@KeenanPiper1 @brigid27m Congrats guys!! So happy for you both! Wishing you a lifetime of love, laughter and stability on snow!

Excited to have the esteemed @MGalganoMD from @UNCneurosurgery kicking off our #PANPhiladelphia Neurosurgery Conference this morning! Sharing innovations in #SpineOncology care.

@ElswickClay @docclift @AliBaajMD @KhoiThanMD @spinedoctx @NaderDahdaleh @clemensweber @martinphammd Ive had very good sustained results with VP shunting to take the pressure head off. Doesn’t help with adhesions but seems to really reduce the recurrence of collections. One patient developed adhesive peritonitis from the evil CSF humors (!!) but a VA shunt worked for her.

@ElswickClay @docclift @AliBaajMD @KhoiThanMD @spinedoctx @NaderDahdaleh @clemensweber @martinphammd Adhesive arachnoiditis is such a difficult thing to treat. I’ve had 5-6 patients in the setting of tumor, trauma, meningitis, SAH, etc. re-exploration doesn’t offer sustained value as the adhesions promptly recur and loculated collections recur.

@karimhafazalla @TJUHNeurosurg You did an incredible job @karimhafazalla! Crazy number of complex cases… lots of thoughtful discussion and learning but I don’t know if I’d call it “fantastic”! 😂

RT @karimhafazalla: A fantastic first weekend covering spine chief filled with cases. Grateful for @sprasadmd and @TJUHNeurosurg for such g…

@ElswickClay @AJGrossbach @PaulParkMD1 @KhoiThanMD @NaderDahdaleh @AliBaajMD @spinesection I’ve got a difficult, non-compliant patient like this bouncing in and out of the hospital as we speak. With that cord compression and signal change I don’t think there’s an option not to. I would make it a multi-disciplinary project and protect yourself medicolegally. Bleh.

@MGalganoMD @UNCneurosurgery This is awesome man! Can’t wait to see it develop. How are you recording surgical footage? Just ordered yet another head-mounted camera… nothing is really perfect for spine surgery. Good luck in this new endeavor!!

@TJUHNeurosurg @ServaStephanie @KeenanPiper1 @ariamahtabfar @PascalJabbourMD @StavTjoumakaris @niko_mou @KevinJHinesMD @ChenWuMD @LeiboldAdam It was a privilege to sponsor this important program! These bright students are our future and it’s great to have played a small part.

@StavTjoumakaris @VillanovaU Congratulations Stav! So amazing!!

@TJUHNeurosurg @niko_mou @ArbazAMomin @CarrieEAndrews @LeiboldAdam It was an awesome time guys! So glad we could make it happen. @niko_mou is talking a big game with table tennis! We have to do the next one at Spin before he leaves!

@TJUHNeurosurg Thanks guys! It’s been an exciting adventure and it was great to share that with you this morning. You guys make it all feel worthwhile!

@Joannaroy99 @TJUHNeurosurg @BowersNsgyLab @bowersbrainsurg Thanks @Joannaroy99 ! It was great meeting you this morning!

@ElswickClay Those look like old threaded cages - like LT cages… high bulk modulus, as Benzel said, “round peg in a square hole” — subsidence is almost a given. They’re tough to extricate in my experience; I’d probably favor P only with definitive decompression and instrumentation at L5-S1

@KeenanPiper1 @CNS_Update @Twilli7 @ASchupperMD Congrats Keenan! Proud of you — you’re the picture of wellness and resilience! 😄

@ElswickClay @KhoiThanMD @MGalganoMD @docclift @AliBaajMD @NaderDahdaleh @drmikeselby I agree with posterior only down to T2 with decompression C7-T1; MRI after… he’s unlikely to need additional ventral decompression. I usually get a few point of fixation in the fusion mass maybe C4-T2 but dealer’s choice

@ElswickClay @AJGrossbach @MGalganoMD @AliBaajMD @docclift @NaderDahdaleh @KhoiThanMD I’d follow it — I usually check surveillance at 3 months, 1 yr, 2 yr, 4 yr and 6 yrs assuming remains asymptomatic and no signif growth.

This is awesome Adam! And congrats also to rockstar @AhilanSiva for leveling-up research and resident enthusiasm @TJUHNeurosurg!

@Zaazoue @CNS_Update Thank you!