Top
20
Doctor insights on: Osteoporosis Surgery

Share
1

1
Can evista (raloxifene) cure osteoporosis?

Can evista (raloxifene) cure osteoporosis?

There is no : Permanent cure for osteoporosis, Raloxifene (evista) mimics estrogen's beneficial effects on bone density in postmenopausal women, without some of the risks associated with estrogen. Taking this drug may also reduce the risk of some types of breast cancer. Hot flashes are a common side effect. Raloxifene also may increase your risk of blood clots. ...Read more

Dr. PHILIP WALLER
1,579 doctors shared insights

Osteoporosis (Definition)

A condition in which bones ...Read more


2

2
Is coronary bypass surgery low risk surgery?

Is coronary bypass surgery low risk surgery?

Generally yes.: The average mortality rate for coronary artery bypass surgery is between 1-3%, with 1% being the patients with the lowest risk and least complicated surgery and 3% being the most complicated of the surgeries. ...Read more

3

3
What patients can undergo artificial disc replacement surgery?

What patients can undergo artificial disc replacement surgery?

Need specialist: There are several locations and surgeons who perform many disk replacements and can answer your questions about who can get a disk replacement. Fda regulations specify age 18-59. There cannot be much instability in the segment being considered for disk replacement. Make sure you investigate the place where you're considering having it done- preferably a place that participated in the studies. ...Read more

See 1 more doctor answer
4

4
Mini-tightrope surgery for basal arthritis?

Mini-tightrope surgery  for basal arthritis?

Promising, untested: The essence of trapeziometacarpal arthroplasty depends upon excision of the trapezium. Simple excision without "suspension" has been shown to do as well as with suspension. I favor a suspension which utilizes a local tendon slip, while the tightrope uses a devise to hold the thumb metacarpal out to length. It is not yet known how long it will hold up and is worth the added cost. ...Read more

5

5
What is spine surgery fusion?

What is spine surgery fusion?

Spine Stabilization : Spine fusion surgery locks adjacent vertebral segments together permanently. Except in the neck, it should be reserved for patients with symptomatic instability of the spine (i.e. Fracture, severe deformity, slipped vertebra pinching a nerve). In the neck, because the surgical approach to treat a pinched nerve is often through a disk, fusion without significant instability is appropriate. ...Read more

See 2 more doctor answers
6

6
Need cervical surgery C5/6, ACDF with bone graft. Is plage implant best for this procedure?

Need cervical surgery C5/6, ACDF with bone graft. Is plage implant best for this procedure?

Yes: Increases fusion rates which are already excellent, equivalent alternative is auto graft hip bone and six weeks in collar allograft donor bone with plate and limited post op immobilization has yielded excellent results for decades . benefits: no second surgical site and no immobilization can be achieved with cervical disc replacement as well sucess rate for relief if arm pain well documented ...Read more

7

7
How successful is spinal surgery for degenerative arthritis?

How successful is spinal surgery for degenerative arthritis?

Good, but: There are other modalities you can try. These range from acupuncture, through chiropractors and up to rehabilitation doctors. Sometimes surgery is the only way to treat the pain, but other modalities can be used first. ...Read more

See 2 more doctor answers
8

8
ORIF 6/15 for lisfranc & nutcracker injuries. Diffuse osteopenia in midfoot now. Advise hardware removal or would it pose risk of re-fracture? Age 44

ORIF 6/15 for lisfranc  & nutcracker injuries. Diffuse osteopenia in midfoot now. Advise hardware removal or would it pose risk of re-fracture? Age 44

The osteopenia: May be from not using the foot during the rehab period as I'm sure you were in a cast or splint. I would advise checking your bit d levels and pending their result take vit d supplementation based on blood work and also supplement with vitamin k2 and hopefully as you are walking more and more the bone will build up. ...Read more

9

9
26 years ago, asis fracture.After recent pain recurrance MRI shows i need surgery to fix.Is it extensive surgery to fix?Is recovery long?

26 years ago, asis fracture.After recent pain recurrance MRI shows i need surgery to fix.Is it extensive surgery to fix?Is recovery long?

Depends: After years these avulsions r usually stable. If reconstruction is undertaken there a r many things 2 b considered. What's the distance it has 2 b moved, how large is the fragment they may encounter lots of scar & fibrous tissue & resection may increase the distance. How osteoporotic is the fragment, will it hold s screw/washer, will a circlage or tension band wire or will it cut out. Lot of ifs. ...Read more

10

10
Intractible sciatic pain degenerative disc disease surgery or no surgery?

Intractible sciatic pain degenerative disc disease surgery or no surgery?

Surgery if severe: Sciatica is caused by degenerative discs or joints impinging upon the nerves within the spine. If best medical management is not successful, consultation with a surgeon is recommended. Surgical decompression, allows the nerves to heal and for the severe leg pain of sciatica to be relieved. Each case must be carefully evaluated to make the best recommendation. ...Read more

See 1 more doctor answer
11

11
Is sacroiliac joint fusion surgery a major surgery?

Is sacroiliac joint fusion surgery a major surgery?

Safe but yes: The si joint fusion is only indicated for patients that have failed extensive conservative care and have been symptomatic for at least 6 months. It is a viable option but most patients will get better with appropriate therapy. ...Read more

See 1 more doctor answer
12

12
Recovery after hip replacement surgery is relatively short, correct?

Recovery after hip replacement surgery is relatively short, correct?

Yes: Recovery from hip replacement is short involving assisted walking, falls prevention, and general strengthening. The leg may hurt and swell for a few weeks after surgery, so pushing it too fast is unwise. In general, though, mobility returns quickly. ...Read more

See 1 more doctor answer
13

13
Osteopenia, osteoporosis or brittle bone disease--differences?

Osteopenia, osteoporosis or brittle bone disease--differences?

Genetic or not: Brittle bone disease is an inherited disorder of bone that is called osteogenesis imperfecta. Osteopenia and osteoporosis are disease of the bone where there is decrease density of the bone. This is associated with age, hormonal change, medications, smoking and other issues. Basically the bone cells are out of balance and take away more bone than they replace. ...Read more

See 1 more doctor answer
14

14
What's artificial disc replacement surgery rehab?

What's artificial disc replacement surgery rehab?

Progressive: For cervical, encourage ambulation day one, with progress towards longer walks, getting the heart rate up. Simultaneously, passive range of motion of the neck, increasing as tolerated, with return to low impact upper extremity weights, bands after two weeks, increased as tolerated, keeping total weight to a level where the surgical site is isolated and effort is smooth, and easy. ...Read more

See 1 more doctor answer
15

15
How is a cervical artificial disc replacement surgery performed?

How is a cervical artificial disc replacement surgery performed?

Like a fusion: A cervical disc arthroplasty (disc replacement) is approached the same way a cervical fusion is done. Which is through a small incision in the front of the neck. But instead of placing bone graft in the space that the disc used to occupy for fusion, it is replaced with a mobile disc replacement. The procedure takes just as long as a fusion. ...Read more

See 2 more doctor answers
16

16
How does foot bone fusion surgery work?

How does foot bone fusion surgery work?

See below: In a simplified answer, the cartillage is removed from the ends of the bones to be fused and then the bones are fixated together with either a screw, screw and plate. This prevents motion of the bone so that it can heal. ...Read more

See 2 more doctor answers
17

17
Reconstructive knee surgery (fulkerson osteotomy), what to expect?

Reconstructive knee surgery (fulkerson osteotomy), what to expect?

Be patient.: takes awhile for bone healing, then PT over the course of time. some pain and swelling to be expected. ...Read more

18

18
3rd metatarsal stress fracture- nonunion after 21 weeks. Bone graft and ORIF. Success likely for this surgery? Complications?

3rd metatarsal stress fracture- nonunion after 21 weeks. Bone graft and ORIF. Success likely for this surgery? Complications?

Successful treatment: A non-union fracture needs to be fully understood for the best surgical outcome. It is helpful to know if this is a vascular or non vascular non-union as it can change the surgical approach. Overall the surgery is very successfull unless you are a smoker. ...Read more

See 2 more doctor answers
19

19
Can surgery repair melanoma?

Can surgery repair melanoma?

Hopefully: If the lesion is superficial, only excision of the skin site is needed. If it is deeper then removal of one or more of the lymph nodes in the area is usually recommended. If there is lymph node involvement, chemotherapyay help improve survival. Seek treatment at a center with experience in melanoma. ...Read more

See 2 more doctor answers
20

20
Does reclast (zoledronic acid) interfere with knee replacement surgery?

Does reclast (zoledronic acid) interfere with knee replacement surgery?

I don't think so: Medicines like Reclast (zoledronic acid) are just about standard of care following repair of hip fractures (along with vitamin d and calcium). I am not aware studies in elective knee replacement though. Certainly check with your orthopedic surgeon. ...Read more