Day three of Logan’s Spring Symposium kicked off with plenary speaker Dr. Paul Matz who spoke on spinal balance and what Doctors of Chiropractic need to achieve clinically as well as when to consider surgical options.
“I think the take home message is to think globally and look and act locally,” he said. “We tend to think segmentally, and the same is true for us. Most important is what’s your functional status which is maintaining head over the pelvis. When doing restorative treatment, you always want to do is the least amount to address the simple problem and you always want to address the functional problem.
Demonstrating that point, and the fact that not all degenerative disease is the same, Dr. Matz presented case studies of two patients (one with aging hyper pressure, the other with compensatory hyperextension) where the same area on each was treated, yet the first provided a local problem, and the other had a much more global problem, having more impact on other areas.
“Management becomes what’s efficacious, complication free and low cost,” he said. “When we see patients, older does not necessarily mean worse. You must look at morbidity and the number of risk factors. Preventative complications are related to the number of complications.”
Dr. Matz said age is acceptable, if healthy. Poorer health, however, is the real risk factor so maintaining bone and joint movement is important. Aging co-morbidities that affect the spine include osteoporosis, Vitamin D deficiency, renal failure, infections and malignancies and metasticies.
Dr. Matz is a 1992 graduate of Columbia University’s College of Physicians and Surgeons. He graduated magna cum laude from Yale University in 1987, was Chief Resident in Neurosurgery at the University of California at San Francisco, Assistant Professor of Neurosurgery at Stanford University and Assistant Professor of Surgery at the University of Alabama at Birmingham. He is a partner with the Brain and Spine Center at St. Luke’s Hospital in Chesterfield, Mo.
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