Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 109 pps
Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 109 pps
... where decompression of disc herniation or of spinal steno-sis contributed to 84% of the cases, and where fractures, infections and malig-nant lesions were excluded [26]. In 27576 and 18122 operations ... and posterior [119] procedures are Treatment of Postoperative Complications Chapter 39 1093 39 Treatment of PostoperativeComplicationsMartin Krismer, Norbert BoosCore Messages✔The best treatment ... defects and not with large lacerationsFrequency of ComplicationsThe rate of complications with spinal procedures is dependent on the type of sur-gery, the spinal pathology,the experience of the...
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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...
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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...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 27 pps
... diagnostic purposes. Spinal Cord and Cauda Compression Syndromes Spinal cord and caudaequina compressionrepresent an emergencyindication for MR imagingA suspected spinal cord and cauda equina ... 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...
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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 ... 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 ... and Robertson[75] demonstrated that low back pain and referred pain could be provoked byinjection of hypertonic saline into the facet joints. Many authors today believethat the diagnosis of...
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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...
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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...
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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...
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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...
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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...
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