Category scientific abstract Relevant author disclosures - none
|
|
|
- Dina Hopkins
- 8 years ago
- Views:
Transcription
1 SP IMPLICATIONS OF VERTEBRAL ENDPLATE DEFECTS AND OSSIFICATION PHENOMENA Rothschild Bruce, Jonhan Ho, Youssef Masharawi Northeast Ohio Medical University, Rootstown, OH, 7 USA Department of Dermatopathology, University of Pittsburgh, Pittsburgh, Pennsylvania, U.S.A Spinal Research Lab, The Stanley Steyer School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel 6999 bmr@ku.edu Category scientific abstract Relevant author disclosures - none
2 OBJECTIVE Clarification of character and implications of vertebral endplate alterations BACKGROUND Vertebral endplates alterations are of unclear clinical significance (,) Endplate abnormalities (on MRI) have been suggested as causes of pain () Endplate abnormalities are uncommon in asymptomatic individuals (,) Precedence exists, as disk abnormalities have also been recognized as asymptomatic (-7). Nosikova et al. J Anat 0;: Resnick. Diagnosis of Bone and Joint Disorders, 00. Weishaupt et al. Radiology 00;8:0-7. Weishaupt et al. Radiology 998;09: Boden et al. J Bone Jt Surg 990;7A: Jensen et al. N Engl J Med 99;: Stadnik et al. Radiology 998;06:9-
3 Endplate alterations have been attributed (,) to Trauma Neoplasm Infection Paget s disease Stress, Enthesitis Vascular alterations Schmorl s nodes have been attributed to Congenitally weak areas of cartilage plate () passage of blood vessels degenerating notochord (0) Osteochondrosis (). Martel et al. Amer J Roentgenol 976;7:7-6.. Sauser et al. J Can Assoc Radiol 978;9:-0.. McFadden & Taylor. Spine 989;: Kelley. Amer J Phys Anthropol Amer J Phys 98;9:7-79.
4 METHODS Vertebral endplates from a 0 year birth cohort (80 individuals born between 9 and 9) of the human skeletal component of the Hamann-Todd Collection were macroscopically evaluated for Vertebral endplate defects Variation of adjacent vertebra size and shape Bone density* Associated pathologies Findings correlated with other present diseases/phenomenon * Osteoporosis can only indirectly be recognized in defleshed bones on the basis of loss of vertebral height (). Therefore, anterior and posterior vertebral heights were compared and lateral compression noted (,).. Rothschild. Lumbar spondylosis (Spondylosis deformans). emedicine 0 Resnick. Diagnosis of Bone and Joint Disorders, 00.. Rothschild & Martin (00): Skeletal Impact of Disease. New Mexico Museum of Natural History, 00.
5 Vertebral endplate defects Schmorl s nodes were recognized as defined by Pfirrmann & Resnick () & Schmorl and Junghanns () as focal irregular or hemispherical bone defect in vertebral endplates view of L vertebral endplate. Irregular defect with smooth margins and remodeled exposed trabeculae within.. Pfirrmann & Resnick. Radiology 0;9: Schmorl & Junghanns, The Human Spine in Health and Disease. Grune and Stratton, 97
6 Vertebral endplate defects defects were recognized as non-hemispherical, elongated endplate defects. (A) L linear crack with no remodeling (B) T0 transverse linear defect (C) T linear defect (D) T0 linear crack with slight remodeling (E) T0 irregular defect with smooth edges and base, communicating with spinal canal (F) T multiple linear defects
7 RESULTS Defects were found in the vertebral endplates of 8 individuals: Schmorl s nodes in.0 defects in 0.6 Both in. Vertebral abnormalities at all levels (cervical, thoracic and lumbar) were more common on the inferior endplate, independent of type Correlations with presence of vertebral defects in an individual Vertebral centra osteophytes, more common (Chi square = 6.9) Diffuse Idiopathic Skeletal Hyperostosis, more common (Chi square = 0.96) Vertebral compression, less common
8 Vertebral level of endplate defects and elevations/deposits Level Aspect < mm Schmorl s node # < mm = or > mm Schmorl s Node # = or > Defect # Defect C C C C 8 C6 7 C7
9 Vertebral level of endplate defects and elevations/deposits Level Aspect < mm = or > mm Schmorl s Node # = or > Defect # Defect < mm Schmorl s node # T T T T T 6 T
10 Vertebral level of endplate defects and elevations/deposits Level Aspect < mm Schmorl s node # < mm = or > mm Schmorl s Node # = or > Defect # Defect T T T T T T
11 Vertebral level of endplate defects and elevations/deposits Level Aspect < mm Schmorl s node # < mm = or > mm Schmorl s Node # = or > Defect # Defect L L L L L 6 6
12 Distribution of endplate defects and surface elevations Vertebral section Schmorl s nodes # Schmorl s nodes defect # Defect Elevation Elevation Both Both # # Cervical Cervical Thoracic Thoracic Lumbar Lumbar Lumbar Number surfaces 8 0 7
13 RESULTS Defects were found in the vertebral endplates of 8 individuals: Schmorl s nodes in.0 defects in 0.6 Both in. Vertebral abnormalities at all levels (cervical, thoracic and lumbar) were more common on the inferior endplate, independent of type Correlations with presence of vertebral defects in an individual Vertebral centra osteophytes, more common (Chi square = 6.9) Diffuse Idiopathic Skeletal Hyperostosis, more common (Chi square = 0.96) Vertebral compression, less common
14 Schmorl s nodes Predominantly limited to single or (of 6) endplate segments (Chi square =.60, p < 0.000) Anterior (Chi square = 6.8 Middle (Chi square = 7.07) Posterior (Chi square =.90) Correlation with presence of Schmorl s nodes in an individual Absent of any increased frequency of Rheumatoid arthritis Calcium pyrophosphate deposition disease Cancer Hypertrophic osteoarthropathy compression fractures Present Spondyloarthropathy (Chi square =.9, p < 0.000) Osteophytes (adjacent) to present almost six times more commonly among vertebrae with defects mm in depth than in those with deeper defects (Chi square = 6.9, p < 0.000). Inverse Tuberculosis (Chi square = 7.90, p < 0.000)
15 Locationofdefectsonendplatesurface Typeofdefect # Schmorl snode # Schmorl snode Anterior Anteriorand Middle Anterior,Middle, Posterior 0 9 Middleand Posterior Middle Posterior 6
16 defects Found in 9 (0.6) of 88 individuals Character Predominately isolated phenomena on a given endplate Orientation - anterior-posteriorly or transverse.
17 defects Character Occasionally Multiple on a given endplate Connected with the spinal (neural) canal Occasionally a crack-like appearance with or without remodeling, but actual fracture through the endplate was rare ( instances Connected with spinal canal Fracture Compared with Schmorl s nodes Location on endplate surface Interior and posterior on (Chi square = 0.77, p < 0.00), or affecting all three regions - anterior to posterior (Chi square =.0) More disseminated throughout the vertebral column More commonly affected areas of endplate involved three (of 6) endplate segments (Chi square =.89, p < 0.0) Both interior and posterior (Chi square = 0.77), or Extended from anterior to posterior (Chi square =.0).
18 Locationofdefectsonendplatesurface Typeofdefect # Schmorl snode # Anterior AnteriorandMiddle Anterior,Middle,Posterior 0 9 MiddleandPosterior 7 Middle 0 0 Posterior 6
19 Surfacedimensionsofvertebraldefects Numberofzones (of6)involved # Schmorl snode #
20 Elevations on vertebral endplates Contrasted with surface disruptions (e.g., cavities/depressions) Co-occurred with vertebral defects in 98 individuals, affecting 7 vertebrae All but one occurred in association with Schmorl s node Compared with presence of surface defects, increased frequency of DISH (Chi square =.8, p < 0.000) Spondyloarthropathy (Chi square =.97, p < 0.000) Rheumatoid arthritis (Chi square =.97, p < 0.000) Calcium pyrophosphate deposition disease (Chi square = 6.77, p < 0.000) Tuberculosis (Chi square = 8.70, p < 0.000) Hypertrophic osteoarthropathy (Chi square = 7.0, p < 0.000)
21 Schmorl s nodes Frequency 8 of 80 individuals in this study Difficult to relate to frequencies reported in the literature Variable definitions () Schmorl and Junghanns () - 8 Batts () - 0. Coventry et al. () - radiographically, on macroscopic examination and a majority with microscopic evidence Williams et al. () - One third radiologically, but many more on MRI frequencies reported from 8 to 8 of 79, localized especially in the lower thoracic spine Localization More frequently on the inferior surface of vertebrae Counter-intuitive, as inferior 0 stronger than superior endplate (6,7) More focal and less centrally localized than assumed by Katz et al.(8). Dar, et al. Eur Spine J 00;9: Schmorl & Junghanns. The Human Spine in Health and Disease. Grune and Stratton, 97. Batts, J Bone Jt Surg 99;:-6. Coventry et al. J Bone Jt Surg 9;7:60-7. Williams et al. Arthritis Rheum 007;7: Grant et al. Spine 00;6: Perey. Acta Orthop Scand 97; (Suppl):-0 8. Katz et al. Invest Radiol 998;:7-
22 Depthofendplatedefects Depth Schmorl snode # defect # <mm 70 6 mm 889 >mm 96 9
23 What are the Implications of Schmorl s Nodes and Defects? Hypotheses Repetitive mechanical stresses produce damage to endplate vascularity (,) Endplate fractures, from trauma and additional stress (,) These are not seen by radiography, only observed pathologically () However current study found no association with Tendency to enthesial calcification (e.g., DISH) Periosteal reaction (e.g., hypertrophic osteoarthropathy) Vertebral compression Diseases which can compromise vertebral integrity* Osteoporosis thus does not allow endplate penetration Tuberculosis Cancer Correlation of endplate defects with vertebral centra osteophytes raises an intriguing question: Are endplate defects simply a manifestation of aging, as has been suggested for vertebral centra osteophytes (,6)? * There were only surface fractures. Peng et al. J Bone Jt Surg 00;8B: Revel et al. Clin Orthop 99;79:0-09. Fahey et al. Spine 998;:7-7.. Schmorl and Junghanns. The Human Spine in Health and Disease. Grune and Stratton, 97. Rothschild. Lumbar spondylosis (Spondylosis deformans). emedicine, Rothschild & Martin. Skeletal Impact of Disease. New Mexico Museum of Natural History, 006.
24 Derivation of Schmorl s nodes Potentially weak area of cartilaginous endplate adjacent to nucleus pulposus residual indentation from regression of chorda dorsalis (). But One mm deep perforations of pig endplate with a. mm wire resulted in only a single Schmorl s node () Therefore, a defect in the vertebral endplate is not sufficient for the development of a Schmorl s node Minimal remodeling suggests that at least some of the cracks represent a congenital anomaly. defects appear to represent a different phenomenon than Schmorl s nodes and should be assessed separately in the future... Resnick & Niwayama. Radiology 978;6:7-6. Cinotti et al. Spine 00;0:7-80
25 Elevations Represent calcified cartilage either residual in life () or residual from the maceration process Linked to surface defect phenomenon (Schmorl s nodes) Does deposition imply disk disease? Does an intact disk prevent deposition? Possibly previously unrecognized alteration of calcified cartilage? Possibly a manifestation of calcium pyrophosphate deposition disease that often complicates other forms of arthritis? Possibly a response to increased in intravertebral pressure? Association with many clinical diseases and phenomena. Oda et al. Spine 988;:0-.
26 If Schmorl s nodes are present, look for: Spondyloarthropathy but not vertebral compression or osteoporosis If surface elevations are present, look for: DISH Infammatory arthritis Spondyloarthropathy Rheumatoid arthritis Calcium pyrophosphate deposition disease Tuberculosis Hypertrophic osteoarthropathy If linear defects are present, look for: Associations, as not characterized to date
Musculoskeletal Imaging. Christian W. A. Pfirrmann, MD Donald Resnick, MD
Musculoskeletal Imaging Christian W. A. Pfirrmann, MD Donald Resnick, MD Index terms: Schmorl nodes, 32.78, 33.78 Spine, diseases, 32.4961, 32.4963, 32.77, 32.78, 33.4961, 33.4963, 33.77, 33.78 Spine,
Spine DJD Nomenclature. Sonia K Ghei, MD
Spine DJD Nomenclature Sonia K Ghei, MD Recommendations of the Combined Task Forces of the North American Spine Society, American Society of Spine Radiology, and American Society of Neuroradiology http://www.asnr.org/spine_nomenclature/
A Patient s Guide to Diffuse Idiopathic Skeletal Hyperostosis (DISH)
A Patient s Guide to Diffuse Idiopathic Skeletal Hyperostosis (DISH) Introduction Diffuse Idiopathic Skeletal Hyperostosis (DISH) is a phenomenon that more commonly affects older males. It is associated
Measure Title X RAY PRIOR TO MRI OR CAT SCAN IN THE EVAULATION OF LOWER BACK PAIN Disease State Back pain Indicator Classification Utilization
Client HMSA: PQSR 2009 Measure Title X RAY PRIOR TO MRI OR CAT SCAN IN THE EVAULATION OF LOWER BACK PAIN Disease State Back pain Indicator Classification Utilization Strength of Recommendation Organizations
Cervical Spine: Postmortem Assessment of Accident Injuries Comparison of Radiographic, MR Imaging, Anatomic, and Pathologic Findings
Cervical Spine: Postmortem Assessment of Accident Injuries Comparison of Radiographic, MR Imaging, Anatomic, and Pathologic Findings 1 Radiology, November, 2001;221:340-346. Axel Stäbler, MD, Jurik Eck,
Thoracolumbar Spine Fractures. Outline. Outline. Holmes Criteria. Disclosure:
Thoracolumbar Spine Fractures C. Craig Blackmore, MD, MPH Department of Radiology Virginia Mason Medical Center Affiliate Professor, University of Washington Disclosure: Book Royalties, Springer-Verlag
Evaluation and Treatment of Spine Fractures. Lara C. Portmann, MSN, ACNP-BC
Evaluation and Treatment of Spine Fractures Lara C. Portmann, MSN, ACNP-BC Nurse Practitioner, Neurosurgery, Trauma Services, Intermountain Medical Center; Salt Lake City, Utah Objectives: Identify the
Spinal Surgery Functional Status and Quality of Life Outcome Specifications 2015 (01/01/2013 to 12/31/2013 Dates of Procedure) September 2014
Description Methodology For patients ages 18 years and older who undergo a lumbar discectomy/laminotomy or lumbar spinal fusion procedure during the measurement year, the following measures will be calculated:
X-Plain Vertebral Compression Fractures Reference Summary
X-Plain Vertebral Compression Fractures Reference Summary Introduction Back pain caused by a vertebral compression fracture, or VCF, is a common condition that affects thousands of people every year. A
LOW BACK PAIN; MECHANICAL
1 ORTHO 16 LOW BACK PAIN; MECHANICAL Background This case definition was developed by the Armed Forces Health Surveillance Center (AFHSC) for the purpose of epidemiological surveillance of a condition
Unit 4: Skeletal System Test Review Test Review
Name: Period: Unit 4: Skeletal System Test Review Test Review 1. List four functions of the skeletal system: a. b. c. d. 2. Define ossification and identify the roles of the osteoblasts, osteocytes, and
Cervical Spinal Injuries
Cervical Spinal Injuries Common mechanism is extension or axial compression with buckling into extension. Structures most often injured are discs & facets. Disc & facet injuries are equally frequent. Major
Compression Fractures
September 2006 Compression Fractures Eleanor Adams Harvard Medical School Year IV Overview Spine Anatomy Thoracolumbar Fractures Cases Compression Fractures, Ddx Radiologic Tests of Choice Treatment Options
Spine Anatomy and Spine General The purpose of the spine is to help us stand and sit straight, move, and provide protection to the spinal cord.
Spine Anatomy and Spine General The purpose of the spine is to help us stand and sit straight, move, and provide protection to the spinal cord. Normal List Kyphosis The human spine has 7 Cervical vertebra
Cervical Spondylotic Myelopathy Associated with Kyphosis or Sagittal Sigmoid Alignment: Outcome after Anterior or Posterior Decompression
Cervical Spondylotic Myelopathy Associated with Kyphosis or Sagittal Sigmoid Alignment: Outcome after Anterior or Posterior Decompression 1 Journal of Neurosurgery: Spine November 2009, Volume 11, pp.
.org. Fractures of the Thoracic and Lumbar Spine. Cause. Description
Fractures of the Thoracic and Lumbar Spine Page ( 1 ) Spinal fractures can vary widely in severity. While some fractures are very serious injuries that require emergency treatment, other fractures can
ENTITLEMENT ELIGIBILITY GUIDELINES SPONDYLOLISTHESIS AND SPONDYLOLYSIS
ENTITLEMENT ELIGIBILITY GUIDELINES SPONDYLOLISTHESIS AND SPONDYLOLYSIS MPC 01414 ICD-9 756.12; 738.41; 756.11 DEFINITION Spondylolisthesis is generally defined as an anterior or posterior slipping or displacement
Osteoarthritis and osteoporosis
Osteoarthritis and osteoporosis What is osteoporosis? Osteoporosis occurs when the struts which make up the mesh-like structure within bones become thin causing them to become fragile and break easily,
R/F. Applications and Present Issues of Tomosynthesis in Spine Surgery. 87th Annual Meeting of the Japanese Orthopaedic Association Evening Seminar 4
R/F Applications and Present Issues of Tomosynthesis in Spine Surgery 87th Annual Meeting of the Japanese Orthopaedic Association Evening Seminar 4 Professor and Chairman Department of Orthopaedic Surgery
ICD 10 CM IMPLEMENTATION DATE OCT 1, 2015
Presented by: Teri Romano, RN, MBA, CPC, CMDP ICD 10 CM IMPLEMENTATION DATE OCT 1, 2015 Source: http://journal.ahima.org/2015/02/04/us house committee to hold hearing on icd 10 implementation/ 2 2015 Web_Non
visualized. The correct level is then identified again. With the use of a microscope and
SURGERY FOR SPINAL STENOSIS Laminectomy A one inch (or longer for extensive stenosis) incision is made in the middle of the back over the effected region of the spine. The muscles over the bone are moved
CMS Limitations Guide Mammograms and Bone Density Radiology Services
CMS Limitations Guide Mammograms and Bone Density Radiology Services Starting July 1, 2008, CMS has placed numerous medical necessity limits on tests and procedures. This reference guide provides you with
Arthritis of the Hands
Arthritis of the Hands On the Agenda Normal Osteoarthitis Rheumatoid arthritis CPPD crystal deposition Gout Psoriatic arthritis Normal Hand X-ray Osteoarthritis (DJD) Gradual degeneration of articular
DUKE ORTHOPAEDIC SURGERY GOALS AND OBJECTIVES SPINE SERVICE
GOALS AND OBJECTIVES PATIENT CARE Able to perform a complete musculoskeletal and neurologic examination on the patient including cervical spine, thoracic spine, and lumbar spine. The neurologic examination
BRYAN. Cervical Disc System. Patient Information
BRYAN Cervical Disc System Patient Information 3 BRYAN Cervical Disc System PATIENT INFORMATION BRYAN Cervical Disc System PATIENT INFORMATION 1 BRYAN Cervical Disc System This patient information brochure
Acute Osteoporotic and Neoplastic Vertebral Compression Fractures: Fluid Sign at MR Imaging 1
Musculoskeletal Imaging Radiology Andrea Baur, MD Axel Stäbler, MD Susanne Arbogast, MD Hans Roland Duerr, MD Reiner Bartl, MD Maximilian Reiser, MD Index terms: Osteoporosis, 30.56 Spine, fractures, 30.411
Nomenclature and Classification of Lumbar Disc Pathology
Nomenclature and Classification of Lumbar Disc Pathology Recommendations of the Combined Task Forces of the North American Spine Society, American Society of Spine Radiology, and American Society of Neuroradiology
Cervical Spine Surgery. Orthopaedic Nursing Seminar. Dr Michelle Atkinson. Friday October 21 st 2011. Cervical Disc Herniation
Cervical Spine Surgery Dr Michelle Atkinson The Sydney and Dalcross Adventist Hospitals Orthopaedic Nursing Seminar Friday October 21 st 2011 Cervical disc herniation The most frequently treated surgical
THE LUMBAR SPINE (BACK)
THE LUMBAR SPINE (BACK) At a glance Chronic back pain, especially in the area of the lumbar spine (lower back), is a widespread condition. It can be assumed that 75 % of all people have it sometimes or
Spine Trauma: When to Transfer. Alexander Ching, MD Director, Orthopaedic Spine Trauma OHSU
Spine Trauma: When to Transfer Alexander Ching, MD Director, Orthopaedic Spine Trauma OHSU Disclosures Depuy Spine Consultant (teaching and courses) Department education and research funds Atlas Spine
Spine and Femoral Head Instrumentation for the Radiologist. Mariam S. Aboian, Gillian Lieberman MBBS
Spine and Femoral Head Instrumentation for the Radiologist Mariam S. Aboian, Gillian Lieberman MBBS Spine and Hip Instrumentation for the Radiologist Radiologists, Neurosurgeons, Orthopedic Surgeons =
Contents. Introduction 1. Anatomy of the Spine 1. 2. Spinal Imaging 7. 3. Spinal Biomechanics 23. 4. History and Physical Examination of the Spine 33
Contents Introduction 1. Anatomy of the Spine 1 Vertebrae 1 Ligaments 3 Intervertebral Disk 4 Intervertebral Foramen 5 2. Spinal Imaging 7 Imaging Modalities 7 Conventional Radiographs 7 Myelography 9
Temple Physical Therapy
Temple Physical Therapy A General Overview of Common Neck Injuries For current information on Temple Physical Therapy related news and for a healthy and safe return to work, sport and recreation Like Us
How To Write An Icd10
Crosswalk of Common Spine ICD-9-CM Codes to ICD-10 Codes As of October 1, 2015, all health care entities covered by the Health Insurance Portability and Accountability Act (HIPAA) will be required to use
ANTERIOR CERVICAL DISCECTOMY AND FUSION. Basic Anatomical Landmarks: Anterior Cervical Spine
Anterior In the human anatomy, referring to the front surface of the body or position of one structure relative to another Cervical Relating to the neck, in the spine relating to the first seven vertebrae
Pathoanatomical Changes of the Brachial Plexus and of C5-C6 Following Whiplash-Type Injury: A Case Report
Pathoanatomical Changes of the Brachial Plexus and of C5-C6 Following Whiplash-Type Injury: A Case Report 1 Journal Of Whiplash & Related Disorders Vol. 1, No, 1, 2002 Gunilla Bring, Halldor Jonsson Jr.,
On Cervical Zygapophysial Joint Pain After Whiplash. Spine December 1, 2011; Volume 36, Number 25S, pp S194 S199
On Cervical Zygapophysial Joint Pain After Whiplash 1 Spine December 1, 2011; Volume 36, Number 25S, pp S194 S199 Nikolai Bogduk, MD, PhD FROM ABSTRACT Objective To summarize the evidence that implicates
Advanced Practice Provider Academy
(+)Dean T. Harrison, MPAS,PA C,DFAAPA Director of Mid Level Practitioners; Assistant Medical Director Clinical Evaluation Unit, Division of Emergency Medicine, Department of Surgery, Duke University Medical
Health Benchmarks Program Clinical Quality Indicator Specification 2013
Health Benchmarks Program Clinical Quality Indicator Specification 2013 Measure Title USE OF IMAGING STUDIES FOR LOW BACK PAIN Disease State Musculoskeletal Indicator Classification Utilization Strength
Vertebral anatomy study guide. Human Structure Summer 2015. Prepared by Daniel Schmitt, Angel Zeininger, and Karyne Rabey.
Vertebral anatomy study guide. Human Structure Summer 2015 Prepared by Daniel Schmitt, Angel Zeininger, and Karyne Rabey. 1. Plan of Action: In this guide you will learn to identify these structures: Cervical
DISEASES OF THE MUSKULOSKELETAL SYSTEM AND CONNECTIVE TISSUE
DISEASES OF THE MUSKULOSKELETAL SYSTEM AND CONNECTIVE TISSUE ARTHROPATHIES AND RELATED DISORDERS (710 719.9) 710 DIFFUSE DISEASES OF CONNECTIVE TISSUE 710.0 SYSTEMIC LUPUS ERYTHEMATOSUS 710.1 SYSTEMIC
The Furcal nerve. Ronald L L Collins,MB,BS(UWI),FRCS(Edin.),FICS (Fort Lee Surgical Center, Fort Lee,NJ)
The Furcal nerve. Ronald L L Collins,MB,BS(UWI),FRCS(Edin.),FICS (Fort Lee Surgical Center, Fort Lee,NJ) The furcal nerve is regarded as an anomalous nerve root, and has been found with significant frequency
Spine University s Guide to Vertebral Osteonecrosis (Kummel's Disease)
Spine University s Guide to Vertebral Osteonecrosis (Kummel's Disease) 2 Introduction Kummel's disease is a collapse of the vertebrae (the bones that make up the spine). It is also called vertebral osteonecrosis.
Correlation of Clinical Presentation, Radiography, and Magnetic Resonance Imaging for Low Back Pain a Preliminary Survey
Radiography J HK Coll Radiol and Magnetic 2003;6:144-151 Resonance Imaging for Low Back Pain ORIGINAL ARTICLE Correlation of Clinical Presentation, Radiography, and Magnetic Resonance Imaging for Low Back
Spine Injury and Back Pain in Sports
Spine Injury and Back Pain in Sports DAVID W. GRAY, MD 1 Back Pain Increases with Age Girls>Boys in Teenage years Anywhere from 15 to 80% of children and adolescents have back pain depending on the studies
Osseous Tissue & Structure. The skeletal system includes: Storage of minerals: calcium salts
Chapter 15 Lecture The Skeletal System: Osseous Tissue & Skeletal Structure The Skeletal System The skeletal system includes: Bones, cartilages, ligaments Bone tissue = osseous tissue Includes living cells
Spinal Surgery 2. Teaching Aims. Common Spinal Pathologies. Disc Degeneration. Disc Degeneration. Causes of LBP 8/2/13. Common Spinal Conditions
Teaching Aims Spinal Surgery 2 Mr Mushtaque A. Ishaque BSc(Hons) BChir(Cantab) DM FRCS FRCS(Ed) FRCS(Orth) Hunterian Professor at The Royal College of Surgeons of England Consultant Orthopaedic Spinal
4052 Slimplicity Tech final_layout 1 6/29/15 3:29 PM Page 2 Surgical Technique
Surgical Technique TABLE OF CONTENTS Slimplicity Anterior Cervical Plate System Overview 2 Indications 2 Implants 3 Instruments 4 Surgical Technique 6 1. Patient Positioning and Approach 6 2. Plate Selection
Arthritis of the Spine
Arthritis of the Spine Runsheng Wang and Michael M. Ward Abstract Arthritis is the common term used to describe pathological changes of joints and adjoining parts of the bone. Several types of arthritis
Commonly Missed Fractures in the Emergency Department
Commonly Missed Fractures in the Emergency Department Taylor Sittler MS IV - UMASS Images courtesy of Jim Wu, MD, Sanjay Shetty, MD and Mary Hochman, MD Diagnostic Errors in the ED Taylor Sittler, MS IV
White Paper: Cervical Disc Replacement: When is the Mobi-C Cervical Disc Medically Necessary?
White Paper: Cervical Disc Replacement: When is the Mobi-C Cervical Disc Medically Necessary? For Health Plans, Medical Management Organizations and TPAs Cervical Disc Disease: An Overview The cervical
A Diagnostic Chest XRay: Multiple Myeloma
Daniela Marinho Tridente, VI FCMSCSP October 2013 A Diagnostic Chest XRay: Multiple Myeloma Daniela Marinho Tridente, VI FCMSCSP Our Learning Agenda Introduction of our patient His imaging data and findings
Information for the Patient About Surgical
Information for the Patient About Surgical Decompression and Stabilization of the Spine Aging and the Spine Daily wear and tear, along with disc degeneration due to aging and injury, are common causes
MRI of Bone Marrow Radiologic-Pathologic Correlation
MRI of Bone Marrow Radiologic-Pathologic Correlation Marilyn J. Siegel, M.D. Mallinckrodt Institute of Radiology Washington University School of Medicine St. Louis, MO and Visiting Scientist, AFIP, Washington,
Disc Herniation: What s in a name?
Disc Herniation: What s in a name? Several years ago I published a newsletter titled Disc Herniations - One Name with Many Meanings. I referenced a paper published in Spine in 2001 titled Nomenclature
SYLLABUS. SPINAL ANATOMY 1- ANAT- 118/618(lab)
SYLLABUS Name of Course: Length of Course: Course Description: Prerequisites: SPINAL ANATOMY 1- ANAT- 118/618(lab) 3.5 units, 63 hours (6 hrs/wk) This course is an introduction to the study of the human
The dog as an animal model for DISH?
Eur Spine J (2010) 19:1325 1329 DOI 10.1007/s00586-010-1280-6 ORIGINAL ARTICLE The dog as an animal model for DISH? H. C. Kranenburg L. A. Westerveld J. J. Verlaan F. C. Oner W. J. A. Dhert G. Voorhout
Radiologic Diagnosis of Spinal Metastases
September 2002 Radiologic Diagnosis of Spinal Metastases Natalie J. M. Dailey, Harvard Medical Student Year III Our Patient s Presenting Story 70 year old male Presents to the hospital for laparascopic
Instability concept. Symposium- Cervical Spine. Barcelona, February 2014
Instability concept Guillem Saló Bru, MD, Phd AOSpine Principles Symposium- Cervical Spine Orthopaedic Depatment. Spine Unit. Hospital del Mar. Barcelona. Associated Professor UAB Barcelona, February 2014
The Anatomy of Spinal Cord Injury (SCI)
The Anatomy of Spinal Cord Injury (SCI) What is the Spinal Cord? The spinal cord is that part of your central nervous system that transmits messages between your brain and your body. The spinal cord has
Anatomy and Terminology of the Spine. Bones of the Spine (Vertebrae)
Anatomy and Terminology of the Spine The spine, also called the spinal column, vertebral column or backbone, consists of bones, intervertebral discs, ligaments, and joints. In addition, the spine serves
SPINAL FUSION. North American Spine Society Public Education Series
SPINAL FUSION North American Spine Society Public Education Series WHAT IS SPINAL FUSION? The spine is made up of a series of bones called vertebrae ; between each vertebra are strong connective tissues
Adult Spine Rotation Specific Evaluation Orthopaedic Surgery Training Program School of Medicine, Queen s University
Adult Spine Rotation Specific Evaluation Orthopaedic Surgery Training Program School of Medicine, Queen s University CanMEDS Roles / Competencies Name: PGY Rotation Dates: s s Exceeds N/A Attending Staff:
BIOL 4260 Human Evolu3onary Anatomy Lecture 5: Bone Development & Trunk Anatomy. Lecture 2: Fossil Record
BIOL 4260 Human Evolu3onary Anatomy Lecture 5: Bone Development & Trunk Anatomy Lecture 2: Fossil Record Segmentation Cyclic genescreate segme ntation clock for somite production Final #s 4 occipital 8
Human Anatomy & Physiology
PowerPoint Lecture Slides prepared by Barbara Heard, Atlantic Cape Community College Ninth Edition Human Anatomy & Physiology C H A P T E R 7 The Skeleton: Part B Annie Leibovitz/Contact Press Images Vertebral
TMMC&RC, Teerthanker Mahaveer University, Moradabad, Uttar Pradesh, India, 244001 Mobile No.: +91-9997605146, E Mail drnidhivarshney@gmail.
SEXUAL DIMORPHISM IN CERVICAL VERTEBRAL CANAL MEASUREMENTS OF HUMAN FOETUSES Nidhi Sharma *, Farah Ghaus, Nafis Ahmad Faruqi, Raghuveer Singh Mandloi * Correspondence to: Dr. Nidhi Sharma, Assistant Professor,
Lab 5 Overview of the Skeleton: Classification and Structure of Bones and Cartilages Exercise 9 The Axial Skeleton Exercise 10
Lab 5 Overview of the Skeleton: Classification and Structure of Bones and Cartilages Exercise 9 The Axial Skeleton Exercise 10 Overview of the Skeleton Locate the important cartilages in the human skeleton
Chapter 11. What are the functions of the skeletal system? More detail on bone
Skeletal System Chapter 11 11.1 Overview of the skeletal system What are the functions of the skeletal system? 1. Supports the body 2. Protects the soft body parts 3. Produces blood cells 4. Stores minerals
(English) NEXUS SPINE SPACER SYSTEM
(English) NEXUS SPINE SPACER SYSTEM INDICATIONS FOR USE NEXUS Spine Spacer System, a GEO Structure is indicated for use in the thoraco-lumbar spine (i.e., T1 to L5) to replace a diseased vertebral body
Thoracic Spine Anatomy
A Patient s Guide to Thoracic Spine Anatomy 228 West Main, Suite C Missoula, MT 59802 Phone: info@spineuniversity.com DISCLAIMER: The information in this booklet is compiled from a variety of sources.
I. INCLUSION AND EXCLUSION CRITERIA
Page 1 of 5 I. INCLUSION AND EXCLUSION CRITERIA INCLUSION CRITERIA Yes No 1. Patient is diagnosed with according to the American College of Rheumatology 1987 revised criteria. 2. All 4 grandparents are
The Functions of the Skeletal System
OpenStax-CNX module: m46341 1 The Functions of the Skeletal System OpenStax College This work is produced by OpenStax-CNX and licensed under the Creative Commons Attribution License 3.0 By the end of this
Neck and Back Pain in VA Incidence and Prevalence in VA Users
Neck and Back Pain in VA Incidence and Prevalence in VA Users Spotlight on Pain Management: Patsi Sinnott, PT, PhD, MPH Sharon Dally, MS, Tigran Avoundjian, MPH, Jody Trafton, PhD, Todd Wagner, PhD Dec.
Degenerative Lumbar Spine Disease
Beth Israel Deaconess Medical Center A Member of Caregroup Harvard Medical School Degenerative Lumbar Spine Disease Michael Barnett, HMS III Core Radiology Clerkship BIDMC PCE Overview Patient Presentation:
1 REVISOR 5223.0070. (4) Pain associated with rigidity (loss of motion or postural abnormality) or
1 REVISOR 5223.0070 5223.0070 MUSCULOSKELETAL SCHEDULE; BACK. Subpart 1. Lumbar spine. The spine rating is inclusive of leg symptoms except for gross motor weakness, bladder or bowel dysfunction, or sexual
Cervical Spine Imaging
March 20, 2006 Cervical Spine Imaging Johannes Kratz, Harvard Medical School Year IV 1 Overview Background Clinical Cases Diagnostic Tests and a Decision-Tree Algorithm Examples of Cervical Spine Evaluations
ANTERIOR LUMBAR INTERBODY FUSION (ALIF) Basic Anatomical Landmarks: Anterior Lumbar Spine
(ALIF) Anterior In human anatomy, referring to the front surface of the body or the position of one structure relative to another Lumbar Relating to the loins or the section of the back and sides between
If you or a loved one have suffered because of a negligent error during spinal surgery, you will be going through a difficult time.
If you or a loved one have suffered because of a negligent error during spinal surgery, you will be going through a difficult time. You may be worried about your future, both in respect of finances and
Minimally Invasive Spine Surgery For Your Patients
Minimally Invasive Spine Surgery For Your Patients Lukas P. Zebala, M.D. Assistant Professor Orthopaedic and Neurological Spine Surgery Department of Orthopaedic Surgery Washington University School of
Mobi-C Cervical Artificial Disc Patient Education
Mobi-C Cervical Artificial Disc Patient Education This patient education book explains: How the neck works. What happens when a cervical disc wears out. What are the risks and benefits of cervical artificial
Diagnostic performance of MRI in differentiating metastatic from acute osteoporotic compression fractures of the spine
Diagnostic performance of MRI in differentiating metastatic from acute osteoporotic compression fractures of the spine Poster No.: C-1399 Congress: ECR 2013 Type: Scientific Exhibit Authors: J. Martel,
Hyperextension Injuries Thoracic Spine Joseph Junewick, MD FACR
Hyperextension Injuries Thoracic Spine Joseph Junewick, MD FACR 10/29/2010 History 3 year old restrained passenger involved in motor vehicle accident. Diagnosis Hyperextension Injuries Thoracic Spine Additional
OVCF of the thoracic and lumbar spine can be a source of
Published August 26, 2010 as 10.3174/ajnr.A2223 ORIGINAL RESEARCH A.O. Ortiz R. Bordia Injury to the Vertebral Endplate-Disk Complex Associated with Osteoporotic Vertebral Compression Fractures BACKGROUND
MD 2016. Back Muscles & Movements Applied Anatomy. A/Prof Chris Briggs Anatomy & Neuroscience
MD 2016 Back Muscles & Movements Applied Anatomy A/Prof Chris Briggs Anatomy & Neuroscience WARNING This material has been provided to you pursuant to section 49 of the Copyright Act 1968 (the Act) for
Vivian Gonzalez Gillian Lieberman, MD. January 2002. Lumbar Spine Trauma. Vivian Gonzalez, Harvard Medical School Year III Gillian Lieberman, MD
January 2002 Lumbar Spine Trauma Vivian Gonzalez, Harvard Medical School Year III Agenda Anatomy and Biomechanics of Lumbar Spine Three-Column Concept Classification of Fractures Our Patient Imaging Modalities
Advances In Spine Care. James D. Bruffey M.D. Scripps Clinic Division of Orthopaedic Surgery Section of Spinal Surgery
Advances In Spine Care James D. Bruffey M.D. Scripps Clinic Division of Orthopaedic Surgery Section of Spinal Surgery Introduction The Spine - A common source of problems Back pain is the #2 presenting
Thoracolumbar Fratures R1: 胡 家 瑞 指 导 老 师 : 吴 轲 主 任
Thoracolumbar Fratures R1: 胡 家 瑞 指 导 老 师 : 吴 轲 主 任 Patient Data Name: 苏 XX Gender: Female Age:47 years old Admission date: 2010.06.09 Chief complaint Fell down from 4-54 5 meter tree and lead to lumbosacral
MATERIALS AND METHODS
REDISTRIBUTION OF LOAD OF INJURED LOWER CERVICAL SPINE UNDER AXIAL COMPRESSION USING FEM E. C. Teo 1 and H. W. Ng 1 1 School of Mechanical and Production Engineering, Nanyang Technological University,
SPINE SERVICE ROTATION ROTATION SPECIFIC OBJECTIVES (RSO) DEPT. OF ORTHOPEDICS AND PHYSICAL REHABILITATION UNIVERSITY OF MASSACHUSETTS
SPINE SERVICE ROTATION ROTATION SPECIFIC OBJECTIVES (RSO) DEPT. OF ORTHOPEDICS AND PHYSICAL REHABILITATION UNIVERSITY OF MASSACHUSETTS The purpose of this RSO is to outline and clarify the objectives of
CERVICAL PROCEDURES PHYSICIAN CODING
CERVICAL PROCEDURES PHYSICIAN CODING Anterior Cervical Discectomy with Interbody Fusion (ACDF) Anterior interbody fusion, with discectomy and decompression; cervical below C2 22551 first interspace 22552
Nomenclature and Standard Reporting Terminology of Intervertebral Disk Herniation
167 Nomenclature and Standard Reporting Terminology of Intervertebral Disk Herniation Richard F. Costello, DO a, *, Douglas P. Beall, MD a,b MAGNETIC RESONANCE IMAGING CLINICS Magn Reson Imaging Clin N
Practical class 3 THE HEART
Practical class 3 THE HEART OBJECTIVES By the time you have completed this assignment and any necessary further reading or study you should be able to:- 1. Describe the fibrous pericardium and serous pericardium,
Imaging degenerative disk disease in the lumbar spine. Elaine Besancon MS III Dr. Gillian Lieberman
Imaging degenerative disk disease in the lumbar spine Elaine Besancon MS III Dr. Gillian Lieberman Learning Objectives Anatomy review Pathophysiology of degenerative disc disease Common sequelae of disk
Wellness & Lifestyles Australia
Wellness & Lifestyles Australia MANUAL HANDLING IN AGED CARE AND THE HEALTH CARE INDUSTRY E-BOOK prepared by Wellness & Lifestyles Australia 2007,2008,2009 Table of Contents Page No. IMPORTANT NOTICE...
Options for Cervical Disc Degeneration A Guide to the M6-C. clinical study
Options for Cervical Disc Degeneration A Guide to the M6-C clinical study Each year, hundreds of thousands of adults are diagnosed with Cervical Disc Degeneration, an upper spine condition that can cause
Patient Information. Anterior Cervical Discectomy and Fusion Surgery (ACDF).
Patient Information. Anterior Cervical Discectomy and Fusion Surgery (ACDF). Understanding your spine Disc Between each pair of vertebrae there is a disc that acts as a cushion to protect the vertebra,
A Patient s Guide to the Disorders of the Cervical and Upper Thoracic Spine
A Patient s Guide to the Disorders of the Cervical and Upper Thoracic Spine General Anatomy of the Spine The spine can be divided into four regions based on vertebral shape and sagittal plane curve.» CERVICAL:
Spinal Anatomy. * MedX research contends that the lumbar region really starts at T-11, based upon the attributes of the vertebra.
Spinal Anatomy Overview Neck and back pain, especially pain in the lower back, is one of the most common health problems in adults. Fortunately, most back and neck pain is temporary, resulting from short-term
InternatIonal JOURNAL OF ANATOMY PHYSIOLOGY and BIOCHEMISTRY
ORIGINAL RESEARCH ARTICLE http://www.eternalpublication.com InternatIonal JOURNAL OF ANATOMY PHYSIOLOGY and BIOCHEMISTRY IJAPB: Volume: 1; Issue: 1; October 2014 ISSN(Online):2394-3440 A Morphometric Study
Administrative. Patient name Date compare with previous Position markers R-L, upright, supine Technical quality
CHEST X-RAY Administrative Patient name Date compare with previous Position markers R-L, upright, supine Technical quality AP or PA ( with x-ray beam entering from back of patient, taken at 6 feet) Good