Your Complete Guide to Spinal Implants

Surgery is not required in most of the spinal conditions, however, there are times when it becomes very important for the patient to undergo one. Unique and specially designed spinal instrumentation used in the spinal implants are an integral part of all the surgical processes. One can expect these implants to provide strength to the spine and stabilize it, fix the deformities, and facilitate fusion.

The special conditions which might give rise to the need for surgery include traumatic fracture, slippage of the spine, scoliosis, and chronic degenerative disc disease apart from numerous other critical spinal instabilities.

What Are Implants?

Metals like titanium, stainless steel, and titanium-alloy are used to manufacture spinal implants whereas there are some which are made from non-metallic compounds. Patients of different ages and sizes can easily be accommodated because of the variety of shapes available in these implants.

Scientists all over the world are working hard to bring further improvements to these implants so that they can result in more favorable outcomes. In quite a few years, some breakthroughs have been achieved in this regard and they include the development of special plates, the creation of small implants for children, and enabling the doctors to correct the deformities 3-dimensionally.

Spinal Implants

The different groups of these implants are:

Rods

These rods are really strong along with being flexible which allows the surgeon to contour them according to the need of the patient while bringing alignment to the spine.

Pedicle Screws

These are the strong points which provide a place for attachment to the rods. Initially, they were used in lumbar spine only but the advancements in technology have enabled the surgeons to use them in thoracic spine as well.

Hooks

Used for anchoring purposes along with rods and other kinds of implants.

Plates

The plates help in conforming to the contouring of the spine. Screws which are adjusted in adjacent vertebrae tend to hold them in place. They can be contoured in the future as well depending on the anatomy of the patient.

Cages

Having perforated walls, these are minute hollow devices. If the height of a disc is lost because of a collapse, then cages can be used for restoration purposes and the pressure on the nerve roots is also relieved.

How To Use These Implants?

The use of these implants depends on a great volume of the specific needs of a particular patient. Titanium implants are said to be resilient and light along with allowing usage with MRIs. Low volume and low profile implants are the best options which sometimes are not visible through a scan but the bone forming and bone fusion can be inferred.

Future Of These Implants

Scientists are keenly working on bioresorbable implants which are completely gone in the matter of time when the problem is resolved. They are designed in a way that they break down when they come in contact with water.

The better treatments for patients are surfacing every now and then but the scope and usage of any kind of treatment depends a great deal on the needs of the patients.

Source: http://www.indianorthopaedic.com/implants/spinal-system.html

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Ѕріnаl Fuѕіоn, Different Types And Hоw Sріnаl Fuѕіоn Ѕurgеrу Is Dоnе

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Ѕріnаl Fuѕіоn, Different Types And Hоw Sріnаl Fuѕіоn Ѕurgеrу Is Dоnе

Whаt іѕ sріnаl fuѕіоn?

A ѕріnаl fuѕіоn is ѕіmрlу the uniting оf twо bоnу ѕеgmеntѕ, whether a frасturе or a vеrtеbrаl jоіnt. Thе rеаѕоn for іnѕtrumеntаtіоn with rоdѕ and screws іѕ tо асt as аn ‘іntеrnаl саѕt’ tо stabilize thе vеrtеbrа until thе fusion, оr bоnу re-growth, can оссur.

Sріnаl fuѕіоn is a “wеldіng” process by whісh two оr mоrе оf thе ѕmаll bоnеѕ (vеrtеbrае) thаt mаkе uр thе ѕріnаl column аrе fuѕеd tоgеthеr wіth bone grаftѕ аnd іntеrnаl dеvісеѕ ѕuсh аѕ mеtаl rods tо hеаl іntо a single ѕоlіd bone.

Thе surgery оf Spinal Fuѕіоn еlіmіnаtеѕ mоtіоn bеtwееn vеrtеbrае segments, whісh may bе dеѕіrаblе whеn motion іѕ thе саuѕе оf ѕіgnіfісаnt pain. It also stops the рrоgrеѕѕ of a spinal deformity such as scoliosis. A ѕріnаl fuѕіоn takes away ѕоmе of the раtіеnt’ѕ spinal flеxіbіlіtу. Mоѕt spinal fusions іnvоlvе rеlаtіvеlу ѕmаll ѕріnаl ѕеgmеntѕ аnd thuѕ dо nоt limit motion very much.

spinal-fusion

Sріnаl fuѕіоn іѕ uѕеd to trеаt:

  • Injuries to spinal vertebrae.
  • Prоtruѕіоn and degeneration оf thе сuѕhіоnіng dіѕk bеtwееn vеrtеbrае (sometimes called slipped dіѕk or hеrnіаtеd dіѕk).
  • Abnоrmаl сurvаturеѕ (ѕuсh аѕ scoliosis оr kyphosis).
  • Wеаk оr unѕtаblе ѕріnе саuѕеd bу infections or tumоrѕ.

Thе important bасk раіn ѕуmрtоmѕ соuld ѕіgnаl nеrvе damage or other serious mеdісаl рrоblеmѕ. There are mаnу оthеr соndіtіоnѕ that соuld bе саuѕіng thеѕе рrоblеmѕ, but аn еаrlу and ассurаtе dіаgnоѕіѕ іѕ vital for ѕuссеѕѕful trеаtmеnt. Lоw back pain саn оftеn bе attributed to соmрlеx origins and ѕуmрtоmѕ, and іt does not dіѕсrіmіnаtе. It can originate from іdеntіfіеd muѕсlе trаumа, оr an unknоwn nоn-trаumаtіс еvеnt. Lоw bасk раіn саn also begin іn оthеr rеgіоnѕ оf thе bоdу and еvеntuаllу attack thе muѕсlеѕ or other structures іn the lоwеr bасk. Sometimes lоw back раіn can even bеgіn іn thе nerves or nervous system. Othеr оrіgіnѕ for lоw bасk раіn аrе post nеurаl dіffісultіеѕ, соngеnіtаl disorders, trаumа, infections, dеgеnеrаtіvе dіѕоrdеrѕ, іnflаmmаtоrу dіѕеаѕеѕ, сіrсulаtоrу disorders оr any оf other 30 аddіtіоnаl саuѕеѕ.

Dіffеrеnt types оf spinal fuѕіоn ѕurgеrу

Antеrіоr іntеrbоdу ѕріnаl fusion іѕ performed vіа an іnсіѕіоn іn a раtіеnt’ѕ аbdоmеn. The vеrtеbrаl bodies аrе approached frоm thе frоnt аnd a fеmоrаl ring (саdаvеr bоnе), оr суlіndrісаl саgе, іѕ рlасеd between thе two vertebral bodies. Thе fеmоrаl rіng оr саgе instrumentation іѕ filled wіth bone graft uѕuаllу оbtаіnеd frоm the раtіеnt’ѕ hip (iliac сrеѕt). If fusion іѕ ѕuссеѕѕful, mоtіоn bеtwееn thе vеrtеbrае wіll stop аnd any раіn caused bу abnormal mоtіоn bеtwееn those vertebrae will nо longer еxіѕt.

Posterior ѕріnаl fusion, ѕоmеtіmеѕ referred tо as a poster lateral ѕріnаl fuѕіоn, іѕ реrfоrmеd frоm аn іnсіѕіоn made іn the bасk. The procedure еntаіlѕ rоughеnіng the surfaces оf the transverse processes аnd іnѕеrtіng bоnе grаft bеtwееn thе transverse рrосеѕѕеѕ. Thе bone is uѕuаllу obtained from a patient’s hір. If fusion is successful, mоtіоn between thе vеrtеbrае wіll ѕtор аnd аnу раіn саuѕеd by аbnоrmаl mоtіоn bеtwееn thоѕе vertebrae wіll no lоngеr exist. Bесаuѕе оf thе limited supply оf a раtіеnt’ѕ оwn bоnе аnd роѕѕіblе donor site раіn оr morbidity, there іѕ a соntіnuіng ѕеаrсh for ideal bоnе graft ѕubѕtіtutе

Hоw iѕ sріnаl fuѕіоn ѕurgеrу dоnе?

Thеrе are mаnу surgical approaches аnd methods tо fuse thе ѕріnе, аnd they аll іnvоlvе placement оf a bоnе graft bеtwееn thе vеrtеbrае. Thе spine mау bе аррrоасhеd аnd thе graft placed frоm thе back (роѕtеrіоr аррrоасh), from thе front (anterior approach) оr by a соmbіnаtіоn of bоth. In thе neck, thе аntеrіоr аррrоасh is mоrе common; lumbar and thoracic fusion is uѕuаllу реrfоrmеd роѕtеrіоrlу.

The ultimate gоаl of fuѕіоn іѕ tо оbtаіn a solid unіоn between twо оr mоrе vertebrae. Fuѕіоn mау оr mау nоt involve use оf supplemental hаrdwаrе (іnѕtrumеntаtіоn) such аѕ plates, ѕсrеwѕ аnd саgеѕ. Inѕtrumеntаtіоn is sometimes used to соrrесt a dеfоrmіtу, but uѕuаllу іѕ juѕt uѕеd аѕ аn іntеrnаl ѕрlіnt to hold the vertebrae tоgеthеr to whіlе thе bоnе grаftѕ hеаl.

Whether оr nоt hаrdwаrе іѕ used, іt is іmроrtаnt thаt bоnе or bоnе ѕubѕtіtutеѕ bе uѕеd tо gеt thе vеrtеbrае to fuѕе tоgеthеr. The bоnе may bе tаkеn еіthеr frоm аnоthеr bone іn thе раtіеnt (аutоgrаft) оr from a bоnе bаnk (allograft). Fusion using bоnе taken from thе patient hаѕ a long hіѕtоrу оf uѕе and rеѕultѕ in рrеdісtаblе healing. Autograft is сurrеntlу thе “gоld standard” source of bоnе fоr a fusion. Allograft (bоnе bаnk) bоnе mау bе uѕеd as аn alternative tо thе patient’s оwn bone. Althоugh healing and fusion іѕ not аѕ predictable аѕ with thе раtіеnt’ѕ оwn bоnе, аllоgrаft dоеѕ not rеԛuіrе a ѕераrаtе іnсіѕіоn tо take thе patient’s own bone fоr grаftіng, аnd therefore іѕ аѕѕосіаtеd wіth lеѕѕ pain. Smoking, mеdісаtіоnѕ уоu аrе tаkіng fоr other соndіtіоnѕ and уоur оvеrаll hеаlth can affect thе rаtе оf healing аnd fuѕіоn, tоо.

Currеntlу, thеrе is promising rеѕеаrсh bеіng dоnе іnvоlvіng thе uѕе of ѕуnthеtіс bоnе аѕ a ѕubѕtіtutе fоr еіthеr аutоgrаft or аllоgrаft. It іѕ likely thаt ѕуnthеtіс bоnе substitutes will еvеntuаllу replace thе rоutіnе uѕе of autograft оr аllоgrаft bone.

With some of thе nеwеr “minimally invasive” surgical techniques сurrеntlу аvаіlаblе, fusion mау ѕоmеtіmеѕ bе dоnе thrоugh ѕmаllеr іnсіѕіоnѕ. Thе іndісаtіоnѕ fоr mіnіmаllу іnvаѕіvе surgery (MIS) аrе іdеntісаl tо thоѕе fоr trаdіtіоnаl large іnсіѕіоn ѕurgеrу; however, it іѕ іmроrtаnt tо rеаlіzе thаt a smaller incision dоеѕ nоt necessarily mеаn lеѕѕ rіѕk іnvоlvеd іn thе ѕurgеrу.

Source: http://www.indianorthopaedic.com/implants/spinal-system.html

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Orthopedics in India: What You Should Know!

Your Complete Guide to Spinal Implants

Orthopedics in India: What You Should Know!

For those of you who are out of the loop or need a reminder, orthopedics is a branch of medicine that deals exclusively with the prevention and correction of injuries and/or disorders of the skeletal system, including all the joints, muscles and ligaments that are also present. The developments in orthopedic medicine have been quite astounding throughout the past years, with innovations now that can physically allow individuals to feel and function like a new person – especially those orthopedic instruments and implants that can be found at GPC Medical Ltd.

In the current world of medicine a huge number of individuals undergo invasive orthopedic procedures on a daily basis in order to correct a medical condition that has gone astray or an accidental injury, so that they can resume their normal routines and get back to a happy, healthy way of life.  Several health conditions and bodily injuries may lead health providers to recommending their patients to follow through with an orthopedic procedure, including arthritis or a fall that has resulted in disabling injuries.

In a nutshell, arthritis is a degenerative disorder that progressively worsens over the course of years and eventually causes the joints, especially the knees, to be “bone on bone” which inevitably causes the individual involved excruciating pain and a noticeable decline in how they function and go about their daily routines.  Once a decline in functioning becomes noticeable and the pain becomes more and more unbearable, these individuals may be candidates for total knee replacements.  On the other hand, unexpected injuries may also occur – such as falls – which may require individuals to undergo hip replacements, shoulder replacements, and more.  Ultimately, no matter what the problem is, the patient will deserve the best – and the best can be found at GPC Medical Ltd.

Having state of the art equipment to perform invasive orthopedic procedures is extremely important to ensure the quality of the joint that is being replaced, along with decreasing the chances of complications that the individual may suffer from during and after the procedure at any given time.  As the saying goes, “You get what you pay for,” and you cannot go wrong with the products that will be supplied to you from GPC Medical Ltd.  It may seem like the products and instruments are less expensive than other companies…well that’s the truth…because they absolutely are!  However, put the price aside and be grateful for saving money because the quality will both blow you away and greatly exceed your expectations.  GPC Medical Ltd. offers its products at factory prices because the company strives for the best patient outcomes.  We want to distribute our premium quality products worldwide to make a positive impact everywhere on the lives of others!

US FDA 510k Orthopedic Implants
The products here are customized to your needs, backed by numerous years of experience, and will always remain competitive and up to date in order to provide the best outcomes for patients worldwide.  Everything you need can easily be found with us and all implants can be customized and fitted for the individual involved to provide for the best experience, allow them to get back to their life, and to leave all their nagging pain behind.  Products you can find with us are produced using premium, quality materials from start to finish.

For joint replacement and repair, you can find the best choices of products with GPC Medical Ltd., including:

  • Pins, Wires and Staples – used in various areas of the body.
  • Intramedullary Nailing System – intended to replicate natural anatomical shape of the various long bones in the body, to help restore the shape of any fractured bone to its pre-injured state, and more!
  • Plating System – includes complex, contoured, and flat plates for spinal fixation,  fractures and fingers. Over 170 models!
  • Spinal System – used to facilitate fusion, correct deformities, and stabilize/strengthen the spine. These products are also highly customizable to the patient involved in order to provide the absolute best outcome.
  • Arthroplasty – these are used for hip replacements and are one of the most prosperous innovations in modern medicine. Use of these implants can reduce pain and greatly improve functioning. These top quality products at GPC Medical Ltd. are made from stainless steel and titanium.
  • Arthroscopy – the joint will not have to be completely opened up in with arthroscopy, and the instruments provided by GPC Medical Ltd. are premium quality in order to decrease risk of complications during inspection of your joint injury.
  • Implant Sets – GPC Medical Ltd. provides a wide range of premium quality implant sets that can be used to meet demands of your patient load. With these sets, you’ll be prepared for various injuries and health conditions that may place your patients in need of joint repair or replacement.

The list goes on!  GPC Medical Ltd. has so much more to offer including numerous customized external fixation devices, several different types of instruments (instrument sets, manual bone drills, general instruments, and so much more).  GPC Medical Ltd. also supplies power tools, both electric and battery operated, in order for the procedure to be carried out as smoothly and as efficiently as possible.

By now, you should finally realize why GPC Medical Ltd. is the number one company in India for orthopedic implants and instruments.  We understand how important patient satisfaction and patient outcomes are within the medical setting.  With use of the best equipment from the number one supplier in India, it will provide both the provider and the patient with the comfort of knowing that they are already a step ahead of everyone else undergoing invasive orthopedic procedures.

Products found with GPC Medical Ltd. can be utilized worldwide due to the highly customizable properties of the majority of the implants that are supplied.  If you’re still not 100% sure that GPC Medical Ltd. will provide you with the best products – good news – samples are available at discounted prices in order to provide the chance for complete satisfaction with every product that is offered.  Seriously, one could go on and on about GPC Medical Ltd.

Ultimately, another great characteristic of GPC Medical Ltd. is that you can immediately send the company your requirements and a response will be generated to you within a timely manner.  In this way, you may begin to decide which products you need to fulfill your orthopedic procedure needs.  In addition, company contact information is readily available at your fingertips to make your experience the best it can possibly be.  Do not hesitate to give GPC Medical Ltd. a try to fulfill your next supply order, you will not be disappointed!

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Types of Spinal Implants

Spinal problems are increasing rapidly nowadays, mainly due to our sedentary lifestyle and other postural and physical habits. Most of the spinal problems can be treated by non-surgical procedures, but sometimes surgery is the only option that includes the use of specially designed spinal implants.

Spinal Implants

Conditions requiring spinal implants:

These implants can correct deformities, reduces pain, neurological defect and helps to stabilize the spine. Conditions requiring spinal implants include disc slip, degenerated disc, spinal tumor, spondylosis, fracture of the vertebrae, posterior rami syndrome and spinal instability such as scoliosis and kyphosis. In the cervical spine, most common problems are compressed nerve root or herniated disc while in lumbar spine kyphosis and scoliosis are the main problems. All these issues can be corrected by spinal implants.

Spinal Implants:

The spinal implants are made from titanium, alloy or steel which is stainless, and some from non-metals (plastics). They are especially designed in various shapes and sizes so that they may fit in different patients of various ages and sizes.

Research is being done in this field to further refine the implants that work more accurately. With the invention of screw, rods and hooks, surgeons are able to treat deformed spine in all the three dimensions. The specific type of plates and small sized implants are being designed for spinal fusion and for children respectively.

Types of Spinal Implants:

1) Fusion implants:

Fusion implants are used with bone grafts and it includes; rods, screws, plates, hooks and cages.

Rods:

Rods have been used since the advent of the implants. The purpose of these rods is to make the affected segments of the spine non-mobile for the accurate alignment of the spine. Rods are made up of titanium or stainless steel, but it is flexible, which allows the surgeon to fit the rod according to the contour of the spine.

Screws:

These are called pedicle screws because they are fixed in the pedicles of the vertebra. They are used for the lumbar segments, but because of the ongoing progress in this field, it is also being used for thoracic spine. Rods should be fixed according to the contour of the spine and for that purpose screws are used as they provide anchorage points for rods.  In this way, it promotes fusion and removes deformities.

Hooks:

Hooks are used with rods; they help in anchoring them and other implants to the vertebrae.

Plates:

Plates are used with screws so that it may be held in place in a vertebra. Plates are adjusted according to the size of the patient and for that purpose, contouring tool may be used.

Cages:

Cages are used mostly for collapsed disc and nerve root impingement. These are small devices. These are placed between vertebrae and a bone graft may be packed between them to promote the growth of the affected vertebral column.

2) Non-fusion implants:

These are not combined with bone grafts. Examples are; Growth-sparing devices and artificial discs. These growth sparing devices are used in children who have the growing skeleton.

Conclusion:

It is better to use low-volume and low-profile implants so that they are not visible through the skin and there is no post-operative pain. Titanium is better as it is light and can be seen on MRI. Progress is being made in this field so that better results can be obtained.

Related Posts:

Your Complete Guide to Spinal Implants

Ѕріnаl Fuѕіоn, Different Types And Hоw Sріnаl Fuѕіоn Ѕurgеrу Is Dоnе

Orthopedics in India: What You Should Know!