J neurosurg Spine 2014;20(4 421-9. Tran m, wadhwa r, ziewacz j, mummaneni p, chou. Comparison between C1-2 fixation with and without supplemental posterior wiring. Evid Based Spine care j 2014;5(1 12-5. Chou d, lau d, roy. Feasibility of the mini-open vertebral column resection for severe thoracic kyphosis. J clin neurosci 2014;21(5 841-5. Saigal r, wadhwa r, mummaneni pv, chou.
What is spondylolisthesis l5/s 1 level?
Lau d, chou. Posterior thoracic corpectomy with cage reconstruction for metastatic spinal tumors: comparing the see mini-open approach to the open approach. Siemionow k, chou. To the occiput or not? C1-c2 ligamentous laxity in children with down syndrome. Evid Based Spine interim care j 2014;5(2 112-118. Maa j, waterford s, jahan t, larson da, chou. A novel use of foley catheters to prevent injury to the pelvic viscera during stereotactic radiosurgery for undifferentiated pleomorphic sarcoma of the sacrum. Perm J 2014 Summer;18(3 e146-e149. Saigal r, lu dc, deng dy, chou. Conversion of high sacral to midsacral amputation via s-2 nerve preservation during partial S-2 sacrectomy for chordoma.
Selected Professional Memberships and Appointments, scoliosis Research Society (srs american Association of neurological Surgeons. Congress of neurological Surgeons, aans/cns section on Disorders of Spine and Peripheral Nerves. North American Spine society (nass selected Honors awards 1990: uc berkeley honor Students Society 1990: American heart Association Research Fellowship 1993: American Federation for Clinical Research Award for Excellence in Research 1994: Howard Hughes Medical Institute research Training Fellowship 1995: Lucien. Rubinstein Award for Best Paper in neuro-Oncology. American Association of neuropathologists Annual meeting 2000: aans neurosurgery research and Education foundation (nref) Grant 2007: Who's Who in American teachers and Educators 2007: Who's Who in Science and Engineering 2007: Harold Rosegay neurosurgery resident teaching Award 2009-10: Best Doctors in America 2011-12: Best Doctors. Two-level corpectomy versus three-level discectomy for cervical spondylotic myelopathy: a comparison of perioperative, short radiographic, and clinical outcomes. Epub ahead of print.
His research goal is to try to accomplish the same goals of and open surgery with minimally invasive techniques, which hopefully can lead to less morbidity and better outcomes for patients. After medical school at ucsf,. Chou completed his residency at The johns Hopkins Hospital and then undertook a fellowship in complex spinal surgery at The barrow neurological Institute. He is board certified by the American board of neurological Surgery and has been elected by his peers for the past 8 assignments consecutive years to best Doctors in America. Chou is on the Advisory board of the journal spine, the Editorial board of the Global Spine journal, and he also is an Associate Editor for the journal, neurosurgery. He has served on the Scientific Program Committee for the aans/cns section on Disorders of the Spine and Peripheral Nerves, as an abstract reviewer for such society meetings as the north American Spine society (nass) and the congress of neurological Surgeons, and as a faculty. He is a two-time recipient of the harold Rosegay teaching Award, and his publications have been featured five times as the cover article of the journal of neurosurgery: Spine. Download the ucsf neurospinal Disorders Program brochure (PDF). Education, Training, and Previous Positions 1991: ab, university of California, berkeley 1996: md, university of California, san Francisco : Intern, department of General Surgery, the johns Hopkins Hospital : Resident, department of neurosurgery, the johns Hopkins Hospital : Assistant Chief of Service, department of neurosurgery.
Muscles relaxants are also given. Serratiopeptidase is a potent anti-inflammatory enzyme helpful in such conditions. Surgery in this area is difficult and is suggested only when there is substantial herniation of the intervertebral disc tissue. Take care, buddy. Professor of neurological Surgery, associate director, ucsf spine center,. Dean Chou specializes in the treatment of complex spinal disorders. He treats such disorders as adult scoliosis, spinal deformities, and spinal tumors. He is an expert in minimally invasive applications to such complex spinal disorders, and he has had multiple peer-reviewed papers published describing these techniques. Moreover, he is an expert in traditional, open surgery for such complex procedures as multi-level fusions with osteotomies for adult scoliosis and adult deformity, en bloc spondylectomy and sacral resections for tumors.
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Strong anti-inflammatory medication needs to new be tried first. It is something like you have many blisters there. Give yourself adequate rest. Dont strain that part in any way. Avoid all movements that give you pain. You may also read here about the management of backache. We are unable to suggest you a doctor at your place.
However, it is advisable that you visit an orthopedician, preferably in a big hospital or institutional setup, not a solo clinic. Hospitals are adequately equipped to meet emergencies. Also, there are people from other fields too, like neurology etc., who may be consulted during your treatment. Your doctor may start with anti-inflammatory drugs first. This includes nsaids and corticosteroids. He may consider giving you intradiscal injections of corticosteroids. 3 to 4 such injection are usually enough to take care essay of such inflammations.
This includes: wearing out of the cushions provided between two vertebrae. Shortening of the height between two vertebrae. Minor fractures in the bony areas (like trabeculae) of the vertebrae. Presence of signs of inflammations in the area, that is swelling etc. Later on, fat tissue may get deposited. Inflammation finally leads to bone scarring.
Pathologically, these changes are called modic changes and are grouped into 3 types. I) Modic type 1 changes show signs of active inflammation. These signs are pain, presence of minor fractures and other breakages near the endplate area, accumulation of inflammatory fluid in the region leading to swelling. This stage is very painful and the pain usually correlates with the amount of inflammation. Ii) Modic type 2 is when the marrow gets substituted by yellow fat. Iii) Modic type 3 is the stage where all inflammation is finally replaced by bone scarring. Since your mri is showing modic type 1 changes, you have active inflammation in your back adjacent to end plates, which is giving you the pain. Management of Backpain in Lumbar Vertebral Area. It wont be proper to rush for surgery.
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Kindly inform me if surgery is its only remedy? We have so many doubts whether the operation would be success or not. Can you suggest any good doctor in Kerala? Reply : It is evident from your mri that you are having a lot of back pain. Let us first know what these modic changes are. These paper are vertebral endplate blood and subchondral bone marrow changes due to the degeneration of discs. These are observed on mri as signal intensity changes in vertebral body near the end plates of the affected discs. With increasing age and repeated stress, wear and tear occurs in our back.
normal. No evidence of spondylolisthesis seen. Vertebral bodies, pedicles, laminae, spinous processes and facetal articulation appear normal. Normal marrow signal intensity preserved. Mid sagittal spinal canal measurement. L1-L217 mm L214 mm, l2-L316 mm L314 mm, l3-L415 mm L413. L4-L511 mm L513 mm, l5-S111 mm, sir in this case, i am eagerly waiting your precious suggestions.
This is where you give a little and take a little. I don't actually agree with this method, but considering the amount of responses some guys get in comparison to the amount of messages some guys send out, i can at least see where they are coming from. Q : dear doctor, since 3 years I have been suffering from backache. On 24th February 2011, i took an mri scan of lumbar spine. Its result is shown below: At L1-L2, L2-L3 and L3-L4 no disc desiccation seen. Discs show no significant bulge/herniation. No evidence of significant primary canal / foraminal stenosis seen. At L4-L5 disc desiccation seen with reduced disc height. Para-discal bone marrow appears hypointense on T1w, hyperintense on T2W images suggestive of modic type i changes.
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Because you're just some text on a website to her, you haven't met her, or been able to make any kind of impression on her, she has no real reason to respond to any of your messages or even show up if you do arrange. There is nothing worse than reading a joke that isn't funny and then having the fact that it isn't funny, but that somehow someone else thinks it is, explained to you. Dude, read their profile and message them with some reference. Tried following me home. Also, how do you typically respond to things like "They rated you highly" and winks? Share On email Share On email. This is a little funny and sets a good tone for the rest assignments of your message. No misogyny, misandry, transphobia, ageism, racism, general assholery, invalidation, or otherwise hateful or disrespectful commentary. He insulted my passions, my clothing, my music taste a list of DOs and don'ts for messages.