Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 108 ppsx

... expansion.Diagnostic work-up. Early diagnosis of AS can bedifficult due to unspecific symptoms and diagnos-tic findings of the spinal column. In the case of sus-picion of AS, the diagnosis should be enforced. ... allow for early mobilization of the patient. However, treatment of spinal fracture causing paralysis is difficult and controversial and is associated witha high risk of complications [4, 10, 34, ... osteotomy isvery demanding and carries a high risk of neurological injuries [60, 70]. Treatment for Fracture and SpondylodiscitisFractures are most commonat thoracic level and unstableFractures...

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 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 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 59 ppsx

... painprovocation 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 (e.g. activities of daily living, ... Boden SD, Schimandle JH, Hutton WC, Chen MI (1995) 1995 Volvo Award in basic sciences.The use of an osteoinductive growth factor for lumbar spinal fusion. Part I: Biology of spinal fusion. Spine...

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 60 ppsx

... Thesigns and symptoms model is based on biomechanical and pathoanatomic signsin which the area and nature of pain, impairments in spinal movement and func-tion, changes in segmental spinal mobility, ... identifiesserious spinal pathology and obstacles for recoveryThe goal of triage for the treatment of LBP is to establish an appropriaterehabilitation plan. The differential diagnosis must first and foremost ... avoidance behavior and reduced activity leveltendency to low mood and with-drawal from social interactionexpectations of passive treatment Add cognitive and behavioral treatment BLUE FLAGS...

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 68 ppsx

... 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 NMDambulation statusseverity and rapidity of the progression of the weaknessThis is particularly true for patients with Duchenne muscular dystrophy. Close to90% of them ... overview of these disorders with their clinical presentations, their incidence and theirfunctional impact is given inTable 1.Disease Specific Spinal DeformityAs part of a review of 547 individuals...

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 77 ppsx

... percentage of slippage in measuring instability and progres-sion. Spondylodesis alone, even in the presence of minor neural deficits, tight ham-strings, or both, gave relief of pain and resolution of ... the treatment of spondylo-listhesis: analysis of 120 cases. Spine 30:S60–561. McGregor AH, Anderton L, Gedroye WM, et al. (2002) The use of interventional open MRIto assess the kinematics of ... radiographic results and neurologic complica-tions of instrumented reduction and fusion of high-grade spondylolisthesis withoutdecompression of the neural elements: a retrospective review of 44 patients....

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 114 ppsx

... assessment of the utility of 10 indices. Clin J Pain 5:153–15982. Johansson E, Lindberg P (1998) Subacute andchronic low back pain. Reliability and validity of a Swedish version of the Roland and Morris ... the state of the art in outcome assessment,research, and documentation in the treatment of spinal disorders andare a source for fur-ther reading.References1. (1998) Development of the World ... domain of pain: a study of the dimensional-ity of verbal descriptors. Pain 62:39–49111. Muller K, Schwesig R, Leuchte S,Riede D(2001) [Coordinative treatment and quality of life– a randomised...

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 ... Professor and Chair, Division of Orthopaedic Surgery, and Orthopaedic Surgeon-in-Chief, McGill University Health Center; and AdjunctProfessor of Oncology, Department of Medicine, McGill University,...

Xem thêm