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May 15th, 2023 by Miami Back & Neck Specialists
From The Doctor | What types of artificial discs are available, and how do they differ in terms of design and materials?
Surgery known as total disc replacement (TDR) is performed to replace a damaged or deteriorated intervertebral disc with a prosthetic disc. The artificial discs on the market now come in a wide variety of designs and materials. This review will examine the various artificial discs used in TDR and discuss their similarities and differences in terms of construction.
A ball-and-socket design, the first kind of artificial disc, consists of metal endplates implanted into the vertebrae at either end and a plastic insert between them. Often employed in cervical TDR, its design provides for a great deal of freedom of movement. Prestige LP cervical disc is an artificial disc.
Sliding-core designs, which use two metal endplates and a core composed of metal or plastic that may slide between them, are another sort of artificial disc. This design is frequently employed in lumbar TDR due to its flexibility. The artificial disc developed at the Charité Medical Center is a good example of this kind.
The elastomeric design is the third category of artificial disc and is composed of metal endplates and a rubber-like elastomeric core. Often utilized in cervical TDR, its design provides a comfortable degree of mobility. Artificial cervical discs like the Mobi-C exist.
The hydrogel artificial disc is constructed from metal endplates and a water-absorbing hydrogel core. Lumbar TDR often employs this design due to its restricted mobility. The ProDisc-L is an artificial disc that fits this category.
Moreover, artificial discs can be made from a wide variety of materials. The endplates are often constructed of metals like titanium or high-strength plastics, whereas the core can be made of metal, plastic, elastomer, or hydrogel. The artificial disc’s longevity, mobility, and biocompatibility can all be impacted by the materials used to construct it.
To sum up, there are many different synthetic discs out there for TDR, each with its own construction and materials. Disc replacement options vary from patient to patient based on criteria including age, activity level, and the surgeon’s personal taste. Patients should consult with their doctors to figure out the best surgical choice for them, as is the case with any medical condition.
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April 18th, 2023 by Miami Back & Neck Specialists
From The Doctor | What are the common causes of non-unions in bone fractures, and how can they be prevented?
Fractures of the bones happen to people of all ages and are common. Fractures usually heal without problems. Nevertheless, non-union occurs when the bone does not typically mend. A non-union is a condition in which the bone does not fuse following a fracture, resulting in persistent discomfort and the inability to perform routine daily activities. This post will discuss the most prevalent reasons why bone fractures don’t heal properly and what can be done to avoid them.
Lack of enough blood flow to the wounded area significantly contributes to non-unions. A healthy blood flow is essential for bone repair because it carries oxygen and nutrients to the bone tissue. Bones may not repair correctly if their blood supply is impaired by smoking, diabetes, or vascular disease. Treating preexisting problems and quitting smoking before and after a fracture are crucial preventative measures.
Inadequate immobilization of the injured region is a common contributor to non-unions. In addition, movement at the fracture site can hinder the bone from fusing if the broken piece is not held firmly and correctly in place as it heals. The best way to avoid this is to adequately immobilize the fracture using casts, braces, or surgical fixation.
The infection can induce non-unions because of the combination of low blood supply, inadequate immobilization, and the illness itself. Bone fractures can heal slowly or never if the patient has an infection at the fracture site or elsewhere in the body. Antibiotics and keeping the wound clean and dry are two of the most important things you can do to avoid infection.
Age, bad diet, and drugs like steroids can also prevent bones from joining together correctly. Non-unions can be avoided by following a balanced diet, taking the recommended vitamins, and being aware of any drugs that could interfere with bone repair.
Finally, poor blood supply, insufficient immobilization, infection, aging, malnutrition, and medication usage are all potential causes of bone fractures that fail to heal. Individuals can lower their likelihood of having a non-union if they address these variables and implement suitable preventative measures. To avoid further issues like non-unions, it is essential to consult a doctor immediately if you think you may have a fracture.
Injections before Surgery: Failures of my methodology
November 29th, 2022 by Miami Back & Neck Specialists
Introduction: to describe the pitfalls and failures of a common pre-surgical diagnostic pathway, ie epidural steroid injections and facet injections to isolate the source of a patient’s pain.
Background: multilevel, degenerative disc disease appears on an MRI of most patients after a certain age. Back pain is also very common, but physicians are often unable to reliably pinpoint which specific disc causes a patient’s pain, especially if there is no neurological component, or “sciatica”. To say in another way: when a patient has pain in his back while sitting, that is associated with sciatica in the back of the thigh, back of the calf or bottom of the foot, an experienced surgeon will immediately recognize that this patient’s pain is in the distribution of the S1 nerve root. Nerves begin in the brain and traverse the spine on the way to the extremitie. Read More
Dr. Brusovanik Contributes to Jiu-Jitsu Article
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Dr. Brusovanik Contributes to Jiu-Jitsu Article | Click Here to Download PDF Article
Dr. Brusovanik was featured in Ocean Drive Magazine
December 14th, 2021 by Miami Back & Neck Specialists
Dr. Brusovanik was featured in Ocean Drive Magazine | View Article
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Coronavirus Update | Safe Medications for Back Pain
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Especialista garantiza el regreso de Lourdes Gurriel Jr.
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Especialista garantiza el regreso de Lourdes Gurriel Jr.
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What are the parts of the spine that cause nerve compression?
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“Lumbar Stenosis = difficulty walking” with Dr. Brusovanik
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![Discussing the procedure on the Cauda Euina Cauda equina syndrome most commonly results from a massive disc herniation in the lumbar region.[4] A disc herniation occurs when one of the soft flexible discs that functions as an elastic shock absorber between the bones of the spinal column displaces from its normal position.](https://spinedoctormiami.com/wp-content/uploads/2016/06/Cauda-Equina-spine-doctor-miami.jpg "Minimally Invasive Decompression for Cauda Equina Minimally Invasive Spine Surgeon Miami")
