Computer Guided Spinal Navigation (FULL PROCEDURE)!!
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- Опубликовано: 1 окт 2024
- In this video, Dr. Webb walks viewers through a surgery involving a patient who presented to his office with severe back and leg pain secondary to severe compression of his spinal canal from a large spinal cyst. This patient was treated with Spinal Navigation with 3D Guided Spinal Screw Insertion and a decompressive laminectomy with cyst excision.
If you are experiencing chronic back or leg pain that is unresponsive to conservative treatments, then you may be a candidate for minimally invasive spine surgery in conjunction with our computer 3D guided spinal navigation system.
How It Works
Surgical imaging and navigation technologies enable Dr. Webb to perform your surgery with accuracy and enhanced visualization both before and during surgery. Dr. Webb uses a planning computer software to help him prepare for your surgery, before you even arrive in the operating room. This plan is used to provide the pathway or route to accurately place the pedicle screws and other hardware on the day of surgery. By doing this, Dr Webb will ensure the correct size implants and screws will be available the day of your surgery and also takes the guesswork out of performing your implantation. This not only saves time in surgery (meaning a shorter surgery), but also decreases complications of misplaced screws.
Most commercially available surgical navigation systems are based on infrared cameras detecting reflective spheres attached to the spine of the patient via a dynamic reference frame.
During surgery, Intraoperative images will provide a detailed 3D view of your specific anatomy in real time. Using computer guided navigation allows Dr Webb to display the surgical instruments and implants on a computer screen for Dr. Webb and the rest of the operating room staff to monitor throughout the case. This display gives Dr. Webb a real time view during the procedure for more precise implant placement.
Compared to traditional surgical techniques, computer-assisted navigation using intraoperative 3D imaging has been shown to improve screw placement accuracy and reduce complications due to screw misplacements. Moreover, improved accuracy has also been shown in more challenging conditions, such as scoliosis surgery, where it may be of even greater importance. Consequently, navigation also reduces the frequency of postoperative revision surgery compared to the more traditional surgery and minimizes radiation exposure to the surgeon, patient, and operating room staff.
References
Tian, N. F. et al. Pedicle screw insertion accuracy with different assisted methods: a systematic review and meta-analysis of comparative studies. Eur Spine J. 20(6), 846-859 (2011).
Jin, M. et al. Incidence and risk factors for the misplacement of pedicle screws in scoliosis surgery assisted by O-arm navigation-analysis of a large series of one thousand, one hundred and forty five screws. Int Orthop. 41, 773-780 (2017).
Fichtner, J. et al. Revision rate of misplaced pedicle screws of the thoracolumbar spine-comparison of three-dimensional fluoroscopy navigation with freehand placement: a systematic analysis and review of the literature. World Neurosurg. 109, e24-e32 (2018).
Chan, A., Parent, E., Narvacan, K., San, C. & Lou, E. Intraoperative image guidance compared with free-hand methods in adolescent idiopathic scoliosis posterior spinal surgery: a systematic review on screw-related complications and breach rates. Spine J. 17(9), 1215-1229 (2017).
Learn more at: antoniowebbmd....
To see Dr Webb as a patient, please contact:
Antonio J. Webb, MD
Orthopedic Spine Surgeon
South Texas Spinal Clinic
9150 Huebner Road Suite 290
San Antonio, Texas 78240
Office: 210-614-6432
Fax: 210-293-4171
www.spinaldoc.com
antoniowebbmd.com
Learn about Dr. Webb's foundation
thewebbfamilyfo...
Dr. Webb's new book, Overcoming the Odds (ranked 5 STARS!) is available NOW at: amzn.to/2hV3MtR
MEDICAL DISCLAIMER
The information provided is not intended to be a substitute for professional medical advice, diagnosis or treatment. Never disregard professional medical advice, or delay in seeking it, because of something you have read on this website. Never rely on information on this website in place of seeking professional medical advice.
Please keep doing more of these vlogs in surgery Dr. Webb, if you’re able to do so. I enjoy learning about the technical aspects of this specialty. Much love and great work to you and your team!
Thanks!!
The learning never ends does it
In medicine and in technology, never.
Its cool how you use your mind and hands and tools to take peoples pain away....very admirable.
I operate the O-Arm for the hospital I work at, it still amazes me how CT images are able to be converted into live navigation for these kinds of surgeries.
I absolutely ❤ Dr. Webb! He's so smart and gives me such pride!✊🏽
My man! Awesome job! I got my spinal cord stimulator (patch job) so i can finish school. I'm moving to Houston soon...you may be seeing me!
What’s up doctor Webb, going to school to be a PA specializing in surgery. Love what you do! Keeps me motivated.
Had an L4-L5 fusion 3-years ago. The outcome was not what I had expected. Ended my career. Wish I had known you back then. You have such a gift and passion for healing others.
This guy is amazing I been watching you since you were training and to see how far you've come is very inspiring
Super interesting and informative. No wonder it takes so many years to become a neurosurgeon.
He’s not a neurosurgeon
I’ve had this same operation in South Africa
I’m still only 70% okay
Anyway
I’m good
Been 25 years already
Glad I did it
🤷
I shadowed an orthopedic spine surgeon today and scrubbed into a TLIF where 3D computer navigation was used. Super cool technology!
the most inspirational thing is to watch your channel, it help me alot to withstand the medical school. unfortunately the war in Sudan 🇸🇩 stopped my journey. you inspired me alot ...
Don’t give up brother. Ask Christ Jesus for help. He will guide you.
Having this done in about 3 weeks! Thanks for the info!!
It's really amazing to see navigation now making it's way into orthopedic OR after being used extensively in Neurosurgeries. In neurosurgical cases we get the imaging CT Scan done a night before to be used for neuronavigtion in the morning but getting the intraoperative CT done to minimize time lag and shifting of tissues from different positioning is really great.
I have gone through 4 spinal fusion surgery and it’s not easy seeing this gives me goosebumps
So impressive. Thank you for what you and your team do!
Thanks for watching!
Nice case, seamless workflow. I work for Medtronic navigation in Florida. Really cool to see you utilizing our technology on RUclips!
Much appreciated!
I love watching your videos. I'm budding orthopaedic resident from india.
Dr Webb leading the way, setting a great example to future surgeons on how to be the best in practice as well as building your digital brand! #VideoMarketing
I got a few tears watching the C-arm near the end. I was an ER/OR X-ray tech for 25 years and I loved nothing better than to see the surgeon's work turning up in my X-rays. Once you got to know a surgeon you knew what views they wanted and it was exhilarating to be complemented on a job well done. I retired about 10 years ago but my pulse still rises when I hear an ambulance go by and wonder what the trauma is while champing at the bit and wishing I was there to help assess the patient and help in any way I could.
that c-arm is made by GE OEC. 9800 with monitors upgraded. I worked for OEC for 20 years. it is so happy to see the C-arm working in OR.
I love these OR walkthroughs at my hospital we don’t have much spine cases. They are super awesome to watch from a X-ray tech point of view!
Awesome
Glad that you liked it! Will try to shoot more!
I had surgery to correct my scoliosis 2.5 years ago and this machine was used to aid my surgeon! Apparently the hospital where I had my surgery is the only one in South Africa to have an o-arm.
I keep on being motivated anytime I come across any of your video. Thanks role model. Medic from Nigeria 🇳🇬
IM Hospitalist here. Good to learn about these surgeries. I'm medically treating some of these pts so it's nice to learn about the procedures occurring in the background. Made it simple for me to learn from. Interesting!
Wow this is crazy to see what it takes to conduct a spine surgery
im in high school and youre really motivating me to go into medicine
Forgive my ignorance please, but do patients retain some lumbar mobility after the surgery? Not in the sense that the screws will, obviously, shift position slightly due to ossification, but as in movement initiated by skeletal voluntary muscles? I understand the trade-offs of course; having limited mobility but no chronic pain is a trade I'll gladly accept.
Confused. Disc stays in? Is the spinous process completely taken off? Is the bone graft material going to turn into the equivalent of the job the spinous process does?
Hello doctor Webb, I'm a 36 years old Nigerian male, sometimes in june 2021, i slipped and fell hitting my lower waist on the wall and ever since then, i have not been myself. It's been one pain or the other. There are days i can't sit for more than 30 mins. Whats worst if i think resting on my back for a long time will relieve me of pain, it's almost as of it make it worse. Around here, its rear to come by quality health facility where i can get treated and if there's any, im not financially capable to foot the bills. I might be needing this procedure you've just carried out here and i don't how i can get treated. I'm ready to offer myself to be practiced upon if possible. I'm afraid if i don't get the required help i need now, it might become worst for me to keep living with pain if i get to live a longer life.
What a lovely lovely guy, God bless you my friend
You are so kind
Really nice video on how you take care of patients.
Your videos are very educational! Outstanding work Dr. Webb!
you know it's a serious surgery when the Dr. shows up to the OR in a bulletproof vest
I want to fulfil my parents dream of become a heart ❤ surgeon or an orthopedist.
Love seeing these surgeries.
Salom shu amalyotga qancha pul ketabi ??
New Subscriber Dr. Webb, first off THANK YOU, THANK YOU, THANK YOU, I have had a severve back problem for the past 10 years, I have put off surgery for a lamenictomy and discetomy S1 to L3 but the pain has become worse, I am now disabled and a senior citizen who should have got this surgery 10 yeqars ago, because of your channel I will make this change and look to getting this surgery before December, my left leg and limbs have become numb as a result of this nerve compression.
Welcome!!
Truly mesmerizing, great work! 🙏
Appreciate it!
Thanks for doing these videos.,.
Can you pls send your music playlist
Wow so nice Dr webb
the good doctors are always nice
That’s so much of a technical work. I keep getting amazed by your work as a premed myself. Thanks for the education and inspiration.
Much appreciated!
The Doctor of motivation! Yessssiirr
That was so cool -- will you be doing any lumbar disc replacements? I'm very interested in that, for personal reasons.
Yes I do lumbar disc replacements
I enjoyed the video. Shout out to the Surgical Tech!
Awesome! Thank you!
I’m dealing with lower back pain my self but mostly one side and I was just diagnosed with degenerative disc changes on all lumbar levels hurts every day some days worse than others I’m only 27 😢
What kinda scrub is that, Doc??😂😂
Your an angel. GOD bless.
I'm surprised you entered the hallway and didn't have to at least glove-over again when you re-entered the surgical suite
Funny enough, I shadowed nearly the exact same procedure a few days ago. The only difference was the screws were aligns with a robotic arm.
I love the videos, but how come I have to wear a beard net to make food but you can do spinal surgery without a bear net lol
Doc, what's a good wattsapp contact for u?
Very interesting and educational channel . And I sterilized all the instruments you using☺️
I think you should use a cage with bone graft for fusion for better results.
Not every fusion needs an interbody
as someone that started to have back pain a year ago and from the CT scans ive made there wasnt any major discovery that explains my simptoms do you think i should get an MRI ? Also would love a video on general exercises that you recommend that would promote a healthier spine. Great video
This is amazing to me.
Great work! Do you worry about the tall/mobile disc? Why not TLIF to add fusion surface and provide anterior column support? Great content!
Every fusion does not need an interbody. There are specific indications that I use an interbody for
@@antoniowebbmd I understand, and that's what I am asking you....
Great video! What’s the background music called?
I wish you can offer your services in Nigeria. There are few orthopedic spine surgeons
Very thorough and informative video. Nicely done.
Glad you liked it!
My question is when you do long surgeries do you go to the bathroom if you have to?
Keep it up champ!
God bless you sir 🙏
Is there no guidewire and cannulated screws with this guidance system?
That's unbelievable! Amazing Job!
Thank you very much!
Do you use the ultrasonic tool for cutting bone etc. Good job.
If you creat a super innovative way of performing a surgery (no new instruments, just a new technique/manipulation) how would you go about patenting it so people recognize you came up with the idea and can call it for example: “the Webb”?
Step 1: Get a good patent lawyer and then don’t put it on RUclips 😂
Radiologic Technologist, not Xray technician.
Dr Webb looks like a platoon sergeant with thermal sights
Thank you for this!! Really enjoyed this. I'm applying to the Surgery Department in my country. Great motivation! That technology is awesome!!
Awesome!
All this technology; yet, still so primitive.
I have been talking with surgeons over the past 10+ years, and they say going in through the front is a lot easier. But when I talk with a person that had back surgery through the front, they said the recovery time was weeks, and the first week was painful due to muscles were cut. I had a fusion on L5-S1 with 2 round type cages, I went in at 07:00 Monday, in my room and awake at 12:40, and home the next day, about noon. Had dinner and watched TV, The following Monday I was back to work, on my feet all day. I think the front is easier for the surgeon but worse recovery for the patient. What is your thoughts?
Easier for both the patient and surgeon
We don’t cut any muscles going though the front. We just move them out the way
I had a L5 and L4 level ALIF. The Ab pain afterwards sure makes you sympathetic for your spouse that went through a couple c-sections 😂
@@soloban81 I hear that. Everyone I've talked with, that had lower back surgery, going in the front, told me the same thing, painful for a week or more, and weeks of recovery before normal. Like I said, went in on Monday, home Tuesday, driving to the boat the rest of the week, and back to work the next Monday just 7 days and over the counter pain meds. However, 4 to 5 months later, the pain came back due to scar tissue growing into S1, S2. The past 15 years with pain management. With that, I am still with FD, and USCG at 74 years of age.
That is how they did my l4 l5: fusion
Thank you
You're welcome
Great vid doc 👍🏽
Glad you enjoyed
Surgeons/surgery make other fields of medicine/specialialities lame 😅
😂😎
@thembanimgenu190 sounds like you are very experienced in the various medical specialties 😅
Great video Dr. Webb.
Thank you kindly
This ain't the best medical advice, but I just love to sit back, smoke a bowl, or two, and have a glass of red wine and watch these videos.
😂
🙏🇧🇷 Parabéns
Thank you!
He’s going to sell that soft tissue 😂😂😂😂
Man how did you know!!!?
what a chad!
dr webb, what you do is way more important than what athletes do
🔥🔥🔥🔥🔥🔥👍👍👍👍
Great.
Sales rep?
During the surgery a sales rep is there representing whichever company’s screws/implants the doc is using, p much to recommend products that fit the needs of that surgery and get feedback on the quality of their products
🐐
🙏🏾
What's good Dr. Webb! Another one...In my DJ Khaled voice Thank you for sharing another successful surgery to help up the quality of someone's life. I can't say it enough, how I think it's awesome that you are able to make such a difference in someone's life. I appreciate all that you do for the community and all that you do to educate the youth. You're the dopest doc👊🏽 And as usual, be well, be safe and Peace & Blessings🙏🏽
Nice work doctor 💊.
Appreciated
love these vlog, i learn so many things being as a surgical nurse.
Glad you like them!
Do you have to change gloves upon returning to sterile OR when you leave for X-ray 🩻
Yes and gown
How much does this surgery cast ????