Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Strict Standards: Non-static method JLoader::register() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 71
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Strict Standards: Non-static method JLoader::load() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 161
Strict Standards: Non-static method JLoader::register() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 138
Deprecated: Non-static method JModuleHelper::getLayoutPath() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/modules/mod_mainmenu/mod_mainmenu.php on line 42
Deprecated: Non-static method modMainMenuHelper::render() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/modules/mod_mainmenu/tmpl/default.php on line 82
Strict Standards: Non-static method JSite::getMenu() should not be called statically in /home1/orthospi/public_html/modules/mod_mainmenu/legacy.php on line 172
Strict Standards: Non-static method JApplication::getMenu() should not be called statically in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Strict Standards: Non-static method JMenu::getInstance() should not be called statically in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Strict Standards: Non-static method JError::isError() should not be called statically in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Strict Standards: Non-static method JFactory::getUser() should not be called statically in /home1/orthospi/public_html/modules/mod_mainmenu/legacy.php on line 173
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Strict Standards: Non-static method JFactory::getSession() should not be called statically in /home1/orthospi/public_html/libraries/joomla/factory.php on line 163
Strict Standards: Non-static method JURI::base() should not be called statically in /home1/orthospi/public_html/modules/mod_mainmenu/legacy.php on line 213
Deprecated: Non-static method JRegistryFormat::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/registry/registry.php on line 373
Deprecated: Non-static method JFilterInput::clean() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/registry/format.php on line 45
Strict Standards: Non-static method JRoute::_() should not be called statically in /home1/orthospi/public_html/modules/mod_mainmenu/legacy.php on line 107
Strict Standards: Non-static method JFactory::getApplication() should not be called statically in /home1/orthospi/public_html/libraries/joomla/methods.php on line 41
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 372
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JRouter::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 674
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 675
Deprecated: Non-static method JSite::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 419
Deprecated: Non-static method JApplication::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JMenu::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Deprecated: Non-static method JFactory::getApplication() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 401
Deprecated: Non-static method JSite::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 295
Deprecated: Non-static method JApplication::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JMenu::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Strict Standards: Non-static method JSite::getMenu() should not be called statically in /home1/orthospi/public_html/components/com_content/router.php on line 19
Strict Standards: Non-static method JApplication::getMenu() should not be called statically in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Strict Standards: Non-static method JMenu::getInstance() should not be called statically in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Strict Standards: Non-static method JError::isError() should not be called statically in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Deprecated: Non-static method JFactory::getApplication() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 90
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 394
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 394
Deprecated: Non-static method JURI::base() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 109
Home |
Deprecated: Non-static method JRegistryFormat::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/registry/registry.php on line 373
Deprecated: Non-static method JFilterInput::clean() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/registry/format.php on line 45
Strict Standards: Non-static method JRoute::_() should not be called statically in /home1/orthospi/public_html/modules/mod_mainmenu/legacy.php on line 107
Strict Standards: Non-static method JFactory::getApplication() should not be called statically in /home1/orthospi/public_html/libraries/joomla/methods.php on line 41
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 372
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JRouter::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 674
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 675
Deprecated: Non-static method JSite::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 419
Deprecated: Non-static method JApplication::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JMenu::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Deprecated: Non-static method JFactory::getApplication() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 401
Deprecated: Non-static method JSite::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 295
Deprecated: Non-static method JApplication::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JMenu::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Strict Standards: Non-static method JSite::getMenu() should not be called statically in /home1/orthospi/public_html/components/com_content/router.php on line 19
Strict Standards: Non-static method JApplication::getMenu() should not be called statically in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Strict Standards: Non-static method JMenu::getInstance() should not be called statically in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Strict Standards: Non-static method JError::isError() should not be called statically in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Deprecated: Non-static method JFactory::getApplication() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 90
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 394
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 394
Deprecated: Non-static method JURI::base() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 109
Surgical Procedures |
Deprecated: Non-static method JRegistryFormat::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/registry/registry.php on line 373
Deprecated: Non-static method JFilterInput::clean() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/registry/format.php on line 45
Strict Standards: Non-static method JRoute::_() should not be called statically in /home1/orthospi/public_html/modules/mod_mainmenu/legacy.php on line 107
Strict Standards: Non-static method JFactory::getApplication() should not be called statically in /home1/orthospi/public_html/libraries/joomla/methods.php on line 41
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 372
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JRouter::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 674
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 675
Deprecated: Non-static method JSite::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 419
Deprecated: Non-static method JApplication::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JMenu::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Deprecated: Non-static method JFactory::getApplication() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 401
Deprecated: Non-static method JSite::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 295
Deprecated: Non-static method JApplication::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JMenu::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Strict Standards: Non-static method JSite::getMenu() should not be called statically in /home1/orthospi/public_html/components/com_content/router.php on line 19
Strict Standards: Non-static method JApplication::getMenu() should not be called statically in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Strict Standards: Non-static method JMenu::getInstance() should not be called statically in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Strict Standards: Non-static method JError::isError() should not be called statically in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Deprecated: Non-static method JFactory::getApplication() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 90
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 394
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 394
Deprecated: Non-static method JURI::base() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 109
Non Operative Care |
Deprecated: Non-static method JRegistryFormat::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/registry/registry.php on line 373
Deprecated: Non-static method JFilterInput::clean() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/registry/format.php on line 45
Strict Standards: Non-static method JRoute::_() should not be called statically in /home1/orthospi/public_html/modules/mod_mainmenu/legacy.php on line 107
Strict Standards: Non-static method JFactory::getApplication() should not be called statically in /home1/orthospi/public_html/libraries/joomla/methods.php on line 41
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 372
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JRouter::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 674
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 675
Deprecated: Non-static method JSite::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 419
Deprecated: Non-static method JApplication::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JMenu::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Deprecated: Non-static method JFactory::getApplication() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 401
Deprecated: Non-static method JSite::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 295
Deprecated: Non-static method JApplication::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JMenu::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Strict Standards: Non-static method JSite::getMenu() should not be called statically in /home1/orthospi/public_html/components/com_content/router.php on line 19
Strict Standards: Non-static method JApplication::getMenu() should not be called statically in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Strict Standards: Non-static method JMenu::getInstance() should not be called statically in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Strict Standards: Non-static method JError::isError() should not be called statically in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Deprecated: Non-static method JFactory::getApplication() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 90
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 394
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 394
Deprecated: Non-static method JURI::base() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 109
Anatomy |
Deprecated: Non-static method JRegistryFormat::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/registry/registry.php on line 373
Deprecated: Non-static method JFilterInput::clean() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/registry/format.php on line 45
Strict Standards: Non-static method JRoute::_() should not be called statically in /home1/orthospi/public_html/modules/mod_mainmenu/legacy.php on line 107
Strict Standards: Non-static method JFactory::getApplication() should not be called statically in /home1/orthospi/public_html/libraries/joomla/methods.php on line 41
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 372
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JRouter::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 674
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 675
Deprecated: Non-static method JSite::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 419
Deprecated: Non-static method JApplication::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JMenu::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Deprecated: Non-static method JFactory::getApplication() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 401
Deprecated: Non-static method JSite::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 295
Deprecated: Non-static method JApplication::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JMenu::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Strict Standards: Non-static method JSite::getMenu() should not be called statically in /home1/orthospi/public_html/components/com_content/router.php on line 19
Strict Standards: Non-static method JApplication::getMenu() should not be called statically in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Strict Standards: Non-static method JMenu::getInstance() should not be called statically in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Strict Standards: Non-static method JError::isError() should not be called statically in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Deprecated: Non-static method JFactory::getApplication() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 90
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 394
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 394
Deprecated: Non-static method JURI::base() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 109
Keyword Index |
Deprecated: Non-static method JRegistryFormat::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/registry/registry.php on line 373
Deprecated: Non-static method JFilterInput::clean() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/registry/format.php on line 45
Strict Standards: Non-static method JRoute::_() should not be called statically in /home1/orthospi/public_html/modules/mod_mainmenu/legacy.php on line 107
Strict Standards: Non-static method JFactory::getApplication() should not be called statically in /home1/orthospi/public_html/libraries/joomla/methods.php on line 41
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 372
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JRouter::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 674
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 675
Deprecated: Non-static method JSite::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 419
Deprecated: Non-static method JApplication::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JMenu::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Deprecated: Non-static method JFactory::getApplication() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 401
Deprecated: Non-static method JSite::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 295
Deprecated: Non-static method JApplication::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JMenu::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Strict Standards: Non-static method JSite::getMenu() should not be called statically in /home1/orthospi/public_html/components/com_content/router.php on line 19
Strict Standards: Non-static method JApplication::getMenu() should not be called statically in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Strict Standards: Non-static method JMenu::getInstance() should not be called statically in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Strict Standards: Non-static method JError::isError() should not be called statically in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Deprecated: Non-static method JFactory::getApplication() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 90
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 394
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 394
Deprecated: Non-static method JURI::base() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 109
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Deprecated: Non-static method JRegistryFormat::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/registry/registry.php on line 373
Deprecated: Non-static method JFilterInput::clean() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/registry/format.php on line 45
Strict Standards: Non-static method JRoute::_() should not be called statically in /home1/orthospi/public_html/modules/mod_mainmenu/legacy.php on line 107
Strict Standards: Non-static method JFactory::getApplication() should not be called statically in /home1/orthospi/public_html/libraries/joomla/methods.php on line 41
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 372
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JRouter::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 674
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 675
Deprecated: Non-static method JSite::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 419
Deprecated: Non-static method JApplication::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JMenu::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Deprecated: Non-static method JFactory::getApplication() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 401
Deprecated: Non-static method JSite::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 295
Deprecated: Non-static method JApplication::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JMenu::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Strict Standards: Non-static method JSite::getMenu() should not be called statically in /home1/orthospi/public_html/components/com_content/router.php on line 19
Strict Standards: Non-static method JApplication::getMenu() should not be called statically in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Strict Standards: Non-static method JMenu::getInstance() should not be called statically in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Strict Standards: Non-static method JError::isError() should not be called statically in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Deprecated: Non-static method JFactory::getApplication() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 90
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 394
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 394
Deprecated: Non-static method JURI::base() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 109
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Deprecated: Non-static method JRegistryFormat::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/registry/registry.php on line 373
Deprecated: Non-static method JFilterInput::clean() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/registry/format.php on line 45
Strict Standards: Non-static method JRoute::_() should not be called statically in /home1/orthospi/public_html/modules/mod_mainmenu/legacy.php on line 107
Strict Standards: Non-static method JFactory::getApplication() should not be called statically in /home1/orthospi/public_html/libraries/joomla/methods.php on line 41
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 372
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JRouter::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 674
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 675
Deprecated: Non-static method JSite::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 419
Deprecated: Non-static method JApplication::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JMenu::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Deprecated: Non-static method JFactory::getApplication() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 401
Deprecated: Non-static method JSite::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 295
Deprecated: Non-static method JApplication::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JMenu::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Strict Standards: Non-static method JSite::getMenu() should not be called statically in /home1/orthospi/public_html/components/com_content/router.php on line 19
Strict Standards: Non-static method JApplication::getMenu() should not be called statically in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Strict Standards: Non-static method JMenu::getInstance() should not be called statically in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Strict Standards: Non-static method JError::isError() should not be called statically in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Deprecated: Non-static method JFactory::getApplication() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 90
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 394
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 394
Deprecated: Non-static method JURI::base() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 109
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Deprecated: Non-static method JRegistryFormat::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/registry/registry.php on line 373
Deprecated: Non-static method JFilterInput::clean() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/registry/format.php on line 45
Strict Standards: Non-static method JRoute::_() should not be called statically in /home1/orthospi/public_html/modules/mod_mainmenu/legacy.php on line 107
Strict Standards: Non-static method JFactory::getApplication() should not be called statically in /home1/orthospi/public_html/libraries/joomla/methods.php on line 41
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 372
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JRouter::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 674
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 675
Deprecated: Non-static method JSite::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 419
Deprecated: Non-static method JApplication::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JMenu::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Deprecated: Non-static method JFactory::getApplication() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 401
Deprecated: Non-static method JSite::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 295
Deprecated: Non-static method JApplication::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JMenu::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Strict Standards: Non-static method JSite::getMenu() should not be called statically in /home1/orthospi/public_html/components/com_content/router.php on line 19
Strict Standards: Non-static method JApplication::getMenu() should not be called statically in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Strict Standards: Non-static method JMenu::getInstance() should not be called statically in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Strict Standards: Non-static method JError::isError() should not be called statically in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Deprecated: Non-static method JFactory::getApplication() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 90
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 394
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 394
Deprecated: Non-static method JURI::base() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 109
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Deprecated: Non-static method JRegistryFormat::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/registry/registry.php on line 373
Deprecated: Non-static method JFilterInput::clean() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/registry/format.php on line 45
Strict Standards: Non-static method JRoute::_() should not be called statically in /home1/orthospi/public_html/modules/mod_mainmenu/legacy.php on line 107
Strict Standards: Non-static method JFactory::getApplication() should not be called statically in /home1/orthospi/public_html/libraries/joomla/methods.php on line 41
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 372
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JRouter::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 674
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 675
Deprecated: Non-static method JSite::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 419
Deprecated: Non-static method JApplication::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JMenu::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Deprecated: Non-static method JFactory::getApplication() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 401
Deprecated: Non-static method JSite::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 295
Deprecated: Non-static method JApplication::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JMenu::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Strict Standards: Non-static method JSite::getMenu() should not be called statically in /home1/orthospi/public_html/components/com_content/router.php on line 19
Strict Standards: Non-static method JApplication::getMenu() should not be called statically in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Strict Standards: Non-static method JMenu::getInstance() should not be called statically in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Strict Standards: Non-static method JError::isError() should not be called statically in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Deprecated: Non-static method JFactory::getApplication() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 90
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 394
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 394
Deprecated: Non-static method JURI::base() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 109
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Deprecated: Non-static method JRegistryFormat::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/registry/registry.php on line 373
Deprecated: Non-static method JFilterInput::clean() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/registry/format.php on line 45
Strict Standards: Non-static method JRoute::_() should not be called statically in /home1/orthospi/public_html/modules/mod_mainmenu/legacy.php on line 107
Strict Standards: Non-static method JFactory::getApplication() should not be called statically in /home1/orthospi/public_html/libraries/joomla/methods.php on line 41
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 372
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JRouter::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 674
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 675
Deprecated: Non-static method JSite::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 419
Deprecated: Non-static method JApplication::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JMenu::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Deprecated: Non-static method JFactory::getApplication() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 401
Deprecated: Non-static method JSite::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 295
Deprecated: Non-static method JApplication::getMenu() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Deprecated: Non-static method JMenu::getInstance() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Deprecated: Non-static method JError::isError() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Strict Standards: Non-static method JSite::getMenu() should not be called statically in /home1/orthospi/public_html/components/com_content/router.php on line 19
Strict Standards: Non-static method JApplication::getMenu() should not be called statically in /home1/orthospi/public_html/includes/application.php on line 345
Strict Standards: Non-static method JLoader::import() should not be called statically in /home1/orthospi/public_html/libraries/loader.php on line 186
Strict Standards: Non-static method JMenu::getInstance() should not be called statically in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 720
Strict Standards: Non-static method JError::isError() should not be called statically in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 721
Deprecated: Non-static method JFactory::getApplication() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 90
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 394
Deprecated: Non-static method JFactory::getConfig() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/libraries/joomla/application/application.php on line 394
Deprecated: Non-static method JURI::base() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/includes/router.php on line 109
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In-Depth Tutorial |
Deprecated: Non-static method JModuleHelper::getLayoutPath() should not be called statically, assuming $this from incompatible context in /home1/orthospi/public_html/modules/mod_mainmenu/mod_mainmenu.php on line 42
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Decompression/Fusion |
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Revision Surgery |
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Problems after Adolescent Scoliosis Surgery |
When surgery is performed to correct adolescent idiopathic scoliosis, a spinal fusion is performed. This means that a previously mobile spinal column is partially converted into a stiff solid spine. In order to achieve correction of the scoliotic curvature, spinal instrumentation is usually placed (rods, hooks, screws, wires…). This is complex surgery and a perfect result is impossible to guarantee. Even in the best of hands suboptimal results occur and complications can develop.
One of the more common patient concerns after scoliosis surgery includes the lack of complete correction and persistent rib hump seen from the back. This is usually not a sign of complication and rather reflects the complex three dimensional deformity of scoliosis. Even if the spinal curvature is corrected (around 50% correction is considered good in most cases), the ribcage shape is often not corrected so much, and can be very hard to improve. In some cases a thoracoplasty (cutting ribs to improve the rib hump appearance) is performed.
Another area of concern after scoliosis surgery is the shoulder imbalance that can develop, progression of a curvature in the non-fused portion of the spine, and imbalance of the trunk. These problems may reflect continued and unanticipated growth in the spine after surgery, incomplete balance of the spine at the time of surgery, poor surgical strategy, unanticipated trunk shifting after scoliosis correction, or suboptimal surgical technique of correction.
Late, or longterm complications after scoliosis surgery can also develop. In most cases these are a reflection of suboptimal spinal balance at the time of surgery, degeneration of non-fused portions of the spine, or loss of muscle tone and active posture maintenance. Many of these complications are noted in patients that had long spinal fusions to the lower lumbar levels, particularly after fusion with Harrington rods. The term flatback syndrome has been given to one type of these long-term failures after scoliosis surgery.
Learn more about Revision Surgery in our Revision Surgery Tutorial.
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