Dr. David Skaggs
@dr_skaggs
Executive Vice Chair of Orthopaedics @CedarsSinai and Director of the Cedars Sinai Spine Center. Founding president of the Pediatric Spine Foundation
ID:1521266032203243526
02-05-2022 23:12:08
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Insightful analysis courtesy of Dr. Alex Tuchman
linkedin.com/posts/drmikese…
#spine #database #spine surgery #neurosurgery #orthopaedics
Chance Fractures are often misdiagnosed as compression fxs. Key to dx is posterior disruption of ligaments/bone in flexion/distraction. Subcutaneous hematoma is classic acute #MRI finding. This teen had >1 yr of pain-needed surgery #Spine #ChanceFracture #orthotwitter #Radiology
This pick up saved his life! #Pediatric #OrthopaedicSurgeon Dr. Amelia Lindgren evaluated 11yo boy for leg length discrepancy. She noted sustained clonus & ordered a #SpineMRI which showed severe cervical spine cord compromise requiring urgent surgery Cedars-Sinai #orthotwitter
Practice changing! Benjamin Roye presented #research at #ICEOS2023 this week. Night-time bracing of #EarlyOnsetScoliosis in 15-24deg #scoliosis is >3x more likely to improve the Cobb angle than observation & often prevents later full time bracing. #conservativetreatment #spine
New technique & case report: Robot-assisted intralaminar screw fixation of #spondylolysis in an adolescent . Now we could offer young athletes #OutpatientSpineSurgery to cure chronic back pain. Novel use of HA coated screws #missurgery NASSJ #Spine
sciencedirect.com/science/articl…
Surgery was initially recommended for a 12yo girl with 75deg of #Kyphosis . During a second opinion, I offered hyperextension #stretching for just 60 seconds each day. Months later her spine was straighter & surgery was avoided. #conservativetreatment
Close-up: 22KHz oscillating discectomy tool removes soft tissue of disc quickly but does not violate endplate or bone Globus Medical #Innovation #Technology #SpineSurgery #Discectomy
22KHz oscillating discectomy tool: dull barbs/wire brush removes soft tissue of disc quickly but does not violate endplate or bone Globus Medical #Spine #Spine Surgery #Innovation #technology
Pediatric vertebral osteomyelitis/discitis treated with antibiotics: pain better in days, CRP normal in weeks, MRIs worsen initially & look bad for 3-6months. Don't worry if clinically improving. #Pediatrics #Spine #Orthopedics #Orthotwitter #InfectiousDisease
Award Winning Paper #SRSAM23 Discs tethered in compression provokes disc degeneration in an animal model. Congrats Dr. Pat Cahill & team. Will discs tethered in compression in humans degenerate? Scoliosis Research Society #spine #scoliosis #SpineResearch
Dr Michelle Marks reports at #SRSAM23 that spine motion following VBT for scoliosis results in 22 degrees more forward flexion and equal lateral bending compared to fusion. The residual curve is 5 degrees greater in VBT @SRSAM_23 #Spine #Spine Surgeons #scoliosis #orthotwitter
The Scoliosis Research Society traveling fellows - top complex #Spine surgeons from Beijing, Paris, Birmingham, Hong Kong, & Seoul - enjoy the The Magic Castle after spending 3 days Cedars-Sinai
#magiccastlehollywood #Spine Surgeons #LosAngeles
Do not brace! This is compensatory #scoliosis from a leg length discrepancy-on exam right side is high. In true scoliosis, left (convex) side would be high. #pediatrics #orthopedics #orthopaedics #orthotwitter
4 yo girl NF. Traditional growing rods chosen - MRI compatible to follow NF. At 2 years T1-S1 is 5cm longer and still growing. #Scoliosis #EarlyOnsetScoliosis #pediatrics #SpineSurgery Cedars-Sinai Guerin Children's Cedars-Sinai
Surgeons asked about drill: Globus Oscillating System @333 oscillations/sec. Does not injure dura, nerves or surgeon's fingers, and gives amazing feel b/w cancellous and cortical bone. #orthotwitter #globusmedical #BrownJHM #Neurosurgery #spine
Surgeons asked about drill: Globus Oscillating System @333 oscillations/sec. Does not injure dura, nerves or surgeon's fingers, and gives amazing feel b/w cancellous and cortical bone. #orthotwitter #globusmedical #BrownJHM #Neurosurgery #spine