Dr. Ahmet Alanay, Vertebral Body Tethering (VBT) Scoliosis Surgery interviewed by Dr. Derek Lee
Вставка
- Опубліковано 6 сер 2024
- This interview is for educational purposes and covers information provided by Dr. Ahmet Alanay regarding his opinions on Vertebral Body Tethering (VBT) Non-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
1:56 What causes scoliosis?
4:39 Mechanical theory to manage scoliosis.
5:56 Role of Schroth physiotherapy and brace treatment.
7:18 What drives scoliosis curve progression?
9:55 Role of Anterior Vertebral Overgrowth in causing scoliosis.
11:58 If hypokyphosis (flat-back) drives scoliosis, will VBT correction conflict.
14:28 VBT influences mostly the coronal plane, followed by sagittal and rotation.
16:19 Patient Parameters for best VBT correction.
19:39 Anticipated correction relies on remaining growth potential.
20:16 Sanders 3a/3b had the best corrections with less complications.
22:22 For Sanders 3a/3b he corrects up to 1-20 degrees.
22:40 Sanders 4 and 5 aims for 50-60% correction.
23:09 Use of bracing and Schroth physiotherapy at Sanders 2 to delay until Sanders 3a/3s.
23:55 Collaborates with in house orthotist & PT's to monitor/treat low Sanders curves.
25:14 For non-compliant brace patients, he can operate at lower Sanders score with loose tether.
26:46 High 40's curves dropped to high 30's with intensive Schroth and bracing.
28:32 Exercise while bracing is critical.
29:29 Bracing compliance is the #1 issue with bracing effectiveness.
31:34 Collaboration between surgeon, orthotist and PT is important for best outcomes.
34:38 More exercise leads to better spine flexibility and preserves motion segments.
37:32 VBT can reduce hypokyphosis with a tighter tether but risks over correction.
39:11 Obsessed about sagittal plane based on experience with adult spinal deformity.
43:53 4 factors for successful bracing outcome.
45:36 Treats adults with sagittal/coronal problems, spinal stenosis, nerve root entrapment.
48:07 Global Alignment & Alignment (GAP) approach to predict successful adult fusion.
49:54 Working on predicting ideal kyphosis angle for each patient.
50:57 Use of GAP for AIS in upcoming seminar.
51:11 Dr. Alanay's opinion on Disc Release with VBT
56:52 Quality of life of a patient with a 0-20 degree curve is the same and a reason he doesn't touch the discs.
57:16 Prefers not to cut ribs since it may compromise rib function but will do so if requested.
58:39 Surgical decisions are based on experience, research, and patient needs.
59:13 His 2 year post VBT study indicates discs remain healthy with no auto-fusion.
1:00:36 Dr. Alanay's Fees.
/ 1198200727630801
drdereklee.com/
My daughter has recently been diagnosed with scoliosis.
She was the first person to diagnosis herself.
She has been taking thyroid meds for a few years.
And, she carried a heavy, really heavy backpack.
I wanted to share for those doing research.
Thank you for taking the initiative to reach out to doctors around the world, great parents think alike:)
I hope you are finding the interviews helpful. Sending you and your daughter positive vibes!! :)
Very informative and helpful video! Thank you so much Dr. Lee and Dr Alanay for this interview!
Glad you found it informative!
This interview is for educational purposes and covers information provided by Dr. Ahmet Alanay regarding his opinions on Vertebral Body Tethering (VBT) Non-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
1:56 What causes scoliosis?
4:39 Mechanical theory to manage scoliosis.
5:56 Role of Schroth physiotherapy and brace treatment.
7:18 What drives scoliosis curve progression?
9:55 Role of Anterior Vertebral Overgrowth in causing scoliosis.
11:58 If hypokyphosis (flat-back) drives scoliosis, will VBT correction conflict.
14:28 VBT influences mostly the coronal plane, followed by sagittal and rotation.
16:19 Patient Parameters for best VBT correction.
19:39 Anticipated correction relies on remaining growth potential.
20:16 Sanders 3a/3b had the best corrections with less complications.
22:22 For Sanders 3a/3b he corrects up to 1-20 degrees.
22:40 Sanders 4 and 5 aims for 50-60% correction.
23:09 Use of bracing and Schroth physiotherapy at Sanders 2 to delay until Sanders 3a/3s.
23:55 Collaborates with in house orthotist & PT's to monitor/treat low Sanders curves.
25:14 For non-compliant brace patients, he can operate at lower Sanders score with loose tether.
26:46 High 40's curves dropped to high 30's with intensive Schroth and bracing.
28:32 Exercise while bracing is critical.
29:29 Bracing compliance is the #1 issue with bracing effectiveness.
31:34 Collaboration between surgeon, orthotist and PT is important for best outcomes.
34:38 More exercise leads to better spine flexibility and preserves motion segments.
37:32 VBT can reduce hypokyphosis with a tighter tether but risks over correction.
39:11 Obsessed about sagittal plane based on experience with adult spinal deformity.
43:53 4 factors for successful bracing outcome.
45:36 Treats adults with sagittal/coronal problems, spinal stenosis, nerve root entrapment.
48:07 Global Alignment & Alignment (GAP) approach to predict successful adult fusion.
49:54 Working on predicting ideal kyphosis angle for each patient.
50:57 Use of GAP for AIS in upcoming seminar.
51:11 Dr. Alanay's opinion on Disc Release with VBT
56:52 Quality of life of a patient with a 0-20 degree curve is the same and a reason he doesn't touch the discs.
57:16 Prefers not to cut ribs since it may compromise rib function but will do so if requested.
58:39 Surgical decisions are based on experience, research, and patient needs.
59:13 His 2 year post VBT study indicates discs remain healthy with no auto-fusion.
1:00:36 Dr. Alany's Fees.
facebook.com/groups/11982...
drdereklee.com/
May I contact you directly ? I am interested in hearing more about scoliosis surgery in older adults. I am 65 and would definitely consider scoliosis surgery.
To be clear, I'm not a medical doctor or surgeon, but, if you are interested in learning more about scoliosis options, these are a couple of excellent Facebook groups that can provide direction.
Canada: facebook.com/groups/602248196933050
USA: facebook.com/groups/ScoliosisTethering
UK: facebook.com/groups/1287873647907498/
Klippel feil caused scoliosis in me.
Nice job. one day everyone will love all! #love =O