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    Rodolfo Enciso was involved in a work related injury back in 2004. After seeing numerous doctors, who treated him with physical therapy and pain medication, he was finally referred to a spine specialist. Dr. Edwin Haronian performed a Lumbar fusion surgery on Rodolfo and 2 months after the surgery, Rodolfo is walking and ready to get back to work.

    We would like to thank Rodolfo for sharing his story with us, stories like these keep us going because people with pain matter. Issues like these should not be ignored because when you ignore your pain, the pain only gets worse.

    Call us at (818) 788-2400 if you need any help with your pain or visit our website for more information:

    https://www.SynapseDoctor.com

    About Lumbar Fusion:

    A spinal fusion surgery is designed to stop the motion at a painful vertebral segment, which in turn should decrease pain generated from the joint.

    There are many approaches to lumbar spinal fusion surgery, and all involve the following process:

    Adding bone graft to a segment of the spine
    Set up a biological response that causes the bone graft to grow between the two vertebral elements to create a bone fusion
    The boney fusion – which results in one fixed bone replacing a mobile joint – stops the motion at that joint segment

    For patients with the following conditions, if abnormal and excessive motion at a vertebral segment results in severe pain and inability to function, a lumbar fusion may be considered:

    Lumbar Degenerative Disc Disease
    Lumbar Spondylolisthesis (isthmic, degenerative, or postlaminectomy spondylolisthesis)
    Other conditions that may be treated by a spinal fusion surgery include a weak or unstable spine (caused by infections or tumors), fractures, scoliosis, or deformity.

    At each level in the spine, there is a disc space in the front and paired facet joints in the back. Working together, these structures define a motion segment and permit multiple degrees of motion.

    Two vertebral segments need to be fused together to stop the motion at one segment, so that an L4-L5 (lumbar segment 4 and lumbar segment 5) spinal fusion is actually a one-level spinal fusion. An L4-L5, L5-S1 fusion is a 2-level fusion.

    Read more about the L4-L5 and L5-S1 spinal segments
    A spine fusion surgery involves using bone graft to cause two vertebral bodies to grow together into one long bone. Bone graft can be taken from the patient’s hip (autograft bone) during the spine fusion surgery, harvested from cadaver bone (allograft bone), or manufactured (synthetic bone graft substitute).

    See Bone Graft Options for Spine Fusion
    In addition to choices about which/how many levels to fuse and which bone graft to choose, there are many types of spinal fusion, including fusions with surgical approaches from the front (anterior), the back (posterior), both front and back, and/or from the side.

    There are several types of spinal fusion surgery options. The most commonly employed surgical techniques include:

    Posterolateral gutter fusion – the procedure is done through the back
    Posterior lumbar interbody fusion (PLIF) – the procedure is done from the back and includes removing the disc between two vertebrae and inserting bone into the space created between the two vertebral bodies
    Anterior lumbar interbody fusion (ALIF) – the procedure is done from the front and includes removing the disc between two vertebrae and inserting bone into the space created between the two vertebral bodies
    Anterior/posterior spinal fusion – the procedure is done from the front and the back
    Transforaminal lumbar interbody fusion (TLIF) – Similar to the PLIF, this procedure is also done from the back of the spine
    Extreme Lateral Interbody Fusion (XLIF) – an interbody fusion in which the approach is from the side
    It is important to note that with any type of spine fusion, there is a risk of clinical failure (meaning that the patient’s pain does not go away) despite achieving a successful fusion.

    Obtaining a successful result from a spine fusion requires a number of factors, including an accurate preoperative diagnosis, a technologically adept surgeon, and a patient with a reasonably healthy lifestyle (non smoker, non obese) who is motivated to pursue rehabilitation and restoration of his or her function.

    Synapse Orthopedic Group
    5651 Sepulveda Blvd. Suite 201
    Sherman Oaks, CA 91411
    (818) 788-2400



    https://brs.li/neptuneapex In our fifth episode of the Apex series, let’s talk about proper mounting of your controller as well as wire management.

    Mounting:
    Where and how you mount your controller is extremely important to its longevity. The first thing to consider is orientation; all the Apex modules are designed to be mounted horizontally which will prevent any water from running down the cord and into the connector.

    TIP: Try to mount everything in an area where you’ll have easy access, especially the probe connections since you’ll need to change them out occasionally.

    As far as the energy bar, resist all temptation to to mount on a flat surface! The last thing you want is water dripping down the cords and directly into your expensive gear. There are four holes on the energy bar for mounting, although the one behind the cable is difficult to get at. You can get away without using it if you mount it using the other three holes securely.

    TIP: It’s not a good idea to mount modules or energy bars on doors since the moving cables can get caught on things and get pulled out or shorted.

    Wire Management:
    Try to avoid having the cords taught. Instead, ensure your cords have a drip loop, or permanent bend, to prevent water from running directly into outlets. You can us zip ties or adhesive plastic clips to make sure the drip loop stays in place. Drip loops are honestly one of the most important components in maintaining your equipment, as well as keeping your tank and home safe.

    TIP: Neatness counts! If your set-up looks tidy, it’s also typically safer.

    You can pick up some zip ties and/or flat plastic adhesive tiles are your local home improvement store (like Lowe’s or Home Depot). We’ve found that ratchet clamps work well for the probe cables, or anything else you may need to move in the future.

    TIP: You can use a mounting board to route cords and install permanent drip loops easily (and it will look pretty slick,too).

    As always, if you have any tips for our fellow reefers or questions, let us know in the comments section.

    Check out the entire Apex line: https://brs.li/neptuneapex

    Watch the whole playlist: https://www.youtube.com/playlist?list=PLBaMLrfToJyz8091y-PoECoUo5QfMGg1S

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