Dr. Randal Betz, Anterior Scoliosis Correction (ASC) Non-Fusion Surgery interviewed by Dr. Derek Lee

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  • เผยแพร่เมื่อ 14 พ.ค. 2024
  • This interview is for educational purposes and covers information provided by Dr. Randal Betz regarding his opinions on Anterior Scoliosis Correction (ASC) Non-Fusion Scoliosis Surgery. This video is not an endorsement. Viewers should consult their physicians and treating team accordingly. See highlights via timestamps below.
    Chapters:
    0:00 Introduction
    0:22 How was Anterior Scoliosis Correction conceived?
    0:33 Demand for non-fusion correction in adults.
    1:02 Mature patients require greater correction.
    1:59 ASC addresses stiff curves.
    2:26 Disc Release technique.
    3:35 Anterior Longitudinal Ligament.
    4:02 Disc release evolution.
    5:51 5 year disc release follow up
    7:34 Disc releases are primarily for the thoracic spine.
    8:20 "De-tethering" Concept for scoliosis and hypokyphosis.
    9:44 Cause of scoliosis - anterior vertebral overgrowth.
    10:45 Thoracic hypokyphosis leads to compensatory neck kyphosis and pain.
    11:38 Dr. Betz's ASC research is indicating average 20-30 degree hypokyphosis reduction.
    12:17 Typical VBT hypokyphosis correction is around 5 degrees.
    13:37 Disc release and nucleus removal is critical in reducing spine torsion.
    15:15 The number of disc releases are typically less in immature spines.
    16:35 What's after ASC? Vertebral Body Modification!
    / 1198200727630801
    drdereklee.com/

ความคิดเห็น • 24

  • @DerekLee
    @DerekLee  ปีที่แล้ว

    This interview is for educational purposes and covers information provided by Dr. Randal Betz regarding his opinions on Anterior Scoliosis Correction (ASC) Non-Fusion Scoliosis Surgery. This video is not an endorsement. Viewers should consult their physicians and treating team accordingly. See highlights via timestamps below.
    Chapters:
    0:00 Introduction
    0:22 How was Anterior Scoliosis Correction conceived?
    0:33 Demand for non-fusion correction in adults.
    1:02 Mature patients require greater correction.
    1:59 ASC addresses stiff curves.
    2:26 Disc Release technique.
    3:35 Anterior Longitudinal Ligament.
    4:02 Disc release evolution.
    5:51 5 year disc release follow up
    7:34 Disc releases are primarily for the thoracic spine.
    8:20 "De-tethering" Concept for scoliosis and hypokyphosis.
    9:44 Cause of scoliosis - anterior vertebral overgrowth.
    10:45 Thoracic hypokyphosis leads to compensatory neck kyphosis and pain.
    11:38 Dr. Betz's ASC research is indicating average 20-30 degree hypokyphosis reduction.
    12:17 Typical VBT hypokyphosis correction is around 5 degrees.
    13:37 Disc release and nucleus removal is critical in reducing spine torsion.
    15:15 The number of disc releases are typically less in immature spines.
    16:35 What's after ASC? Vertebral Body Modification!
    facebook.com/groups/11982...
    drdereklee.com/

  • @keineangstable
    @keineangstable 3 ปีที่แล้ว +3

    This interview is great. Highly appreciated.

    • @DerekLee
      @DerekLee  3 ปีที่แล้ว +1

      Glad you found it useful!

    • @keineangstable
      @keineangstable 3 ปีที่แล้ว

      @@DerekLee I would like to ask something I didn't understand from the interviews. If a disc release is performed and the nucleus is removed what is cushioning the vertebral joint at that point? I forget who but someone seemed to imply that the disc reforms? Or is it replaced? Thanks again. Fascinating stuff.

    • @DerekLee
      @DerekLee  3 ปีที่แล้ว +1

      @@keineangstable you've been doing some homework. Disc release is controversial and a broad term. Some surgeons remove the nucleus while others don't.

  • @jinajustine
    @jinajustine 3 ปีที่แล้ว +1

    AAHH I need this done . 53 and cant stand up anymore ,, i only have a 35 degree s curve , pain is bad.

  • @96jazmon
    @96jazmon 2 ปีที่แล้ว +3

    So I have a question regarding how you find your information and resources such as the studies and published research. Is it a website? Or a medical journal “subscription”? Are you willing to share some website links or suggest a place to start? I’d love to do more research on my own for my daughter’s scoliosis- but I don’t want to just “google”.
    I truly thank you for all your videos you have done. I have been watching and learning lots!
    ~God bless~

    • @DerekLee
      @DerekLee  2 ปีที่แล้ว +1

      Great question! Where do you start right?
      I started with pubmed searches but found that there was lack of consensus even between papers.
      I then visited non-fusion FB groups which gave me an idea of the top surgeons performing non-fusion scoliosis surgery.
      I then dove into the research coming from the top surgeons and setup feeds for non-fusion research so I can be alerted to new research.
      pubmed.ncbi.nlm.nih.gov/
      www.settingscoliosisstraight.org/
      www.posnacademy.org/
      www.srs.org/
      facebook.com/groups/ScoliosisTethering/

    • @96jazmon
      @96jazmon 2 ปีที่แล้ว +1

      @@DerekLee Awesome. Thanks for your reply! Truly appreciate it.

  • @reneelewis5978
    @reneelewis5978 2 ปีที่แล้ว +3

    Can you point me to any of your videos with doctors who dont agree or have criticism for ASC?

    • @DerekLee
      @DerekLee  2 ปีที่แล้ว +1

      th-cam.com/video/gkTzJHdUdzw/w-d-xo.html
      th-cam.com/video/SZqugjYl2xw/w-d-xo.html

  • @suzannemistretta9275
    @suzannemistretta9275 3 ปีที่แล้ว

    very interesting. what is the method of doing xrays now? is it with the eos machine or regular xrays for scoliosis series?

    • @DerekLee
      @DerekLee  3 ปีที่แล้ว +1

      The EOS offers much less x-ray dosing than traditional x-ray methods. Additionally, EOS is able to view the full spine completely while with traditional x-rays, they have to take separate x-rays of different sections of the spine and piece them together to see the full spine.

    • @patriciadiaz7255
      @patriciadiaz7255 ปีที่แล้ว

      @@DerekLee What does EOS stand for?

    • @DerekLee
      @DerekLee  ปีที่แล้ว

      @@patriciadiaz7255 it's a type of low dose x-ray machine that can take a full spine x-ray in one shot.

    • @patriciadiaz7255
      @patriciadiaz7255 ปีที่แล้ว

      @@DerekLee Thank-you. Is this available at Sick Kids Toronto?

    • @DerekLee
      @DerekLee  ปีที่แล้ว +1

      Yes SKs has one.

  • @or4ngeblossom
    @or4ngeblossom 2 ปีที่แล้ว

    I’m an adult with idiopathic scoliosis. I suffer from an s-curve of about 51 degrees.
    Am I a candidate for ACS non-fusion surgery?

    • @DerekLee
      @DerekLee  2 ปีที่แล้ว

      Just reach out to ASC surgeons and ask for their opinion on your case. Many will do virtual consults too. :)

  • @brendastar8438
    @brendastar8438 ปีที่แล้ว +1

    Mr. Lee can you communicate with me privately I have a situation that is an unfortunate for my son. Perhaps you can help me with information.
    Thank you.

    • @DerekLee
      @DerekLee  ปีที่แล้ว

      join my facebook group. facebook.com/groups/1198200727630801/

    • @DerekLee
      @DerekLee  ปีที่แล้ว

      Sure. drlee@betterhealthproviders.com. :)
      You can also join my private scoliosis Facebook group here: facebook.com/groups/1198200727630801/

  • @kaitlynsoukchanh6949
    @kaitlynsoukchanh6949 2 ปีที่แล้ว +1

    What is the price of the surgery

    • @DerekLee
      @DerekLee  2 ปีที่แล้ว

      It varies quite a bit among surgeons and countries. Consider reaching out directly to the surgeons for their specific fees.