– See: – Burst Fractures – Lumbar vertebrae: – Discussion: – typical injury pattern for burst frxs varies w/ anatomic level; – L1 to L3 pedicles are frequently comminuted or detached; – L4 to L5 frx usually present a consistent pattern: … Read more
– Discussion: – low back pain is the second most common symptomatic reason for physician visits (followed by URTI) – diff dx: – waddel criteria: – Exam of Lumbar Spine: – exam of C-Spine: – neuro exam – general assessment: … Read more
– History: -Maurice Klippel and Andre Feil first to describe syndrome in 1912 -Characterized by patients with: Short neck Low hairline Decreased cervical motion -Fewer than 50% with congenital defects of cervical spine have … Read more
– See: – PE of C-Spine: – Neuro Exam – Inspection: (scoliosis, thoracic kyphosis, lumbar lordosis, zoster ect.) – ROM: – extension: Phalen’s test (lumbar stenosis) – flexion: – frequently assessed by patient’s ability to touch the floor; … Read more
– See: – Herniated Disc in the Child: – Intervertebral Discs: – Anatomy: – disc herniation may vary in severity from disc protrussion to disc extrusion, to finally disc sequestration; – disc containment: – w/ a contained disc herniation, the … Read more
– See: – Cervical Stenosis: – Central Cord Syndrome – Soft Disc Protrusion: – SCIWORA Syndrome – Uncovertebral joints – Discussion: – refers to a combination of degenerative disc disease and osteophyte formation; – cervical spondylosis typcially begins to be seen at age 40-50, is seen in men > women, & most common occurs at … Read more
Cervical Radiculopathy: Diagnosis and Treatment Richard J. Nasca, MD Nasca RJ. Cervical radiculopathy: current diagnostic and treatment options. J Surg Orthop Adv. 2009;18(1):13-18. Introduction: Pain around the shoulder, arm and hand may be caused by irritation or compression of one or more cervical nerve roots. In the majority of patients, the symptoms are of short … Read more
– Management of the Spine Injured Patient: – Physical Exam of the Cervical Spine: – Radiology of the Cervical Spine: (Clearance of the CSpine in Trauma Patients) – Spine Menu: – Anesthesia in the Spinal Cord Injured Patient: – AP … Read more
– See: Anterior Approach to Cervical Spine: – Discussion: – Smith Robinson disectomy & block fusion is preferred over Cloward dowel for involvement of one or two interspaces; – for multi-level spondylosis & myelopathy, w/ more extensive anterior decompression involving excision of osteophytes & multiple vertebrectomies, a strut graft fusion … Read more
Scott Haldeman, Geoff Outerbridge, Stefan Eberspaecher, O’Dane Brady, Deborah Kopansky-Giles, Margareta Nordin, Eric L. Hurwitz, Afua Adjei-Kwayisi, and Rajani Mullerpatan Introduction World Spine Care (WSC) is a non-profit charity registered in the United States of America, Canada and United Kingdom. It was founded in 2009 out of a growing realization that spinal disorders were a significant, and often ignored, contributor to the burden of disease, not only … Read more