The Elimination Of A Revision Surgery

Spinal fusion is categorized into three different categories: cervical, thoracic, and lumbar, in conjunction with the different segments of the spine. Each type of spinal fusion has a different goal depending on the purpose of the surgery. Most surgeries involve fusing vertebrae together to limit its range of motion, thereby hopefully reducing the pain or correcting any physical deformities. Depending on the levels of fusion, spinal fusion surgeries tend to last a few hours. Complications may arise during surgery, and they greatly increase depending the location of the fusion, levels of fusion, and if the surgery crosses any important nerve sites. Levels of spinal fusion are known as the fusion between two different vertebrae. If there is a fusion between L1 and L2, that is known as one level of fusion. If there is another site of fusion at L3 and L4, than there will be two levels of spinal fusion. Lumbar fusion are further complicated when more then one level of performed. By limiting one segment’s range of motion, other segments of the spine will have to compensate and create greater range of motion. With lumbar fusion, most doctors will need to be able to identify why a patient needs lumbar fusion, and being able to identify if lumbar fusion will help alleviate the pain. Most cases of lumbar fusion involve spondylolisthesis, fractures, spinal stenosis, scoliosis, and possibly herniated disk if no other further treatment has proven successful. Most physicians will order an

The good news is that I am done growing, which means I will stop wearing the scoliosis brace. This is a great relief to me, as the brace I wear 16 hours per day, is like a plastic corset, extremely uncomfortable and confining. The bad news is that my spinal curve has increased yet again. Now, at a 43 degree curve, I meet with a pediatric spinal surgeon. The doctor suggests I wait six more months as he monitors my advancing curve closely, and then the consideration of a spinal fusion is the next step. The fusion is a major surgery where they place two titanium rods in the upper thoracic region of my spine and fuse the affected

The spine is one of the most important structures in the human body. The spine is located in the dorsal cavity and consists of 24 bones, called vertebrae. These vertebrae play a crucial role in protected the body’s command center, the spinal cord. But what happens when a disorder prevents the spinal column from functioning correctly? Scoliosis is a musculoskeletal disorder that causes abnormal lateral curvature of the spine and it effects millions of people in the US per year. I have chosen this disorder because I am aspiring to become a chiropractor and scoliosis is a typical condition that chiropractors help treat on a daily basis.

Thousands of incidents of wrong patient and wrong side/site surgeries occur every year in the United States. In general, patient identification errors (PIE) pose the most dramatic consequences that may even lead to patient death. While some PIE lead to taking the wrong medication, others lead to reporting the wrong laboratory or radiological reports to the wrong patient. Interestingly, these drastic scenarios can simply be prevented by following the patient identification protocols which usually rely on using two identifiers or more according to the policy in use. This paper uses the root cause analysis to identify possible actual causes that contribute to the recurrence of PIEs with special highlight to the emergency and surgery rooms. It

As the ASC continued to grow in response to the increasing number of members, the procedures that were internalized not only increased, and were more complex. During that that time of expansion, I help strengthen the collaboration among ASC leadership and personnel to ensure that all surgical initiative is a success. In my role as perioperative educator, I spearheaded the development, implementation and evaluation of training and education via clinical simulation of procedures internalized in the ASC in 2015.

Of note, previous x-rays of the lumbar spine dated 01/14/16 showed a solid fusion at L4-5 with interbody graft at L4-5 as well as pedicle screw fixation in satisfactory alignment.

According to the article Thousands of Mistakes Made in Surgery Every Year by Jennifer Warner from WebMD Health News, more than 4,000 mistakes occur in surgery every year that could have been prevented. These mistakes cost approximately $1.3 million dollars in medical malpractice payouts. This is a more than preventable act. Researchers frequently refer to these events as “never events” because they should simply never occur. Never events include incidents such as performing the wrong procedure or even leaving a medical sponge in the patient after surgery. Between the years of 1990 and 2010, never events occurred about 10,000 time in the United States. Each week a sponge or towel is left inside

The most significant challenged I have faced is having three major surgeries over the course of two years. The May of my 8th grade year, my appendix burst and I had emergency surgery to remove all the poison in my stomach. Then 7 months later, when I was a Freshman at PDHS, I discovered the ACL in my left knee was torn. Then the following year, the March of my Sophomore year I tore my ACL, MCL, and meniscus in my right knee during my last home game in the Aztec stadium. As a student athlete this news was devastating to me because before all three surgeries I knew I was going to have to be out of soccer for months and school for several weeks. The following months after I missed quite a bit of school due to recovery, physical therapy, and doctors

Promising materials for nanofibrous scaffolds include poly (ɛ-caprolactone) (PCL) in combination with gelatin because electrospun PCL closely resembles the ECM and gelatin is a natural biopolymer with biodegradable and biocompatible properties. Previous studies in the field of tissue engineering have focused on the biological properties and biocompatibility of NGCs, but little work has been done to study the biomechanical properties of NGCs and how they compare to native peripheral nerve tissue in vivo. This is an important area of study because the NGCs must be sufficiently elastic to avoid tension at the injury site, but cannot collapse due to the patient’s movements [7]. Designing NGCs with favorable mechanical properties is necessary for successful axonal growth and nerve regeneration. This research will provide a better understanding of the mechanical properties of peripheral nerve tissue and NGCs as well as develop a method to test the performance of NGCs in

Spinal surgery is a great option if you are are facing persistent back pain. Developments in the technology for minimally invasive spinal surgery (MISS) have made it possible for surgeons to do more without the potential for scarring and other forms of damage. Before opting for any surgical procedure on your spine, it is important to get multiple opinions to ensure that the operation will be suitable for your lifestyle. In most cases, spinal surgery is only recommended if nonsurgical therapies are found to be ineffective.

The clinical problem presented was an increase in surgical site infections, following gastrointestinal surgeries. Even with the implementation of surgical bundles, the rate of surgical site infections still increased five-percent. Surgical site infections are an epidemic in hospitals, leading to patient harm after corrective surgery. Surgical site infections are avoidable and expensive for the health care facility. The issue of surgical site infections is nationwide and has resulted in law suits against health care facilities. Mortality, extended hospital care, and morbidity, associated with surgical site infections, has led to increased health care costs. In “A Colorectal ‘Care Bundle’ to Reduce Surgical Site Infections in Colorectal

Since the etiology of achalasia is not known, no cure is available and treatments are directed at relieving or controlling symptoms.

Wrong person, wrong procedure, and wrong site surgery instances are a growing problem throughout the country. While most would agree that determining a true number is difficult due to underreporting and difficulties in defining exactly what constitutes a wrong site surgery, it is a mounting patient safety concern. There is no way to identify all of the potential patient safety concerns, because the possibilities are dependent on what was performed.

Depending on the severity of the curvature, different treatment methods are implemented to attack this abnormality of the spine. Although the effectiveness of using plastic back braces to deter the curvature is still to be determined, doctors still generally use this method for smaller curves. In recent years, doctors have been employing a minimally invasive surgical approach for larger curves, one that requires surgeons to only make a few small incisions along the spine, rather than the traditional two-foot incision along the spine. This technique is by far the most radical treatment since the first scoliosis surgery took place in the early 1900s.

Scoliosis is a complex deformity or curvature of the spine and entire torso and has been recognized clinically for centuries (Asher, Marc A.). “For a few of the patients an underlying cause can be determined, including congenital changes, secondary changes related to neuropathic or myopathic conditions, or later in life from degenerative spondylosis. However, the cause of most scoliosis is not known and since about 1922 such patients have been diagnosed as having idiopathic scoliosis (Asher, Marc A.).”