Alexander Tapio Mameghani

Endlich eine Artikelüberschrift, die mich direkt anspricht!!!

although I deal with fancy high tech and cutting edge robots and navigation systems as a spine surgeon, I still dream of carving deep holes or deconstruct buildings with such a big fat yellow machine...

Patient with acute low back pain. Female 40yo. Two emergency consults in the ED. Finally lumbar MRI was performed: nothing to see.
Nevertheless she was then sent to spine surgery, and I don't know why.
What's your luxury problem of the day?

as a spine surgeon I am quite sad and a bit jealous that we don't have things in spine that look as weird as those things from foot and ankle...
What is it saying???

Mastering the realignment of a kyphotic spine demands years of dedicated practice. Do not assume that a residency and a single year in fellowship alone will equip you with such expertise to manage without helping assistance.

But of course, I’m no business expert. Just a simple spine surgeon, blissfully unqualified in the grand world of corporate strategy. Best I stick to believing that everything in those carefully worded press releases makes perfect sense.

When I hear that a company is selling off a significant part of its spine business, my first thought isn’t that this particular division is thriving or the cherished golden child of the firm. No, it sounds far more like a quiet loss of faith-an attempt to offload it before the cracks start to show.

We will move in our new hospital in almost 2 month by end of February… they say it’s a once-in-your-life event if your in a leadership position… wish me luck that I don’t mess it up 😉

saving money is hard to evaluate as the time you spend on your own with 3D printing technology is often counted as „for free“ but you spend hours and hours for educating yourself (and the team)…which has a price…when outsourcing, the main cost driver are costs for the staff of that chosen company…

simple test to identify thoracic hypokyphosis - heel, glutes and head to touch a wall - in a balanced spine the thoracic curve touches the spine as well - confirm in whole spine x-ray
--> needs lumbar PSO

painful non-union is the main driver to leave PEEK cages as better alternatives are available

It’s haunting me

I needed some time as I was doing a literature and image research because of your response and I came to the conclusion that sometimes it’s easier to inject the cement right into the jug veins instead of vertebral bones in prone position to achieve the same postop chest Xray…

I’ve asked on the other platform (formerly known as Twitter), what would you do in a severe foraminal stenosis L3/4 like this?

Fusion or another transforaminal endoscopic attempt?

Any thoughts?
#itsnotthehip

Gratulation zur neuen Herausforderung!

usually I only use the metric system in medicine except when using the torque wrench… then I am more than glad to say „80 in-lbs“ instead of „9,038786 Nm“… 😉 … what’s your favourite non-metric unit?

Orthopaedic and neurosurgery spine surgeons in public hospitals are offering a 24/7 general service for a huge variety of spine conditions. Our „patient selection” is the entrance of the emergency department!