Just finished doing a very complex T5-Iliac wing reconstruction for a very pleasant 49 yo woman.  She had a non-instrumented scoliosis fusion as a child, and was left with a large thoracolumbar deformity. She then developed collapse at the levels below, and had an anterior / posterior reconstruction.  She did well quite a while, but then actually cracked her old fusion mass at thoracolumbar junction, and developed progressive kyphosis and increasing scoliosis with pain.

Today I revised this surgery with an osteotomy, and extension instrumentation and fusion.
She did very well.
No blood transfusions.  Evoked Motor and Sensory Function was normal.  

It was quite complex, due to the old fusion mass which blurs your anatomic landmarks.  

Scrub tech “Scrubs”, also known as “Motorcycle Dan” helped me today along with Scrub Sheila, and Nurse Kelly, Jenny and several others.

Scrubs Dan wanted everyone to know that he remained “focused and self-disciplined” throughout surgery, even though he is only one week away from his 9 day vacation at Daytona Bike Week!  He loads up his Harley on the trailer next Friday and heads south.   

Dan thought we’d be working til 5pm, and was pleased when we finished up at 2pm, about 4.5 hours altogether.  

Dr. Lloyd Hey
Hey Clinic for Scoliosis and Spine Surgery
https://www.heyclinic.com