Minimally Invasive Spine Surgery: the State of the Art | UCLA Spine Center
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- čas přidán 16. 04. 2018
- Join UCLA orthopaedic surgeon Don Park, MD, for an evidence-based review of the latest state-of-the-art techniques in minimally invasive spine surgery. Learn more: spinecenter.ucla.edu/
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Reducing risk to spinal cord would be my biggest concern. I don't mind a longer recovery as spinal surgery is no small thing.
I hope regenerative medicines in the future make spinal surgery unneeded. Sounds like cost and risk and overall reluctance of surgeons to even do a procedure are huge limitations.
doctor i have L4 L5 S1 herniated bulged disc pain right leg i tryed everthing my last MRI says disc herniation which is slighty more prominent than on the prior study,,,,,that, MRI ,2 yrs ago there is proximal left foraminal extension approaching the exiting left root ,,what does that mean ,can you help and what does exiting left root mean,,,ty,
Informative video. Can i refer you to a new chiropractic directory to publish your video? No charge
Where are the most experienced/reputable medical centers for spinal surgery using the Maxtor X robotic procedure in the US?
Sorry to be offtopic but does any of you know a trick to get back into an instagram account..?
I was dumb lost my password. I love any help you can offer me
@Robert Genesis instablaster :)
Hmm, orthopedic surgeon or neurosurgeon? I know that they are both equally qualified to do spine surgery, but personally, who would you choose to do your spine surgery?
Given that they both have already finished their fellowships on spine surgeries, there are still discrepancies between the two, as they are not under the same surgical specialties, to begin with.
Good grief man pay attention to what’s around you.
@@kennethwilliams9353 I think maybe you should say; PAY attention to feedback of Spinal Surgeons based on a completely separate review body?
I had a 2 stage spinal reconstruction for a severe spinal deformity. I had a neurosurgeon, orthopedic surgeon and a vascular surgeon. I survived but barely. 3 years later my left rod fractured. It’s been a struggle.
U have a question for you Los Angeles. What is the truth about a patient that went to her medical doctor That said they couldn't fix a problem that involve scoliosis.
I have cervical spinal stenosis and have been watching videos of ultrasonic procedures but do not see many doctors using it. I was wondering if it is not a accepted by mainstream doctors because I do not want the fusion surgery.
Hi Kelli. I am in a similar situation but at a lower lumber level. Offered open fusion with metal rods and bone graft. I asked if there was a minimally invasive approach? Sadly had NO reply whatsoever for weeks NHS UK. The open route seems more profitable for surgeons using tried and tested methods. They don't really like it when we start asking for a different approach? Deep open surgery WILL take much more time to heal. This is our lives that we are talking about. Don't be fobbed off. Take your time and look around! Got a consultation Harley Street next Weds. I want to know ALL my options! Noticed London Spine Unit offer an alternative approach! Not cheap. But can we put a price on our health?
Hi Tom, what were your findings? Would really like to know patient’s perspective, as I might be in a similar situation. Hope all is good with you!
It’s the insurance companies and lack of doctors with the skill set to do minimally invasive procedures like endoscopic are the problem. Most of us don’t need all that hardware in our bodies. The major surgeries are traumatic to our bodies. It’s about profit for them. It’s a system. Think of all the companies that make the hardware surgeons go to school to put in our bodies many unnecessarily. So if you think about it why teach how to help patients recover faster and better? It’s more profitable to keep us on the hamster wheel of poor health to keep us coming back. Sad but true. The worst part is when they know there is a better, safer, more effective way to heal you and they persuade you to go right to a bunch of hardware first. Do your research people. The doctors that really know go to the doctors we should see. There are actually doctors not focused on profit that care. And it’s no wonder there is no universal healthcare in this country. Doctors here have even told me personally the healthcare system in the US is broken. There are plenty good ones, but check out the Deuk Spine Institute. Dr Ara Deukmedjian, MD is a neurosurgeon and is on CZcams. He will take you to school and change your life and way of thinking. Prayers and blessings to you all.
With the robotic technique in surgery what happens when a) the patient runs into complications throughout the surgery and b) if there is a technical problem with the robot while in the middle of the surgery?
Neurosurgeon here, though this would be the same outcome independently of the surgery. Be it with video/endoscopic surgery or the new robotic surgery, if your patient has a certain complication, you try to correct it, but if you cannot manage it, the protocol orders you to change the plan to open surgery, obviously that's a considerable stress since you have to a) Change your plans on the spot and b) Open it as soon as possible. In neurosurgery, I personally and happily have never faced such extreme situation, but during my general surgery rotations it would happen in a low but still considerable frequency.
As for technical difficulties, the protocol is pretty clear, if you face some problem, change it as soon as possible, be it a microscope or a endoscope tower, of course it's not always possible, which obliges you to tackle it anyway. I have no really personally seen this problem happen in robotic surgery, but I'd suppose a malfunction would probably require you to restart the machine or change your approach.
Hope it helps.
@@JJJameson. You give a good reply. Thank you. Though many here do not trust machines to be introduced at such an invasive level? For me this would be a NO GO! Though for those that have faith in the latest tecno then be my guest!
@@JJJameson.
Thank you for your thorough explanation, and for sharing your expertise.
The doctor seems to focus greatly on statistics and studies rather than patient communications. He virtually ignores the short term surgical benefit to patients in favor of the long term benefit. Obviously the long term benefit is extremely important but as a patient I would prefer he show a little more compassion to the short term pain, suffering and infection risks of patients.
Have you done laser spine surgery it looks like the least intrusive of any type? No disk or bone removal or implants needed. Just removal of damaged disk gel and almost go home same day or next. A Dr. in Florida has done them for many years. His patients say no more pain And it’s a cheaper surgery then cutting bone or adding screws! Look up Dr. Deuk! ❓❓❓
What exactly is Mobotallor Secrets? How does this thing really work? I notice lots of people keep on speaking about this grow taller method.