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...

Ngày tải lên: 02/07/2014, 06:20

... “ishion” standing for hip, buttocks, sacrum, loin and also upper limb. Since the time of Hippocrates of Cos (460–370 B.C.), this term has relatedtopainsyndromeofthelowerbackandtheupperpartsofthelowerlimbs [57]. The ... our understanding of the spinal cord. Anesthesia and Supportive Techniques An invasive and effective spinal surgery would not have been possible without major a...

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... 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 distraction in suspension. In later times, only little progress was made regarding the etiology and treatment of spinal deformities. Spinal defor...

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... 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 textbook of spinal cord injuries ... of any major advancement in the treatment of spinal dis- orders. In the Renaissance, the studies of Andreas Vesalius (1514–1564), the father of modern anatomy,...

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... present and future pain treatment [ 129] . Differentiating Inflammatory and Neuropathic Pain Differentiating inflammatory and neuropathic pain is challenging clinically While the diagnosis and assessment ... the responsibleenzymefortetrahydrobiopterin(BH4)synthesis.BH4isanessential cofactor for catecholamine, serotonin and nitric oxide production and thus a key modulator of...

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... 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...

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... 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...

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... 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...

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... 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...

Ngày tải lên: 02/07/2014, 06:20

... 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...

Ngày tải lên: 02/07/2014, 06:20