Dear Dr., thank you for your explanations. The videos on your channel are spectacular for having a practical vision in surgery. I would like to know if you have the surgical description of the TLIF. I always have problems at the beginning of the discectomy due to issues of anatomical exposure, so it is possible that with some of your advice, I can solve this problem. Thank you very much.
Sir, I can't find the right words to describe my respect for the efforts you are applying in such an informative illustrated video, I've enjoyed watching every single minute and am very grateful and thankful for this nice experience. thank you so much,, I appreciate your efforts.
Thanks so much! I'm really glad you find them useful. Stay tuned for more surgical technique videos. I have another cadaver lab shceduled in a couple weeks. What techniques would you want to see?
Thanks for the kind words! I am working on it as we speak. I am hoping to start rolling out surgical footage with instructional commentary and the scope of this will span the full spine. Stay tuned! -SP
Definitely! Thank you! The lumbar pedicle screw video will come out soon and I will definitely make a video on iliac fixation including S2AI and traditional iliac bolts. Thanks! -SP
Nice video sir. U explained the start point very nicely. I wanted to know how do u angulate your gear shift probe (cranio-caudal & medio-lateral) in free hand technique for each level of thoracic spine.
Thanks for watching. I tried to explain the medial-lateral considerations in the video (talking about morphology changes from T1-S1). In my opinion there are no absolute angulations to adhere to (something like 20 degree at T1 or something). for cranio-caudal I try to keep the probe roughly perpendicular to the surface of the adjacent lamina, coaxing the gearshift rostrally to maintain a straight-ahead technique instead of anatomic. Hope that helps and thanks for the great question, SP
Thank you! I don't do lumbar injections so I'm afraid I couldn't send you a technique video on that. I will, however, be rolling out a library for the lumbar spine. Thanks, SP
Great question! I think that fluoro is a useful adjuvant but, once yuo know the landmarks, I actually find that it doesn't afford the confidence you expect since the imaging is so dependent on removing parallax, getting true AP and lateral imaging, etc. I end up wasting more time with fluoro and don't feel it really facilitates accuracy in normal pedicle anatomy. Hope that helps! -SP
These are all custom illustrations and animations made for Prasad Spine Academy by my team of illustrators and animators. I use something called a lightboard in my recording studio. There are a couple short videos that show the studio if you want to take a look. The synthesis of live footage, cadaver footage, illustrations and animations is all done in post-processing. I hope that answers yuor questions! Thanks for watching! -SP
Spine fusion is a clueless procedure, no one really know how the forces act on pedicle and it's impacts after the surgery , these doctors doesn't know the basic physics but they will do complex surgeries, only patient can know the pain he is going through, for the sake of stability these surgeons break and cause fracture to bone by drilling screws and fixing with rods, this procedure has the least success rate, it has to be done only when there is so much instability and all the other alternative attempts are exhausted
I contradict you,I had spinal fusion done at workhardt hospitals and I can tell you,when I came to India,I was bedridden,after the spinal fusion,I was able to sit up and travel to my home country sitting rather than booking 3 seats and traveling while lying Medical procedures such as a spine fixation or fusion,it has a solid base and one that is researched as well as followed,it's been 3 years since my surgery and I feel no pain and I am glad that I have metal rods in my back
@@MohamedAhmed-i1t1n what is the issue u have faced before surgery, do u got any fracture/tumor or u have any instability in ur spine? I myself underwent spine fusion and I didn't get any relief infact the pain became worse, lost so much flexibility, so what I am saying is this procedure has to be done only when it is absolutely necessary, or so much instability in ur spine
I'm sorry that you had an unfortunate experience with surgery. I can't really speak to your clinical circumstances. No technique is perfect for everyone. You can think of surgery as a tool -- it does not work the same for all applications. Surgical decision-making involves establishing goals and understanding the techniques available to achieve those goals. Failures in surgery are more often failures of decision-making than failures of technique. Good luck!
