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Preferred back brace for my lumbar reconstruction patients returning to snow sports or motorcycle use

For patients of mine who, at one year (minimum) following anterior (+/- posterior) lumbar reconstruction, wish to return to snow sports or riding their motorcycles: Don’t forget my spinal health recommendations given to you in writing following your surgery under my care. They are key to minimising any adjacent segment deterioration; Wear a back brace […]

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Artificial disc + cage anchor & fusion points for spinal biointegration: “Hybrid” prosthetic construct shown here

My patients often ask about which parts of the prosthetics that I use during cervical and lumbar anterior reconstruction (i.e., my cages and artificial discs) are meant to “fuse” and which parts are “not meant to fuse“, and how are they “anchored in“? Image 1 below shows my preferred prosthetics: An ESP artificial disc on […]

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Congenital narrowing of the lumbar spinal canal – Implications

When a spinal canal is relatively narrow from birth, where it will remain relatively narrow throughout life, it is referred to as congenital spinal canal narrowing. This is different to acquired (typically degenerative) narrowing which is referred to as spinal stenosis. The MRI image below shows a mildly congenitally narrow lumbar spinal canal, with antero-posterior […]

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Anterior cervical spinal reconstruction – cutting edge “hybrids” and multiple artificial discs

“Worn out necks” with osteophytes, desiccated (dehydrated, collapsed discs) and early reversal of lordosis (left panel, pre-op.) can be structurally and functionally salvaged/’rejuvinated’ with hybrid cage and artificial disc (middle panel, post-op. same patient) constructs or, where feasible, dual (or multiple) artificial discs (right panel, different patient). Lovely to be living in a day and […]

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