Computer-assisted navigation in spine surgery is where surgeons obtain images using an O-arm or Arrow Machine in the operating room and obtain computed tomography (CT) type images, and import them into the computer. Once the images are in the computer, surgeons are able to get three-dimensional images that can be used during spine surgery to place screws and implants accurately. This has been shown to have high accuracy, with 96 to 99 percent accuracy of placement of screws. So, this is very useful for difficult, altered or atypical anatomy, especially in places that can't be seen very well with conventional techniques such as x-ray or fluoroscopy in the operating room.
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UCLA Health answeredCandidates for spondylolisthesis surgery are those with predominant leg pain because that has to do with nerve compression. Multiple studies have shown that predominant leg pain improves significantly with surgery, as compared to predominant back pain. Oftentimes, operating on back pain, especially fusion for back pain, does not quite have the same results as surgery for leg pain.
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UCLA Health answered
The goals of spondylolisthesis surgery are to decompress the spinal nerves and to stabilize. Stabilization requires fusion. Significant spondylolisthesis that causes severe stenosis posteriorly would require what's called a laminectomy and fusion. Doctors remove the back portion of the spine that is compressing the nerves, and realign the spine by removing the incompetent disc and replacing it with a spacer, such as a cage or bone. Then pedicle screws and rods are placed to help stabilize the segment and allow it to fuse.
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National Academy of Sports Medicine answeredSee All 3 AnswersSpondylolisthesis is a condition in which the small joints that connect two vertebrae together fracture and allows one vertebrae to move anteriorly (forward) in relation to the other spinal segments. This is commonly caused by stress from repetitive or forceful lumbar extension (such as with weight lifting, gymnastics and football).
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See All 4 AnswersThe treatment options for juvenile rheumatoid arthritis include, but are not limited to, pharmacologic management consisting of nonsteroidal anti-inflammatory drugs (NSAIDs), disease-modifying antirheumatic drugs (DMARDs), biologic agents and intra-articular (injected into the joint) and oral steroids.
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RealAge answeredSee All 2 Answers
Juvenile rheumatoid arthritis is a chronic autoimmune disease affecting the joints. Inflammation causes painful swelling/tenderness.Between 30,000 and 50,000 children in the U.S. are affected by this autoimmune disease. The cause is unknown.
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Because juvenile idiopathic arthritis is an autoimmune disease, it is more prevalent in females. It also has some genetic predisposition, so if one family member has rheumatic arthritis or another autoimmune disease, then the rest of the family is at higher risk. The trigger that initiates the autoimmune process that causes juvenile idiopathic arthritis is unknown. Some believe that stress or viral illnesses may cause the initial insult that leads to the immune system attacking the joints.
Leading a healthy, stress-free life is probably the best bet for preventing juvenile idiopathic arthritis.
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Juvenile arthritis is defined as the onset of inflammation of the joints before the age of 16. It can be self-limited (go away on its own) or chronic and is much different from the common types of arthritis that can be seen in adults, which are usually due to wear and tear of the joints over the years. It can be idiopathic (we don't know the cause) or due to other medical conditions such as psoriasis and ankylosing spondylitis.
Juvenile idiopathic arthritis (JIA), also known as juvenile rheumatoid arthritis, is initially treated with a nonsteroidal anti-inflammatory drug (NSAID), such as naproxen, to control inflammation. If this is ineffective, there are alternatives, such as steroids and biologic agents, which may be used in conjunction with the NSAID.