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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 18 ppt

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 116 pptx

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 ... General and Orthopedic Surgeon (FMH and FRCSC), and did his spine fellowship training inCanada, the United States and the United Kingdom. From 1992 to 2002, he heldthe positions of Professor and...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 11 pptx

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 11 pptx

... withimplantation.RecapitulationGoals of spinal instrumentation.The aims of spinal instrumentation are stabilization, achievement and maintenance of curve correction (alignment) and facilitation of bony fusion (spondylodesis). ... tumor and post-traumatickyphosis. The load is transferred through a combination of compressive or ten-sile loading along the length of the implant and bending or torsion. Due to itsprofile and ... recent development of a novel “stand-alone” device which combines the prin-ciple of the interbody cage with anterior tension band instrumentation (SynFix,Synthes, USA and Switzerland). Cain et al....
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 15 ppt

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 15 ppt

... Comparison of structure,mechanical properties, and functions of lumbar spinal ligaments. Spine 15: 787–79553. Iannuzzi-Sucich M, Prestwood KM, Kenny AM (2002) Prevalence of sarcopenia and predic-tors ... Descartes (159 6–1650) presented a dualistic view of the human body and soul,i.e.heassumedaseparationofthemindandthebody. The body was seen as a machine working according to the laws of nature and the ... central effect of analgesics and should be included for anadequate treatment of moderate to severe pain✔The scientific evidence for a long-term effec-tiveness of surgical treatment of persistent...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 18 ppt

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 18 ppt

... of epidemiology in the management of spinal disordersare to [77]:pinpoint the problemestimate the societal and economic burden of spinal disordersforecast the problem in futuredescribe and ... 353:1610–5Pathways of Spinal Pain Chapter 5 1456Epidemiology and Risk Fac tors of Spinal DisordersAchim Elfering, Anne F. MannionCore Messages✔In 85% of patients with a spinal disorder theetiology ... standard). It isimportant to note that not all persistent pain is neu-ropathic. The diagnosis of neuropathic pain shouldbe based on the presence of negative and positivesensory symptoms and...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 20 pptx

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 20 pptx

... Gallacher D (200 6)Surveyofchronicpainin Europe: Prevalence, impact of daily life, and treatment. Eur J Pain 10:287 – 333This article provides recent (200 3) estimates of the prevalence of pain in ... classification and staging [112]. In addi-tion to a population based registry approach [79, 80], a greater standardization of the assessment of risk, treatment and outcomes [62, 94] and a more standardizedcosting ... classification of disorders,the natural course of disease,thefrequency and development of the disease in a population, and the burden of costs.Classification. Most spinal disorders are non-spe-cific and...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 25 ppt

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 25 ppt

... 227Differential Diagnosis of Spinal Pain SyndromesThe differential diagnosis of spinal disorders in general and low-back pain par-ticularly is far reaching. The differential diagnosis of spinal pain ... eval-uation of patients with low-back pain. Spine 1:127–13427. Roland M, Morris R (1983) A study of the natural history of back pain. Part I: development of a reliable and sensitive measure of disability ... Compensa-tion Corporation, ed. Wellington, New Zealand2. Badley EM (1995) The genesis of handicap: definition, models of disablement, and role of external factors. Disabil Rehabil 17:53–623....
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 28 ppt

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 28 ppt

... changes and spinal canal and foraminalstenosis and even for facet joints. In postoperativeimaging, standard radiographs demonstrate spinal deformity, the position and signs of loosening of implants ... imaging of disc disease. On the other hand, slice thickness in the sagittalplane may be reduced for reduction of partial volume artifacts at the borders of the spinal cord.RecapitulationStandard ... the site and cause of the radiculopathy✔Cervical and lumbar nerve root blocks as a ther-apeutic tool are an effective treatment for themanagement of painful radiculopathy✔In cases of multilevel...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 39 ppt

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 39 ppt

... provides a strongsacral anchorageKnowledge of the size and anatomy of the pedicle is required, but also an under-standing of the topography of nerve and vascular structures in relation to the ... study of the surgical anatomy of the spine and surgical approaches:Bauer RF, Kerschbaumer F, Poisel S (ed) (1993) Atlas of spinal operations. Thieme, Stutt-gartNazarian S (2007)Surgicalanatomyofthespine.In:AebiM,ArletV,WebbJ.AOSPINEmanual: ... vivo and in vitro CT analysis of the occiput. Eur Spine J8:27–3331. Hodgson AR, Stock FE (1956) Anterior spinal fusion: a preliminary communication on theradical treatment of Pott’s disease and...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 41 pptx

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 41 pptx

... integ-rity of the spinal function. At the same time larger doses of opiates became popularto help maintain stable hemodynamic conditions and better pain control intra- and postsurgery. In the 1980s and ... decompressed of gas and secre-Careful eye and faceprotection is crucialtions by using the gastric tube. Careful eye protection with cream, occlusive tape and peripheral padding is mandatory in particular ... their fields and everybodyunderstands his or her own role and each other’s inputs. In this chapter the mostrelevant features of anesthesia for spinal surgical procedures are discussed. Partic-ular...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 43 pptx

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 43 pptx

... function of the spinal cord and nerve roots. Usually the spinal cord, brachial plexus roots, and L5 and S1 can be evaluated by asking the patientto move their hands and feet. The WUT is an outstanding ... [26]. Recently, the use of aprotinin was associated with a doubling of the risk of renal failure, a 55%increased risk of myocardial infarction and a 181% increase in the risk of strokein cardiac ... understand why thiscomplication occurs in spine surgery.Sessler D (2001) Complications and treatment of mild hypothermia. Anesthesiology95:531 – 43 The author analyzes the clinical implications of...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 50 pptx

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 50 pptx

... level of T10/11 with significantcompression of the spinal cord.b T2 weighted axialMR image demonstratingthe severe spinal canalobliteration with com-pression and deformation of the spinal ... during 1 year of observa-tion [49]. Bell and Rothman found prevalences of sciatic pain in a populationolder than 35 years of 4.8% in men and 2.5% in women [17]. The first episode of sciatic pain ... radiculopathy and myelopathy: when and what can surgerycontribute to treatment? Eur Spine J 9:1 –7298. Yonenobu K, Fuji T, Ono K, Okada K, Yamamoto T, Harada N (1985) Choice of surgicaltreatment...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 51 ppt

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 51 ppt

... General objectives of treatment relief of pain regaining of activities of daily livingreversal of neurologic function return to work and leisure activitiesDisc Herniation and Radiculopathy Chapter ... tears(58%) and deformations of the spinal cord (29%). This study documented thehigh prevalence of anatomical irregularities, including herniation of a disc and deformation of the spinal cord, ... spinal canalThe indications for surgery in children and adolescents with slipped apophysisare similar to those of true disc herniation and consist of removal of both theslipped apophysis and...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 53 pptx

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 53 pptx

... trefoil shape of the spinal canal mostly occurs at the fifth lumbarlevel.Size and shape of the spinal canal aredependent on the levelThe anteroposterior diameter of the lumbar spinal canal ... technique and prospective results of 463 patients. Spine 30:2570 – 8118. Rydevik B, Garfin S (1989) Spinal nerve root compression. In: Szabo RM (ed) Nerve rootcompression syndromes: diagnosis and treatment. ... The treatment of disc herniation-induced sciatica withinfliximab: results of a randomized, controlled, 3-month follow-up study. Spine 30:2724–873. Kostuik JP, Harrington I, Alexander D, Rand...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 65 pptx

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 65 pptx

... members of the ScoliosisResearch Society and of the Pediatric Orthopaedic Society of North Americarevealed a high degree of variability with regard to the opinion of the effective-ness of brace treatment ... overprojec-tion of the shoulder, the upper endplate of T4 or T5 is usually used. For the assess-ment of the sagittal lumbar profile, the upper endplates of L1 and S1 are used.According to inter- and intraobserver ... appearancefailure of conservative treatment Intraoperative neuromonito-ring is the standard of careSurgeryhastobewellplannedinadvanceandrequiresadedicatedteamtakingcare of children and adolescents....
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 69 ppt

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 69 ppt

... sensory and motor deficits.Testing reflexes and looking for long tract signs such as Babinski’sand Hoffman’ssigns, clonus, and spasticity are all part of a first visit examination of a newlydiagnosed ... function and increased respiratory disease, deterioration of comfort and loss of the activities of daily living, inability to walk or sit independently, aswell as a decrease in quality of life. ... tethered cord, and spinal tumor. Malignant curve progression warrants MRIas it may also be a sign of intradural pathology.Non-operative Treatment When consulting patients for the type of treatment, ...
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