Quote from: Antoine on August 15, 2020, 09:56:03 PMI’m not a doctor, but I think it isn’t as dangerous as it may seem. According to the site, “The disc compartment is punctured with a small hollow needle, monitored by x-ray. The very thin synthetic disc stick only a few millimetres long are then inserted through this needle. The correct position inside the disc is also monitored by x-ray. The typical procedure lasts about 10-20 minutes.”
I guess the real issue is: does this procedure really add millimeters of height to healthy discs?
I actually did a ton of research on this. Not an expert, but here's my 2c
These injection treatments are designed to restore vertebral height lost from degenerative disk disease (DDD). At best, this is a couple millimeters and is typically done to affected disks only. For obvious reasons, there isn't any research (as far as I could find) about what happens if you reverse intervertebral disk height (IDH) loss beyond the original loss amount. What little I could find however, seemed to indicate that expanding IDH beyond original levels increased the risk of future DDD in adjacent sections due to mechanical changes in the distribution of stress and pressure along the spine. Additionally, it seemed that expanding IDH beyond original height increased the risk of disk herniation (basically disk popping and oozing, super painful) due to increased outward pressure on the walls of the disk.
So theoretically, yes, you can add a few mm to each disk along the entire length of the spine. At best, you are looking at a half inch to an inch of improvement in exchange for increased herniation risk for all disks of the spine, with risk compounding with each disk you "inflate".
If you have access to regular monitoring to determine the health of the disk walls and stress distribution along the spine, it might be viable. But I don't see any surgeon okaying this lol, at least not in the US.
The only way I could really find that could work is very costly and experimental. You'd basically have to undergo targeted disk replacement/fusion. Finding vertebrae along the thoracic portion where changes would result in the smallest load effect. You would remove the disk and replace it with a bone graft and a specially made distraction device. Over a fairly short period, you would distract the desired/safe length and then the two vertebrae would fuse. The additional space added through distraction = total height gained.
I had some concerns regarding the stretching of nerves, but I found a NASA study on astronauts spinal health during long term missions where their spines would lengthen/decompress up to 2-3 inches. The study explored back pain experienced by astronauts when they returned to Earth. In all cases, the back pain was the result of back muscle atrophy, not nerve issues. As far as I could tell, the spinal nerve was more than able to stretch for long periods of time with seemingly no adverse effect on the astronaut. That said, I couldn't find any research about what happens if you isolate the stretch along a small portion of the spinal nerve. (For example, stretching 2-3 inches between 3 adjacent vertebrae instead of 2-3 inches along the whole spine).
Review of questions that need to be answered/researched:
1. What would be the effect of basically adding an extra 1-3 inches between the T12/L1 vertebrae?
2. How would back muscles and spinal ligaments adjust? Could they adjust? (Especially concerned about ligaments, they're not meant to stretch very far)
3. How much mobility is lost through the process? I've read about T12/L1 area fusion and it seems like athletes are generally able to return to normal function. Issues really only start if you're messing with the lower vertebrae.
4. Can the spinal cord and nerves stretch that distance? (I think the cord would just move further along the sleeve, but that still leaves the nerves)
5. Facet joints will need to be fused as well.
6. Take questions 1-5 and apply them to the cervical spine.
7. How to design the device?
8. How to fund a device?
9. How, who, and where could this treatment possibly be tried?
So in summary this treatment is technically possible. Portions of the proposed solution have already been tried and tested in a mix of different DDD treatments. It would be a question of combining some techniques and prototyping a new device. Essentially a spine version of the Stryde nail.
But it's a high-risk, fringe treatment with limited ROI potential for doctors and device manufacturers. The only hope for this is, in my eyes, is a very wealthy person with height neurosis decides to undergo the process of R&D, testing, and treatment, be it here in the states, or maybe in a place like China.
Anyways, this turned out a lot longer than I thought lol, got carried away. But I will do a follow-up or edit with citations with relevant studies if I have the time and/or people have the interest. Would love to continue to explore this with other interest "researchers" as a nice quarantine side project if anyone is interested! #Shorttorsogang