the initial back pain might have been due to swimming and dancing lessons







    'Doctors said it was one of the worst cases they'd ever seen. I remember crying a lot when I heard that,' she said.

    On April 4, 2013, the dancer went in for surgery. She was to stay in hospital for a full week recovering post-operation.

    'I was shaking and crying on the hospital bed before I went in. I woke up with a lot of tubes in my mouth and arm. After four days of lying in bed I was told I had to try walking again.

    'Because my back is like cement I had to log-roll off the bed just to get up. I remember thinking I couldn't do this and I'd never walk again,' she said.

    To her doctor's amazement Miss Johnson had fully recovered and was dancing again after two months. It was one of the fastest recoveries they'd recorded.




    The performing arts university student (pictured bottom right) was fearful she may not have been able to dance again post-operation


    The performing arts university student (pictured bottom right) was fearful she may not have been able to dance again post-operation





    'The only thing I can't do is roll down through my back. So if I want to touch my toes I need to do it with a flat back.'

    Back at school, and with a pain-free back, Miss Johnson set about realising her dreams and preparing for university.

    But in September 2015 a taxi driver crashed into her car. The jolt of the crash threw her body forward, something the rods and clamps around her spine would ordinarily not be able to do.

    'I started to feel pain in my lower back two weeks later. I knew it had to be from the crash. We tried physio and a cortisone injection but neither worked.





    Miss Johnson (pictured here at her year 12 formal) said a car crash in 2015 will now require her to undergo a second operation

    Miss Johnson (pictured here at her year 12 formal) said a car crash in 2015 will now require her to undergo a second operation





    Miss Johnson's spine pictured before her first operation at 16 (left) and after the rods and clamps were inserted (right)
    Miss Johnson's spine pictured before her first operation at 16 (left) and after the rods and clamps were inserted (right)





    'That's when doctors said I had an inflamed facet joint. A couple of the screws in my back had come loose around the area,' she said.


    Miss Johnson must now undergo a second half-back surgery to cut out the metal rod and replace the screws. While it isn't as 'serious' as the first operation, it will still leave her bedridden, something the dance and education student isn't looking forward to.


    'At the moment day to day things like making breakfast causes me great pain. Sitting down for long periods of time is painful so I try to stand up as much as possible. 




    Miss Johnson will have the support of her loved ones (pictured with her boyfriend) as she persists with the second operation
    Miss Johnson will have the support of her loved ones (pictured with her boyfriend) as she persists with the second operation




    'I can't be slotted into surgery until January 2018 so it's a frustrating kind of pain that isn't going away anytime soon,' she said.

    The dancer will have the support of her boyfriend and family to get through this second surgery.

    'I'm just looking forward to dancing pain-free again!' Miss Johnson said. 




    Source : Mail Online , 10th April 2017