Hello my name is Shahab Mahboubian, Iam an orthopedic surgeon and I specializelimb lengthening and deformity correctionsurgery. Many of my patients have asked me about HGH or growth hormone as the answerto growing taller. There are two main problems with growth hormone. Number one, for it towork properly and to help you grow, it would need to be taken prior to puberty. The secondproblem, it can be extremely harmful to your body if not taken properly under the guidanceof a endocrinologist. As limb lengthening I tell my patients that have hitpuberty and are serious about growing taller that there is an alternative and that is toundertake a limb lengthening or hight lengthening
procedure.This is not a procedure that isfor everybody. There are potential compliions involved with the surgery and you would needto cometo see if you qualify for the surgery. Many of my patients who have had the lengtheningprocedure have had great results and have been able to return to their presurgicalactivities, as well as sports. If this is something that really interests you, pleasefeel free to visit my website for more information.
Scoliosis Treatment Options for Chilen and Adults
gt;gt; Normally if you look at the spine from the front view, like this, it should, all these vertebrae should line up and the spine should be straight. But you can see here that there's actually two curves, onethe middle part of the back, the thoracic spine and onethe lower part of the back, the lumbar spine. And so typically, any curvature that deviates for more than 10 degrees is considered to be scoliosis. In most of the patients, the curve is not progressive and we just observe the patient to see if the curve is going to progress.
When the curve gets to be more than about 20 or 25 degrees and the patient still has growth potential, then we may recommend the use of a braceorder to prevent that curve from getting worse while the spine is still growing. When the curve gets to be more than about 45 degrees, then the patient is really, the curve is beyond the level that we can treat effectively with a brace; that's when we think about the surgical option. In the adult patient, it really depends upon the problem that the curve is causing. Is it painthe backé
Is it painthe legsé Is there evidence that the curve is getting progressively worseé And how big is the curveé In the adult patient, we don't use braces. We my suggest other nonoperative treatments like physical therapy, exercise programsorder to try to improve the condition of the spine. But when those treatments fail, then we look for different surgical options. Typically for chilen, the goals of surgical treatment are to halt the progression
the spinal deformity and correct the deformity to neutral spine or balanced spine. That's typically accomplished with a screwrod construct that's placed through a posterior incision through the back. In contrast to the adolescent,the adult the scoliosis usually involves not only the thoracic spine, but also the lumbar spine, as demonstrated by this radiograph whereby you can see a large curve involving the chest spine here and the lower back. More significantly, you can see narrowing of the chest cavity at these levels.
This resultsshortness of breath. Postoperatively, you can see that there's restoration of balance, utilizing the pedicle screwrod construct all the way throughout the curve from the upper thoracic spine to the lower back to the lumbosacral junction and also an improvementthe pulmonary or lung volumes of this patient. I think you have to look at how much experience the particular surgeon hasdealing with particularly the more complied problems and spinal deformity is a more complied problem than some
of the other more common back disorders that people may experience back or leg pain. And the more experience that somebody has generally the better their outcomes are. Lettus phonetic and I have been doing this surgery for over 20 years, working together and we actually work as a team. We're both therethe operating room, on either side of the operating room table while we're taking care of the patient. We operated on a young lady who had a phenomenal amount of opiate intake, just to allow her to perform her activities of daily living with her chilen.