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Her ortopedi kökenli omurga cerrahının en eski işi travmadır👊🏻 Complex Humerus Fractures: Respect the Biology ✅Wide deltopectoral exposure may be necessary. In severely comminuted humeral fractures, adequate visualization is essential for safe and accurate reconstruction. ✅The radial nerve must be identified and protected. With extensive exposure and complex fixation, careful exploration of the radial nerve is a critical step. ✅Don’t strip the fragments. Every fragment carries its own blood supply through the surrounding soft tissues. ✅Preserve these attachments whenever possible. Think LEGO — or a 3D puzzle. Complex fractures are reconstructed patiently, fragment by fragment, restoring length, alignment and rotation without sacrificing biology. ✅Sometimes two plates are not enough. Certain highly comminuted fractures may require three-plate fixation to achieve sufficient stability. The number of plates matters less than achieving the right mechanical environment. ✅Respect biology, provide stability, and let the bone heal. Successful fracture surgery is not simply about putting metal on bone. It is about finding the balance between biology and biomechanics. ✅Complex fracture. Careful reconstruction. Stable fixation. Preserved biology. Solid union. #fracture #trauma #love #carpentry #spine

Adult spinal deformity surgery is not only about straightening the spine. It is about restoring balance. 🔹 Understand the deformity: Adult lumbar scoliosis is a complex 3D problem, involving both coronal and sagittal imbalance. 🔹 Plan the correction strategically: Concave-side interbody cage placement combined with convex-side compression can provide powerful segmental correction. 🔹 Level the foundation: Restoring the orientation of the lower lumbar vertebrae—particularly L4—is critical for rebuilding a balanced lumbar spine. 🔹 Respect sagittal alignment: More lordosis is not always better. Overcorrection can be as problematic as undercorrection. The goal is patient-specific alignment. 🔹 Use circumferential reconstruction when necessary: Anterior/lateral interbody support combined with posterior fixation can restore both coronal and sagittal balance. 🔹 The ultimate goal is not a perfect X-ray. It is a balanced, stable and functional spine with durable correction. Correct the deformity. Restore the balance. Respect the biomechanics. 🔹 Deformiteyi doğru analiz et: Erişkin lomber skolyoz, koronal ve sagittal dengesizliği birlikte içeren kompleks 3 boyutlu bir problemdir. 🔹 Düzeltmeyi stratejik planla: Konkav tarafa interbody cage yerleştirilmesi ve konveks taraftan kompresyon, güçlü bir segmental düzeltme sağlayabilir. 🔹 Temeli düzelt: Alt lomber omurganın, özellikle L4 vertebranın seviyelenmesi, dengeli bir lomber omurga oluşturmanın önemli basamaklarından biridir. 🔹 Sagittal dengeye saygı göster: Daha fazla lordoz her zaman daha iyi değildir. Yetersiz düzeltme kadar aşırı düzeltme de sorun yaratabilir. Hedef, hastaya özgü ideal dizilimi sağlamaktır. 🔹 Gerektiğinde çevresel rekonstrüksiyon kullan: Anterior/lateral interbody destek ile posterior enstrümantasyonun birlikte kullanılması hem koronal hem de sagittal dengenin yeniden oluşturulmasına yardımcı olur. 🔹 Nihai hedef kusursuz bir röntgen değildir. Hedef; dengeli, stabil, fonksiyonel ve uzun dönemde kalıcı bir omurga elde etmektir. Deformiteyi düzelt. Dengeyi yeniden kur. Biyomekaniğe saygı göster #omurgasağlığı #scoliosis #skolyoz #belfıtığı #erişkinomurgadeformitecerrahisi

Çin gezisi hem akademik hem sosyal olarak çok verimli geçti. Tıp ile teknolojinin birlikte nasıl ilerlediğini görmek istiyorsanız hastanelerini, ameliyathanelerini ve tıbbi teknoloji üreten merkezilerini görmenizi tavsiye ederim. Tabiki hot-pot, ekşili turşulanmış dana ve yeşil biberli balık yemeden dönmeyin 🇨🇳👊🏻 #pekinguniversity #xiamen #hongkong #china

Not Every Kyphosis Should Be Corrected the Same Way Successful kyphosis surgery is not about achieving the maximum correction—it is about achieving the safest correction for the individual spinal cord. 🧠 1. Continuous Intraoperative Neuromonitoring Motor Evoked Potentials (MEPs) and Somatosensory Evoked Potentials (SSEPs) are monitored throughout the procedure. Even subtle signal changes can indicate spinal cord stress and immediately influence our surgical strategy. 📐 2. The Amount of Correction Must Be Individualized The goal is not to create the straightest spine possible, but to restore optimal sagittal alignment while respecting the neurological limits of each patient. 🧬 3. Spinal Cord Morphology Matters Patients with Lenke Type 3 spinal cord morphology often have a more vulnerable spinal cord at the apex of the kyphosis. In these cases, the correction strategy should be tailored to the spinal cord rather than the deformity alone. ⚠️ 4. Neuromonitoring Guides Every Critical Decision If neuromonitoring signals deteriorate, correction may be reduced, instrumentation adjusted, spinal cord perfusion optimized, or additional decompression performed. Patient safety always takes priority over radiographic perfection. 🏆 5. A Successful Operation Means More Than a Beautiful X-ray The true success of kyphosis surgery is a balanced spine, preserved neurological function, and a patient who wakes up safely with improved posture and quality of life. “The best correction is not the maximum correction—it is the safest correction for that patient’s spinal cord.”

Hastalarımızın isimleri değişiyor ama daha dengeli bir omurga ve daha güçlü bir yaşam için en güzel ve en doğru tedavileri yapmaya olan inancımız değişmiyor. #omurgasağlığı #skolyoz #spine #belfıtığı #profdrsinankahraman

🎗️ Skolyoz Farkındalık Ayı Bu videoda gördüğünüz gençlerin ve yetişkinlerin ortak bir hikâyesi var: Bir zamanlar skolyoz tanısı almış olmaları… Bugün ise kendi cümleleriyle umut oluyorlar. Çünkü skolyoz bir son değil, doğru zamanda doğru tedaviyle aşılabilen bir yolculuktur. ✅ Skolyozdan korkmayın. Modern tanı ve tedavi yöntemleri sayesinde birçok hasta sağlıklı ve aktif yaşamına geri dönebilmektedir. ✅ Her skolyoz ameliyat gerektirmez. Düzenli takip, egzersiz ve korse tedavileri birçok hastada etkili sonuçlar sağlayabilir. ✅ Gerektiğinde cerrahi tedavi güvenle uygulanabilmektedir. Güncel teknolojiler, nöromonitörizasyon sistemleri ve gelişmiş cerrahi teknikler sayesinde başarılı sonuçlar elde edilmektedir. ✅ Tedavinin amacı sadece omurgayı düzeltmek değildir. Duruşu, dengeyi, solunumu, özgüveni ve yaşam kalitesini artırmaktır. ✅ Bu videodaki her gülümseme bir başarı hikâyesidir. Skolyozdan korkmak yerine onu tanımak, takip etmek ve gerektiğinde tedavi olmak en doğru yaklaşımdır. Omurganız dik, geleceğiniz aydınlık olsun. 🌿 #skolyozfarkındalıkayı #skolyoz #scoliosis #omurgacerrahisi #scoliosisawareness omurgasağlığı profdrsinankahraman

🇬🇧 PONTE OSTEOTOMIES: THE CORNERSTONE OF MODERN SCOLIOSIS SURGERY 55° thoracic + 70° lumbar scoliosis. In large and rigid deformities, implants alone do not create correction. Before the spine can be realigned, it must first be mobilized. This is why Ponte osteotomies have become the workhorse osteotomy of modern scoliosis surgery. 🔥 1. The fundamental osteotomy of scoliosis correction. One of the most widely used posterior release techniques in spinal deformity surgery worldwide. ✂️ 2. Creates a complete disconnection of the posterior elements. By releasing the posterior tension band, rigid spinal segments become mobile and correctable. 📈 3. Provides approximately 5–10° of correction per level. When performed at multiple levels, the cumulative corrective effect can be remarkable. 📏 4. Improves both coronal and sagittal alignment. Not only straightens the spine but also helps restore physiological spinal contours. 🌪️ 5. Facilitates rotational correction. Addresses the three-dimensional nature of scoliosis and improves trunk symmetry. 🦴 6. Converts a rigid spine into a flexible construct. Allows corrective forces from rods and screws to be transmitted far more effectively. 🚀 7. Should not be avoided in severe and stiff deformities. When indicated, it is one of the most powerful and versatile tools available to the deformity surgeon. ⚖️ 8. Helps achieve a more balanced and physiological spine. The goal is not simply a straighter spine—but a better-aligned spine. 🛡️ 9. Associated with a very low complication rate. In experienced hands, Ponte osteotomies are safe, reproducible, and highly effective. 👨‍⚕️ 10. The hidden force behind major corrections. Patients see the rods and screws. Deformity surgeons know that the correction often begins with the osteotomies. 🔥 Final Thought "Great scoliosis corrections are not achieved by forcing the spine into position, but by first giving a RELEASE!!!." #scoliosis #skolyoz #kifoz #omurgasağlığı #profdrsinankahraman

ALIF: The King of Lumbar Lordosis Restoration 👑 1️⃣ 🦴 Lumbar Lordosis and its distribution is the key for durability of instrumentation. 2️⃣ ⚠️ Lost lordosis of L4-S1 = lost balance.Back pain, forward posture, and walking fatigue often start here. 3️⃣ 🚪 ALIF opens the front door. Direct anterior access. Wide corridor. Powerful correction. 4️⃣ 📐 Big implant. Big correction. A large lordotic cage helps rebuild the natural lumbar curve. 5️⃣ 🛡️ Respect the back. Work from the front.Posterior muscles and neural structures are preserved. 6️⃣ 🎯 Alignment is the target. Fusion is important — but realignment is the real goal. 7️⃣ ⚙️ Biomechanics matter. A well-restored lordosis means better balance and better load sharing. 8️⃣ 🧠 Plan like a scientist. Operate like an artist. Spine surgery is precision, anatomy, and judgment. 9️⃣ 📊 Degrees matter. Life matters more. We measure lordosis in angles, but success in quality of life. 🔟 🚶‍♂️ Restore the curve. Restore the balance. Restore the patient. 👑 ALIF is the king for lumbar lordosis restoration. ✨ Life is doing. Her cerrahi veya girişimsel işlemde sonuçlar kişiden kişiye değişiklik gösterebilir. İşlem öncesinde hekiminizden detaylı görüş almanız önerilir. By Prof. Dr. Sinan Kahraman #scoliosis #omurgasağlığı #alif #SpineSurgery #profdrsinankahraman

This is not a routine case. This is high-risk, high-precision deformity surgery. 1️⃣ 🎯 Control starts with planning C7–L1 instrumentation → take global control 2️⃣ 🦴 Release the deformity Asymmetric rib resection (4 left / 2 right) 3️⃣ 🧠 Protect the spinal cord Wide laminectomy above & below PVCR level 4️⃣ 🛠 Never lose stability Temporary rod = controlled release 5️⃣ ❌ Remove the keystone Apical vertebral resection (PVCR) with patience 6️⃣ 🔻 Convex side compression is the key for relaxing cord, concave side pediclectomy is mandatory for type 3 spinal cord shape. Controlled compression to close the curve 7️⃣ 🔺 Concave side patience Gradual translation with reduction screws 8️⃣ 🧱 Rebuild the anterior column Cage + graft = long-term stability 9️⃣ 📈 Respect physiology MAP > 90 | Hb > 10 → non-negotiable 🔟 ⚖️ True success Not just coronal correction → restore sagittal balance 💬 Take-home message: Severe deformities are not corrected by force… but by strategy, patience, and respect for biology. #scoliosis #spinesurgery #spinedeformity #orthopedicsurgery #profdrsinankahraman