– See: Burst Frx: – Discussion: – this fracture involves loss of vertebral body height anteriorly; – posterior wall remains intact, & upper vertebra rotates downward about two facet joints; – posterior ligaments become taut when anterior ht loss is approx 25%; – compression of > 50% with … Read more
– See: Fracture Dislocations of the Spine: Flexion Distraction Injuries: – Discussion: – Chance frx & posterior ligament rupture (variant of flexion distraction injury pattern) maypresent w/ minor anterior vertebral compression; – in Chance frx, the anterior column fails in tension (along w/ the middle … 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 also: Spine in AS) Disussion patients with ankylosing spondylitis are prone to C-spine fracture following minor trauma; acute neck pain in a patient with ankylosing spondylitis is usually caused by a fracture through the ankylosed spine; site of involvement is most commonly near cervicothoracic junction (or C6-7); the fracture may extend thru the disc … Read more
– Discussion: – involvement can lead to kyphosis, facet ankylosis, & atlantoaxial subluxation; – the majority of patients w/ polyarticular JRA may show C-spine involvement; – Radiographs: – anterior erosion of the odontoid process; – anterior posterior erosion of odontoid process; – subluxation of C1 … Read more
– See: – Radiographic Changes of Cervical Spine in JRA: – Rheumatoid Arthritis: – Transverse Ligament Rupture: – Discussion: – cerival spine involvement is common in RA (up to 90%) & is more common w/ long standing disease and multiple joint involvement; … 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
– Discussion: – pattern of hip deformity in cerebral palsy depends on type and extent of neurologic impairment; – non progressive neuromuscular disorder w/ onset before 2 yr resulting from injury to the immature brain; – etiology includes: perinatal infections (TORCH), prematurity (most common), anoxic injuries, … Read more
– Discussion: – most common incomplete cord lesion – frequently associated w/ extension injury to osteoarthritic spine (cervical spondylosis) in middle aged person who sustains hyperextension injury; – cord is injured in central gray matter, & results in proportionally greater loss of motor function to upper extremities than lower extremities w/ variable sensory sparing; – Anatomy: – fibers responsible … Read more
– Discussion: – central stenosis produces compression of the thecal sac in contrast to lateral stenosis which involves compression of individual nerve roots; – may be congenital (idiopathic or developmental in achondroplastic dwarfs) or acquired; – acquired stenosis: – due to degenerative hypertrophic facets … Read more