Upper sacral segment dysplasia refers to a sacral phenotype in which the size and orientation of the upper sacral segment doesn’t allow safe passage of a trans-iliac, trans-sacral screw and characterized by one or more of the following features/criteria:1 Criteria Projection Frequency Acute alar slope (qualitative criteria without cut-off value)…
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From Neural Reset to Aesthetic Renewal: The Complete Mind-Body Transformation
Healing from substance use disorders requires more than stopping a drug. It means rebuilding the mind and the body at the same time. Many individuals find themselves stuck between programs that treat one or the other but rarely both, leaving gaps that make relapse more likely. Approaches that combine deep…
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Functional Medicine and Integrative Care: A Personalized Approach to Holistic Health and Lasting Wellness
Functional medicine and integrative care are changing the way people and doctors approach health. Instead of just treating diseases or chasing symptoms, the focus shifts to finding what’s really causing problems and building long-term wellness. Providers such as im nutrition at Austin FMC highlight how targeted therapies can support overall…
Fellowship Blog
Simultaneous Bilateral Total Knee Arthroplasty (SBTKA): A Practical Perspective
Recently, we operated on a 58-year-old female patient with advanced bilateral knee osteoarthritis (OA). She underwent simultaneous bilateral total knee arthroplasty (TKA) using a medial parapatellar approach. Both femoral components were size 3, tibial components size 3, and a 10mm polyethylene insert was used on each side. Some practical considerations…
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The Hidden Costs Killing Assisted Living Profits (And How to Fix Them)
An assisted living community provides a lot of amenities for older adults, and behind the scenes, the staff juggles a lot of things. They need to make sure everyone can get to their medical appointments on time, and they also need to juggle logistics for groceries. See more info about…
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10 Common Mistakes to Avoid During a Professional License Accusation Defense
Of all potential risks to your career, facing an allegation against a professional license can be among the most challenging. This is a process where people make unnecessary mistakes. Such errors, however, can result in loss, suspension, or revocation. Knowing what mistakes to avoid can lead to a greater likelihood…
Fellowship Blog
Pediatric Pelvic Fracture Classifications
Before closure of triradiate cartilage (14 in boys and 12 in girls), pelvic bones are weaker than pelvic ligaments leading to more pubic rami and iliac wing fractures. After closure, they are more likely to sustain fractures of acetabulum, diastasis of pubic symphysis and SI joint separation. Hence, a pediatric…
Fellowship Blog
Retrograde Percutaneous Screw Fixation of Posterior Column Acetabulum Fracture : C-Arm Views & Technique
Today in the OR, I observed a retrograde percutaneous screw fixation of a left posterior column acetabular fracture in a 63-year-old male. While I wasn’t scrubbed in, it offered a fantastic opportunity to understand the precision and fluoroscopic guidance required for this minimally invasive approach. It is often said that, “Percutaneous fixation is a surgery performed…