Scoliosis is abnormal curve and rotation of the spine affecting over 6 million children per year. Treatment options include carfeful watching, bracing and surgery. However, modern research have found a new genetic test that can predict which child is likely to progress or become worst, and which child will not. This could be the difference between brace, surgery or nothing at all.

Neuromonitoring is the standard of care during any surgical treatment of scoliosis in young patients. A recent study published in Sept 2010 evaluating 3436 young patients, showed accurate detection of permanent neurological status in 99.6% of patients and reduction of permanent neurological injury to less than 0.17% when neuromonitoring was utilized (1). Safe surgery is critical for any patient. Ask you doctor about neuromonitoring and its utility in scoliosis surgery.

(1) Thuet, Earl D. BS; Winscher, Jacquelyn C. BS; Padberg, Anne M. MS; Bridwell, Keith H. MD; Lenke, Lawrence G. MD; Dobbs, Matthew B. MD; Schootman, Mario PhD; Luhmann, Scott J. MD. Validity and Reliability of Intraoperative Monitoring in Pediatric Spinal Deformity Surgery: A 23-Year Experience of 3436 Surgical Cases. Spine. 35(20) 1880-1886, Sept 2010.

During spinal surgery, the spinal cord and nerves are at risk for injury. However, with the use of neuromonitoring, we are able to, in real-time, monitor and record nerve activity to ensure safety.

The aim of neuromonitoring is to evaluate the integrity of the spinal cord and nerves during spinal surgery.

A clear understanding of neurophysiology and anesthesiology is required to appropriately understand and interpret the data. Various anesthetics, changes in body temperature, position, hypotension, and various medications can alter the neuromonitoring response.

I feel that neuromonitoring, including both motor and sensory pathways, is vital in order to perform safe spinal surgery. During your doctors visit, inquire about neuromonitoring, its’ indications and utility.

Obesity affects over 130 million Americans. We all understand that obesity contributes to heart disease, diabetes, high blood pressure, high cholesterol, and certain cancers. What about your back?

I spent today at the Western Orthopaedic Association meeting. I presented our data on minimally invasive treatment (percutaneous screws) for treating spine fractures. Check out my slides below. Keep in mind that minimally invasive treatment of spine fractures are not for everyone and have strict indications, however when indicated, it works extremely well. Patients recover faster with tiny incisions and minimal hospital stay.

Welcome to my health blog, a place for new and reliable information regarding spine and overall health. All material presented will be written or edited by myself, and supported by research and science. In addition, I will present my recommendations on current topics in spine and your overall health issues.