Thanks for this. Something you didn't mention was the (very small) increased cancer risk from a cage implant which (as I understand it) often uses a bone growth promoting compound in a sponge type material. Is this correct?
Thank you for your excellent question. There have been some reports of increased rates of cancer with BMP-2 (bone-growth stimulator), but these are likely very rare. Personally, just fyi, I don't use BMP-2 anyway (not because of cancer risk but because I don't think it is necessary).
Hope you can answers my question ( none of my surgeons have an answers for me ) Reasons for fluid come out from my thighs or buttocks after spine stenosis 6 hrs surgery ? Thank you very much !🙏
Thank you for reaching out. I'm not sure what that fluid could be. What did your surgeon say? If their answer is not satisfactory, you may want to get a second opinion.
@@SpineSurgeonSpeaks I read somewhere that there was problems with cadaver bone for the grafting . Not sure how much truth is into it, but I too had had the cadaver. I also have a majormessed up back. what was supposed to be a simple lumbar fusion decompression after four surgeries now I am in severe pain and no one will touch me. Having problems with.
Hello Sir, i have a question. When a young patient has a mild shift of vertebra due to pars fracture known as isthimic spondylolisthesis grade 1 but he has a healthy disc, can the TLIF be possible only for the stability by keeping his disc intact , i mean is it possible to fuse the two vertebra for stability in alignment but not remove his healthy disc using bone graft or cage, as he is young.
This is a complex question. Sometimes you can perform a posterolateral fusion only (where the disc is not removed), but at other times the disc also has to be removed (for technical reasons) and a "cage" or spacer is placed in the disc-space (to keep the construct stable). Both approaches are valid, and depends on the particular case at hand.
Fused vertebraes do not have mobility and it causes tightness or stiffness.
We are waiting for your new vidios
Thank you! Life has gotten very busy, but I am working on a video... stay tuned 😎
Thanks for this. Something you didn't mention was the (very small) increased cancer risk from a cage implant which (as I understand it) often uses a bone growth promoting compound in a sponge type material. Is this correct?
Thank you for your excellent question.
There have been some reports of increased rates of cancer with BMP-2 (bone-growth stimulator), but these are likely very rare. Personally, just fyi, I don't use BMP-2 anyway (not because of cancer risk but because I don't think it is necessary).
Hope you can answers my question ( none of my surgeons have an answers for me ) Reasons for fluid come out from my thighs or buttocks after spine stenosis 6 hrs surgery ? Thank you very much !🙏
Thank you for reaching out.
I'm not sure what that fluid could be. What did your surgeon say? If their answer is not satisfactory, you may want to get a second opinion.
@@SpineSurgeonSpeaks I appreciate you response my question so quickly 👍. Unfortunately your office is not located at my area.
Hi
Can you use Cadaver on the lumber area L4 L4. As well for spinal fusion surgery
Yes, we use cadaver bone all the time for lumbar spine surgery.
@@SpineSurgeonSpeaks
I read somewhere that there was problems with cadaver bone for the grafting . Not sure how much truth is into it, but I too had had the cadaver. I also have a majormessed up back. what was supposed to be a simple lumbar fusion decompression after four surgeries now I am in severe pain and no one will touch me. Having problems with.
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Did the surgeon stuff the cage with autograft or allograft?
Allograft
Hello Sir, i have a question. When a young patient has a mild shift of vertebra due to pars fracture known as isthimic spondylolisthesis grade 1 but he has a healthy disc, can the TLIF be possible only for the stability by keeping his disc intact , i mean is it possible to fuse the two vertebra for stability in alignment but not remove his healthy disc using bone graft or cage, as he is young.
This is a complex question. Sometimes you can perform a posterolateral fusion only (where the disc is not removed), but at other times the disc also has to be removed (for technical reasons) and a "cage" or spacer is placed in the disc-space (to keep the construct stable). Both approaches are valid, and depends on the particular case at hand.