Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 116 pptx
Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 116 pptx
... University of Bern, and Chief of Staff, Department of Orthopaedic Surgery, Hirslanden-Salem Hospital, Bern, Switzerland. Max Aebiis Co-Founder and Past Chairman of AO Spine, a member of the European ... 1960 and is a Swiss citizen. He studied atthe University of Saarland, Germany, and the University of Basle, Switzerland. Hethen received an international training as an orthopedic and spinal ... General and Orthopedic Surgeon (FMH and FRCSC), and did his spine fellowship training inCanada, the United States and the United Kingdom. From 1992 to 2002, he heldthe positions of Professor and...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 1 pot
... 14 Surgery 14 BackPainandSciatica 15 AWrongMixtureofFluids 15 DiscHerniation 17 HistoricalCaseStudy 19 TheFacetSyndrome 21 SpinalStenosis 21 SpinalInfections 22EgyptianMummiesandSirPercivalPott ... mean difficult choices inthe allocation of treatment modalities. Therefore, a basic knowledge of the state of the art of the diagnosis and treatment of spinal disorders is required, not onlyfor ... 6LaughingGas,ChloroformandCocaine 6AntisepsisandAntibiotics 6DiagnosticImaging 8Scoliosis 8Pathogenesis 9Assessment 9Non-operativeTreatment 11 ScoliosisSurgery 13 JuvenileKyphosis 13 Spondylolisthesis 14 AnObstetricalProblem...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 2 potx
... 22 1Reproducibility 22 1Differential Diagnosis of Spinal Pain Syndromes 22 2Recapitulation 22 2KeyArticles 22 3References 22 49 Imaging StudiesMarius R. Schmid, Jürg HodlerCoreMessages 22 7ImagingMethods 22 7StandardRadiographs ... 20 3Pain 20 4Function 21 0SpinalDeformity 21 0PhysicalExamination 21 1Walking 21 1Standing 21 1Sitting 21 6LyingSupine 22 0LyingonLeft/RightSide 22 0LyingProne 22 1AbnormalIllnessBehavior 22 1Reproducibility ... PfirrmannCoreMessages 26 1RationaleforSpinalInjections 26 1LumbarandCervicalNerveRootBlocks 26 2Indications 26 2Technique 26 3Complications 26 5DiagnosticandTherapeuticEfficacy 26 5EpiduralandCaudalBlocks 26 7Indications...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 4 docx
... “ishion” standing for hip, buttocks, sacrum, loin and alsoupper limb. Since the time of Hippocrates of Cos (46 0–370B.C.), this term hasrelatedtopainsyndromeofthelowerbackandtheupperpartsofthelowerlimbs[57].The ... (1930).2 Section History of Spinal Disordersc dFigure 2. (Cont.)c Andreas Vesalius (15 14 15 64) . d Josias Weitbrecht’s (1702 – 1 747 ) Syndesmologia (1 742 ) precisely described the spinal ligaments.During ... locatedin the spinal cordAt the beginning of the 19th century, it was still believed that some parts of the spinal cord contained the “centers of feeling”. Furthermore it was believed thatthe spinal...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 5 doc
... [42].Par ´e ( 151 0– 159 0)introduced a bracefor scoliosis treatment A less cruel method of treating spinal deformities was developed by AmbroisePar´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 complete loss of power of locomotion, ... underarm and leg distractionin suspension. In later times, only little progress was made regarding the etiology and treatment of spinal deformities. Spinal deformities werethought to result fromspinal...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 11 pptx
... withimplantation.RecapitulationGoals of spinal instrumentation.The aims of spinal instrumentation are stabilization, achievement and maintenance of curve correction (alignment) and facilitation of bony fusion (spondylodesis). ... tumor and post-traumatickyphosis. The load is transferred through a combination of compressive or ten-sile loading along the length of the implant and bending or torsion. Due to itsprofile and ... recent development of a novel “stand-alone” device which combines the prin-ciple of the interbody cage with anterior tension band instrumentation (SynFix,Synthes, USA and Switzerland). Cain et al....
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 20 pptx
... Gallacher D (200 6)Surveyofchronicpainin Europe: Prevalence, impact of daily life, and treatment. Eur J Pain 10:287 – 333This article provides recent (200 3) estimates of the prevalence of pain in ... classification and staging [112]. In addi-tion to a population based registry approach [79, 80], a greater standardization of the assessment of risk, treatment and outcomes [62, 94] and a more standardizedcosting ... classification of disorders,the natural course of disease,thefrequency and development of the disease in a population, and the burden of costs.Classification. Most spinal disorders are non-spe-cific and...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 41 pptx
... integ-rity of the spinal function. At the same time larger doses of opiates became popularto help maintain stable hemodynamic conditions and better pain control intra- and postsurgery. In the 1980s and ... decompressed of gas and secre-Careful eye and faceprotection is crucialtions by using the gastric tube. Careful eye protection with cream, occlusive tape and peripheral padding is mandatory in particular ... their fields and everybodyunderstands his or her own role and each other’s inputs. In this chapter the mostrelevant features of anesthesia for spinal surgical procedures are discussed. Partic-ular...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 43 pptx
... function of the spinal cord and nerve roots. Usually the spinal cord, brachial plexus roots, and L5 and S1 can be evaluated by asking the patientto move their hands and feet. The WUT is an outstanding ... [26]. Recently, the use of aprotinin was associated with a doubling of the risk of renal failure, a 55%increased risk of myocardial infarction and a 181% increase in the risk of strokein cardiac ... understand why thiscomplication occurs in spine surgery.Sessler D (2001) Complications and treatment of mild hypothermia. Anesthesiology95:531 – 43 The author analyzes the clinical implications of...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 50 pptx
... level of T10/11 with significantcompression of the spinal cord.b T2 weighted axialMR image demonstratingthe severe spinal canalobliteration with com-pression and deformation of the spinal ... during 1 year of observa-tion [49]. Bell and Rothman found prevalences of sciatic pain in a populationolder than 35 years of 4.8% in men and 2.5% in women [17]. The first episode of sciatic pain ... radiculopathy and myelopathy: when and what can surgerycontribute to treatment? Eur Spine J 9:1 –7298. Yonenobu K, Fuji T, Ono K, Okada K, Yamamoto T, Harada N (1985) Choice of surgicaltreatment...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 53 pptx
... trefoil shape of the spinal canal mostly occurs at the fifth lumbarlevel.Size and shape of the spinal canal aredependent on the levelThe anteroposterior diameter of the lumbar spinal canal ... technique and prospective results of 463 patients. Spine 30:2570 – 8118. Rydevik B, Garfin S (1989) Spinal nerve root compression. In: Szabo RM (ed) Nerve rootcompression syndromes: diagnosis and treatment. ... The treatment of disc herniation-induced sciatica withinfliximab: results of a randomized, controlled, 3-month follow-up study. Spine 30:2724–873. Kostuik JP, Harrington I, Alexander D, Rand...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 65 pptx
... members of the ScoliosisResearch Society and of the Pediatric Orthopaedic Society of North Americarevealed a high degree of variability with regard to the opinion of the effective-ness of brace treatment ... overprojec-tion of the shoulder, the upper endplate of T4 or T5 is usually used. For the assess-ment of the sagittal lumbar profile, the upper endplates of L1 and S1 are used.According to inter- and intraobserver ... appearancefailure of conservative treatment Intraoperative neuromonito-ring is the standard of careSurgeryhastobewellplannedinadvanceandrequiresadedicatedteamtakingcare of children and adolescents....
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 89 pptx
... injuries and to identify a possible cord lesion✔Primary goals of treatment are prevention and limitation of neurological injury as well as res-toration of spinal stability, regardless of whether ... Michaelis L (1973) Closed injuries of the cervical spine and spinal cord: results of conservative treatment of flexion fractures and flexion rotation fracturedislocation of the cervical spine with tetraplegia. ... increases the degree of potential flexion and extension at the expense of limiting lateral bending and rotation. Spinal cord injury occurs inabout 10– 30 % of traumaticfractures Spinal cord inj...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 104 pptx
... the success of modern medical treatment and the decreasing inci-dence of manifest instability of the spine, surgery will remain one of the treat-ment options in advanced stages of the disease. ... exclusively by the joint capsule and theTumors and Inflammation Section 1041 Table 6. Surgical treatment of spinal infections with instrumentationAuthor Cases Type of infection Follow-up Technique ... the findings and results in 30 0 cases of Pott’s diseasetreated by anterior fusion of the spine. J West Pacific Orthop Assoc 1:3–7Landmark paper favoring surgical treatment of spinal tuberculosis...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 106 pptx
... withlong-standing disease. The findings of increased numbers of T cells and B cells and neoangiogenesis suggest that these features play a role in the pathogenesis of AS [3].Stages of pathologicalchanges ... is the major advantage of whole-body MRI [105].Standard RadiographsStandard radiographyremains the mainstay of diagnostic imagingStandard radiographs of the spine and sacroiliac joints (SIJs) ... chronicprogressionloss of body heightA neurological examination of the upper and lower extremities is mandatory todiagnose neural compression. In the presence of severe back pain, it is manda-Rule out spinal...
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