Category: Benn Willcox

Benn Willcox

Caring for Those With Spinal Complications

Of patients who have suffered from spinal cord injuries, those dealing with spinal disorders, or any variation of spinal complications, personal assistance is often required to help with daily activities. Simple tasks like getting out of bed in the morning, bathing, and getting dressed are often taken for granted by individuals not dealing with such complications, but for those who are, depending on the level of injury, aid can help greatly.

As a caregiver for someone dealing with spinal issues, there are many challenges that will be faced throughout the process. The best approach is to make yourself available at all times and maintain positivity throughout. A common mistake many caregivers make is letting the initial worry and concern for the recovery time to add stress to their already demanding responsibilities, while learning about the necessary steps in delivering proper care and attention.

For caregivers, education in the field of spinal cord injuries and all forms of spinal conditions is crucial in understanding the tasks needed to assist those suffering from such complications. Aside from aiding in simple daily activities, one may have to learn about respiratory care, or bowel and bladder control for more extreme cases. Recognition of any pressure sores or harmful skin conditions will also be a regular requirement. In case of an emergency, ventilator care or CPR may be required. Though all of this can seem overwhelming, there are many reliable sources that can be found online and in stores written by experienced medical professionals.

The main areas to focus on as a caregiver include preventing further spinal injury, managing the current injury and pain, and managing the reflex phase. The purpose being that after experiencing a high spinal injury, spinal shock tends to follow when all spinal reflexes cease and muscle tone decreases. Over time, both do begin to recover, though the initial shock can lead to decreased blood pressure.

A very important consideration is how to properly lift and transport patients dealing with spinal issues. The “log-rolling” technique maintains the alignment of the spine, keeping the head and legs supported, which may require three or more caregivers. Depending on the case, stretchers or spinal boards may suffice. However, in order to prevent soft-tissue damage in patients with little to no sensation in the skin surrounding their spines, be sure to lay down a sheet separating them from the stretcher.

Taking care of an individual who has suffered a serious or traumatic spinal injury is a very difficult task, but doing so is an act of selflessness in order to provide the best help available for said patient. For more resources on how to offer the best care possible, visit

Benn Willcox arthrodesis

The Successes of CBA’s in Arthrodesis

Within the next decade, the number of arthrodesis procedures is expected to continue to increase due to aging populations and complex combinations of diseases in individuals. The goals of arthrodesis procedures are to decrease pain, increase mobility, and improve one’s overall quality of life.

Arthrodesis typically focuses on the reversal of disability associated with arthritis, trauma, diabetes, instability, or misalignment in joints, and successful procedures can depend on numerous risk factors. Considerations you should take into account beforehand include levels of tobacco or alcohol abuse, osteoporosis, use of anti-inflammatory drugs, age, and weight.

The quantity of autograft is sometimes limited, and the bone quality can be poor. This is especially common in older patients and those with a combination of physical difficulties. A second surgery may be required to reduce pain and improve mobility in these individuals, though a variety of bone graft substitutes have since been developed. These new developments range from synthetic matrices, to bone marrow aspirates, though, until recently, none of these substitutes consisted of bone-forming cells.

Breaking down cellular bone allografts (CBA’s), they biologically provide three properties that are necessary for proper bone formation. These include osteoconductive scaffolds, osteoinductive growth factors, and osteogenic cells. Orthofix’s Trinity Elite is a cryopreserved CBA that contains at least 500,000 living cells per CC, the donors of which are strictly screened by MTF based on multiple criteria like age and overall health. In the end, less than 3% of donors are accepted, showing how high the standards are for those that wish donate.

In order to measure CBA’s effects in arthrodesis procedures, a clinical trial was performed for 103 patients undergoing foot and/or ankle arthrodesis, of which were enrolled at 10 institutions and at least 18 years of age. The patients varied for their needs to undergo the procedure, ranging from arthritis, to deformities, to degenerative joint disease. 92 of these individuals successfully completed their 6-month follow-ups after the procedures were done, the primary endpoint being successful fusion after this time, following CT scans that confirmed such findings.

To simulate real life scenarios, patients considered high-risk were not excluded from the study. The use of CBA’s did not raise any concerns in terms of safety seeing as there were no adverse effects or infections in those that participated either. Statistically significant improvements in pain and function were noted at the end of the study, which notably improved throughout the entire process, thus showing the success CBA’s have in arthrodesis procedures.



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