Data Trace Editor A truly global perspective on the lumbar spine with contributions from over 200 international experts. Lumbar Spine Online Textbook Section Editor Richard Nasca, MD Management of the Spine Injured Patient: Physical Exam of the Spine A Anesthesia in the Spinal Cord Injured Patient: Ankylosing Spondylitis Annular Tear Anterior Cord Syndrome Arthrodesis of the Spine: … Read more
– See: Pagets Disease – Discussion: – Paget’s disease involves spine, esp third and fourth lumbar vertebras, in up to 1/3 of affected patients, & lower thoracic vertebras in 20%; – most patients have symptoms; – localized pain can develop because of pathologic fracture w/ vertebral collapse, spinal-canal stenosis, … Read more
– Discussion: – vertebral bodies are the skeletal elements most at risk of frx in this disease; – progressive loss of stature results in progressive shortening of paraspinal musculature which therefore requires more prolonged active contraction for maintenance of posture (resulting in pain of muscle fatigue); … Read more
– See: Cervical Spine in Ankylosing Spondylitis – Clinical Findings: – loss of lumbar lordosis; – back motion is limited; – note that ability to lean forward has more to do with hip flexion than lumbar spine flexion; – w/ forward … Read more
– See: Pseudoachondroplasia – Cervical Spine: – stenosis of foramen magnum: – all patients with achrondroplasty will demonstrate some radiographic stenosis of foramen magnum, and many can be shown to demonstrate either some at least some clinical symptoms or … Read more
– See: scoliosis menu: – Non Operative Treatment: – many patients can achieve functional sitting with body jackets or molded wheelchair inserts; – custom molded seat insertes allow better positioning but do not prevent curve progression; – Surgical Treatment: – w/ spastic quadriplegia scoliosis can be especially severe, and … Read more
Origin: the spinous process of the 1st and 2nd lumbar vertebrae, the thoracic vertebrae 10, 11, 12; insertion: the spinous process of the thoracic vertebrae 3-8 and sometimes 9; action: acting unilaterally, lateral flexion of the spine; acting bilaterally, extension and hyperextension of the spine; nerve supply: posterior rami of the spinal nerves; synergists: Semispinalis Thoracis, … Read more
origin: the lower portion of the ligamentum nuchae, spinous process of the 7th cervical and sometimes the 1st and 2nd thoracic vertebrae spinous process; insertion: the spinous process of axis and sometimes the 3rd and 4th cervical spinous process; action: acting unilaterally, lateral flexion of the spine; acting bilaterally, extension and hyperextension … Read more
– See: – Fluids and Electrolytes in the Head/Spine Injured Pt: – Incomplete Spinal Injury: – Discussion: – spinal shock involves a spinal cord concussion which usually invovles 24-72 hour period of paralysis, hypotonia, & areflexia, and at its conclusion there may be hyperreflexia, hypertonicity, and clonus; … Read more
21600 EXCISION RIB PARTIAL 21615 EXCISION FIRST/OR CERVICAL RIB 21616 EXCISION RIB W/ SYMPATHECTOMY 21700 DIVISION SCALENUS ANTICUS 21705 SCALENUS ANTICUS RESECT 21720 TORTICOLLIS OPEN OPERATIO 21725 TORTICOLLIS … Read more