Surgery Overview

• Surgeon's Introduction:

  • Dr. Chol recently arrived from San Diego, California.
  • Performed surgery on a 65-year-old patient.
  • Patient owns a tennis company.

• Medical Condition:

  • Condition: L45 spondylolisthesis with angular hypermobility and stenosis.
  • Treatment: Fusion surgery is the recommended approach due to micro instability.

• Surgical Approach:

  • Aim for a minimally invasive procedure using computer navigation.
  • Utilizes cement augmentation of pedicle screws for stronger support.
  • Special injection tool used to enhance screw placement.
  • Focus on reducing post-operative pain by ensuring a stable construct.

• Procedure Details:

  • Cement augmentation described as clouds circling the screw.
  • Screws have holes for cement injection.
  • Improvement in screw strength and stability is noted.

• Instrumentation:

  • Use of a bone graft injector with the cage.
  • Allows for internal filling and spreading within the cage for support.

• Post-Operative Notes:

  • Surgery completed successfully.
  • Small incisions with a shower-resistant dressing.
  • Surgeon expresses satisfaction with the technical outcome.
  • Optimism for a speedy recovery for the patient.

• Conclusion:

  • Positive outlook following the surgery.
  • Prayers for the patient's swift recovery.

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