Spine DJD Nomenclature. Sonia K Ghei, MD
|
|
- Jared Gibbs
- 8 years ago
- Views:
Transcription
1 Spine DJD Nomenclature Sonia K Ghei, MD
2 Recommendations of the Combined Task Forces of the North American Spine Society, American Society of Spine Radiology, and American Society of Neuroradiology David F. Fardon, MD, Chairperson, Clinical Task Force Pierre C. Milette, MD, Chairperson, Imaging Task Force Since its initial publication in March 2001, the terminology proposed in this work has been endorsed by other societies. It is now officially supported, recommended or web-linked by the following American and European professional organizations and scientific societies: American Academy of Orthopaedic Surgeons (AAOS) American Academy of Physical Medicine and Rehabilitation (AAPM&R) American College of Radiology (ACR) American Society of Neuroradiology (ASNR) American Society of Spine Radiology (ASSR) Joint Section on Disorders of the Spine and Peripheral Nerves of the American Association of Neurological Surgeons (AANS) and Congress of Neurological Surgeons (CNS) European Society of Neuroradiology (ESNR) North American Spine Society (NASS) Physiatric Association of Spine, Sports and Occupational Rehabilitation (PASSOR)
3 Recommendations of the Combined Task Forces of the North American Spine Society, American Society of Spine Radiology, and American Society of Neuroradiology David F. Fardon, MD, Chairperson, Clinical Task Force Pierre C. Milette, MD, Chairperson, Imaging Task Force Since its initial publication in March 2001, the terminology proposed in this work has been endorsed by other societies. It is now officially supported, recommended or web-linked by the following American and European professional organizations and scientific societies: American Academy of Orthopaedic Surgeons (AAOS) American Academy of Physical Medicine and Rehabilitation (AAPM&R) American College of Radiology (ACR) American Society of Neuroradiology (ASNR) American Society of Spine Radiology (ASSR) Joint Section on Disorders of the Spine and Peripheral Nerves of the American Association of Neurological Surgeons (AANS) and Congress of Neurological Surgeons (CNS) European Society of Neuroradiology (ESNR) North American Spine Society (NASS) Physiatric Association of Spine, Sports and Occupational Rehabilitation (PASSOR) MULTIDISCIPLINARY CONSENSUS
4 Definitions based on morphology and pathology -Do not imply any particular etiology -Do not suggest any particular treatment -Do not make a distinction between symptomatic and asymptomatic disease
5 DISC DISEASE
6 The bilocular appearance of the adult nucleus resulting from the development of a central horizontal band of fibrous tissue is considered a sign of normal maturation. Includes discs that are congenitally abnormal or that have undergone changes in their morphology as an adaptation to abnormal growth of the spine (eg scoliosis or spondylolisthesis). Adapted from Milette PC. Classification, diagnostic imaging and imaging characterization of a lumbar herniated disc. Radiol Clin North Am 2000; 38:
7 Degenerative/Traumatic Lesion Annular tear/fissure Herniation Protrusion/Extrusion Intravertebral Degeneration Spondylosis deformans Intervertebral osteochondrosis
8 Degenerative/Traumatic Lesion Annular tear/fissure Herniation Protrusion/Extrusion Intravertebral Degeneration Spondylosis deformans Intervertebral osteochondrosis
9 Deteriorated disc
10 Degenerative/Traumatic Lesion Annular tear/fissure Herniation Protrusion/Extrusion Intravertebral Degeneration
11 Annular tear Also appropriately termed annular fissure. Separations between annular fibers or avulsion of fibers from their vertebral body insertions. The term fissure" is used to refer to a localized radial, concentric, or horizontal disruption of the annulus without associated displacement of disc material beyond the limits of the intervertebral disc space. Does not imply that the lesion is secondary to trauma.
12
13 Degenerative/Traumatic Lesion Annular tear/fissure Herniation Protrusion/Extrusion Intravertebral Degeneration
14 Disc herniation Localized displacement of disc material beyond the limits of the intervertebral disc space. The disc space is defined, craniad and caudad, by the vertebral body end-plates and, peripherally, by the outer edges of the vertebral ring apophyses, exclusive of osteophytic formations. Note about the term disc-osteophyte complex
15 OLD! In 2011 revision, a broad-based herniation, involving >90 of the disc circumference, is now considered an asymmetric bulge Bulging disc <50% (180 degrees) >50% (180 degrees) <25% 25-50%
16 In 2011 revision, a broadbased herniation, involving >90 of the disc circumference, is now considered an asymmetric bulge Bulging disc <25% (90 degrees) >25% (90 degrees) = <25% >25%
17 Bulging disc <25% (90 degrees) >25% (90 degrees) <25% (90 degrees) >25% (90 degrees)
18 VOLUME AVERAGING (PSEUDOBULGE)
19 Disc herniation Herniated discs can be described as protrusion or extrusion, based on the shape (not size) of the displaced material. Protrusion is present, if the greatest distance, in any plane, between the edges of the disc material beyond the disc space is less than the distance between the edges of the base in the same plane. Extrusion is present when, in at least one plane, any one distance between the edges of the disc material beyond the disc space is greater than the distance between the edges of the base in the same plane, or when no continuity exists between the disc material beyond the disc space and that within the disc space. Sequestered disc is included in this category.
20
21
22
23
24
25 Protrusion Migration Sequestration
26
27
28
29 Schmorl s node = Intravertebral disc herniation
30 Description of a disc herniation: Morphology Protrusion Extrusion Intravertebral Location
31
32
33
34
35
36
37
38 STENOSIS
39 Boundaries of central canal Vertebral body and disc Facet joint, Ligamentum flavum Facet joint, Ligamentum flavum
40 Boundaries of neural foramen Cranial pedicle Vertebral body, Disc Facet joint, Ligamentum flavum Caudal pedicle
41
42
43
44
45 DEGENERATIVE ENDPLATE CHANGES Modic Type: I Edema II Fat III - Fibrosis
46
47
48
49 The postoperative spine: Granulation tissue/scar
50
51
52
53 Arachnoiditis Clumped roots Empty sac Pseudocord Enhancing roots
54 The End
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
More informationNomenclature 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
More informationDisc 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
More informationWe use disc space narrowing as our primary parameter to grade disc degeneration:
Lumbar Spine Definitions and Diagnostic Criteria: Degeneration, Herniation and Stenosis Thomas J. Gilbert MD, MPP William J. Mullin MD Ronald S. Pobiel MD April 1, 2015 revision Disc Degeneration: Spondylosis
More informationCervical 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
More informationDiscogenic Low Backache A clinical and MRI correlative study A DISSERTATION SUBMITTED TO UNIVERSITY OF SEYCHELLES AMERICAN INSTITUTE OF MEDICINE
Discogenic Low Backache A clinical and MRI correlative study A DISSERTATION SUBMITTED TO UNIVERSITY OF SEYCHELLES AMERICAN INSTITUTE OF MEDICINE IN PARTIAL FULFILLMENT OF THE REGULATIONS FOR THE AWARD
More informationImaging 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
More informationhttps://www.laserspineinstitute.com/back_problems/foraminal_stenosis/e...
Questions? Call toll free 1-866-249-1627 Contact us today. We're here for you seven days a week. MRI Review Consultation Live help Call 1-866-249-1627 Chat Live Home Laser Spine Institute Laser Spine Institute's
More informationSPINE ANATOMY AND PROCEDURES. Tulsa Spine & Specialty Hospital 6901 S. Olympia Avenue Tulsa, Oklahoma 74132
SPINE ANATOMY AND PROCEDURES Tulsa Spine & Specialty Hospital 6901 S. Olympia Avenue Tulsa, Oklahoma 74132 SPINE ANATOMY The spine consists of 33 bones called vertebrae. The top 7 are cervical, or neck
More informationCorrelation 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
More informationAnatomy 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
More informationMichael L. Eggleston, DC 3000 N. Market Ave. Ste C Fayetteville, AR 72703 Phone: 479-575-0105 Fax: 479-575-0205 eggleston_m@yahoo.com www.eggchiro.
Michael L. Eggleston, DC 3000 N. Market Ave. Ste C Fayetteville, AR 72703 Phone: 479-575-0105 Fax: 479-575-0205 eggleston_m@yahoo.com www.eggchiro.com SELECTED OCCUPATIONAL HISTORY Clinic Director, Chiropractor,
More informationPersonal Injury Radiology: How Images Can Prove Your Case Despite Contrary Reports
Personal Injury Radiology: How Images Can Prove Your Case Despite Contrary Reports LAJ Last Chance Meeting NOLA December 14, 2012 Mark D. Herbst, M.D., Ph.D. Mark D. Herbst, M.D., Ph.D. How to use a radiology
More informationThoracic 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.
More informationSpinal Biomechanical Analysis Cooperative Spine Care. About Me. House Keeping 8/14/2015
Spinal Biomechanical Analysis Cooperative Spine Care Anatomical VS. Biomechanical Spine Pain William J Owens Jr, DC, DAAMLP, CPC About Me Adjunct Faculty - Clinical Assistant Professor - State University
More informationAnatomy of the Spine. Figure 1. (left) The spine has three natural curves that form an S-shape; strong muscles keep our spine in alignment.
1 2 Anatomy of the Spine Overview The spine is made of 33 individual bony vertebrae stacked one on top of the other. This spinal column provides the main support for your body, allowing you to stand upright,
More informationARTICLES. Prevalence of Herniated Intervertebral Discs of the Cervical Spine in Asymptomatic Subjects Using MRI Scans: A Qualitative Systematic Review
Please note that this electronic prepublication galley may contain typographical errors and may be missing artwork, such as charts, photographs, etc. Pagination in this version will differ from the published
More informationThe Petrylaw Lawsuits Settlements and Injury Settlement Report
The Petrylaw Lawsuits Settlements and Injury Settlement Report BACK INJURIES How Minnesota Juries Decide the Value of Pain and Suffering in Back Injury Cases The Petrylaw Lawsuits Settlements and Injury
More informationLOW 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
More informationSpinal 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
More informationDoes the pain radiating down your legs, buttocks or lower back prevent you from walking long distances?
Does the pain radiating down your legs, buttocks or lower back prevent you from walking long distances? Do you experience weakness, tingling, numbness, stiffness, or cramping in your legs, buttocks or
More informationThe Dehydrated Lumbar Intervertebral Disk on MR, its Anatomy, Biochemistry and Biomechanics
NRJ Digital - The Neuroradiology Journal 1: 639-644, 2011 www.centauro.it The Dehydrated Lumbar Intervertebral Disk on MR, its Anatomy, Biochemistry and Biomechanics V. HAUgHToN Radiology Department, Wisconsin
More informationDiscogenic Pain: Diagnosis and Treatment
Discogenic Pain: Diagnosis and Treatment James P. Rathmell, M.D. Professor of Anesthesiology University of Vermont College of Medicine Burlington, Vermont, USA Cottage Sunrise Westford, Vermont 2005 Learning
More informationLumbar Spine Anatomy. eorthopod.com 228 West Main St., Suite D Missoula, MT 59802-4345 Phone: 406-721-3072 Fax: 406-721-2619 info@eorthopod.
A Patient s Guide to Lumbar Spine Anatomy 228 West Main St., Suite D Missoula, MT 59802-4345 Phone: 406-721-3072 Fax: 406-721-2619 info@eorthopod.com DISCLAIMER: The information in this booklet is compiled
More informationLow Back Injury in the Industrial Athlete: An Anatomic Approach
Low Back Injury in the Industrial Athlete: An Anatomic Approach Earl J. Craig, M.D. Assistant Professor Indiana University School of Medicine Department of Physical Medicine and Rehabilitation Epidemiology
More informationHow To Understand The Anatomy Of A Lumbar Spine
Sciatica: Low back and Leg Pain Diagnosis and Treatment Options Presented by Devesh Ramnath, MD Orthopaedic Associates Of Dallas Baylor Spine Center Sciatica Compression of the spinal nerves in the back
More informationDegenerative 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:
More informationHow 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
More informationResearch Article Partial Facetectomy for Lumbar Foraminal Stenosis
Advances in Orthopedics, Article ID 534658, 4 pages http://dx.doi.org/10.1155/2014/534658 Research Article Partial Facetectomy for Lumbar Foraminal Stenosis Kevin Kang, 1 Juan Carlos Rodriguez-Olaverri,
More informationBiomechanic reflections in up-right MRI
SPINE RADIOLOGY Diagnostic and interventional 1 st Joint Meeting of ASSR and ESNR ROME, 9 11 JULY 2009 Biomechanic reflections in up-right MRI alessandra.splendiani@cc.univaq.it Anatomy Spinal cord Nerve
More informationPain Management Top Diagnosis Codes (Crosswalk)
Pain Management Top s (Crosswalk) 274.00 Gout arthropathy, M1000 Idiopathic gout, unspecified site unspecified M10011 Idiopathic gout, right shoulder M10012 Idiopathic gout, left shoulder M10019 Idiopathic
More informationNonoperative Management of Herniated Cervical Intervertebral Disc With Radiculopathy. Spine Volume 21(16) August 15, 1996, pp 1877-1883
Nonoperative Management of Herniated Cervical Intervertebral Disc With Radiculopathy 1 Spine Volume 21(16) August 15, 1996, pp 1877-1883 Saal, Joel S. MD; Saal, Jeffrey A. MD; Yurth, Elizabeth F. MD FROM
More informationIf 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
More informationEPIDURAL STEROID AND FACET INJECTIONS FOR SPINAL PAIN
MEDICAL POLICY EPIDURAL STEROID AND FACET INJECTIONS FOR SPINAL PAIN Policy Number: 2015T0004W Effective Date: December 1, 2015 Table of Contents BENEFIT CONSIDERATIONS COVERAGE RATIONALE APPLICABLE CODES..
More informationBen Okafor FRCS FRCS.orth Consultant Orthopaedic & Spine Surgeon Whipps Cross University Hospital
Ben Okafor FRCS FRCS.orth Consultant Orthopaedic & Spine Surgeon Whipps Cross University Hospital Classification Pathology Clinical features Imaging Treatment Options Outcomes Definition: 1. Narrowing
More informationSubject: BlueCross BlueShield of North Carolina Lumbar Spine Fusion Surgery Notification
, 2010 Don W. Bradley, M.D. Senior Vice President, Healthcare & Chief Medical Officer Blue Cross and Blue Shield of North Carolina 5901 Chapel Hill Road Durham, NC 27707 Subject: BlueCross BlueShield of
More informationA Patient s Guide to Artificial Cervical Disc Replacement
A Patient s Guide to Artificial Cervical Disc Replacement Each year, hundreds of thousands of adults are diagnosed with Cervical Disc Degeneration, an upper spine condition that can cause pain and numbness
More informationImage-guided Spine Procedures for Relief of Severe Lower Back Pain:
Image-guided Spine Procedures for Relief of Severe Lower Back Pain: A Guide to Epidural Steroid Injection, Facet Joint Injection, and Selective Nerve Root Block. PETER H TAKEYAMA MD HENRY WANG MD PhD SVEN
More informationSpine Surgery - Wallis Ligament Stabilisation
Spine Surgery - Wallis Ligament Stabilisation An Information Leaflet Physiotherapy Department 0161 419 4060 August 2011 Every Patient Matters TO47 2 Introduction This booklet has been compiled by the physiotherapy
More informationR/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
More informationMinimally 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
More informationNON SURGICAL SPINAL DECOMPRESSION. Dr. Douglas A. VanderPloeg
NON SURGICAL SPINAL DECOMPRESSION Dr. Douglas A. VanderPloeg CONTENTS I. Incidence of L.B.P. II. Anatomy Review III. IV. Disc Degeneration, Bulge, and Herniation Non-Surgical Spinal Decompression 1. History
More informationLumbar spinal stenosis JA Shipley MMed(Orth) Department Orthopaedic Surgery, University of the Free State, Bloemfontein
Page 42 / SA ORTHOPAEDIC JOURNAL Autumn 2008 CLINICAL ARTICLE C L I N I C A L A RT I C L E Lumbar spinal stenosis JA Shipley MMed(Orth) Department Orthopaedic Surgery, University of the Free State, Bloemfontein
More informationSynopsis of Causation
Ministry of Defence Synopsis of Causation Spondylosis Author: Dr Tony Woolfson, Medical Author, Medical Text, Edinburgh Validator: Professor S P F Hughes, Charing Cross Hospital, London September 2008
More informationLOWER BACK PAIN. Jassin M. Jouria, MD ABSTRACT
LOWER BACK PAIN Jassin M. Jouria, MD Dr. Jassin M. Jouria is a medical doctor, professor of academic medicine, and medical author. He graduated from Ross University School of Medicine and has completed
More informationThe Magnetic Resonance Imaging Scan Findings in Adult Nigerians with Low Back Pain
World Journal of Medical Sciences 7 (4): 204-209, 2012 ISSN 1817-3055 IDOSI Publications, 2012 DOI: 10.5829/idosi.wjms.2012.7.4.6427 The Magnetic Resonance Imaging Scan Findings in Adult Nigerians with
More informationThe 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
More informationCervical 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.
More informationMAGNETIC RESONANCE IMAGING (MRI) PATTERNS AMONG PATIENTS WITH LOW BACK PAIN ATTENDING MRI CENTRES IN ELDORET, KENYA. DR. JULIETTE A.
MAGNETIC RESONANCE IMAGING (MRI) PATTERNS AMONG PATIENTS WITH LOW BACK PAIN ATTENDING MRI CENTRES IN ELDORET, KENYA. BY DR. JULIETTE A. OREGE STUDENT NO: SM/PGR/01/10 THESIS PRESENTED IN PARTIAL FULFILLMENT
More informationLumbar Spinal Stenosis
Lumbar Spinal Stenosis Introduction Lumbar spinal stenosis is defined as reduction in the diameter of the spinal canal, lateral nerve canals or neural foramina. The stenosis may involve multiple level
More informationbmr@ku.edu Category scientific abstract Relevant author disclosures - none
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,
More informationUPPER LUMBAR DISC HERNIATION WITH CENTRAL AND FAR LATERAL STENOTIC CHANGES RESULTING IN ANTERIOR THIGH PAIN
Cox Technic Case Report #60 sent 5/13/08 1 UPPER LUMBAR DISC HERNIATION WITH CENTRAL AND FAR LATERAL STENOTIC CHANGES RESULTING IN ANTERIOR THIGH PAIN History, Examination & Imaging Review: A 53-year-old
More informationDUKE 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
More informationA 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:
More informationThe Lumbar Degenerative Disc
PART 3 Section 5 CHAPTER 77 SPECIFIC DISORDERS Biomechanical Disorders of the Lumbar Spine i: Intervertebral Disc Disorders i: Physiology and assessment The Lumbar Degenerative Disc Christopher T. Plastaras,
More informationICD 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
More informationEPIDURAL STEROID AND FACET INJECTIONS FOR SPINAL PAIN
CLINICAL POLICY EPIDURAL STEROID AND FACET INJECTIONS FOR SPINAL PAIN Policy Number: PAIN 019.16 T2 Effective Date: December 1, 2015 Table of Contents CONDITIONS OF COVERAGE... BENEFIT CONSIDERATIONS..
More informationX Stop Spinal Stenosis Decompression
X Stop Spinal Stenosis Decompression Am I a candidate for X Stop spinal surgery? You may be a candidate for the X Stop spinal surgery if you have primarily leg pain rather than mostly back pain and your
More informationPatients with pain in the neck, arm, low back, or leg (sciatica) may benefit from ESI. Specifically, those with the following conditions:
Overview An epidural steroid injection (ESI) is a minimally invasive procedure that can help relieve neck, arm, back, and leg pain caused by inflamed spinal nerves. ESI may be performed to relieve pain
More informationDiagnosis and Treatment of Lumbar Spinal Canal Stenosis
Low Back Pains Diagnosis and Treatment of Lumbar Spinal Canal Stenosis JMAJ 46(10): 439 444, 2003 Katsuro TOMITA Department of Orthopedic Surgery, Kanazawa University Abstract: Lumbar spinal canal stenosis
More informationPOST-OPERATIVE SPINE IMAGING M.Muto Chief Neuroradiology Dept Cardarelli Hospital Naples ITALY
POST-OPERATIVE SPINE IMAGING M.Muto Chief Neuroradiology Dept Cardarelli Hospital Naples ITALY Postoperative spine imaging, either by surgery or by mini-invasive procedures, is a complex tool and depends
More informationSTATE OF WEST VIRGINIA SUPREME COURT OF APPEALS MEMORANDUM DECISION
STATE OF WEST VIRGINIA GARY E. GOSNELL, Claimant Below, Petitioner SUPREME COURT OF APPEALS FILED March 27, 2015 RORY L. PERRY II, CLERK SUPREME COURT OF APPEALS OF WEST VIRGINIA vs.) No. 14-0614 (BOR
More informationCervical 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,
More informationTHE 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
More informationAnatomy of the Spine:
Anatomy of the Spine: Back Surgery and Its Risks Samuel D. Hodge, Jr. Temple University 464 Alter Hall Philadelphia, PA 19122 (215) 204-8135 Temple885@aol.com Samuel D. Hodge, Jr., a skilled litigator,
More informationTreating Bulging Discs & Sciatica. Alexander Ching, MD
Treating Bulging Discs & Sciatica Alexander Ching, MD Disclosures Depuy Spine Teaching and courses K2 Spine Complex Spine Study Group Disclosures Take 2 I am a spine surgeon I like spine surgery I believe
More informationOn 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
More informationFebruary 5 th, 2014. Dear Dr. Rosen,
February 5 th, 2014 Niles R. Rosen, M.D. Medical Director National Correct Coding Initiative Correct Coding Solutions, LLC P.O. Box 907 Carmel, IN 46082-0907 FAX: 317-571-1745 Dear Dr. Rosen, The American
More informationBut My Back Hurts Only When I m Standing!
But My Back Hurts Only When I m Standing! Axial Loading for Spinal Canal Stenosis Matthew Cham, MD; Akio Hiwatashi, MD; Per-Lennart Westesson, MD, PhD, DDS Division of Diagnostic and Interventional Neuroradiology,
More information6/3/2011. High Prevalence and Incidence. Low back pain is 5 th most common reason for all physician office visits in the U.S.
High Prevalence and Incidence Prevalence 85% of Americans will experience low back pain at some time in their life. Incidence 5% annual Timothy C. Shen, M.D. Physical Medicine and Rehabilitation Sub-specialty
More informationSPINE SURGERY - LUMBAR DECOMPRESSION
SPINE SURGERY - LUMBAR DECOMPRESSION Information Leaflet Your Health. Our Priority. Page 2 of 7 Introduction This booklet has been compiled by the physiotherapy department to help you understand lumbar
More informationREVIEW DECISION. Review Reference #: R0103014 Board Decision under Review: March 3, 2009
REVIEW DECISION Re: Review Reference #: R0103014 Board Decision under Review: March 3, 2009 Date: Review Officer: Lyall Zucko The worker requests a review of the decision of WorkSafeBC (the Board) dated
More informationAnatomy and Pathology of Spine Surgery By Henry F. Fabian Jr., M.D.
Anatomy and Pathology of Spine Surgery By Henry F. Fabian Jr., M.D. The human spine is an incredibly complex piece of machinery with a remarkable range of function and motion. If you have ever witness
More informationEvaluation 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
More informationComputed tomography of the lumbosacral spine:
THIS ExHIBIT, A 5ELECFION OF THE COMPUTED TOMOGRAPHY AND NEURORADIOLOGY PANELS, WAS DISPLAYED AT THE 67Th SCIENTIFIC ASSEMBLY AND ANNUAL MEETING OF THE RADIOLOGICAL SOCIETY OF NORTH AMERICA, NOVEMBER 15-20,
More informationSpinal Decompression
Spinal Decompression Spinal decompression is just one more tool we have to treat radiculopathy. With appropriate education and exercises, this modality has been proven to assist in the resolution of symptoms
More informationEtiology of Long-term Failures of Lumbar Spine Surgery
PAIN MEDICINE Volume 3 Number 1 2002 Etiology of Long-term Failures of Lumbar Spine Surgery Alexis Waguespack, MD, Jerome Schofferman, MD, Paul Slosar, MD, and James Reynolds, MD SpineCare Medical Group,
More informationComputer-Aided Diagnosis of Lumbar Stenosis Conditions
Computer-Aided Diagnosis of Lumbar Stenosis Conditions Soontharee Koompairojn 1 Kathleen Hua 2 Kien A. Hua 1 Jintavaree Srisomboon 3 1 University of Central Florida, Orlando FL 32816, U.S.A. [soonthar,
More informationHow To Get An Mri Of The Lumbar Spine W/O Contrast
Date notice sent to all parties: May 27, 2014 IRO CASE #: ReviewTex, Inc. 1818 Mountjoy Drive San Antonio, TX 78232 (phone) 210-598-9381 (fax) 210-598-9382 reviewtex@hotmail.com Notice of Independent Review
More informationHow To Get A Medical Insurance Policy For A Spinal Injury
Spondylosis, Facet Joint Arthropathy and Pain Jim Borowczyk Department of Orthopaedics and Musculoskeletal Medicine Christchurch School of Medicine University of Otago Do Age Related Changes in the Spinal
More informationWhat are Core Muscles?... 2. A Healthy Lumbar Spine...3. What is Low Back Pain?...4. Rehabilitation...6. Stages of Rehabilitation...
Table of Contents What are Core Muscles?... 2 A Healthy Lumbar Spine...3 What is Low Back Pain?...4 Rehabilitation...6 Stages of Rehabilitation...7 Pain Management....................... 8 Heat/Ice What
More informationLOW BACK PAIN. common of these conditions include: muscle strain ( pulled muscle ), weak core muscles
LOW BACK PAIN Most episodes of low back pain are caused by relatively harmless conditions. The most common of these conditions include: muscle strain ( pulled muscle ), weak core muscles (abdominal and
More informationOptions 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
More informationMR Imaging of the Postoperative Lumbar Spine: Assessment with Gadopentetate Dimeglumine
771 MR Imaging of the Postoperative Lumbar Spine: Assessment with Gadopentetate Dimeglumine Jeffrey S. Ross 1.2 Thomas J. Masaryk 1 2 Mauricio Schrader 1 Amilcare Gentili 1 Henry Bohlman 3 Michael T. Modic
More informationOUTLINE. Anatomy Approach to LBP Discogenic LBP. Treatment. Herniated Nucleus Pulposus Annular Tear. Non-Surgical Surgical
DISCOGENIC PAIN OUTLINE Anatomy Approach to LBP Discogenic LBP Herniated Nucleus Pulposus Annular Tear Treatment Non-Surgical Surgical Facet Joints: bear 20% of weight Discs bear 80% of weight Neural Foramen
More informationAxial Loading during MR Imaging Can Influence Treatment Decision for Symptomatic Spinal Stenosis
AJNR Am J Neuroradiol 25:170 174, February 2004 Axial Loading during MR Imaging Can Influence Treatment Decision for Symptomatic Spinal Stenosis Akio Hiwatashi, Barbro Danielson, Toshio Moritani, Robert
More informationMechanical Diagnosis And Therapy of the Cervical Spine. The McKenzie Method. Allan Besselink, PT, Dip.MDT Smart Sport International Austin, Texas
Mechanical Diagnosis And Therapy of the Cervical Spine The McKenzie Method Allan Besselink, PT, Dip.MDT Smart Sport International Austin, Texas Background Physical Therapist Queen s s University 1988 McKenzie
More informationBy Thomas A. Gionis, MD, JD, MBA, MHA, FICS, FRCS, and Eric Groteke, DC, CCIC
Spinal Decompression By Thomas A. Gionis, MD, JD, MBA, MHA, FICS, FRCS, and Eric Groteke, DC, CCIC The outcome of a clinical study evaluating the effect of nonsurgical intervention on symptoms of spine
More informationLower Back Pain. Introduction. Anatomy
Lower Back Pain Introduction Back pain is the number one problem facing the workforce in the United States today. To illustrate just how big a problem low back pain is, consider these facts: Low back pain
More informationMRI AND DISCOGRAPHY OF ANNULAR TEARS AND INTERVERTEBRAL DISC DEGENERATION
MRI AND DISCOGRAPHY OF ANNULAR TEARS AND INTERVERTEBRAL DISC DEGENERATION A PROSPECTIVE CLINICAL COMPARISON 0. L. OSTI, R. D. FRASER From the Royal Adelaide Hospital, South Australia We attempted to correlate
More informationMinimally Invasive Spine Surgery What is it and how will it benefit patients?
Minimally Invasive Spine Surgery What is it and how will it benefit patients? Dr Raoul Pope MBChB, FRACS, Neurosurgeon and Minimally Invasive Spine Surgeon Concord Hospital and Mater Private Hospital Sydney
More information1 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
More information.org. Herniated Disk in the Lower Back. Anatomy. Description
Herniated Disk in the Lower Back Page ( 1 ) Sometimes called a slipped or ruptured disk, a herniated disk most often occurs in your lower back. It is one of the most common causes of low back pain, as
More informationMinimally Invasive Spine Surgery
Chapter 1 Minimally Invasive Spine Surgery 1 H.M. Mayer Primum non nocere First do no harm In the long history of surgery it always has been a basic principle to restrict the iatrogenic trauma done to
More informationChronic Low Back Pain. Do I have to see this patient?
Chronic Low Back Pain. Do I have to see this patient? Wayne State University Update in Internal Medicine: Rahul Vaidya MD FRCSc Chief of Orthopedic Surgery Detroit Medical Center Professor of Orthopaedic
More informationDegenerative Spine Solutions
Degenerative Spine Solutions The Backbone for Your Surgical Needs Aesculap Spine Backbone for Your Degenerative Spine Needs Comprehensive operative solutions, unique product technology and world-class
More informationSPINAL SURGERY USING CHARITE ARTIFICIAL DISC MORRISTOWN MEMORIAL HOSPITAL, MORRISTOWN, NJ Broadcast June 24, 2005
SPINAL SURGERY USING CHARITE ARTIFICIAL DISC MORRISTOWN MEMORIAL HOSPITAL, MORRISTOWN, NJ Broadcast June 24, 2005 NARRATOR 00:00:17:00 Today, orthopedic surgeons and spine specialists at Morristown Memorial
More informationPatient Guide to Lower Back Surgery
The following is a sampling of products offered by Zimmer Spine for use in Open Lumbar Fusion procedures. Patient Guide to Lower Back Surgery Open Lumbar Fusion Dynesys The Dynesys Dynamic Stabilization
More information.org. Cervical Spondylosis (Arthritis of the Neck) Anatomy. Cause
Cervical Spondylosis (Arthritis of the Neck) Page ( 1 ) Neck pain can be caused by many things but is most often related to getting older. Like the rest of the body, the disks and joints in the neck (cervical
More informationPresenter : Dr Yashpal Singh Rathore
Presenter : Dr Yashpal Singh Rathore 1 Narrowing of the spinal canal/lateral recess/ intervertebral foramen. Verbiest (1954) first established LCS as a clinical entity Annual incidence 5 cases / 100,000
More information