Wellness Wednesdays: Iraq War Veteran Joshua Odom

By Abagail Sullivan

“I’m back to how I was in my twenties,” said Joshua Odom, Iraq War veteran and a LESS Institute patient success story. Odom came to the LESS Institute a year and a half ago to see Dr. Kingsley R. Chin, who completed both neck and lower back surgery on him. After visiting several doctors who told him there was no chance in his healing, Odom found the solution in Dr. Chin.

“He came to see me, really suffering,” said Dr. Chin. But post-surgery, Odom is now feeling “fully healed.” From jujitsu and golf to running and lifting, Odom is back to his daily routine and continually benefiting from his decision to visit the LESS Institute.

Odom has minimal cosmetic incisions and he was even able to go home the day of surgery. Odom said he was amazed at the process, previously believing he would have to remain in the hospital for several days of recovery. Instead, he began his healing process amid family in the comfort of his own space.

“Josh is a great example of how we’re changing lives by doing outpatient surgery,” said Dr. Chin. “I’ve been privileged and honored to help him get back into society.”

View video coverage of Odom’s visit to the LESS Institute here and visit the LESS Institute YouTube channel for more success stories.

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Five Quick Fixes for a Healthy Diet

By Abagail Sullivan

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We’ve all toyed with various diet restrictions and nutrition monitoring in an attempt to eat better, but improving your health doesn’t have to be a full-fledged lifestyle change. Try these five easy fixes to your diet, and see just what a difference small changes can make.

 

1. Avoid a bevvy of beverages.

Watch your liquids. Far too many beverages (that are being consumed on a usually very regular basis) are sneaky culprits, sneaking added sugars and fat into your daily dining dynamic. Skip the latte – which can add hundreds of calories and a significant sugar increase to your morning – and play around with adding a packet of your own sugar preference and almond or coconut milk to taste. Beware of sodas and alcoholic drinks as well, limiting your intake asoften as you can manage.

2. Make H2O your go-to.

Water is the key to a healthy everything, and so crucial in your everyday consumption. Some recommend eight glasses per day, while others suggest consuming half your weight # in ounces daily. Whatever the correct formula, we know water is invaluable in feeling good, all around. Hydration helps to avoid headaches, fights fatigue, aids in digestion, clears your skin, and flushes toxins. And drinking a glass or two before each meal can help keep you full and avoid unnecessary overindulging.

3. Keep it small and keep it consistent.

Aim to maintain a regular eating schedule, while consuming smaller meals more frequently throughout the day. Those who dine this way also tend to veer toward healthier, more nutritional options of consumption.

4. Pre-plan your outings.

Restaurant outings and quick food options can be an unsuspecting downfall to a healthy lifestyle. Instead of foregoing social situations and dining get-togethers, create a quick plan prior to your excursion. If you’re heading to a restaurant, check out their menu (and potential nutritional information) and select your option beforehand. Watch out for subtle additions like bread and butter and alcohol, that can rack up the fats, sugars, and carbohydrates in your meal. For professional and more party-centered social atmospheres, nibble on a healthy snack or smoothie before you go, so as not to become inadvertently sucked into dessert bars and hors d’oeuvres.

5. Shop ‘til you drop.

As much as grocery shopping might be the bane of some of our existences, picking out groceries and planning snacks and meals ahead of time is crucial in keeping up with a healthy lifestyle. Make a list before heading to the store, with go-to snacks and quick, healthy meal recipes to set your base for success. Bringing pre-determined snacks and meals to work is a surefire way to avoid unhealthy quick-grub options and staying satisfied throughout the day (not to mention it saves you a whole lot of money, too!).

As you can see with these five easy steps, sustaining a healthy lifestyle can be very much approachable. It’s about dedication, mindset, and action. Decide you want to make a change, remind yourself of the benefits, and follow through.

Adding Vitamins and Minerals to Your Diet to Promote Back Health

By Abagail Sullivan

You may never have considered diet as a way to promote back health, but what you eat is most certainly an influence in whether or not your back is feeling up to par. Consuming enough nutrition – through back-health promoting vitamins and minerals – …

You may never have considered diet as a way to promote back health, but what you eat is most certainly an influence in whether or not your back is feeling up to par. Consuming enough nutrition – through back-health promoting vitamins and minerals – is crucial in the development, maintenance, and improvement of your bone, muscle, and disc health. Review this list of vitamins and minerals – whose back relief benefits we’ve highlighted – and find out where you can access these (easy, healthy recipes linked accordingly) to start promoting your best back, today!

Vitamin A

Vitamin A helps repair tissue and aids in the formation of bone.

Examples of sources high in vitamin A include: beef liver, carrots, sweet potato, kale, spinach, broccoli

To note: more than the recommended amount of vitamin A (about 900 mg daily for men and 700 mg daily for women) can promote bone fractures, so beware of excess intake.

Vitamin B3 (Niacin)

Vitamin B3, also referred to as Niacin, can help maintain a healthy nervous system, which is important for many spine conditions.

Good sources: turkey, chicken breast, peanuts, mushrooms, lamb liver, tuna

Vitamin B12

Vitamin B12 is crucial for healthy bone marrow and for the spine to grow and function.

It reduces pressure in your back and eases chronic back pain.

Good sources: clams, beef liver, mackerel, crab, tofu, bran cereal

Vitamin C

Vitamin C is necessary for the development of collagen, which allows cells to be able to form into tissue.

It is important in the healing process for injuries involving tendons, ligaments, discs, bones, wounds, and burns.

It increases calcium absorption in the body to promote strong bones and protects your back from damaging free radicals.

Good sources: oranges, red peppers, kale, brussels sprouts, broccoli, strawberries

Vitamin D

Vitamin D is important for the development of healthy bones, aiding in calcium absorption to help prevent osteoporosis.

It produces new bone cells, decreases inflammation in the body, and can lessen spasms in the lower back.

Good sources: sunlight, sardines, salmon, mackerel, tuna, soy milk

Vitamin E

Vitamin E can help alleviate lower back pain as a powerful antioxidant that fights off free radicals.

It increases the antioxidant reaction in your body and reduces muscle pain and soreness by repairing damaged tissue.

Good sources: almonds, spinach, sweet potato, avocado, wheat germ, sunflower seeds

Vitamin K

Vitamin K is needed for the bones to properly use calcium, which in turn aids in the strength of healthy bones.

Good sources: dried basil, kale, onions, brussels sprouts, chili powder, asparagus

Calcium

Calcium is essential for bone health and building strong bones, helping to maintain the necessary level of bone mass and prevent osteoporosis.

Good sources: watercress, mozzarella, milk, yogurt, bok choy, tofu

Iron

Iron aids in the production of myoglobin, an important element of healthy muscles needed to support the spine.

Good sources: squash and pumpkin seeds, chicken liver, oysters, mussels, clams, nuts

Magnesium

Magnesium helps maintain muscle tone and bone density, which can aid in the prevention of back problems.

It is also a factor in prevention of calcium deficiency and osteoporosis.

Good sources: raw spinach, squash and pumpkin seeds, mackerel, soy beans, brown rice, avocado

Omega-3 fatty acids

Omega-3 fatty acids can help inflammation that cause back pain.

Good sources: cold pressed flaxseed oil, salmon, chia seeds, walnuts, caviar, mackerel

Other sources that could be helpful…

Devil’s Claw

Devil’s Claw comes from a native African plant and can reduce flare-ups of chronic low back pain.

The ingredients in this plant may be effective in reducing back pain, because it’s chemicals may decrease inflammation and swelling that cause the pain

Capsaicin

Capsaicin is the agent that gives hot peppers their heat, and this ingredient can be applied, using a cream, to relieve back pain.

Turmeric

Taken as a powder in capsules, mixed into tea, or as a liquid extract, Turmeric contains effective anti-inflammatory properties.

The 2017 Sugar Cane Ball

By Abagail Sullivan

This past Saturday, my lovely wife Vanessa and I were fortunate enough to attend the annual Sugar Cane Ball in Jamaica, an evening of support for local upstanding charitable organizations. The Ball, hosted by Hanover Charities at Round Hill Hotel & Villas, consisted of dinner, dancing, and celebration for one of the largest charitable operations in Western Jamaica.

The Sugar Cane Ball “Diamond Jubilee” commemorated 60 years of the Hanover Charities organization and its contributions to the community.

Since 1957, Hanover Charities has been devoted to improving the health, welfare, and education of the Hanover Parish. With funds serving copious efforts, Hanover Charities promotes programs that feed school children, the elderly, and the indigent, as well as those that provide invaluable health services and financial aid, and encourage positive values.

The Ball has become a well known social event for celebrities – including regulars Ralph Lauren and family – homeowners, and Round Hill Hotel & Villas and Tryall Golf Club of Jamaica visitors, with immeasurable funds surfacing from this single night of support.

The Hanover Charities movement began when Willy Delisser became Custos of Hanover, and he and his wife Ida began implementing positive additions and change in their community. Since its inception, two energetic chairladies have brought great positivity to the operation. Sandy Morris, chair from 1992 to 2001, provided approachability, living in Jamaica amongst the projects and those involved. After Morris’s death, Paula Watkins chaired from 2001 to 2006, providing impressive fundraising efforts for the operation. Katrin Casserly has since taken over, offering a close-to-home approach because of her Jamaican naturalization. Being able to relate to your community and holding close ties to the charities you are supporting are aspects so valuable to the success of any operation.

With no paid staff, Hanover Charities is run strictly by volunteers. And after this evening of coming together, we can see how. Through their site, you can read their amazing history and donate to the Hanover Charities operation today.

Avoidance of Wrong-Level Thoracic Spine Surgery Using Sterile Spinal Needles

By Dr. Kingsley Chin

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Scientific Paper

Chin KR1, Seale JCumming V.

Interested medical professionals can read through the full paper, also published in Clinical Spine Surgery, here.

Study Design

A technical report.

Objective

The aim of the present study was to present an improvement on localization techniques employed for use in the thoracic spine using sterile spinal needles docked on the transverse process of each vertebra, which can be performed in both percutaneous and open spinal procedures.

Summary of Background Data

Wrong-level surgery may have momentous clinical and emotional implications for a patient and surgeon. It is reported that one in every 2 spine surgeons will operate on the wrong level during his or her career. Correctly localizing the specific thoracic level remains a significant challenge during spine surgery.

Methods

Fluoroscopic anteroposterior and lateral views were obtained starting in the lower lumbar spine, and an 18-G spinal needle was placed in the transverse process of L3 counting up from the sacrum and also at T12. The fluoroscopy was then moved cephalad and counting from the spinal needle at T12, the other spinal needles were placed at the targeted operating thoracic vertebrae. Once this was done, we were able to accurately determine the thoracic levels for surgical intervention.

Results

Using this technique, the markers were kept in place even after the incisions were made. This prevented us from losing our location in the thoracic spine. Correctly placed instrumentation was made evident with postoperative imaging.

Conclusoins

We have described the successful use of a new technique using spinal needles docked against transverse processes to correctly and reliably identify thoracic levels before instrumentation. The technique was reproducible in both open surgeries and for a percutaneous procedure. This technique maintains the correct spinal level during an open procedure. We posit that wrong-level thoracic spine surgery may be preventable.

About Author Dr. Kingsley R. Chin

Dr. Kingsley R. Chin, Founder of philosophy and practice of The LES Society and The LESS Institute

Dr. Kingsley R. Chin, Founder of philosophy and practice of The LES Society and The LESS Institute

Dr. Kingsley R. Chin is a board-certified Harvard-trained Orthopedic Spine Surgeon and Professor with copious business and information technology exposure. He sees a niche opportunity where medicine, business and info. tech meet – and is uniquely educated at the intersection of these three professions. He has experience as Professor of Clinical Biomedical Sciences & Admissions Committee Member at the Charles E. Schmidt College of Medicine at Florida Atlantic University, Professor of Clinical Orthopedic Surgery at the Herbert Wertheim College of Medicine at Florida International University, Assistant Professor of Orthopaedics at the University of Pennsylvania Medical School, Visiting Spine Surgeon & Professor at the University of the West Indies, Mona, and Adjunct Professor of Clinical Biomedical Sciences at the University of Technology, Jamaica.

Learn more about Dr. Chin here and connect via LinkedIn.

About Less Exposure Surgery

Less Exposure Surgery (LES) is based on a new philosophy of performing surgery, leading the charge to prove through bench and clinical outcomes research that LES treatment options are the best solutions – to lowering the cost of healthcare, improving outcomes and increasing patient satisfaction. Learn more at LESSociety.org.

The LES Society philosophy: “Tailor treatment to the individual aiding in the quickest recovery and return to a pain-free lifestyle, using LES® techniques that lessen exposure, preserve unoffending anatomy and utilize new technologies which are safe, easy to adopt and reproducible. These LES®techniques lessen blood loss, surgical time and exposure to radiation and can be safely performed in an outpatient center. Less is more.” – Kingsley R. Chin, MD

About The LESS Institute

The LESS Institute is the world leader center of excellence in Less Exposure Surgery. Our safe, effective outpatient treatments help patients recover quickly, avoid expensive hospital stays and return home to their family the same day. Watch our patient stories, follow us on Facebook and visit TheLESSInstitute.com to learn more.

About SpineFrontier

The above study utilized LES Technology from SpineFrontier – leading provider of LES Technologies and instruments – offering surgeons and patients superior technology and services.

Scientific Paper Author and Citation Details

Authors

Chin KR1, Seale JCumming V.

Author information

  1. Department of Clinical Biomedical Sciences, Charles E. Schmidt College of Medicine at Florida Atlantic University †Institute for Modern and Innovative Surgery (iMIS) ‡LES Society, Fort Lauderdale, FL.

The Risks of Pedicle Wall Breech with Larger Screws After Untapping

By Dr. Kingsley Chin

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Scientific Paper

Chin KR1, Gibson B.

Interested medical professionals can read the full paper, published also in the Spine Journal, here.

Background Context

A linear relation exists between the insertional torque when placing a screw and the ultimate screw pullout strength; therefore, undertapping of the pedicle followed by insertion of a larger screw may enhance the pullout strength of the screw.

Purpose

To report the risk of pedicle wall breech with placement of 6.2-mm pedicle screws after undertapping with a 5.2-mm tap and to evaluate the effectiveness of direct visualization to identify these breeches. STUDY DESIGN/SETTINGS: Prospective evaluation of risks of pedicle wall breech with undertapping for a larger screw and the utility of directly visualizing pedicle walls during access and placement of pedicle screws for evidence of breech.

Patient Sample

Sixty-five consecutive patients.

Outcome Measures

Intraoperative direct visualization of pedicle wall breech. Postoperative radicular leg symptoms.

Methods

We prospectively analyzed placement of pedicle screws in sixty-five consecutive patients during lumbar-instrumented fusions after laminectomies performed by a single spine surgeon. Forty-four patients were primary fusions, and 21 were revisions. Twenty-seven were male, and 38 were female, with a mean age of 54.7 years (range, 15-85 years). Four hundred twenty-eight total pedicle screws were placed for an average of 6.6 screws per patient (range, 2-12 screws).

Results

The incidence of pedicle wall breech during access was 0.7% (3/428) and 1.6% (7/428) after screw placement. 71% (5/7) of the screw breeches were noted with direct inspection of the pedicles intraoperatively, and 29% (2/7) were identified on postoperative X-ray films as lateral breakthroughs that were missed on intraoperative fluoroscopy and direct visualization. Therefore, 100% of misplaced screws potentially harmful to nerve roots were identified on direct visualization. Eighty percent occurred from L2-4.

Conclusions

This study provides evidence that undertapping of pedicles followed by placement of a larger diameter pedicle screw may breech the pedicle cortices. Although the risk is low, the authors recommend direct visualization of the pedicle walls during screw placement to identify caudad, medial, and cephalad breeches. This technique is for open laminectomies and should be added to the armamentarium of other techniques and not as a replacement.

About Author Dr. Kingsley R. Chin

Dr. Kingsley R. Chin, Founder of philosophy and practice of The LES Society and The LESS Institute

Dr. Kingsley R. Chin is a board certified Harvard-trained orthopedic spine surgeon and professor with copious business and information technology exposure. He sees a niche opportunity where medicine, business and info. tech meet – and is uniquely educated at the intersection of these three professions. He has experience as Professor of Clinical Biomedical Sciences & Admissions Committee Member at the Charles E. Schmidt College of Medicine at Florida Atlantic University, Professor of Clinical Orthopedic Surgery at the Herbert Wertheim College of Medicine at Florida International University, Assistant Professor of Orthopaedics at the University of Pennsylvania Medical School, Visiting Spine Surgeon & Professor at the University of the West Indies, Mona, and Adjunct Professor of Clinical Biomedical Studies at the University of Technology, Jamaica.

Learn more about Dr. Chin here and connect via LinkedIn.

About Less Exposure Surgery

Less Exposure Surgery (LES) is based on a new philosophy of performing surgery, leading the charge to prove through bench and clinical outcomes research that LES treatment options are the best solutions – to lowering the cost of healthcare, improving outcomes and increasing patient satisfaction. Learn more at LESSociety.org.

The LES Society philosophy: “Tailor treatment to the individual aiding in the quickest recovery and return to a pain-free lifestyle, using LES® techniques that lessen exposure, preserve unoffending anatomy and utilize new technologies which are safe, easy to adopt and reproducible. These LES®techniques lessen blood loss, surgical time and exposure to radiation and can be safely performed in an outpatient center. Less is more.” – Kingsley R. Chin, MD

About The LESS Institute

The LESS Institute is the world leader center of excellence in Less Exposure Surgery. Our safe, effective outpatient treatments help patients recover quickly, avoid expensive hospital stays and return home to their family the same day. Watch our patient stories, follow us on Facebook and visit TheLESSInstitute.com to learn more.

About SpineFrontier

The above study utilized LES Technology from SpineFrontier – leading provider of LES Technologies and instruments – offering surgeons and patients superior technology and services.

Scientific Paper Author & Citation Details

Authors

Chin KR1, Gibson B.

Author information

  1. Spine Surgery Service, Department of Orthopaedic Surgery, University of Pennsylvania Medical School, 2 Silverstein, 3400 Spruce Street, Philadelphia, PA 19104, USA. kingsleychin@hotmail.com

Lateral Lumbar Interbody Fusion in Ambulatory Surgery Centers: Patient Selection and Outcome Measures Compared With an Inhospital Cohort

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Scientific Paper

Chin KR1, Pencle FJCoombs AVBrown MDConklin KJO’Neill AMMcGarry MJSeale JAHothem EA.

Interested medical professionals can read through the full paper, as published in Spine, here.

Study Design

Comparative analysis.

Objective

To evaluate the safety and outcomes of moving lateral lumbar interbody fusion (LLIF) surgeries to an outpatient setting.

Summary of Background Data

LLIF has been popularized as a less invasive lumbar fusion surgery as an alternative approach to anterior lumbar interbody fusions, posterior lateral interbody fusion, and transforaminal lateral interbody fusion (TLIF). Lumbar fusions have been traditionally performed in a hospital setting because of the potential blood loss, length of surgery, and need for longer recovery. There is a movement to transition spine surgeries to outpatient settings with many benefits afforded by less invasive techniques and technologies.

Methods

The medical records of 70 consecutive patients with prospectively collected data were retrospectively reviewed. Two cohort groups, inpatients (40 patients) and outpatients (30 patients), were created. Patient demographics, risk factors, and body mass index (BMI) were evaluated to determine inclusion criteria for study.

Result

A total of 34 males and 36 females, age range (31-71) average 59.3 ± 2.3 years. Average BMI was 29.6 ± 1.1 kg/m. The most common level operated on being L3-L4 in both groups (63%). Mean preoperative inpatient Oswestry Disability Index (ODI) increased from 48.5 ± 3.0 to 55.5 ± 3.2 compared with outpatient preoperative ODI means reduced from 45.2 ± 5.1 to 39.1 ± 4.6. There was no statistically significant change in VAS scores between groups. There was however significant improvement in outpatient preoperative VAS scores from 7.3 ± 0.5 to 4.1 ± 0.5, P = 0.045.

Conclusion

The outcomes of the present study have shown that patients who had LLIF performed in the outpatient setting had statistically significant improvement in ODI scores compared with the inpatient setting (P = 0.013). Fusion was achieved in all patients and there was no evidence of implant failure or subsidence. Complications were transient in both settings. We conclude that outpatient LLIF improves patients’ outcomes with similar safety profile as the hospital setting.

Level of Evidence

3.

Dr. Kingsley R. Chin, founder of philosophy and practice of The LES Society and The LESS Institute

Dr. Kingsley R. Chin, founder of philosophy and practice of The LES Society and The LESS Institute

About Author Dr. Kingsley R. Chin

Dr. Kingsley R. Chin, Founder of philosophy and practice of The LES Society and The LESS Institute

Dr. Kingsley R. Chin is a board-certified Harvard-trained Orthopedic Spine Surgeon and Professor with copious business and information technology exposure. He sees a niche opportunity where medicine, business and info. tech meet – and is uniquely educated at the intersection of these three professions. He has experience as Professor of Clinical Biomedical Sciences & Admissions Committee Member at the Charles E. Schmidt College of Medicine at Florida Atlantic University, Professor of Clinical Orthopedic Surgery at the Herbert Wertheim College of Medicine at Florida International University, Assistant Professor of Orthopaedics at the University of Pennsylvania Medical School, Visiting Spine Surgeon & Professor at the University of the West Indies, Mona, and Adjunct Professor of Clinical Biomedical Sciences at the University of Technology, Jamaica.

Learn more about Dr. Chin here and connect via LinkedIn.

About Less Exposure Surgery

Less Exposure Surgery (LES) is based on a new philosophy of performing surgery, leading the charge to prove through bench and clinical outcomes research that LES treatment options are the best solutions – to lowering the cost of healthcare, improving outcomes and increasing patient satisfaction. Learn more at LESSociety.org.

The LES Society philosophy: “Tailor treatment to the individual aiding in the quickest recovery and return to a pain-free lifestyle, using LES® techniques that lessen exposure, preserve unoffending anatomy and utilize new technologies which are safe, easy to adopt and reproducible. These LES®techniques lessen blood loss, surgical time and exposure to radiation and can be safely performed in an outpatient center. Less is more.” – Kingsley R. Chin, MD

About The LESS Institute

The LESS Institute is the world leader center of excellence in Less Exposure Surgery. Our safe, effective outpatient treatments help patients recover quickly, avoid expensive hospital stays and return home to their family the same day. Watch our patient stories, follow us on Facebook and visit TheLESSInstitute.com to learn more.

About SpineFrontier

The above study utilized Less Exposure Surgery by SpineFrontier – leading provider of LES Technologies and instruments – offering surgeons and patients superior technology and services.

Scientific Paper Author & Citation Details

Authors

Chin KR1, Pencle FJCoombs AVBrown MDConklin KJO’Neill AMMcGarry MJSeale JAHothem EA.

Author information

  1. Charles E. Schmidt College of Medicine, Florida Atlantic University, 777 Glades Road, Boca Raton, FL 33431†Less Exposure Surgery Specialists Institutes (LESSi), 1100 W. Oakland Park Blvd, Ste#3, Fort Lauderdale, FL, 33311‡Less Exposure Suregery(LES) Society, 3217 NW 10th Terrace, Ste 307, Fort Lauderdale, Fl 33309§University of Florida, Gainesville, FL 32611.

Biomechanics of Posterior Instrumentation in L1-L3 Lateral Interbody Fusion: Pedicle Screw Rod Construct vs. Transfacet Pedicle Screws

Scientific Paper

Chin KR1, Newcomb AG2, Reis MT2, Reyes PM2, Hickam GA2, Gabriel J3, Pencle FJ3, Sung RD3, Crawford NR2.

Interested medical professionals can read the full paper, as published in Clinical Biomechanics, here.

Background

The use of pedicle screws is the gold standard for supplemental posterior fixation in lateral interbody fusion. Information about the performance of transfacet pedicle screws compared to standard pedicle screws and rods in the upper lumbar spine with or without a lateral interbody fusion device in place is limited.

Methods

Fifteen fresh frozen human cadaveric lumbar spine segments (T12-L4) were studied using standard pure moment flexibility tests. Specimens were divided into two groups to receive either bilateral transfacet pedicle screws (n=8) or bilateral pedicle screws (n=14). Stability of each motion segment (L1-L2 and L2-L3) was evaluated intact, with posterior instrumentation with an intact disc, with posterior instrumentation and a lateral interbody fusion device in place, and following cyclic loading with the interbody device and posterior instrumentation still in place. Both raw values of motion (range of motion, lax zone and stiff zone) and normalized mobility (ratios to intact) were analyzed for each case.

Findings

In terms of immediate stability, transfacet pedicle screws performed equivalent to similarly sized pedicle screws, both with intact disc and with lateral interbody fusion device in all directions of loading. Stability following cyclic loading decreased significantly during lateral bending and axial rotation.

Interpretations

 Posterior fixation with transfacet pedicle screws provides equivalent immediate stability to similarly sized pedicle screws. However, in the presence of a lateral interbody fusion device, pedicle screws seem to resist loosening more and may be a better option for fusion in the upper lumbar spine.

About Author Dr. Kingsley R. Chin

Dr. Kingsley R. Chin, Founder of philosophy and practice of The LES Society and The LESS Institute

Dr. Kingsley R. Chin, Founder of philosophy and practice of The LES Society and The LESS Institute

Dr. Kingsley R. Chin is a board-certified Harvard-trained Orthopedic Spine Surgeon and Professor with copious business and information technology exposure. He sees a niche opportunity where medicine, business and info. tech meet – and is uniquely educated at the intersection of these three professions. He has experience as Professor of Clinical Biomedical Sciences & Admissions Committee Member at the Charles E. Schmidt College of Medicine at Florida Atlantic University, Professor of Clinical Orthopedic Surgery at the Herbert Wertheim College of Medicine at Florida International University, Assistant Professor of Orthopaedics at the University of Pennsylvania Medical School, Visiting Spine Surgeon & Professor at the University of the West Indies, Mona, and Adjunct Professor of Clinical Biomedical Sciences at the University of Technology, Jamaica.

Learn more about Dr. Chin here and connect via LinkedIn.

About Less Exposure Surgery

Less Exposure Surgery (LES) is based on a new philosophy of performing surgery, leading the charge to prove through bench and clinical outcomes research that LES treatment options are the best solutions – to lowering the cost of healthcare, improving outcomes and increasing patient satisfaction. Learn more at LESSociety.org.

The LES Society philosophy: “Tailor treatment to the individual aiding in the quickest recovery and return to a pain-free lifestyle, using LES® techniques that lessen exposure, preserve unoffending anatomy and utilize new technologies which are safe, easy to adopt and reproducible. These LES®techniques lessen blood loss, surgical time and exposure to radiation and can be safely performed in an outpatient center. Less is more.” – Kingsley R. Chin, MD

About The LESS Institute

The LESS Institute is the world leader center of excellence in Less Exposure Surgery. Our safe, effective outpatient treatments help patients recover quickly, avoid expensive hospital stays and return home to their family the same day. Watch our patient stories, follow us on Facebook and visit TheLESSInstitute.com to learn more.

About SpineFrontier

The above study utilized LES Technology from SpineFrontier – leading provider of LES Technologies and instruments – offering surgeons and patients superior technology and services.

Scientific Paper Author & Citation Details

Authors

Chin KR1, Newcomb AG2, Reis MT2, Reyes PM2, Hickam GA2, Gabriel J3, Pencle FJ3, Sung RD3, Crawford NR2.

Author information

  1. Department of Clinical Biomedical Sciences, Charles E. Schmidt College of Medicine at Florida Atlantic University, Boca Raton, Fort Lauderdale, FL, USA; Less Exposure Surgery Specialists Institute (LESS Institute), Fort Lauderdale, FL, USA. Electronic address: Kingsleychin@gmail.com.

  2. Barrow Neurological Institute, St. Joseph’s Hospital and Medical Center, Phoenix, AZ, USA.

  3. Less Exposure Surgery Specialists Institute (LESS Institute), Fort Lauderdale, FL, USA.

Peak Peach Season Is Here! Make the Most of It with These Peachy Recipes

By Caitlin Lubinski

Some fantastic ideas for peachy summer eats this peach season…Peach season is at its peak in July and August. Get local and eat in season with these fantastic peach recipes incorporating this classic, juicy fruit.Peach smoothie from Martha Stewart

Some fantastic ideas for peachy summer eats this peach season…

Peach season is at its peak in July and August. Get local and eat in season with these fantastic peach recipes incorporating this classic, juicy fruit.

Peach smoothie from Martha Stewart

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Peach Salsa from Natasha’s Kitchen

Mini-Open or Percutaneous Bilateral Lumbar Transfacet Pedicle Screw Fixation: a Technical Note

By Dr. Kingsley Chin

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Scientific Paper

Chin KR1, Seale JCumming V.

Interested medical professionals can read through the full paper, as published in Clinical Spine Surgery, here.

Study Objective

Case report.

Objective

To describe the technique used to place bilateral lumbar transfacet pedicle screws.

Summary of Background Data

Transfacet pedicle screw fixation is a growing alternative and biomechanically comparable with traditional pedicle screw fixation. There is no clear description of technique steps for placing transfacet pedicle screws available in the literature, despite recognizing that screw placement is not intuitive even with fluoroscopy, and is dissimilar to placing traditional pedicle screws or translaminar facet screws.

Methods

We present 2 illustrative cases where bilateral transfacet pedicle screws were placed for posterior instrumentation after a step-by-step technique that can be used in a mini-open or percutaenous procedure.

Results

Postoperatively, both patients had adequately placed transfacet pedicle screws bilaterally on x-ray imaging with 1 patient demonstrating fusion and intact fixation at 11 months follow-up.

Conclusions

Transfacet pedicle screws were successfully placed in 2 patients in a stepwise technique described to achieve lumbar fusion.

About Author Dr. Kingsley R. Chin

Dr. Kingsley R. Chin, Founder of philosophy and practice of The LES Society and The LESS Institute

Dr. Kingsley R. Chin, Founder of philosophy and practice of The LES Society and The LESS Institute

Dr. Kingsley R. Chin is a board-certified Harvard-trained Orthopedic Spine Surgeon and Professor with copious business and information technology exposure. He sees a niche opportunity where medicine, business and info. tech meet – and is uniquely educated at the intersection of these three professions. He has experience as Professor of Clinical Biomedical Sciences & Admissions Committee Member at the Charles E. Schmidt College of Medicine at Florida Atlantic University, Professor of Clinical Orthopedic Surgery at the Herbert Wertheim College of Medicine at Florida International University, Assistant Professor of Orthopaedics at the University of Pennsylvania Medical School, Visiting Spine Surgeon & Professor at the University of the West Indies, Mona, and Adjunct Professor of Clinical Biomedical Sciences at the University of Technology, Jamaica.

Learn more about Dr. Chin here and connect via LinkedIn.

About Less Exposure Surgery

Less Exposure Surgery (LES) is based on a new philosophy of performing surgery, leading the charge to prove through bench and clinical outcomes research that LES treatment options are the best solutions – to lowering the cost of healthcare, improving outcomes and increasing patient satisfaction. Learn more at LESSociety.org.

The LES Society philosophy: “Tailor treatment to the individual aiding in the quickest recovery and return to a pain-free lifestyle, using LES® techniques that lessen exposure, preserve unoffending anatomy and utilize new technologies which are safe, easy to adopt and reproducible. These LES®techniques lessen blood loss, surgical time and exposure to radiation and can be safely performed in an outpatient center. Less is more.” – Kingsley R. Chin, MD

About The LESS Institute

The LESS Institute is the world leader center of excellence in Less Exposure Surgery. Our safe, effective outpatient treatments help patients recover quickly, avoid expensive hospital stays and return home to their family the same day. Watch our patient stories, follow us on Facebook and visit TheLESSInstitute.com to learn more.

About SpineFrontier

The above study utilized LES Technology from SpineFrontier – leading provider of LES Technologies and instruments – offering surgeons and patients superior technology and services.

Scientific Paper Author & Citation Details

Authors

Chin KR1, Seale JCumming V.

Author information

  1. Institute for Modern & Innovative Surgery (iMIS), Fort Lauderdale †Society of Facet Surgical Techniques and Technologies Inc., LES Society, Wilton Manors, FL.