Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 30 pps

... a diagnosis of the affected joint difficult. The evaluation of thediagnostic accuracy of joint injections to diagnose a symptomatic facet joint isdifficult in the absence of a true gold standard.Even ... risk of infection, which appears to bemost relevant in cases of cervical and lumbar discography. The reported rate fordiscitis after lumbar discography is in the order of magnitude of 0.25% [ 130] .Further ... performed. Needle placement and contrast distribution are documentedby standard radiographs. Subsequently, 1.0 ml of a mixture of local anesthetics(Carbostesin or bupivacaine and steroids, e.g. 40...

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 16 pps

... sensory-discriminative components and motivational-affective and autonomic responses of pain, and plays a role insensory integration and modulation of afferent inputspostsynaptic pathways of spinal column involved ... Afferents of the spinal cord dorsal horn neuronsform so called spinal tracts that transmit nociceptive informations to the CNS.Pathways of Spinal Pain Chapter 5 131Plasticity or modifiability of ... key feature of its function and integral to the generation of pain and pain hypersensitivity[18].The major synapses responsible for transmission are located in the dorsalhorn of the spinal cord...

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 24 ppsx

... profile (hypo-/hyperkyphosis/lordosis)muscle atrophieslevel of shoulderswaist asymmetries and pelvic rotationlevel of pelvis (in standing and flexed position)rib/lumbar hump (in standing and ... compared to a fitperson of the same age and sex [23, 34]. Handicap canbe seen as a product of an interaction of a person with impairment and disability and the environment [2] and thus resembles ... tiptoes (S1) and heels (L4, L5)difficulty walking along a line (atactic gait)StandingAssessment of :body height and weightInspection for: spinal stigmatasagittal and coronal spinal balancesagittal...

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 27 pps

... a delay of 30 40 min [40]. This method demonstrates areas of increased glucose metabolism which typically are present in tumors and infec-tion. PET can provide images of large parts of the body ... acquisition of a large number of segments with thin slice thickness,within the same period of time. Sagittal and coronal multiplanar reformations(MPRs) are more easily obtained and are of better ... discOftenmoreimportantthanthedescriptionoftheshapeoftheintervertebraldiscis its influence and relation to the adjacent nerve roots, which is crucially depen-dent on the width of the spinal...

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 31 pps

... review of the evidence for theuse of zygapophysial injections and radiofrequency denervation in the treatment of lowback pain. Spine J 3:310 –316A database search of Medline, Embase and the ... diagnostic work-up in timely and com-prehensive fashion, and the identification of potential neurological deficits in the treatment of patients with spinal disorders.Non-traumatic spinal disorders are ... the treatment of symptomatic lumbar herniated discs. J Spinal Disord Tech 15:269–72125. Watts RW, Silagy CA (1995) A meta-analysis on the efficacy of epidural corticosteroids inthe treatment of...

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 32 ppsx

... anatomical landmarks of the somatotopic orga-nization of the spinal cord are:Figure 1. Somatotopic organization of the spinal cord294 Section Patient AssessmentAlways differentiateradiculopathy and peripheral ... in degenerative and intraumatic spinal disorders. Degenerative disorders, particularly spinal stenosis and disc herniation, most frequently occur in the cervical and lumbar spinal seg-ments ... between 7% and 57% [120]. About 50% of patientswith diabetes and 60% of patients with alcohol addiction suffer from polyneu-ropathy, indicating the importance of an extended differential diagnosis...

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 33 pps

... disturbance of theanterior spinal artery with consecutive affection of the anterior part (bilat-eral) of the cord. Thus, there is loss of motor function and of sensitivity topain and temperature ... This is caused by thedeterioration of only half of the spinal cord and results in ipsilateral propri-oceptive and motor loss and contralateral loss of pain and temperature per-ception (dissociated ... spinal cord and brain disorders to be distinguished.A pitfall in the diagnostic assessment of SCI is exhibited by the syndrome of spinal shock. This initial state of transient depression of spinal...

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 35 ppsx

... independently of patient contribu-tion) [11, 16, 27]describe the extent of spinal cord dysfunction in a superior manner to neu-roimagingimprove diagnosis and prognosis for treatment and rehabilitation ... potential spinal cordcompromiseIn spinal deformity surgery and in tumor surgery of the spine, intraoperativeneuromonitoring of the spinal cord is a recommended procedure to provide ahigh level of ... objective quantification of the conductionvelocity and amount of response. MEP recordings are the method of choice fordemonstrating subclinical affections of the corticospinal motor tracts that...

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 36 pps

... method of choice for objectifying a nerve entrapment and are able toidentify the localization of nerve compression.Myopathy and Myotonic DisordersIn patients with walking difficulties and pain and ... profound knowledge of thesurgical anatomy is the prerequisite to achieving the goals of surgery and helpingto avoid serious complications. Surgery is a three-dimensional process and none of ... sternocleidomastoidmuscleThe superficial branch of the ansa cervicalis (anastomosis of the transverse collinerve and the ramus colli of the facial nerve) is often not identifiable and is there-fore difficult...

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 47 pps

... Discectomy and FusionAnterior cervical discectomy and fusion remains the goldstandard for CSRIn 1955, Robinson and Smith [229] reported on a technique for removal of cervi-cal disc and fusion ... (RCT) for the use of infrared laser for the treatment of acute neckpain and chronic neck pain from four RCTs.Operative Treatment General PrinciplesDegenerative disorders of the cervical spine ... heterogeneous group of pathol-ogies with a wide spectrum of treatment modalities. For the vast majority of clin-ical entities, surgery is only indicated after an adequate trial of non-operativetreatment...

Xem thêm