Dr. Stephanie Da Paz, MD - Lateral Disc Release and Hybrid VBT with Apical Fusion Scoliosis Surgery

This interview is for educational purposes and covers information provided by Dr. Stephanie Da Paz regarding her opinions on Lateral Disc Release and Hybrid VBT with Apical Fusion Scoliosis Surgery. This video is not an endorsement. Viewers should consult their physicians and treating team accordingly. See highlights via timestamps below.
Chapters
0:00 Introduction.
0:43 Evolution of Hybrid VBT with Apical Fusion.
1:23 Hybrid VBT with Apical Fusion technique.
2:49 Case Study: Hybrid VBT with Apical Fusion.
4:34 Determining spine flexibility on bending x-rays.
5:06 Discectomy with Apical Fusion.
5:41 Preparation of the disc space for fusion.
7:19 How long does it take for the apical segment to fuse?
7:52 Why not bone on bone apical fusion?
8:53 First Hybrid VBT with Apical Fusion at 1 year.
9:15 Is there less tether tension with apical fusion?
9:55 Hybrid VBT with Apical Fusion for lumbar curves only.
10:13 Stability of the apical fusion device.
12:27 Maturity Parameters for Hybrid VBT with Apical Fusion.
13:03 More details on evolution of Hybrid VBT with Apical Fusion.
15:28 Intraoperative video of Lateral Disc Release with VBT.
18:42 Tether tensioning post lateral disc release.
20:04 Why 2 types of screws with double tethers?
21:30 Anterior screws of 2nd tether is tensioned 50%.
22:16 Is tensioning the tether altered by the apical fusion?
22:55 Disc release controversy.
23:56 Why are lumbar disc release more problematic than thoracic disc releases?
24:21 New tether technology?
25:35 Hybrid VBT with apical fusion is not for everyone.
26:24 Non-fusion scoliosis surgery is dependent on spine flexibility. VBT cannot give you spine flexibility if the spine is already stiff.
27:58 Can disc release improve spine flexibility?
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