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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 23 docx

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 1 pot

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 1 pot

... 14 Surgery 14 BackPainandSciatica 15 AWrongMixtureofFluids 15 DiscHerniation 17 HistoricalCaseStudy 19 TheFacetSyndrome 21 SpinalStenosis 21 SpinalInfections 22EgyptianMummiesandSirPercivalPott ... mean difficult choices inthe allocation of treatment modalities. Therefore, a basic knowledge of the state of the art of the diagnosis and treatment of spinal disorders is required, not onlyfor ... 6LaughingGas,ChloroformandCocaine 6AntisepsisandAntibiotics 6DiagnosticImaging 8Scoliosis 8Pathogenesis 9Assessment 9Non-operativeTreatment 11 ScoliosisSurgery 13 JuvenileKyphosis 13 Spondylolisthesis 14 AnObstetricalProblem...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 2 potx

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 2 potx

... 22 1Reproducibility 22 1Differential Diagnosis of Spinal Pain Syndromes 22 2Recapitulation 22 2KeyArticles 22 3References 22 49 Imaging StudiesMarius R. Schmid, Jürg HodlerCoreMessages 22 7ImagingMethods 22 7StandardRadiographs ... 20 3Pain 20 4Function 21 0SpinalDeformity 21 0PhysicalExamination 21 1Walking 21 1Standing 21 1Sitting 21 6LyingSupine 22 0LyingonLeft/RightSide 22 0LyingProne 22 1AbnormalIllnessBehavior 22 1Reproducibility ... PfirrmannCoreMessages 26 1RationaleforSpinalInjections 26 1LumbarandCervicalNerveRootBlocks 26 2Indications 26 2Technique 26 3Complications 26 5DiagnosticandTherapeuticEfficacy 26 5EpiduralandCaudalBlocks 26 7Indications...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 4 docx

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 4 docx

... “ishion” standing for hip, buttocks, sacrum, loin and alsoupper limb. Since the time of Hippocrates of Cos (46 0–370B.C.), this term hasrelatedtopainsyndromeofthelowerbackandtheupperpartsofthelowerlimbs[57].The ... (1930).2 Section History of Spinal Disordersc dFigure 2. (Cont.)c Andreas Vesalius (15 14 15 64) . d Josias Weitbrecht’s (1702 – 1 747 ) Syndesmologia (1 742 ) precisely described the spinal ligaments.During ... locatedin the spinal cordAt the beginning of the 19th century, it was still believed that some parts of the spinal cord contained the “centers of feeling”. Furthermore it was believed thatthe spinal...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 6 docx

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 6 docx

... of anymajor advancement in the treatment of spinal dis-orders.In the Renaissance, the studies of Andreas Vesalius(1514–1 564 ), the father of modern anatomy, led toa better understanding of ... dedicated to the research and treatment of spinal cordinjuries (Fig. 10c).He propagated intensive rehabilitation and sports. He also wrote a profound and epoch-making textbook of spinal cord injuries ... “scoliosis” and per-formed experiments on the spinal cord, which led toa better understanding of the nervous system.At the end of antiquity, the Greek physician Paulus of Aegina (62 5 69 0A.D.)...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 17 docx

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 17 docx

... theresponsibleenzymefortetrahydrobiopterin(BH4)synthesis.BH4isanessentialcofactor for catecholamine, serotonin and nitric oxide production and thus a keymodulator of peripheral neuropathic and inflammatory pain. Healthy individu-Pathways of Spinal Pain ... integration and nociceptive transfer of noci-144 Section Basic ScienceGeneral Concepts of Pain Treatment Pharmacological Treatment Current acute pain treatment is aggressive,multimodal and preemptiveA ... present and future pain treatment [129].Differentiating Inflammatory and Neuropathic PainDifferentiating inflammatory and neuropathic painis challenging clinicallyWhile the diagnosis and assessment...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 23 docx

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 23 docx

... work-up and initiation of treatment is mandatory.The major goal of the clinical assessment is to differentiate:specific spinal disorders, i.e. with a pathomorphological correlatenon-specific spinal ... consider a spinal intervention✔The reproducibility of the patient’s history and examination is limitedEpidemiologyGenerally, spinal painis common, benign, and self-limitingBack and neck pain ... of the very high rate of benign spinal pain which poses aPatient Assessment Section 201PainAlthough pain is the most common complaint in patients with spinal disorders,our understanding of...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 34 docx

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 34 docx

... bilat-eral and complex symptoms (impaired upper limb –hand function, gait disorder, bladder and bowl dys-function). Duration of symptoms is important forthe definition of etiology and urgency of therapy(e.g. ... (cave: spinal shock). Pathological reflexesindicate central (spinal and supraspinal) lesions.Motor strength is subdivided into six grades(M0–M5), and key muscles both for radicular and spinal ... Standards for Neurological and Functional Classification of Spinal Cord Injury. American Spinal Injury Association. Spinal Cord 35(5):266 – 74This article describes the internationally standardized...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 40 docx

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 40 docx

... intubationdegree of mouth openingsize of the tonguevisibility of the pharynxthe state of dentitionrestriction of neck movementstability of the cervical spineAssessment of cervicalstability is mandatoryin ... preparation and to take into account those conditionswhich will add to the risk of anesthesia and surgery.Information and InstructionsOne aim of the preoperative visit is to explain and describe ... [31]. The result of these investigations can influ-ence the decision on the kind of anesthesia (epidural or spinal anesthesia instead of general anesthesia), and in the case of very limited conditions...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 74 docx

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 74 docx

... identification of the source of the pain. Neurophysiologic studies and osteo-densitometry are helpful in selected cases. Treatment. Non-operative treatment consists of NSAIDs, physiotherapy, spinal ... a crucial and complex question. The treatment of a degenerative scoliosis has differentgoals than the treatment of adolescent scoliosis. While in the latter the goal is pre-vention of curve ... compression of neural elements with consecutive neurologicalThe pros and cons of direct of indirect decompressionsmust be carefully weigheddeficit. The benefits of correction of the curve...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 78 docx

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 78 docx

... sagittal curvature of thespine. Therefore, a thorough knowledge of the normal sagittal profile is requiredfor the understanding of this clinical entity. The sagittal profile of the spine inhumans ... degrees and 11–58 (mean 34.6) degrees [57]. Accord-ing to Bernhart and Bridwell, the range of lumbar lordosis measured from stand-ing radiographs between the bottom of T12 and the bottom of L5 ... ventral part of the endplates of one or several verte-bral bodies (Fig. 4c). After the end of growth (final stage), the contours of the ver-tebral endplates were uneven. Schmorl’s nodes and disc...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 79 docx

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 79 docx

... assess flexibility of the deformity. In the immature patient, the skeletalage and the remaining spinal growth are determined from a radiograph of thehand and wrist [24] and the pelvis (Risser ... is the result of marked structural changes inthe bones and in the soft tissues of the affected area (Table 7, Fig. 9a).For optimal correction of the deformity these obstacles of reduction have ... assessment of the risk of pro-gression and treatment decision-making.Magnetic Resonance ImagingIn juvenile kyphosis, MRI is the imaging modality of choice to demonstrate:irregularity of the ossificationwedge...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 96 docx

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 96 docx

... nature of the lesion [7] and isrecommended for investigating the suspected lesion in terms of: spinal levelextent of suspected lesionsvertebral bone marrow infiltrationinfiltration of the paraspinal ... to recur and survive in a distant organ.The hallmarks representa concept of carcinogenesisThe hallmarks of cancer help us to understand the complexity of such a dis-ease in terms of a relatively ... marrow on T1W and T2Wimages, allowing a diagnosis with a very high probability (Fig. 5). MRI features of other tumors are not characteristic and MRI can at best narrow the differentialdiagnosis...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 97 docx

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 97 docx

... and independent of, the histo-logical grade of the primary tumor.Non-operative Treatment The treatment of spine tumors is determined by the:biologylocationextent of the lesionThe wait and ... posterior part of the T7 pedicle (not shown). The soft tissue infiltration suggested a malignantPrimary Tumors of the Spine Chapter 33 971 82Figure 8. Staging of benign and malignant spinal tumors.The ... tumor diagnosis may be different thanexpectedThe surgical techniques of primary spinal tumors are very complex and demandexcellent surgical skills. Particularly for the en bloc resection of spinal...
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Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 115 docx

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 115 docx

... preventive measures 1090, 1115 – procedure-related complications 1115 – pulmonary embolism 1113– pulmonary risk factors 1092– spinal cord compromise 1110– spinal cord injury 1106– spinal stenosis 1089– ... 811neuroenteric cyst 809neurofibroma 1000, 1011neurofibromatosis 211, 670, 998neurofibrome 997neurogenic– claudication 513, 517, 519, 531– – differential diagnosis 524– – selective decompression ... polymorphisms 435color Doppler sonography 247compartment syndrome 1102complications, postoperative– anterior spinal surgery 1089– approach-related 1095, 1115 – arterial laceration 1100– bowel perforation...
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