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Complex Deformity: Revision Scoliosis Surgery in an Adult Patient with Previous Fusion in Aden e4eed

Ahmed Al-Bisht
Jul 24, 2025
1389 views
4 replies
A
Ahmed Al-Bisht
Member
Joined Jul 2025
Jul 24, 2025 4:25 PM
Original Post
Greetings, I'm interested in the latest clinical evidence regarding biologic augmentation (e.g., PRP, bone marrow aspirate concentrate, allografts) for rotator cuff repair in Yemeni patients. Are there compelling studies or personal experiences that suggest a significant improvement in healing rates or functional outcomes compared to standard repair? What are the practical considerations for implementing these techniques in our orthopedic practice in Yemen? Thank you for your input.
M
Mu'tasem Al-Omari
Member
Jul 24, 2025 4:25 PM
#2
While PRP shows promise, I remain cautious for full-thickness tears due to inconsistent evidence, especially in our setting. Physical therapy remains paramount. For partial tears, it might be an adjunctive therapy, but shouldn't replace a solid rehabilitation plan.
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Ahmed Al-Bisht
Member
Jul 24, 2025 4:25 PM
#3
For chronic low back pain in Yemen, I firmly believe non-surgical management should always be exhausted first, unless there are clear neurological deficits. A combination of targeted physical therapy, pain education, and lifestyle modification often yields good results. Surgical fusion should be a last resort given our resources.
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Muhammad Salem
Member
Jul 24, 2025 4:25 PM
#4
My general rule for pediatric supracondylar fractures is immediate closed reduction and pinning for any displaced or unstable fracture. Neurovascular status must be assessed meticulously before and after reduction. Don't hesitate to involve a pediatric orthopedic specialist, especially if resources are limited.

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