Project Management Aspect of Bone Substitute

Added on - 24 Feb 2020

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ProjectResolve management problem associated with the spinal fusion by providing newtechniques and procedures
ContentsIntroduction:..........................................................................................................................................2Background:..........................................................................................................................................2Research questions:...............................................................................................................................3Aims and objectives:.............................................................................................................................3Literature Review:.................................................................................................................................3Vertebral Fusion Process:......................................................................................................................6Significance:..........................................................................................................................................6Result and outcome:..............................................................................................................................8Conclusion:............................................................................................................................................9References:..........................................................................................................................................10Appendix 1:.........................................................................................................................................12
Introduction:This project focuses on the project management aspect of bone substitutes used to promotevertebral fusion in spinal surgery. The surgical procedures used to correct spinal conditionssuch as Adolescence Idiopathic Scoliosis (AIS) generally consist of titanium screws and rodsto confine spine deformation together with the use of bone grafts in order to promotevertebral fusion. Spine surgery strongly depends on particular fusion technique of boneallograft. The bone allograft is the surgical procedure which is commonly used for fixing thebone problems. The bone allograft helps in fixing the bone which is damaged from trauma. Itis the most recommended practice for knee replacement.“There is some limitation in thebone substitute methodology which is used to cure spine surgery” (Bae, 2017). The surgeonsare looking forward for the innovative technology which can minimise the risks of infectionassociated with the bone surgery. The bioactive glass is used for providing structure,mechanical strength, and architecture to the fractured bone. “It helps in promotingregeneration of the damaged tissues because the bio active materials are made up of ceramicand silicon oxide which are naturally present in the human body” (Wang, 2015). The purposeof this project is to resolve management problems associated with the promotion of thevertebral fusion for the assessment of bone substitute.Background:The traditional surgical procedures which are used for bone grafting are vertebral fusion,bone allograft, and others. The vertebral fusion focuses on overcoming the problemassociated with the insertion of bone allograft into the allocated disc space. The boneallograft helps in fixing the bone which is damaged from trauma. It is the most recommendedpractice for knee replacement. The other common procedures which are used for bonegrafting are making use of intervertebral cages made of titanium or polymer.The lumbarfusion is depends on bone morphogenetic protein which is the common substitute of crestbone grafting surgery. The demand of spinal fusion is continuously increasing from last 10years. The success of the long term fusion makes use of biological process by using surgicalfixation techniques. The risks which are associated with the spinal fusion are such as cause ofinfection due to metallic fixation, difficulty in bone grafting during surgery, and thedependence on the specific surgical techniques, addition of stress in the patient behaviour,and others. “The migration of anterior grafting requires the repetition of the spinal surgery”
(Sheikh, 2017). The PLIF or TLIF methodology should be adopt for placing the anteriordevice anteriorly. The posterior approach is the safest approach which is used for carryingover revision spine fusion surgery.Research questions:What the possible steps which should be taken to resolve the problem of infectionoccurs in spinal surgery?What are the new policies and regulations which are used to overcome the issues andproblems occurred in the spinal fusion?What are the guidelines which should be adopted by the surgeons for providingmedication at the time of spinal surgery?How to overcome the healing problem in spinal surgery?What are the steps which should be followed by the surgeons to reduce the risks ofinfection in the patient?Which is the best approach used for providing spinal fusion? Why?Aims and objectives:The aim of this project is to resolve the management problem associated with the spinalfusion by providing new guidelines and procedures to the surgeon to reduce the chance ofrisks accompanied with the spinal surgery.The risks associated with the bone grafting aretransmission of the infectious disease, HIV, syphilis, and bacterial sepsis.The objective is toprovide a systematic architecture to handle the management problems associated with thespinal surgery. The management tools and techniques help in improving the health conditionsof the patient by getting appropriate treatment within a short period of time.Literature Review:The complications are reported with the spinal fusion are occurrence of superficialoccurrence, seromas of superficial surgery, hematomas, vascular injuries, neurologic injuries,pain related with the chronic donor, complication in wound reoperations, bone grafting is notclearly done, and difficulty in carrying out daily activities. The traditional practices which areused in the bone grafting are allograft bone, bone morphogenetic proteins, synthetic bonesubstitutes, demineralized bone matrix, and cell based matrices. The key drivers which areused for spinal fusion are categorised as joint reconstruction of spinal fusion, increasing rate
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