Surgical Techniques: Thoracic Pedicle Screw Placement

[@ajubosco7421]

A wonderful illustration from a passionate spine surgeon.Wow!!!

[@prasadspineacademy]

Thank you! I appreciate the comment! Cheers, -SP

[@elgohary4692]

Sir, I can't find the right words to describe my respect for the efforts you are applying in such an informative illustrated video, I've enjoyed watching every single minute and am very grateful and thankful for this nice experience. thank you so much,, I appreciate your efforts.

[@prasadspineacademy]

Thanks for your kind words! I am glad you find these videos interesting. Stay tuned as there is more to come! Thanks, -SP

[@jrman45]

Great video with great illustrations. Very helpful. Thank you

[@prasadspineacademy]

Thanks very much! and thanks for watching. -sp

[@Suresh_Sri]

The best comprehensive illustration video. Thank you Sir, your videos been great guide and motivation for me. Keep posting 👍

[@prasadspineacademy]

Thanks so much! I'm really glad you find them useful. Stay tuned for more surgical technique videos. I have another cadaver lab shceduled in a couple weeks. What techniques would you want to see?

[@carlosenriquecarrilloperne1972]

Thank you very much, too good explained! too helpfull.

[@prasadspineacademy]

Thanks you! Glad it was helpful! -SP

[@MaxamedMaxamuud-z7v]

Very helpful, thank you.

[@prasadspineacademy]

Thanks! I'm glad you found it useful. Stay tuned for more... -SP

[@privado12]

Dear Dr., thank you for your explanations. The videos on your channel are spectacular for having a practical vision in surgery. I would like to know if you have the surgical description of the TLIF. I always have problems at the beginning of the discectomy due to issues of anatomical exposure, so it is possible that with some of your advice, I can solve this problem. Thank you very much.

[@prasadspineacademy]

Hello, sorry for the delay. I don't have a description on TLIF yet but I will be continuing to roll out content specifically shifting emphasis towards surgical procedures. I will review my technique for TLIF (although there are many great techniques) with some detail. This particular video may not be available for a while but if you'd like to email me at [e-mail] I would be happy to discuss in some greater detail with you. Cheers, SP

[@drvipulagarwal1163]

Very nice and illustrative video

[@prasadspineacademy]

Thank you so much! Stay tuned for more! -sp

[@sureshpandey4576]

Awesome. Congratulations. Thanks a lot as it helped me a lot.

[@prasadspineacademy]

That's great Suresh! Glad it helped! Good luck, -sp

[@panduseetahal]

Brilliant teaching videos!

[@prasadspineacademy]

Thanks a lot! glad you found it useful! Stay tuned... I'm trying to roll out a full library of spine surgical techniques... cheers, -SP

[@vikrantkeshri2222]

Nice video sir. U explained the start point very nicely. I wanted to know how do u angulate your gear shift probe (cranio-caudal & medio-lateral) in free hand technique for each level of thoracic spine.

[@prasadspineacademy]

Thanks for watching. I tried to explain the medial-lateral considerations in the video (talking about morphology changes from T1-S1). In my opinion there are no absolute angulations to adhere to (something like 20 degree at T1 or something). for cranio-caudal I try to keep the probe roughly perpendicular to the surface of the adjacent lamina, coaxing the gearshift rostrally to maintain a straight-ahead technique instead of anatomic. Hope that helps and thanks for the great question, SP

[@DRASJADSIDDIQUI]

Thanks alot sir 🎉 Big fan of your work Sir kindly make videos about lumbosacral spine as well Highly awaited

[@prasadspineacademy]

Thanks for the kind words! I am working on it as we speak. I am hoping to start rolling out surgical footage with instructional commentary and the scope of this will span the full spine. Stay tuned! -SP

[@ln8583]

Great & most helpful videos. Would it be possible to create videos on Lumbar pedicle screws including S1 and maybe S2AI?

[@prasadspineacademy]

Definitely! Thank you! The lumbar pedicle screw video will come out soon and I will definitely make a video on iliac fixation including S2AI and traditional iliac bolts. Thanks! -SP

[@ln8583]

@@prasadspineacademy Looking forward to more videos indeed including on Lumbar spine! Hope you haven't forgotten us :)

[@ahmedturky7892]

I appreciate your nice and deep illustration Dr Prasad , Iam asking if I can get short fellowship in spine surgery under your sincerely supervision ?

[@prasadspineacademy]

Hello, Sorry for the delay. Please email me at [e-mail]. It is often difficult to get clinical privileges and credentials for international surgeons but I do not know the specifics and I can put you in touch with the correct person to help figure that out at my institution. Thanks, SP

[@AA-sb5vo]

Excellent video Can we please has a video on lumbar spine injections particularly S1 nerve root injection? 🙏

[@prasadspineacademy]

Thank you! I don't do lumbar injections so I'm afraid I couldn't send you a technique video on that. I will, however, be rolling out a library for the lumbar spine. Thanks, SP

[@SatarSabah]

Thanks

[@prasadspineacademy]

My pleasure! thanks for watching, -SP

[@aamirbaloch3987]

Very nice sir❤ Need a link of video of L1 # means passing screw in thoracolumbar junction

[@prasadspineacademy]

I just recorded that cadaver content. I have to get the illustrations/animations created and I will produce that video soon. thanks for watching, SP

[@06mmckirubakaran]

great points sir...what about fluroscopy guided pedicle screw placement sir

[@prasadspineacademy]

Great question! I think that fluoro is a useful adjuvant but, once yuo know the landmarks, I actually find that it doesn't afford the confidence you expect since the imaging is so dependent on removing parallax, getting true AP and lateral imaging, etc. I end up wasting more time with fluoro and don't feel it really facilitates accuracy in normal pedicle anatomy. Hope that helps! -SP

[@06mmckirubakaran]

Thank you sir

[@jawaharselva608]

Very good

[@prasadspineacademy]

Thanks! -SP

[@HenriqueAihara-uc2bt]

Great explanation. Is thoracic pedicle screws stimulation as reliable as lumbar spine screws? Thank you.

[@prasadspineacademy]

Thank you! Not really -- I don't use pedicle screw stimulation for thoracic pedicle screws. Hope that helps, -SP

[@adnangaleb9824]

Nice

[@prasadspineacademy]

Thanks! -SP

[@elgohary4692]

would you please tell me which Application do you use in your illustrations to write and draw on the screen like that ?

[@prasadspineacademy]

These are all custom illustrations and animations made for Prasad Spine Academy by my team of illustrators and animators. I use something called a lightboard in my recording studio. There are a couple short videos that show the studio if you want to take a look. The synthesis of live footage, cadaver footage, illustrations and animations is all done in post-processing. I hope that answers yuor questions! Thanks for watching! -SP

[@user-ol8ml1ri5m]

Great work, thank you for the great effort. How can I contact you doctor 🌹🙏❤️

[@prasadspineacademy]

My pleasure. You can email me at [e-mail] for clinical questions or concerns. thanks, -SP

[@ramonesmith2864]

Doc What's a good wattsapp contact for u?

[@prasadspineacademy]

You can email me at [e-mail]

[@06mmckirubakaran]

Conceptual pedicle screw

[@prasadspineacademy]

I don't understand. What do you mean? -SP

[@موضوعاتتهمك]

Good job,thank you But you talk rapidly

[@prasadspineacademy]

Thanks. Hope you found it helpful. I'll try to talk slower going forward. ;-) Good luck, -SP

[@viharkankatala]

Spine fusion is a clueless procedure, no one really know how the forces act on pedicle and it's impacts after the surgery , these doctors doesn't know the basic physics but they will do complex surgeries, only patient can know the pain he is going through, for the sake of stability these surgeons break and cause fracture to bone by drilling screws and fixing with rods, this procedure has the least success rate, it has to be done only when there is so much instability and all the other alternative attempts are exhausted

[@MohamedAhmed-i1t1n]

I contradict you,I had spinal fusion done at workhardt hospitals and I can tell you,when I came to India,I was bedridden,after the spinal fusion,I was able to sit up and travel to my home country sitting rather than booking 3 seats and traveling while lying Medical procedures such as a spine fixation or fusion,it has a solid base and one that is researched as well as followed,it's been 3 years since my surgery and I feel no pain and I am glad that I have metal rods in my back

[@viharkankatala]

@@MohamedAhmed-i1t1n what is the issue u have faced before surgery, do u got any fracture/tumor or u have any instability in ur spine? I myself underwent spine fusion and I didn't get any relief infact the pain became worse, lost so much flexibility, so what I am saying is this procedure has to be done only when it is absolutely necessary, or so much instability in ur spine

[@prasadspineacademy]

I'm sorry that you had an unfortunate experience with surgery. I can't really speak to your clinical circumstances. No technique is perfect for everyone. You can think of surgery as a tool -- it does not work the same for all applications. Surgical decision-making involves establishing goals and understanding the techniques available to achieve those goals. Failures in surgery are more often failures of decision-making than failures of technique. Good luck!