http://www.spinepatientsociety.org/forum/ Facet Replacements, Interspinous Spacers, Posterior Dynamic Stabilization, Nucleus Replacement, Biologics (annular repair, stem cells, etc.) en Thu, 09 Sep 2010 03:53:18 GMT vBulletin 60 http://www.spinepatientsociety.org/forum/images/misc/rss.png http://www.spinepatientsociety.org/forum/ http://www.spinepatientsociety.org/forum/emerging-spine-surgery-technologies/interspineous-implant-devices-often-overlooked-option-1972/ Mon, 30 Aug 2010 13:58:36 GMT I find this option very interesting. Interspinous devices bridge the therapeutic gap between conservative treatment and the major surgeries... I find this option very interesting. Interspinous devices bridge the therapeutic gap between conservative treatment and the major surgeries (fusion, adr, microdiscectomy) carrying significantly less risk than the more invasive surgeries.

The primary indication for an interspinous device seems to be stenosis caused by a degenerating disc. The device helps "get the weight off" the problem disc which in turn allows the disc "room to breath". This unweighting better allows the spine to stabilize and restore natural anatomical function and in some cases lead to reduction of unnatural movements and healing of the damaged disk.

Study of Interspineous Devices





]]> Emerging Spine Surgery Technologies Carson http://www.spinepatientsociety.org/forum/emerging-spine-surgery-technologies/interspineous-implant-devices-often-overlooked-option-1972/ http://www.spinepatientsociety.org/forum/emerging-spine-surgery-technologies/coflex-totally-investigational-yeah-right-1970/ Mon, 30 Aug 2010 11:56:23 GMT Interesting link I found Help Ellen DeGeneres avoid back surgery! | Facebook... Interesting link I found Help Ellen DeGeneres avoid back surgery! | Facebook. Samuel Jackson talksabout his coflex and trying to get ellen to get back surgery. She is smart and says I will do everything to avoid back surgery. But, if one indeed has to get back surgery I would say the coflex has to be a heck of a lot better than any fusion, but its just experimental according to our good ole fda and insurance, ha ha . This device works better than fusion, period. ]]> Emerging Spine Surgery Technologies sportsnut3007 http://www.spinepatientsociety.org/forum/emerging-spine-surgery-technologies/coflex-totally-investigational-yeah-right-1970/ http://www.spinepatientsociety.org/forum/emerging-spine-surgery-technologies/revolution-wooridul-spine-hospital-1957/ Fri, 27 Aug 2010 19:29:11 GMT New surgical technique invented in WOORIDUL SPINE HOSPITAL only two days ago, by one of their leading spinal neurosurgeons. Ji-Sung Kim,... New surgical technique invented in WOORIDUL SPINE HOSPITAL only two days ago, by one of their leading spinal neurosurgeons.

Ji-Sung Kim, neurosurgeon from Wooridul Spine Hospital invented a new treatment for herniated thoracic discs: ossification of ligamentum flavum.

"In most cases, surgeons usually do the open thoracotomy and discectomy for ventral decompression & total laminectomy with (or without) posterior fusion. Posterior alone surgery is another option.

However, I introduce new surgical technique - simultaneous 360 degree decompressive surgery using VATS. Patient's myelopathy symptoms much improved after surgery." ]]> Emerging Spine Surgery Technologies Keano16 http://www.spinepatientsociety.org/forum/emerging-spine-surgery-technologies/revolution-wooridul-spine-hospital-1957/ http://www.spinepatientsociety.org/forum/emerging-spine-surgery-technologies/annular-repair-after-discectomy-1937/ Sat, 21 Aug 2010 16:31:02 GMT *Not sure if this has a previous post But this may have prevent my recent re-herniation? Annular Repair After Discectomy: Spine 2010 Jul epub* ... Not sure if this has a previous post But this may have prevent my recent re-herniation?

Annular Repair After Discectomy: Spine 2010 Jul epub The below was probably mentioned in an earlier posting, ORS 2009 Annual Meeting Abstracts?

PMID: 20683387
Spine (Phila Pa 1976). 2010 Jul 30. [Epub ahead of print]
(c) 2010

The Effect of a New Anular Repair After Discectomy in Intervertebral Disc Degeneration: An Experimental Study Using a Porcine Spine Model.

Chiang CJ, Cheng CK, Sun JS, Liao CJ, Wang YH, Tsuang YH.
From the *Department of Orthopaedic Surgery, Taipei City Hospital, Taipei, Taiwan; daggerInstitute of Biomedical Engineering, National Yang-Ming University, Taipei, Taiwan; double daggerDepartment of Orthopaedic Surgery, National Taiwan University Hospital, Taiwan; section signInstitute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan; paragraph signBiomedical Engineering Research Laboratories, Industrial Technology Research Institute, Hsinchu, Taiwan; parallelDepartment of Nursing, College of Health Sciences, Yuanpei University, Taipei, Taiwan; and **Institute of Traditional Medicine, School of Medicine, National Yang Ming University, Taipei, Taiwan.


Abstract
STUDY DESIGN.:
In vitro and in vivo studies to assess the effect of direct anular repair on subsequent degeneration of intervertebral discs (IVDs).

OBJECTIVE.:
To assess whether a new suturing method could provide sealing effect on IVD after discectomy, and influence degenerative process of IVD.

SUMMARY OF BACKGROUND DATA.:
Recurrent disc herniation and subsequent disc degeneration are major problems after discectomy. Anular repair can reduce the risk of recurrence, but its effect on disc degeneration needs more investigation.

METHODS.: A new suturing technique, the modified purse-string suture (MPSS), was designed for direct closure of anular incision. Intact motion segments of porcine lumbar spine were used to validate this technique in resisting disc pressure under mechanical loadings. A transverse slit incision was made in the anterior anulus of porcine cervical discs, with or without sealing of the anular defect by this suturing method. Magnetic resonance imaging grading was recorded before and after surgery. Anular healing was assessed histologically and gene expression of aggrecan, collagen type I, II, and matrix metalloproteinase-13 in nucleus pulposus were investigated.

RESULTS.:
1150.3 +/- 121.1 N simple suture avg.Failure.Force axial
2917.9 +/- 627.6 N MPSS avg.Failure.Force axial
~253% more

The average failure force of axial compression was 1150.3 +/- 121.1 N for a simple suture, and 2917.9 +/- 627.6 N for a MPSS. Cyclic loading test showed that the repaired discs succeeded against repeated compression forces. Magnetic resonance imaging and gross appearances showed lesser degenerative changes in repaired discs than in injured discs at each time period. In repaired discs, mRNA expression of aggrecan and type II collagen downregulated slightly with time, whereas it decreased rapidly and persistently in unrepaired discs. Histologic findings showed primary healing of outer anular tract in repaired discs.


CONCLUSION.:
In this pilot study, the MPSS can provide effectively sealing for damaged anulus to withstand stresses. Direct repair of anular incision by this suturing method does significantly slow down degenerative process within discs after discectomy.

Gil :coffee: ]]> Emerging Spine Surgery Technologies Gilbert P http://www.spinepatientsociety.org/forum/emerging-spine-surgery-technologies/annular-repair-after-discectomy-1937/ http://www.spinepatientsociety.org/forum/emerging-spine-surgery-technologies/fda-stops-regenexx-stem-cell-method-1898/ Tue, 10 Aug 2010 14:34:48 GMT http://www.politicolnews.com/fda-stops-stem-cells-in-usa/ http://www.politicolnews.com/fda-sto...-cells-in-usa/ ]]> Emerging Spine Surgery Technologies rob wilson http://www.spinepatientsociety.org/forum/emerging-spine-surgery-technologies/fda-stops-regenexx-stem-cell-method-1898/