Our Summary

This research paper describes a new surgical technique that was used in a medical institution for treating adult spinal deformity. The technique combines the use of specific types of screws and titanium rods during surgery to enhance the long-lasting effects of the operation.

The study looked at a set of patients who underwent this procedure between August 2019 and March 2020. The surgical method involved fusing the lower back and pelvic bones and then placing the titanium rods in a specific location using real-time CT scan images for guidance.

Out of 21 patients who had this surgery, three had the titanium rods placed incorrectly during the operation. However, the issue was quickly identified and corrected, and it did not lead to any negative consequences. It was found that the extra time taken to place these rods during surgery was around 8 minutes and 33 seconds on average.

The study concluded that this new method of surgery is feasible and can be performed successfully. The researchers are now planning a more extensive clinical trial to better understand the impact of this technique on patient outcomes.

FAQs

  1. What is the new surgical technique described in the research for treating adult spinal deformity?
  2. What were the results of the study that tested this new surgical method between August 2019 and March 2020?
  3. What are the plans for future research based on the findings from this study?

Doctor’s Tip

One helpful tip a doctor might tell a patient about joint fusion is to follow the post-operative care instructions carefully to ensure proper healing and recovery. This may include restrictions on certain activities, physical therapy, and medication management. It is important to communicate any concerns or changes in symptoms to your healthcare provider to address any issues promptly.

Suitable For

Patients who are typically recommended joint fusion surgery include those with severe joint pain or stiffness that does not improve with other treatments such as medication or physical therapy. Joint fusion may be recommended for individuals with conditions such as arthritis, joint damage, joint deformities, or instability. Additionally, patients who have not had success with other surgical interventions, such as joint replacement, may also be candidates for joint fusion.

Timeline

In the timeline of a patient’s experience before and after joint fusion:

Before joint fusion:

  1. Patient experiences chronic pain, stiffness, and limited mobility in the affected joint.
  2. Patient undergoes various non-surgical treatments such as physical therapy, pain medication, and injections to manage symptoms.
  3. After conservative treatments fail to provide relief, patient and their healthcare provider decide to proceed with joint fusion surgery.

During joint fusion surgery:

  1. Surgeon performs the procedure to remove damaged cartilage and fuse the bones together using screws, plates, or rods.
  2. Surgery typically lasts for a few hours and requires a hospital stay for monitoring and recovery.
  3. Patient may experience post-operative pain, swelling, and limited mobility in the immediate days following surgery.

After joint fusion surgery:

  1. Patient undergoes physical therapy to regain strength, flexibility, and function in the joint.
  2. Patient gradually resumes normal activities and may experience improvements in pain and mobility over time.
  3. Patient continues to follow up with their healthcare provider for monitoring and potential adjustments to their treatment plan as needed.

What to Ask Your Doctor

  1. What is joint fusion, and why is it recommended for me?
  2. What specific type of screws and rods will be used during the surgery?
  3. How long is the recovery process after joint fusion surgery?
  4. What are the potential risks and complications associated with this surgery?
  5. How successful is this new surgical technique compared to traditional methods?
  6. Will I need physical therapy after the surgery, and if so, for how long?
  7. How long will the titanium rods need to remain in place after the surgery?
  8. Are there any restrictions or lifestyle changes I will need to make after joint fusion surgery?
  9. What is the expected outcome of the surgery in terms of pain relief and improved mobility?
  10. What steps can I take to ensure a successful recovery after joint fusion surgery?

Reference

Authors: Martin CT, Holton KJ, Jones KE, Sembrano JN, Polly DW. Journal: J Neurosurg Spine. 2021 Sep 10;36(1):86-92. doi: 10.3171/2021.3.SPINE202218. Print 2022 Jan 1. PMID: 34507297