Nailed It Ortho
OITE/ Boards Review: Spine 13- Adult Spine Deformity
Jul 31, 2022
Dr. Spencer Woolwine, an expert in adult spinal deformity, joins the discussion to delve into the nuances of assessing and treating spinal issues. They highlight how many patients remain asymptomatic until advanced stages, with family members often spotting early signs. The conversation covers critical imaging techniques, including sagittal plane measurements, and stresses the importance of pelvic incidence in spinal alignment. Surgical options and indications are also explored, emphasizing the restoration of lumbar lordosis for optimal patient outcomes.
22:18
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Quick takeaways
- Adult spinal deformity can go unnoticed until symptoms become pronounced, necessitating careful assessment and reliance on imaging for effective diagnosis.
- Surgical intervention is reserved for cases with significant deformity progression or pain, guided by precise spinal alignment measurements to optimize outcomes.
Deep dives
Understanding Adult Spinal Deformity
Adult spinal deformity often presents as asymptomatic, with many patients unaware of their condition until it becomes more pronounced over time. Symptoms can manifest as back pain or progressive deformities like kyphosis, where family members may notice changes over several years, such as a patient increasingly hunched over. When patients do exhibit symptoms, they may also experience complications related to neuromuscular diseases, which can further complicate their clinical picture. Clinicians should be vigilant in assessing these deformities and understand that imaging plays a critical role in diagnosis and management.
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