Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 5 doc
Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 4 docx
... “ishion” standing for hip, buttocks, sacrum, loin and also
upper limb. Since the time of Hippocrates of Cos (46 0–370
B.C.), this term has
relatedtopainsyndromeofthelowerbackandtheupperpartsofthelowerlimbs
[57].
The ... (1930).
2 Section History of Spinal Disorders
c d
Figure 2. (Cont.)
c Andreas Vesalius (15 14 15 64) . d Josias Weitbrecht’s (1702 – 1 747 ) Syndesmologia (1 742 ) p...
Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 5 doc
... [42].
Par ´e ( 151 0– 159 0)
introduced a brace
for scoliosis treatment
A less cruel method of treating spinal deformities was developed by Ambroise
Par´e ( 151 0– 159 0). The father of French surgery ... loca-
tion and size of the lesion. There is often a history of trauma not immediately related to the present condition. Numbness
and tingling, anaesthesia, partial or complet...
Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 6 docx
... of any
major advancement in the treatment of spinal dis-
orders.
In the Renaissance, the studies of Andreas Vesalius
(1514–1 564 ), the father of modern anatomy, led to
a better understanding of ... dedicated to the research and treatment of spinal cord
injuries (
Fig. 10c).
He propagated intensive rehabilitation and sports. He also wrote a profound
and epoch-making...
Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 17 docx
... the
responsibleenzymefortetrahydrobiopterin(BH4)synthesis.BH4isanessential
cofactor for catecholamine, serotonin and nitric oxide production and thus a key
modulator of peripheral neuropathic and inflammatory pain. Healthy individu-
Pathways of Spinal Pain ... integration and nociceptive transfer of noci-
144 Section Basic Science
General Concepts of Pain Treatment
Pharmac...
Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 23 docx
... work-up and initiation of treatment is mandatory.
The major goal of the clinical assessment is to differentiate:
specific spinal disorders, i.e. with a pathomorphological correlate
non-specific spinal ... consider a spinal intervention
✔
The reproducibility of the patient’s history and
examination is limited
Epidemiology
Generally, spinal pain
is common, benign,
and self...
Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 29 doc
... injection of 0.3 ml of contrast material.
Anteroposterior spot radiographs are obtained for the documentation of the
contrast material distribution. Two milliliters of 0.2% ropivacaine and 40 mg of
triamcinolone ... value of discography because of
a lack of understanding of pain pathogenesis [22–24, 78, 123].
Indications
Inourservice,patientsareonlyselectedforprovocativedi...
Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 34 docx
... bilat-
eral and complex symptoms (impaired upper limb –
hand function, gait disorder, bladder and bowl dys-
function). Duration of symptoms is important for
the definition of etiology and urgency of therapy
(e.g. ... (cave: spinal shock). Pathological reflexes
indicate central (spinal and supraspinal) lesions.
Motor strength is subdivided into six grades
(M0–M5), and key mu...
Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 40 docx
... intubation
degree of mouth opening
size of the tongue
visibility of the pharynx
the state of dentition
restriction of neck movement
stability of the cervical spine
Assessment of cervical
stability is mandatory
in ... preparation and to take into account those conditions
which will add to the risk of anesthesia and surgery.
Information and Instructions
One aim of the pr...
Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 42 doc
... PGE
1
is capable of reducing MAP smoothly, maintaining the autoregulation of
the spinal cord blood flow [79].
In spinal cord injury
and compression, CHA can
compromise remaining
spinal cord function
Caution ... taken to minimize compression and traction of linesand anatomic struc-
tures. Cervical spine procedures call for a thorough final check of lines and tubes
before pr...
Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 44 doc
... assessment
of the different organ systems is self-evident
✔
Perioperative tachycardias are often combined
with ischemic episodes, and their treatment is
mandatory because of the high mortality of
perioperative ... ileus, and nausea and delays mobilization and feeding. Effec-
tive treatment of postoperative pain, therefore, results in modification of the
biological respon...
Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 45 doc
... hypertrophy of the yellow ligament
and causes a narrowing of the spinal canal and foramen. During later stages of
segmental degeneration, kyphosis of the cervical spine can occur and further
compromise ... irritation of the nerve roots and can lead to hyp-
oxia of the nerve root and dorsal root ganglion. The subsequent release of proin-
flammatory cytokines and NGF...
Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 49 doc
... comparison of
cervical laminaplasty and cervical laminectomy with progressive facetectomy. Spine
18:1995–2004
190. Nurick S (1972) The natural history and the results of surgical treatment of the spinal ... operative
treatment of 48 patients with mild and moderate forms of cervical spondylotic myelopa-
thy (CSM). The authors concluded that surgical treatment of mild...
Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 54 doc
... course of spinal
stenosis is generally benign
Little is known about the natural history of spinal stenosis. Some authors
reported that the natural course is benign and that the subjective and physical
manifestations ... the type of stenosis (i.e. central,
lateral recess, or foraminal) and the presence of concomitant back pain. The
principal surgical options for decompression...
Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 55 doc
... spine, with and
without spinal fusion, for the treatment of lumbar spinal stenosis without instability in 45
patients. The patients were randomly assigned to one of three treatment groups: Group ... decompression with laminotomy and medial facetectomy; Group II,
with decompression and arthrodesis of the most stenotic segment; and Group III, with
decompression and spin...
Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 56 doc
... features,i.e.completelossofarticularcartilage,
cysts and pseudocysts in the bone, dense bone sclerosis, and large osteophyte
formation. Of note, spontaneous fusion of the facet joints is very rare in the
absence of ... true incidence of symptomatic alterations of the motion segment.
The natural history of LBP
is benign
The natural history of LBP related to degenerative lumba...
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