Sciatica From Gun Belt

L5 S1 Fusion TLIF Back Surgery Tutorial O Arm CT Vail Colorado

this is corenman and we're going totalk about a transforaminal lumbar interbody fusion using minimally invasive micro surgical technique stealth and the O Arm this is a typical picture of a verydegenerative L5 S1 disc the disc has collapsed and you can seeblack vacuum phenomenon this is the MRI finding where you cansee the lowest disc

is much collapsed compared to theones above with bone signal changes indicatingstress fracturing this is a discogram where the twodiscs above the degenerative disk obviously normal with a cotton ballappearance and the L5 S1 disc is quite degenerative this is the technique of the pedicle screw insertion we start first

by putting a small frame on the spinousprocess which you can see protruding out of the blue sheets there we cover it with a clear sheet in order to protectthe sterility of the field this device is an O Arm it's an introoperative CT scanner and this device can lend us images not only front toback and side to side but top to down which

makes surgery much safer and much easier for insertion of the screws we're going to watch how this CT worksthe light on top comes on and you'll see this image spin around and this is the actual CT scan and howlong it takes this CT is onethird the typicalexposure of a standard CT performed in a

here are the tools that we use in orderto identify the levels the incisision has alread been made that device that is protrudingout is attached to the spinous process the device I am and holding identifies thelevel that we are at after identify where the screw is going to be inserted I use a small burr to create a starting hole once that starting holes is created

then i use a tool called a pedicle finder or pedicle to find the pedicle and this is done under direct visualizationyou'll see here that this device that i have has these ballsattached and these balls reflect off of a frameand is very similar to a GPS device you can actually insert

Self Defense from Inside Position Self Defense from Inside Position Inner Leg Kick

Now we're going to show you a very very simpletake down, which is actually more of a stomp on the knee than a take down. It depends onhow you do it and how you execute. Again she throws a punch. But this time you want tomake sure that the person doesn't step all the way through. Because your actual targetis on their left leg, inside the leg. If they do step through go ahead you can still executethe same technique, it's just on the opposite leg. And still will take them down to theground. However, if they don't take that step you can still do that same exact technique.But this time it's on the inside of the leg which is pretty devastating because it's aweak part of the body. So what you do is you

take your right leg or your left leg, I preferthe right leg to stomp onto the inside of the knee. That'll also twist them down tothe ground and possibly even break the knee. So, when you're practicing, again be veryvery careful. We'll speed it up for you. Block, coming in, stomp and down to the ground. It'sa very quick technique to bring somebody down and also once you bring them down you alsohave strikes that you can execute from there. Again, block, take down. Her knee is righthere at their face. So, you can slide in, throw a knee strike to the head. Or if youwant to you can continue to manipulate the arm because you've maintained a grip on that.So you go it's a very simple take down. It's

a stomp onto the inside of the leg from theinside position of the body.

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