PDA

View Full Version : New op


Pikey
20th June 2005, 11:08 PM
Just read another post on another site about a new OP or technique , sounds interesting .
"Doctors invent Spine staples to cure scoliosis in kids (Go To Top)

Washington: Scientists at the Cincinnati Children's Hospital Medical Centre claim to have developed a "spine staple", that can eliminate the need for thousands of invasive spine surgeries in children. Doctors claim that the spine staple to be implanted through a minimally invasive procedure into children who are at high risk of getting afflicted with scoliosis, will not only slow down the progression of the curvature with the child's growth, but compared to standard surgery involving the insertion of rods and a bone graft to fuse the spine will lead to less blood loss, pain and hospitalisation. "The spine staple re-directs growth of the spine - slowing growth on the outside of the curve so that the inside can catch up. Surgery will be minimally invasive, safe, relatively simple and at lower cost than current procedures. It will reduce pain and length of hospital stay. And, it will help surgeons, for whom current techniques are like building a ship in a bottle," Eric Wall, M.D., an orthopaedic surgeon at Cincinnati Children's and co-inventor of the staple was quoted as saying. Reports indicate that surgeons will make three or four, one-inch incisions on the side of the body, under the arm through which approximately six spine staples will be inserted through these "portals" and into the spine, across the growth plates, rendering the use of rods and spine fusion useless.
- Aug 12, 2004"


Found at
http://www.indiatraveltimes.com/science/sc...2004/aug04.html (http://www.indiatraveltimes.com/science/science2004/aug04.html)

Sounds quite interesting, I wonder if this method is being used yet or if anyone has heard of it.

Back to top

Jonny
20th June 2005, 11:22 PM
Thanks Tim :-) I think vertebral stapling has already been mentioned here (http://www.scoliosis-support.org/modules/ipboard/index.php?s=&showtopic=371&hl=stapling), but new sources are always useful.

Sealy
21st June 2005, 12:59 AM
Jonny,

I'm almost certain the article Pikey is referring to is a totally different procedure to Vetebral Body Stapling. This new procedure is an alternative to spinal fusion and growth rods rather than an alternative to bracing. Eric Wall, one of the co-inventors of the procedure is also cited in this article:


Endoscopic mechanical spinal hemiepiphysiodesis modifies spine growth.

Wall EJ, Bylski-Austrow DI, Kolata RJ, Crawford AH.

Children's Hospital Medical Center and The University of Cincinnati
College of Medicine, Cincinnati, Ohio, USA.

STUDY DESIGN: An in vivo porcine model of progressive scoliosis as an
inverse analog of a proposed method of early surgical treatment.
OBJECTIVES: To test the hypothesis that scoliotic curvatures may be
repeatedly created using anatomically based vertebral staples and
thoracoscopic surgical procedures.

SUMMARY OF BACKGROUND DATA: Staple
hemiepiphysiodesis is an established method for treating knee
deformities. Similar procedures have so far failed to arrest or
correct deformities of the spine. While experimental studies continue
to suggest that spine growth is modifiable, no prior clinically
translatable method has been shown to clearly and consistently alter
vertebral growth. METHODS: Custom spine staples were implanted into
midthoracic vertebrae of seven skeletally immature normal pigs. Each
staple spanned an intervertebral disc and two growth plates and was
fixed to adjacent vertebrae with screws. The animals were
anesthetized biweekly for radiography during the 8-week study period.
Final radiographs were taken after spine harvest. Initial and final
postoperative Cobb angles were compared statistically. RESULTS: Five
animals completed the protocol with a weight increase of 142% in 8
weeks. Coronal plane curvatures increased significantly with time,
from 0.8 (+/-1.8) to 22.4 (+/-2.8; P = 0.0001). On average, sagittal
plane curvatures did not increase with time. CONCLUSIONS: Spinal
hemiepiphysiodesis using an anatomically based implant and minimally
invasive procedures repeatedly induced spine curvature in a normal
porcine model. These techniques may slow, and perhaps even correct,
early progressive spine deformity without long rod instrumentation or
fusion.


Sealy

Sealy
21st June 2005, 01:06 AM
That happy faced ghost keeps popping up :-D



Sealy