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Deciding Between Vertebral Tether and Fusion PowerPoint Presentation

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Description : Check out this medical PowerPoint presentation titled "A Tale of Two Spines - Deciding Between Vertebral Tether and Fusion".

This medical PowerPoint presentation is about vertebral tether and fusion, two surgical options used to treat spinal conditions. While both procedures are used to stabilize the spine, they work in different ways and have their own unique benefits and risks.

Vertebral tethering is a relatively new technique that involves attaching a flexible cord to the spines vertebrae. The cord acts as a tether, pulling the vertebrae into the correct position and allowing for continued growth. Vertebral tethering is typically used for the treatment of scoliosis in adolescents and has been shown to offer several benefits, including preserving spinal motion, allowing for continued growth, and avoiding some of the complications associated with traditional fusion surgery.

On the other hand, spinal fusion is a more traditional surgical technique that involves fusing two or more vertebrae together using bone grafts and metal hardware. This procedure is often used to treat a variety of spinal conditions, including degenerative disc disease, herniated discs, and spinal stenosis. Spinal fusion is effective in stabilizing the spine, but it can limit spinal motion and lead to adjacent segment disease, where the levels above and below the fused segment may experience increased stress and wear.

Deciding between vertebral tether and fusion ultimately depends on the specific spinal condition being treated, the patients age, and the goals of the surgery. A spinal surgeon will consider a variety of factors, including the degree of spinal curvature, the location of the curve, and the patients spinal maturity, to determine the best course of treatment. Additionally, the surgeon will discuss the potential benefits and risks of each procedure with the patient and their family to make an informed decision.

Tags : Vertebral Tether, fusion surgery, spinal fusion, bone grafts, Orthopaedic Surgery, Orthopaedic Surgery PowerPoint presentation

Published on : Jun 23, 2023 | Views : 663 | Downloads : 0

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Slide 1-

A Tale of Two Spines Deciding Between Vertebral Tether and Fusion
Slide 2-

Tether Vs Fusion Indications When your adolescent child has scoliosis that is in the surgical range there are currently two options in how to address the curve. The traditional surgery for scoliosis is called a posterior spinal fusion and instrumentation – or PSIF. This procedure uses a spinal rod placed in the back part of the spine. The other option which is anterior vertebral body tethering (AVBT) is where the tether uses a flexible cord which is placed from the front part of the spine only on the convexity of the curve. This allows correction of the scoliosis but also continued growth on the oppositie (concave), untethered side. Here are the differences between the two procedures to help you make an informed decision about what is best for your child.
Slide 3-

Tether Vs Fusion Indications Tether Candidate Curves 40-60 degrees Flexible curves Compensatory Curve smaller than 45 degrees Mild amount of rotation Skeletally immature Risser 0-3 Sanders 2-5 Operation is usually thoracoscopic (minimally invasive) Length of hospital stay 2 days 10% Risk of Reoperation Little to no loss of flexibility Back to sports at 6 weeks Fusion Candidate Curve >50 degrees Flexible or inflexible curves Any size compensatory curve Mild to Severe Rotation Skeletally immature or mature Risser 0-5 Sanders 3-8 Operation is through a 10 cm incision Length of hospital stay 3-4 days 2% Risk of Reoperation Possible loss of flexibility depending on lowest level fused Back to sports 6 weeks
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A Tale of Two Spines Fusion Tether
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A Tale of Two Spines Fusion Tether
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A Tale of Two Spines Fusion Tether