Dr. Juan C Rodriguez-Olaverri, Anterior Scoliosis Correction (ASC), interviewed Dr. Derek Lee скачать в хорошем качестве

Dr. Juan C Rodriguez-Olaverri, Anterior Scoliosis Correction (ASC), interviewed Dr. Derek Lee

This interview is for educational purposes and covers information provided by Dr. Rodriguez-Olaverri regarding his opinions on Anterior Scoliosis Correction (ASC) Non-Fusion Scoliosis Surgery. This video is not an endorsement. Viewers should consult their physicians and treating team accordingly. See highlights via timestamps below. Chapters: 0:00 Introduction 0:25 Dr. Rodriguez-Olaverri's personal scoliosis diagnosis. Age 12, 28 degree thoracolumbar curve. 2:39 Path to Spine Surgeon. 6:15 Initial exposure to non-fusion surgical option. 8:05 Waited for a non-fusion surgical system for scoliosis. 9:14 Quality of life is a top goal. 11:49 NYU is an opportunity to improve non-fusion research and surgical techniques. 14:09 Preference for ASC over VBT. 15:42 ASC offers the ability to both rotate and compress the spine to a greater degree. 16:15 Mini-open and a 2nd tether reduces tether breakage from 15-18% to less than 5%. 16:59 Similar surgical approach to Drs ABC. 18:20 Decision to do disc releases is based on x-rays and spine stiffness. 19:21 Prefers MRI to create 3D reconstruction of the spine. 20:24 Rib hump is a rotational, not a coronal deformity. 20:57 Anterior Vertebral Overgrowth drives scoliosis. 21:46 Has never seen over correction in curves over 55 degrees. Sees over correction in less than 30-40 degree curves with lots of growth remaining. 22:37 Need further research on curve flexibility and balancing curves for best correction. 23:34 Sees more bone overgrowth in the vertebrae of the most corrected curve. 24:56 ASC for mature curves may modulate both bone and muscle to stabilize curves after a broken tether. 25:58 Rotation is the first indication of tether breakage. 27:04 ASC allows greater spine de-rotation. 27:51 During scoliosis curve progression, rotation becomes before hypokyphosis. 28:26 Correcting rotation corrects hypokyphosis. 29:07 Fusion is all about de-rotating the spine. 31:25 Disc Release necessary to create kyphosis and rotation. 32:23 Disc release controversy. 33:03 Disc release details. 35:27 Practice is 90% paediatric and 10% adult. 37:31 Will there be availability in Spain for surgeries? 39:15 Youngest VBT patient is 5 years old. 41:47 Uses both Globus and Zimmer Biomet instrumentation. 43:19 Definite advancements in tether technology coming. 44:21 Needs to be different instrumentation systems for thoracoscopic and mini-open approaches. 45:45 Better screw purchase is important for top screw to allow better tensioning. 47:27 Any plans to tether higher than T4 for high thoracic curves? 48:41 VBT fusion hybrids. 49:46 Mature tethers. 58:44 BONUS INTERVIEW PART 2. Review of 2 Cases. Case 1: Immature Spine ASC. Case 2: Mature Spine ASC 58:54 Case 1 - 13 year old female, Risser 0, Sanders 2, Pre-menarche. Immature spine ASC. 1:04:31 Case 2 - 17 year old female, mature spine ASC.   / 11982.  . https://drdereklee.com/