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There are different ways of performing wilson frame surgery to cater to the different needs of patients. These surgeries are performed for different conditions related to the spine. Patients' conditions and the specialists' preferences dictate how these surgeries are performed.
This surgery involves going in from the front and back of the spine to fuse two or more nearby vertebrae. At the anterior part of the procedure, the surgeon will use a graft to grow bone between the vertebrae, and at the posterior part, a metal construct is used to provide extra stability to the fusion. Such a procedure is performed in severe deformity cases requiring extensive spinal correction and is performed in multiple planes.
This type of surgery is performed by mounting the graft bone over the transverse processes of adjacent vertebrae and using unilateral or bilateral screws and rods to provide additional stability. This technique is less invasive compared to the others.
This technique approaches from the front of the spine to remove any structures compressing the spinal cord or nerve roots, such as a herniated disc or bone protrusion. Ventral decompression is vital in relieving neurological symptoms and is often combined with fusion to stabilize the area after decompression.
Osteotomy surgery corrects the deformity by cutting the bone in a controlled manner. Closing osteotomies aim to correct the deformity by bringing two adjacent vertebrae closer together. On the other hand, opening osteotomies involve grafting to create a wedge between two vertebrae, leading to a correction angle gradually. Osteotomies are complex and generally used in high-severity or rigid deformity cases requiring significant angular correction.
As mentioned earlier, a wilson frame is primarily used in spinal surgery. They are designed, taking the patient's comfort and ease of usage, into consideration.
Metal frames are the most common frames used in spinal surgeries since they are strong, sturdy, and have high tensile strength. Steel and aluminum alloy frames are excellent choices considering their strength-to-weight ratios. Being highly durable, they are ideal for long-term use and can handle the required stresses. Metal frames are suitable for patients with limited movement, as they provide necessary support and stability.
Wood frame surgeries are often chosen where there is a need for temporary support in patients with normal spinal configurations declining to stay on the bed. Wood frames are cheap and also eco-friendly. They are lightweight and portable, which makes them ideal for easy transportation. Wood frames are not suitable for long-term or heavy uses as they can warp over time.
Plastic frames are more lightweight and easier to manage in certain conditions. Although less strong than metal frames, they are fitted for quests that need long-term support and have undergone recent spinal surgery. One of the protections of plastic frames over metal and wood is that they insulate heat around the patient's body as opposed to the other two, which if heated will cause discomfort to the user.
Rubber and foam components undertake additional comfort and stabilization features for the Wilson frame. Padding made of foam will be placed where the frame comes in contact with the patient's body to eliminate frame pressure sores and discomfort. These materials are shock-absorbing and reduce frame vibrations transmitted to the patient from external factors. They are soft and flexible and are fit for patients who may suffer from skin irritation due to prolonged use of the frame. These materials are suitable for patients with different spinal conditions.
Here are some of the common conditions that necessitate the use of wilson frames in surgeries:
Wilson frames are used during spinal surgeries to treat deformities such as scoliosis and kyphosis. Such frames are used to hold the spine in place as it heals after corrective operations to be performed on it. In such cases, the wilson frame is preferred over other frames because it allows the spinal structures to be accessed more conveniently during the surgery.
Patients with spinal tumors or lesions who require surgical intervention to remove the tumor or repair lesion damage will use a Wilson frame during their surgery. These surgeries commonly involve extensive manipulation of the spinal cord and surrounding tissues. This is why the Wilson frame provides the desired stability during such complex procedures.
Wilson frames are also applied to the trauma of spinal fractures that need to be repaired surgically. The support offered by the frame prevents any movement of the affected area during the surgery. It plays a vital role in the management of spinal injuries by allowing easier access to the damaged vertebrae and facilitating safer surgical repair.
Congenital disorders such as spina bifida or Arnold-Chiari malformation may necessitate surgical intervention depending on the severity of the condition. A Wilson frame is used for such corrective surgeries on the spinal column in order to support the structure and facilitate easier access to the internal spinal elements.
Spinal degenerative diseases like Paget's disease, osteoporosis, and others may cause abnormal bone growth that requires surgical intervention. Deformities and instability resulting from extensive degeneration necessitate painful surgical procedures that can be performed using the Wilson frame.
Infections like abscesses or osteomyelitis involving the spinal structures may damage the vertebrae or even lead to neurological complications. In such drastic cases, the Wilson frame is used to perform surgery and provide the required level of support to perform delicate operations on the infected areas.
There are a few important factors to consider when shopping for the right wilson frame. Below, find the factors:
Metal and plastic frame materials are recommended for spinal surgeries since they are strong, sturdy, and lightweight. Plastic or wooden birth frames are advisable for simple lying conditions where the patient's weight is minimal.
The frame should be adjustable to fit the patient's body shape. Select height-adjustable frames to allow optimal positioning for various treatment procedures. Also, pick a frame that has adjustable sections to allow flexibility in posture and support different spinal conditions.
This frame should be designed to provide maximum stability during surgery without causing any movement. Also, select a frame with a wide base to minimize its chances of toppling over. Designs that keep the center of gravity low will increase stability, even with minor movements.
Complexities should be avoided when operating on a wilson frame, particularly in the surgeries that follow it. Choose frames that can be easily adjusted without putting much force into it, as this will ensure that prompt adjustments can be made. Select lightweight frames, although they should be stable enough to bear the surgery weight.
As mentioned earlier, ease of access should also be allied to frame design. Wilton frame surgery frames should offer unrestricted access to the spinal column for the surgical team. This can be achieved by going for a frame that has an opening in the center that will enable the surgeon to reach the targeted area without obstruction.
A1. No. Only those with spine-related issues will undergo wilson frame surgery. This frame is used to support the spine during complex neurosurgery. The design allows access to the spine and keeps the patient stable.
A2. The patient may be asked to refrain from eating and drinking for certain hours before the procedure. Blood tests and imaging scans will be performed to check the surgery area. The patient will talk to the surgical team about the process.
A3. Surgeons choose a wilson frame because it offers better access and stability and makes complex spinal surgeries easier.
A4. The recovery time after surgery will take from several weeks to a few months. But there will be gradual healing, and patients will undertake physical therapy to help regain strength and flexibility in their spines.
A5. Like other surgeries, there are risks such as infections, blood loss, or nerve injury. But the benefits outweigh the risks, and complications are relatively rare.
