Scoliosis Research Society (SRS)
An International Organization Dedicated to the Education, Research and Treatment of Spinal Deformity
Our Mission is to Foster Optimal Care for All Patients with Spinal Deformities
Complex Spinal Deformity Correction in Port-of-Spain, Trinidad
A Global Outreach Program from SRS and FOCOS
David Toby, MD
Vincent Arlet, MD
Since that time the program has continuously expanded and has now 4 rotations a year.
Spinal cord monitoring was provided by Impulse monitoring. Total intravenous anesthesia (TIVA) techniques were started under the leadership of Prof Pajewski from the University of Virginia.
Surgical Implants were generously donated by Synthes ( AOUSS deformity system) Additional equipment included intermittent pneumatic compression devices for thromboembolic prophylaxis, a cell saver machine, a Midas-Rex burr, a bone mill system, and modern surgical tool upgrades . . .
We had 6 complications: One superficial wound infection. One case of postoperative respiratory depression from narcotics that was reversed with Naloxone. One CSF leak that required a lumbar drain. Three loss of evoked potentials during the surgery all reversible with adequate steps. No patient had any post op neurologic deficit
Dr Toby and I would like to thank the SRS GOP, FOCOS, the staff from the Princess Elizabeth Hospital and the people from Trinidad and Tobago to help build up such an outreach program that helped us treat these complex spinal deformities.