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0:00 Introduction
1:15 Symptoms of spinal stenosis
01:45 Neurogenic bladder is dysfunction due to neurological issues
02:35 Who you live with makes a big difference on the support system needed for recovery after surgery.
03:04 Patient lives in Atlanta Georgia
03:30 People who exercise regularly can typically skip prehab.
04:04 Pain varies with spinal stenosis but usually includes pain down the legs relieved by bending
04:23 Heart and lung problems, diabetes, kidney problems, and difficulty with blood clotting or thinners need to be managed around the time of surgery.
05:12 Spinal stenosis does run in families.
05:38 MRI appearance of spinal stenosis
06:29 "beading" on the MRI is a typical appearance of spinal stenosis.
06:58 Spinal stenosis is most common at L4/5
07:19 The causes of spinal stenosis are joint enlargement, ligament thickening, disc bulging, and spondylolisthesis.
08:22 The three types of spinal stenosis are central, lateral recess and foraminal.
10:11 How to know when it is time to have laminectomy surgery for spinal stenosis.
11:05 Fusion does not improve the outcome of laminectomy for stenosis without deformity.
12:43 The range of recommendations for the treatment of spinal stenosis
14:19 Qualifications for a good spine surgeon: board certified, neurosurgeon or fellowship-trained orthopedic surgeon
15:23 Most spine surgeons use the Medtronic Metrx retraction and surgical system
15:57 Complications of laminectomy surgery: durotomy and meningitis
16:31 Complications of laminectomy surgery: persistent back pain from facet joints
17:01 Back pain after laminectomy can often be treated with radiofrequency ablation
17:23 How to make a list of possible spine surgeons
17:44 Care needs after laminectomy: tender loving care
18:56 "You catch the fish you're trying to catch."
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25 июл 2024
