Spinal Fusion Surgeries: Can Pedicle Screw Breach Cause Neurological Damage?

Spinal Fusion Surgery can help prevent back pain caused by degenerative disc disease, scoliosis, fractures, or infection of the spine. The vertebrae responsible for the motion that results in pain are joined and stabilized using wires, plates, or rods.
Pedicle screws are used to fix this instrumentation in place. They’re inserted into the anterior vertebrae via the bony lumbar pedicle.
Much like drilling a nail into a wall, inserting a pedicle screw can quickly go sideways. If the screw penetrates in the spinal canal, it could injure the nerves, and cause neurological damage.

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Patients Often Don’t Lose Significant Weight after Total Knee Replacement Surgery

Excess body weight leads to osteoarthritis (4 times the risk in Women & 5 times the risk in Men, Anderson J and Fleson DT. Am.J.Epidemiol. 1988;128:179-189.) and causes cartilage loss in the joints, swelling, pain, and stiffness, limiting the mobility of the patient. It even renders them incapable of exercises that help lose weight.

Knee replacement surgeries are considered helpful in reducing joint pain and improves function, especially in people who find it difficult to sit or move because of bad joints. However, whether or not patients lose weight after Total Knee Replacement (TKR) procedures, has been a matter of conflict for long. (more…)

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The role of Vitamin D in preserving health

Vitamin D is part of a group of fat-soluble vitamins which can be obtained from a few foods, sunlight and supplements. The main role of Vitamin D is to assist in the metabolism of Calcium and Phosphorus and also in mineralization of bones. Till now, different forms of Vitamin D have been discovered, namely Vitamin D1, D2, D3, D4 and D5 respectively.

Vitamin D Deficiency – Reduced dietary intake or inadequate exposure to sunlight can lead to a deficiency of Vitamin D in the human body. Some studies have defined deficiency as a serum 25-hydroxyvitamin D level of less than 20 ng per mL (50 nmol per L), and insufficiency is defined as a serum 25-hydroxyvitamin D level of 20 to 30 ng per mL (50 to 75 nmol per L). In case of insufficient Vitamin D levels, 25 hydroxy- cholecalciferol was brought to the kidney and thus the kidneys cannot respond naturally and they fail to connect with blood calcium. The levels of calcium phosphate crystals begin getting low and hence form less soft tissue in the body. Less calcium from the circulation also creates the bone releasing all available calcium, for normality of blood calcium level. The bones, as a result, turn soft and bendable. Calcium in the bone activates the action of the osteoclasts and works as a synthesizer to the bone as well. But Vitamin D deficiency can cause dematerialization the bone. Some significant symptoms are bone pain & soft bones, frequent bone fractures, bone deformities or growth retardation in children.

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Body Mechanics and Posture

Body mechanics is a term used to describe the ways we move as we go about our daily lives. It includes how we hold our bodies when we sit, stand, lift, carry, bend, and sleep. Poor body mechanics are often the cause of back problems. When we don’t move correctly and safely, the spine is subjected to abnormal stresses that over time can lead to degeneration of spinal structures like discs and joints, injury, and unnecessary wear and tear.

Standing
Millions of people spend a good deal of their time on their feet. Standing work, including bending, lifting, carrying and reaching can be tough on the back – especially if proper body mechanics are not being used. Use the following guidelines to minimize the risk of injury to your back when working while standing.

  • Avoid standing in one position for prolonged periods of time. Change your position as often as you can. This will not only help relieve stress on your spine, it also helps increase circulation and decrease muscle fatigue. When you can, stretch. Gentle stretching exercises during a break can help ease muscle tightness.
  • Make sure the surface you are standing on is firm and level.
  • If possible, lean on a solid support. This can help reduce fatigue during long periods of standing.

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Orthopaedic specialist in Silicon Oasis

Common orthopaedic conditions in children

  1. How common are these conditions in the UAE, do have any statistics?

Conditions such as in-toeing, flat feet, bowlegs and knock knee are rather common conditions affecting infants and children. In all of these cases, parents often anxiously rush to consult a specialist in order to check if their child’s limbs are normal. In most cases, these issues are not serious health concerns but a part of development.

  1. How frequently do you see these cases as a doctor and how do you usually deal with them?

In-toeing or pigeon toe is an extremely common condition found in children which they generally outgrow with age. Parents often consult us with the request to fix the deformity in their child’s feet. However children below the age of 8, with this condition do not require any specific treatment as they will outgrow it naturally.                               (more…)

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