Spectrum of pathology Prolapsed discs and osteophytic compression; wear and repair Inflammatory: rheumatoid, ankylosing spondylitis Trauma: odontoid, rotatory.

Slides:

Advertisements

Similar presentations

Fusion vs motion preservation Solid fusion stops pain related o the motion segment Adjacent motion segment degenerates faster- 25% symptomatic.

Advertisements

OSTEOARTHRITIS (OA) Rogelio A Balagat MD ASMPH.

Mike Rissing Associate Student of Clinical Medicine

Umar Khan , MD SEACSM 2/5/2011 My Arm Hurts..

Atul Gupta Neuroradiology

Elda Baptistelli de Carvalho, MD, PGY-3 University of Toronto

Cervical Injuries and Sport

The cervical spine. Normal anatomy, variants and pathology.

Cervical Spine Injuries

Spine and spinal cord injuries

Emergency Spinal Radiological Assessment

Spinal injury and anaesthesia Dr Ashish Moderator :Dr R.Tope

Evaluation and Treatment of the Cervical Spine

Spinal pain. Case 1 Mr John Brown is 52 years of age He develops acute severe back pain after digging a tree out of his garden Two days later he has pain.

RADIOLOGY of SPINE DISEASES

Thoracic and Lumbar Spine Trauma

Case 10.1: A young adult with neck pain, numbness, and a weak right arm. Axial T1 wtd. MRI (C+) 10.1 A 10.1 B 10.1 C Precontrast sagittal T1 wtd. MRI of.

C SPINE Y A Mamoojee.

Cervical Spine Trauma.

What are the indications for MRI & CT:

Spondyloarthritis Khusrow Khidri Spondyloarthritis (or spondyloarthropathy) is the name for a family of inflammatory rheumatic diseases that cause.

Surgery for cervical spine disease

MUNIR SAADEDDIN, FRCSED ASSOCIATE PROFESSOR & CONSULTANT COLLEGE OF MEDICINE KING SAUD UNIVERSITY Introduction to Orthopaedics.

CAUSES OF NECK PAIN Nor Aznieda binti Mohd Rosli 159.

Spondylosis Dr.Shamekh M. El-Shamy. Spondylosis.

Lower Back Pain. Definitions Most backache is ‘mechanical low back pain’ o Symptoms cannot be ascribed to a pathology (infection, tumour, osteoporosis,

ATC 222 The Spine Chapter 25 Natasha Tibbetts, ATC.

Copyright 2003 by Mosby, Inc. All rights reserved. SKELETAL SYSTEM.

 ~1.2 million HS / 200,000 college & pro athletes  Largest number of sports-related injuries among organized team sports in the United States  Spinal.

MUNIR SAADEDDIN, FRCSED ASST. PROFESSOR & CONSULTANT COLLEGE OF MEDICINE KING SAUD UNIVERSITY Introduction to Orthopaedics.

CERVICAL SPINE INJURIES

Dr.Moallemy Lumbar Facet Pain (pain Originating from the Lumbar Facet Joints)

Skeletal System Abnormalities, Disorders, etc.. Spine Curvatures Scoliosis (thoracic curvature)

Lines of Mensuration Continued Cervical Spine Lordosis –Depth Measurement (range of 7=17) –Method of Jochuvisen (range 1-9) anterior body of atlas anterior/superior.

NECK PAIN Prepared by : Nik Nabilah Nek Rakami 141 Nawwar Afifah Zakaria 151 Nurul Iman Noor Zaidi 152 Nor Aznieda Mohd Rosli 159.

Copyright © F.A. Davis Company Part IV: Exercise Interventions by Body Region Chapter 15 The Spine: Management Guidelines.

Cervical Stenosis and Myelopathy

Athletic Injuries ATC 222 The Spine Chapter 20.

Skeletal System.

Principles Of Fractures(1)

Differential Diagnoses for Quadriparesis

PowerPoint ® Lecture Slides prepared by Leslie Hendon University of Alabama, Birmingham C H A P T E R Copyright © 2011 Pearson Education, Inc. Part 4 7.

SPINE TRAUMATOLOGY M. Krbec, M. Repko, M. Rouchal,

Athletic Injuries ATC 222 The Spine Chapter 23 Anatomy Vertebral Column –7 cervical vertebra –12 thoracic vertebra –5 lumbar vertebra –5 sacral vertebra.

February 2007 SPINAL CASES SAJID BUTT CONSULTANT RADIOLOGIST RNOH AND HOLLY HOUSE HOSPITAL.

OUTCOME OF SPINE SURGERY IN ELDORET

Degenerative disease of Lumbar spine

RADIOLOGY of SPINE DISEASES Dr. Sajjad Hussain Assistant Professor of Radiology King Saud University Consultant Radiologist King Khalid University Hospital.

LIAO Hui MD Tongji Hospital, HUST

Dr Asafu-Adjaye Frimpong Consultant Interventional Radiologist

Cervical spine Symptoms:

The OccipitoCervical Fixation

Musculoskeletal system

Introduction to Orthopaedics

MRI of the axial skeletal manifestations of ankylosing spondylitis

Cervical Spine Trauma Odontoid fractures Anatomic pathology

Cervico-brachial neuralgia Anatomy Iraj Salehi-Abari MD

Presented by M.A. Kaeser, DC Spring 2009

Skeletal System Disorders

In the name of God.

Ann Noelle Poncelet and Andrew P. Rose-Innes

Trauma to the Spine and Spinal Cord.

WARRAICH ROLL#17-C Elbow Dislocation Basics

Lecture Title: Lecturer name: Dr. HAMDY HASSAN Lecture Date: Jan 2019

بسم الله Cervical spondylosis By: Abeer Huseein.

Spinal Cord (CNS BLOCK, RADIOLOGY).

Disorders of the Musculoskeletal System

Presentation transcript:

Spectrum of pathology Prolapsed discs and osteophytic compression; wear and repair Inflammatory: rheumatoid, ankylosing spondylitis Trauma: odontoid, rotatory subluxation Neoplastic: meningiomas, schwannomas, metastatic cord compression Congenital Klippel Feil, fused, Downs, enterogenous cysts

43 yr male, brachalgia C5 right

Spectrum of pathology Prolapsed discs, osteophytic compression: wear and repair Inflammatory: rheumatoid, ankylosing spondylitis Trauma: odontoid, rotatory subluxation Neoplastic: meningiomas, schwannomas, metastatic cord compression Congenital Klippel Feil, fused, Downs, enterogenous cysts Infection: discitis, osteomyelitis, epidural abscess

S.R. - Male, Age 77 Severe Rheumatoid Arthritis Past multiple joint replacements and episodes of steroid Px Progressive upper and lower limb long tract symp/signs Neck Pain and Stiffness

Occipitocervical fixation

Halo support post-op

Sub axial rheumatoid deformity

Seronegative arthritis

Ankylosing spondylitis

Spectrum of pathology Prolapsed discs, osteophytic compression: wear and repair Inflammatory: rheumatoid, ankylosing spondylitis Trauma: odontoid, rotatory subluxation Neoplastic: meningiomas, schwannomas, metastatic cord compression Congenital Klippel Feil, fused, Downs, enterogenous cysts Infection: discitis, osteomyelitis, epidural abscess

Odontoid fracture

Odontoid screw fixation

Hangmans fracture

C6 Crush fracture, posterior ligamentous injury

Interspinous ligamentous disruption

Hyperextension injury, ALL disrupted

Rotatory subluxation

Pre reduction MR

Interspinous ligamentous disruption

Posterior reduction and fixation techniques Currette or hook Drilling/ nibbling the superior aspect of the inferior facet Wires Hooks or clamps Screws/ Plates Screws/ Rod combinations

Spectrum of pathology Prolapsed discs, osteophytic compression: wear and repair Inflammatory: rheumatoid, ankylosing spondylitis Trauma: odontoid, rotatory subluxation Neoplastic: meningiomas, schwannomas, metastatic cord compression Congenital Klippel Feil, fused, Downs, enterogenous cysts Infection: discitis, osteomyelitis, epidural abscess

Ependymoma Gd 2

51 years neck, arm pain

NHL cervical cord compression

CT pelvis: right inguinal lymphadenopathy

2 years post op

Patchell, Lancet 2005

Complications General (DVT, MI, Infection, haematoma) Specific: Recurrent and sup laryngeal n Dysphasia Retropharyngeal haematoma Nerve root injury Spinal cord injury Vertebral artery injury

The future Better analysis of results Better constructs Clearer indications More work Ceramic vs plastics vs metal Interface with bone Bone growth stimulants Genetically engineered solutions