Spinal Fusion

9+1: Derrek’s Patient Experience

Derrek is a patient of mine who has left a lasting impression – he recently ran his first half marathon after having a 2 level spinal fusion (see his xray to the left). He is a great example of patients who become more physically active after a spinal fusion than they were before, which is a common experience in our practice. Derrek’s back pain began eleven years before his surgery, when one day he woke up with terrible pain in his back. Over the course of the eleven years, after all else failed, his condition deteriorated to the point where he considered surgery. Failing to get the answers he was looking for after speaking to a doctor specializing in psychosomatic symptoms, Derrek came to my office. Here’s what he had to say about his experience: “Dr. McCance really did a great job explaining everything to me and my wife. He told us that surgery is what needs to happen now, or something much worse will happen later. “What I’m most impressed by is that Dr. McCance even explained the differences between psychosomatic therapy and surgery to my wife. He answered all of our questions and gave us two solid options.” Derrek’s options were

March 17, 2015

AARP’s Surgeries to Avoid

An AARP article that discusses common surgeries to avoid – including spinal fusion – has recently made its way back into the headlines. Specifically, it cites studies that show the frequency of this procedure has increased 1,400 percent between 2002 and 2007, and does not appear to be slowing down. The article suggests that the surgery is dangerous and is no more effective than physical therapy, which is inaccurate and misleading. Spinal fusion involves the joining of two or more vertebrae together, using screws and rods along with bone graft material, and sometimes cages (devices that support the vertebra). These techniques provide strong support for the spine, as well as correction of alignment and protection of the spinal canal and nerves. While spinal fusion has increased in frequency, in my experience it is a safe and highly effective treatment for patients when performed properly and for the right diagnosis. The key to success is careful selection of the patients who need a fusion (i.e., performing the procedure for the correct diagnosis), and also performing the surgery carefully to achieve maximal success (i.e., achieving a solid fusion). Where patients and doctors get into problems is when the procedure is performed for a

March 10, 2015

From Scoliosis to the Marines: An Inspiring Patient Testimonial

A few years back, I met an inspiring young patient named Manuel Rivas. He was a determined young man, but his advanced scoliosis was holding him back from fully participating in all of the activities he loved. He recently came back into my office and shared his incredible plans to join the Marines this year. I was so taken by his bravery and recovery that I wanted to share his story with you today. As a kid, Manny was incredibly active and loved playing baseball with his friends. However, around the age of 13, he began experiencing severe pain that reduced his ability to participate in his favorite activities. He recalls, “It was so painful that if I was running around or training, I would have to sit or even lay down on the ground right afterward.” The most debilitating side effect of this pain was his inability to get enough good quality rest. Manny struggled to fall asleep and stay asleep nearly every night because of his immense pain and discomfort. Understandably, 13-year-old Manny considered sleepless nights the “worst part” of his condition. Manuel Rivas’s pre- and post-operative x-rays Concerned for their son, Manny’s parents initially brought him to

July 2, 2014

What is Scoliosis? Causes, Symptoms, and Treatment Options

Scoliosis is a somewhat common condition that affects approximately 6 million Americans or 2-3% of the general population. Many people are familiar with back braces that sometimes accompany the treatment of scoliosis. However, from varying degrees of spinal curvature to different treatment options, there’s more to it than just back braces – and I’m sharing a brief guide to understanding what scoliosis is, who it affects, and how it is treated. What is scoliosis? Scoliosis, simply put, is an abnormal curvature of the spine. While a normal spine forms a straight line from the neck to the buttocks, spines with scoliosis curve to form a C or S shape. Who has scoliosis? Scoliosis can begin at any age. Most commonly, it develops in adolescents between the ages of 10 and 15. Juvenile scoliosis occurs when spinal curvature develops in children under the age of 10. Adult onset scoliosis, or degenerative scoliosis, most often develops in adults over the age of 60. Degenerative scoliosis can be caused by a gradual deterioration of discs from a lifetime of wear and tear. While adolescent scoliosis occurs equally among both genders, females are eight times more likely to progress to a degree serious enough

May 6, 2014

More Content | Blog

9+1: Derrek’s Patient Experience

AARP’s Surgeries to Avoid

From Scoliosis to the Marines: An Inspiring Patient Testimonial

What is Scoliosis? Causes, Symptoms, and Treatment Options