IMG 3197 9 m after OLLIF a life reclaimed in difficult T11 S1 OLLIF MIS boarderline case скачать в хорошем качестве

IMG 3197 9 m after OLLIF a life reclaimed in difficult T11 S1 OLLIF MIS boarderline case

*The Best Christmas Gift I Could Have Ever Had, A Shared Risk, A Shared Decision, A Life Reclaimed* *The Best Christmas Gift I Could Have Ever Had* Nine months ago, I took a risk with a patient when walking away would have been easier. In today’s medical environment, fear of litigation, and superficial risk stratification too often push us to label cases as too risky. When we do that, we transfer the risk entirely onto the patient, immobility, deconditioning, cardiac decline, and sometimes death. This patient had been rejected by three surgeons due to significant cardiac risk. He was nearly immobile and out of options. Open surgery was not feasible, anticoagulation was required immediately postoperatively, and a minimally invasive approach was clearly suboptimal from a technical standpoint. We proceeded anyway, deliberately, transparently, and with full informed consent. The patient was part of the decision. He understood the limitations and the risks. At a subsequent society meeting, the case was reviewed critically. Many valid technical points were raised about why this was not an ideal minimally invasive candidate. Notably, the harshest critiques came from LinkedIn warriors who were not present for the full discussion. Not one asked the only question that truly matters, how is the patient doing? Nine months later, the answer is simple. He has his life back. His pain is gone. He is mobile again. In a case with suboptimal radiographic and technical outcomes, the clinical outcome mattered more. This case is not finished. I will continue to follow this patient closely over the next one to two years. But this result reinforces something we risk forgetting, patients are not problems to be avoided, they are partners in risk. Listening, full consent, shared decision making, and having the courage to stand with the patient when the path is hard, that is what being a physician still means in 2025. #SpineSurgery #MinimallyInvasiveSurgery #HighRiskPatients #SharedDecisionMaking #PatientFirst #MedicalEthics #PhysicianOath #InspiredSpine #AvicennaSociety    • IMG 3197  9  m after OLLIF a life reclaime...