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 in sensory integration and modulation of afferent inputs postsynaptic pathways of spinal column involved ... Afferents of the spinal cord dorsal horn neurons form so called spinal tracts that transmit nociceptive informations to the CNS. Pathways of Spinal P...

Ngày tải lên: 02/07/2014, 06:20

... profile (hypo-/hyperkyphosis/lordosis) muscle atrophies level of shoulders waist asymmetries and pelvic rotation level 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 can be seen as a product of an interaction of a person with impairment and disability and the environment...

Ngày tải lên: 02/07/2014, 06:20

... diagnostic purposes. Spinal Cord and Cauda Compression Syndromes Spinal cord and cauda equina compression represent an emergency indication for MR imaging A 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 obtai...

Ngày tải lên: 02/07/2014, 06:20

... a diagnosis of the affected joint difficult. The evaluation of the diagnostic accuracy of joint injections to diagnose a symptomatic facet joint is difficult in the absence of a true gold standard. Even ... risk of infection, which appears to be most relevant in cases of cervical and lumbar discography. The reported rate for discitis after lumbar discography is in the order o...

Ngày tải lên: 02/07/2014, 06:20

... review of the evidence for the use of zygapophysial injections and radiofrequency denervation in the treatment of low back pain. Spine J 3 :310 316 A 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...

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... anatomical landmarks of the somatotopic orga- nization of the spinal cord are: Figure 1. Somatotopic organization of the spinal cord 294 Section Patient Assessment Always differentiate radiculopathy and peripheral ... in degenerative and in traumatic spinal disorders. Degenerative disorders, particularly spinal stenosis and disc herniation, most frequently occur in the cer...

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... disturbance of the anterior spinal artery with consecutive affection of the anterior part (bilat- eral) of the cord. Thus, there is loss of motor function and of sensitivity to pain and temperature ... This is caused by the deterioration of only half of the spinal cord and results in ipsilateral propri- oceptive and motor loss and contralateral loss of pain an...

Ngày tải lên: 02/07/2014, 06:20

... independently of patient contribu- tion) [11, 16, 27] describe the extent of spinal cord dysfunction in a superior manner to neu- roimaging improve diagnosis and prognosis for treatment and rehabilitation ... potential spinal cord compromise In spinal deformity surgery and in tumor surgery of the spine, intraoperative neuromonitoring of the spinal cord is a recommend...

Ngày tải lên: 02/07/2014, 06:20

... method of choice for objectifying a nerve entrapment and are able to identify the localization of nerve compression. Myopathy and Myotonic Disorders In patients with walking difficulties and pain and ... profound knowledge of the surgical anatomy is the prerequisite to achieving the goals of surgery and helping to avoid serious complications. Surgery is a three-dimensional p...

Ngày tải lên: 02/07/2014, 06:20

... Discectomy and Fusion Anterior cervical discectomy and fusion remains the gold standard for CSR In 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 neck pain and chronic neck pain from four RCTs. Operative Treatment General Principles Degenerative disorders o...

Ngày tải lên: 02/07/2014, 06:20

... objectives of treatment are (Table 3): Table 3. General objectives of treatment pain relief improvement of social activities improvement of health-related quality of life improvement of recreational ... recurrent episodes. Biology of Spinal Fusion A basic understanding of the general principles of bone development and bone healing as well as the biologic requirements...

Ngày tải lên: 02/07/2014, 06:20

... pain provocation and/ or pain relief tests. Understanding the biology of spinal fusion is neces- sary to select the appropriate fusion technique. Blood supply to the spinal fusion area and the prop- erties of ... than clin- ical and morphological findings. Non-operative treatments. The main objectives of treatment are pain relief as well as improvement of quality of life...

Ngày tải lên: 02/07/2014, 06:20

... The signs and symptoms model is based on biomechanical and pathoanatomic signs in which the area and nature of pain, impairments in spinal movement and func- tion, changes in segmental spinal mobility, ... identifies serious spinal pathology and obstacles for recovery The goal of triage for the treatment of LBP is to establish an appropriate rehabilitation plan. The di...

Ngày tải lên: 02/07/2014, 06:20

... stabilization and movement of the extrem- ity Stabilization of the trunk muscles and strengthening of the lower extremity muscles Exercise with regard to activities of daily living (sit to stand) and body ... physician and patient must have an unambiguous understanding of the other’s expec- tations and the role of each of them in the postop- erative recovery. After sur...

Ngày tải lên: 02/07/2014, 06:20

... Thirty-five percent of patients have spinal deformity before the age of 8 years, and 90% do so by the age of 20 years [15]. The incidence increases greatly between the ages of 13 and 15 years, which ... factors: age of onset of NMD ambulation status severity and rapidity of the progression of the weakness This is particularly true for patients with Duchenne muscular dy...

Ngày tải lên: 02/07/2014, 06:20