Posts Tagged ‘emory orthopaedics and spine center’

National Recognition for Emory Orthopaedics & Spine Center

boden-scottIn the May 2015 issue of Spine magazine, a special review section highlights the 100 most frequently cited research papers on lumbar (lower back) spine surgery.

After reviewing more than 16,500 papers that matched the search criteria, the research team compiling the data determined 322 papers that were cited at least 100 times.

One of the top three most frequently cited authors was Scott D. Boden, MD, director of Emory Orthopaedics & Spine Center.

“This [review] identifies those individuals whose contributions to the ever-growing body of knowledge have provided guidance and suggestions for further investigation,” says Samuel K. Cho, MD. Cho and his colleagues from the Icahn School of Medicine at Mount Sinai, New York, performed the review.

Earlier this year, Dr. Boden was recognized in the highly regarded medical publication Becker’s Spine Review as one of the top 55 spine surgeons on the forefront of biologics & stem cell. Dr. Boden’s selection into this prestigious group was because of his work and research on spine fusion, spinal disorders and bone regeneration.

So what does this mean for patients? Dr. Boden, along with his highly-trained colleagues, are often recognized nationally and internationally for being on the forefront of research. The information discovered during research is communicated through research papers and publications and used to:

  • perfect and deliver outstanding patient care.
  • educate other physicians around the world.
  • train the next generations of surgeons and physicians.

Congratulations to Dr. Boden and all our physicians and staff at Emory Orthopaedics, Sports & Spine for your tireless effort in delivering leading patient care.

To see an Emory orthopaedic, sports or spine specialist, complete our online appointment form or call 404-778-3350.

Emory Spine Patient Story: “I wanted to walk down my long driveway – I can now.”

By Sara Dollar, Emory Orthopaedics & Spine Center patient

Scoliosis PatientAt the age of 12, I started seeing a chiropractor. In my early teenage years, I was diagnosed with severe scoliosis. Doctors told me that by the time I reached the age of 45, I might not be able to breathe if the scoliosis got bad enough. My spine was shaped like a perfect “S.” I had my first surgery in 1977, followed by several more surgeries. Surgery after surgery left me in excruciating pain. I lived my life, but because my spine was stuck in a bad position, I walked crooked, I couldn’t stand up straight, I couldn’t walk my dogs, and I couldn’t walk five feet without my back spasming. I had become like a hermit crab.

In September 2014, I was referred to John M. Rhee, MD, a spinal surgeon at the Emory Orthopaedic & Spine Center, because I had a very delicate problem that my former surgeons could not handle. Dr. Rhee explained to me what could be done, and I was so excited that I wanted to have surgery on the same day as my office visit! But because my problem was very severe, and the required surgery would be complex, Dr. Rhee asked me to go home and discuss this with my family. I was so grateful for this! After much thought, I decided to have surgery – a lumbar osteotomy, which is a major operation done only at highly- specialized spine centers, like Emory, because of its complexity.

I had done so much research on Emory and Dr. Rhee that even before my first scheduled appointment I knew that I had made the right decision. I felt comfortable. Before I went into surgery, I made some goals that I wanted to attain after my procedures: mainly, I just wanted to live without pain. I am happy to say that Dr. Rhee helped me achieve this!

I had two planned surgeries to correct my severe scoliosis and kyphosis. They were done on January 22 and 23, 2015. Compression on the nerves had to be relieved along with fusion and correction of the deformed areas of the spine. My previous hardware had to be removed and repositioned properly, and a wedge of bone was removed from one of my vertebrae in order to realign my spine so I could stand up straight again. This was a major procedure because I had had multiple prior surgeries that left my spine severely deformed.

At my six week checkup, I was walking without any assistance from a cane, walker or person. I think I surprised Dr. Rhee with how well I was doing and how quickly I had recovered.

While I am still healing, I am not in any pain and am accomplishing all of my goals. I wanted to walk down my long driveway – I can now. I wanted to be able to walk down the beach – I can now. I wanted the freedom of walking into a store to grab some milk and bread without needing or using a shopping cart – I can now. When the time comes, I want to run after my future grandchildren, and because of my surgery, I believe I will be able to.

My advice to others considering spine surgery; do not be afraid, stop living in pain, quit suffering and get your good quality of life back. Surgery is not the answer for everyone, but if it is, I would not trust anyone other than the renowned spine surgeons at Emory Orthopaedic & Spine Center. Thanks to them, I am living well and attaining my goals.

About Dr. Rhee

John Rhee, MDJohn M. Rhee, MD, is a Spinal Surgeon and Associate Professor of Orthopaedic Surgery specializing in cervical spine surgery, lumbar spine surgery, complex spinal deformity surgery (scoliosis and kyphosis) and surgery for spinal tumors. Dr. Rhee is an active researcher and sought-after teacher/lecturer at the national and international level in multiple medical societies. He has served as faculty and been an invited lecturer at numerous meetings and courses on spine surgery. In addition, he has served as Program Chairman at numerous national and international spine surgery meetings. Dr. Rhee has also published extensively in a number of peer reviewed journals and books, and he has received numerous awards and honors. He is actively involved the training of international research scholars and other spinal surgeons and has been the author and editor of major textbooks on spine surgery techniques.

How Aging Affects Your Cervical Spine – Part I: Pinched Nerve

Pinched NerveThe cervical spine refers to that portion of the spinal column that is within our neck. This section of the spine has two essential roles: providing flexibility so that we can move our head up and down and side to side, and protecting the spinal cord nerves that pass through it. Cervical radiculopathy, or pinched nerve, tends to occur when the nerve roots are irritated or compressed by one of many conditions.

Cause

Cervical radiculopathy can occur in a wide variety of patients, with those younger than 50 tending to suffer as a result of disc herniations. Other than trauma or injury, degenerative conditions as a result of aging are the main cause of neck pain. As disks age, they lose height and the vertebrae move closer together, causing the body to respond by forming more bone—called spurs—around the disk to strengthen it. However, the spurs can also contribute to stiffening of the spine. Bone spurs may also narrow the area of the foramen and pinch the nerve root.

Symptoms

The primary symptoms of cervical radiculopathy include pain radiating from the neck into the shoulder, upper arm, forearm, or hand.  Sometimes the symptoms radiate into all of these areas, whereas in other cases, the symptoms may radiate to only some of these areas.  Other associated symptoms can include tingling and numbness.  In some cases, weakness of various muscle groups in the shoulder, arm, and hand may occur.

Treatments

Non-surgical:

Interventional treatments for cervical radiculopathy are generally attempted first and may include:

  • Physical therapy and/or exercise to help relieve the pressure on the nerve root. Stretching as many dimensions of the neck as possible is essential to maintain flexibility and relieve chronic stiffness.
  • Medications, such as non-steroidal anti-inflammatory drugs (NSAIDs) to reduce swelling and pain and analgesics to relieve pain.
  • Use of a cervical collar, cervical pillows, or neck traction may also be recommended to stabilize the neck and improve alignment.
  • Injections of steroid medications around the affected nerve root, commonly known as nerve root or epidural injections, can be considered for pain relief as well.

Surgical Treatment:

If symptoms persist despite nonoperative care, or if there is substantial motor weakness, surgical treatment is recommended and generally has excellent outcomes.  In fact, cervical spine surgery generally has the best outcomes of any spinal operation.  Surgical treatment generally involves relieving the pressure off of the affected nerve root.  Depending on the circumstances, it may be performed either from the front (anterior) or back (posterior) of the neck, although the anterior approach is more common.

Some of the surgical spine procedures used to treat cervical radiculopathy at the Emory Orthopaedics and Spine Center are:

At the Emory Orthopaedic & Spine Center, our internationally-recognized spine surgeons research, pioneer and refine the most effective approaches to treating a variety of spine conditions.

Should you make an appointment with an Emory spine specialist? Take our five minute quiz and find out!

About Dr. Rhee

John Rhee, MDJohn M. Rhee, MD, is a Spinal Surgeon and Associate Professor of Orthopaedic Surgery specializing in cervical spine surgery, lumbar spine surgery, complex spinal deformity surgery (scoliosis and kyphosis) and surgery for spinal tumors. Dr. Rhee is an active researcher and sought-after teacher/lecturer at the national and international level in multiple medical societies. He has served as faculty and been an invited lecturer at numerous meetings and courses on spine surgery. In addition, he has served as Program Chairman at numerous national and international spine surgery meetings. Dr. Rhee has also published extensively in a number of peer reviewed journals and books, and he has received numerous awards and honors. He is actively involved the training of international research scholars and other spinal surgeons and has been the author and editor of major textbooks on spine surgery techniques.

Related Resources

Spinal Tumor Symptoms & Treatment

Spinal TumorsTumors, whether cancerous (malignant tumors) or noncancerous (benign tumors), can develop and affect bones anywhere in the body, but when a tumor develops in or near your spinal cord or within the bones of your spine, it can be an especially serious condition.

Your spine is an extremely important part of your body as it holds up your head, shoulders and upper body. It also houses and protects your spinal cord and the nerve roots that control your arms, legs, and torso. The spine is made up of 31 small bones, called vertebrae, which are stacked on top of one another and make up the three sections of your spine (cervical spine, thoracic spine, lumbar spine) forming the natural curves of your back.

Your spinal cord runs through the middle part of the vertebra, which is called the spinal canal, and extends from the skull to the lower back. Spinal nerves branch out from the spinal cord through openings in the vertebrae, carrying signals between the brain and muscles.

The most common type of spinal tumor is one that spreads (a metastasis) from cancer arising in another part of the body, such as the breast, lung, kidney, prostate, thyroid, blood cells, or other tissues. Rarely, spinal tumors arise from the nerves of the spinal cord itself. Primary spinal tumors are those that arise from the bones in the spine – these are also relatively rare.

The closeness of a tumor to the spine and nerves that run through and between your vertebrae determines the severity of the condition. Tumors can compress and interfere with nerve function, affecting the messages being sent to and from your brain to the rest of your body. Since the spinal cord is relatively narrow, tumors within it may cause symptoms on both sides of the body. Tumors can also weaken the vertebrae, causing the spine to collapse and potentially cause pain or injure the nerves housed within.

Spinal tumors are different for each unique patient since they originate from different areas or develop from different cell types. Depending on where the tumor is, how advanced it is, how quickly it is growing and whether it is malignant or benign, symptoms and treatment options vary.

Common symptoms of spinal tumors include:

  • Pain
  • Muscle weakness
  • Loss of sensation or numbness (in the legs, arms or trunk)
  • Loss of bladder/ bowel control
  • Difficulty using arms or legs, inability to walk

Treatment for spinal tumors is determined on a case by case basis and may include surgery, radiation therapy, chemotherapy or other medications. If surgery is necessary, the goals are to stabilize the spinal column, relieve nerve pressure caused by the tumor, protect the nerves and spinal cord and remove as much of the tumor as safely possible.

For more information about spinal tumors and spine tumor treatment, visit Emory Orthopaedics & Spine Center. Our world renowned, highly skilled, specialized and experienced team includes orthopedic spine surgeons, neurosurgeons, orthopedic oncologists and radiologists, all working together to diagnose and treat a wide range of spinal tumors.

About Dr. Rhee

John Rhee, MDJohn M. Rhee, MD, is a Spinal Surgeon and Associate Professor of Orthopaedic Surgery specializing in cervical spine surgery, lumbar spine surgery, complex spinal deformity surgery (scoliosis and kyphosis) and surgery for spinal tumors. Dr. Rhee is an active researcher and sought-after teacher/lecturer at the national and international level in multiple medical societies. He has served as faculty and been an invited lecturer at numerous meetings and courses on spine surgery. In addition, he has served as Program Chairman at numerous national and international spine surgery meetings. Dr. Rhee has also published extensively in a number of peer reviewed journals and books, and he has received numerous awards and honors. He is actively involved the training of international research scholars and other spinal surgeons and has been the author and editor of major textbooks on spine surgery techniques.

Related Resources

Patient Video Story: Back to Life after Spinal Tumor Surgery

Emory Expansion Update: Emory Orthopaedics, Sports and Spine is On the Move

ExpansionTo provide a better patient care experience, two of our Emory Orthopaedics, Sports & Spine clinics in Johns Creek and Duluth are combining. The combined practice will relocate to 6335 Hospital Parkway, Suite 302, Johns Creek, GA 30097 and begin seeing patients in the new location on Tuesday, March 17, 2015.

Below is a list of all of physicians seeing patients in the new clinic location.

If you have an appointment with any of the doctors listed above and have a question regarding where your appointment will be, please call us at 404-778-3350.

Also, Emory Physical Therapy has expanded to a new location in Johns Creek. The practice, located at 6335 Hospital Parkway, Suite 316, Johns Creek, GA 30097, opened its doors on Monday, March 2, 2015.

If you would like to make an appointment with Emory Physical Therapy at Johns Creek and have a question, please call 404-778-6447.