Medical Malpractice Insurance for orthopaedic surgeons

Spinal Pathology in Myelodysplasia

– Discussion:      – Myelomeningocele Scoliosis may result from:            – idiopathic causes;            – myelomeningocele structural defect;            – congenital defects            – paralytic etiology; – Complications:     – Rapid Curve Progression:         … Read more

Spinal Shock

– 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

Spinalis Cervicis

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

Spherical Acetabular Osteotomy for DDH

– See: DDH – Discussion:     – provides excellent congruity at site of osteotomy, rapid healing, & intrinsic stability with only minimum internal fixation;     – performed through anterior approach;     – specially curved gouges are used to divide acetabulum from surrounding pelvis through osteotomy site 15 mm from articular surface;     … Read more

Spina Bifida

                      – See:       – Vertebral Defects:       – Myelodysplasia: – Discussion:     – Spina Bifida refers to a local failure of primordia of the two laminae to unite leaves vertebral canal open dorsally (spinal rachischisis, or             spina bifida);   … Read more

Spinal Anomalies in Marfan’s Syndrome

– See:     – scoliosis menu     – scoliosis menu – Discussion:     – scoliosis occurs in the majority of patients w/ Marfan’s syndrome, (over 60%) but curvatures significant enough to require treatment            occur in only 20% of pts;     – risk of progression:           – scoliosis … Read more

Spinal Cord and Meninges

– See: Neuro Exam: – Discussion:     – vertebral canal houses the spinal cord and its meningeal coverings;     – medulla oblongata is continuous w/ spinal cord at foramen magnum, &spinal cord usually ends inferiorly at level of 1st or 2nd            lumbar vertebra;     – filum terminale:         … Read more

Somites

– See: limb development – Discussion:     – skeleton and skeletal muscle develop from the mesoderm;           – thin layer of cells in early embryo located between ectoderm & endoderm & interrupted in midline by notochord;     – mesoderm on either side of notochord forms longitudinal mass, paraxial mesoderm; … Read more

Slipped Vertebral Apophysis

– Discussion:     – slipped vertebral apophysis usually occurs in lower lumbar spine;     – limbus vertebral frx occur when fusion between vertebral ring apophysis and central cartilage is incomplete or delayed;            – ring apophysis w/ adjacent disc is displaced into vertebral canal;     – apophysis remain suseptible … Read more