PPT-Evaluation and Management of Spinal Cord Emergency and Cervical Spondylotic Myelopathy

James J Lehman DC MBA FACO Associate Professor of Clinical Sciences University of Bridgeport College of Chiropractic Director Community Health Clinical Education University of Bridgeport Learning Objectives. Prof.Dr.Ayse ALTINTAS. I.U.CERRAHPASA MEDICAL SCHOOL, NEUROLOGY DEPT.. 3RD GRADE, 2011 OCTOBER. MEDULLA SPINALIS. The . spinal cord, the grayish-white oblong cylindrical continuation. . of the medulla oblongata of the brain, . John P. . Kafrouni. , MD . Rebound Physical Medicine and Rehabilitation. , . Orthopedics. , and Neurosurgery. Low back pain/cervical pain lasting a whole day in the last 3 months – 26, 14 percent US adults. . Stenosis. and . Myelopathy. Normal Anatomy. Pathophysiology. Spinal Stenosis. Description rather than a diagnosis. narrowing of the vertebral canal, lateral recess . or. intervertebral foramen . commonly caused by degenerative changes. Objectives. At the conclusion of this presentation the participant will be able . to:. Identify the components of the spine. Assess for spine and spinal cord injury. Discuss the initial management of the spinal cord injured patient. Bones. . spinal cord. Anatomy . 33 vertebrae . 7 cervical, . 12 thoracic, . 5 lumbar, and . 5 sacral vertebrae. 4 fused . coccygeal. 31 bilaterally paired spinal nerves . Thoracic 10%. Lumbar 3%. Dorso lumbar 35%. Combination of areas 14%. Anatomy. Spinal cord ends below lower border of L1. Cauda equina is below L1. Mechanical injury - early ischaemia, cord edema - cord necrosis. . Nikolaidis. . et al . (2010). This document is licensed under a Creative Commons Attribution . NonCommercialNoDerivatives. 4.0 International License: . http://creativecommons.org/licenses/by-nc-nd/4.0/. Fractures. Ruling out fractures in direct access environment. Negative X rays does not guarantee there is not fracture. Clinical recognition of fracture is difficult . Clinical Indicators. Trauma. Immediate posttraumatic onset of severe pain. Content. : Ryan Martin, MD; Sarah Peacock, DNP, APRN. ACNP-BC; . Megan Corry, EdD, EMTP; Kerri L. LaRovere, MD; Safdar A. Ansari, MD . Slides. : Ryan Martin, MD.  .  .  .  . Presenter:. Your name. Dr. Raj Kumar . Yadav. Assist. Prof., PMR. MBBS 18/07/19. Every slide has 4 to 5 statements. . Out of these 1 statement is false. Identify it. SCI is a devastating life threatening event.. Currently 2,25000-2,28000 individuals living in U.S. with sequelae of SCI including permanent paralysis.. ERVICAPONYLOSISTENOSISCervical spondylosis is common and progresses with increasing age. It is the result of degenerative changes in the cervical spine, including disc degeneration, facet arthropathy, Brett Seagrave. 21/08/2021 – The Fall. On holiday in Cornwall – fell and gave myself concussion . Woke up and thought I had had a stroke . Didn’t have proper functioning of my arms . Headache . Spinal cord is continuation of CNS contained within the bony spinal canal, from the foramen magnum at base of skull caudally to conus medullaris at level of L1 . . The three meningeal layers that surround the spinal cord continues below level of Ll as a fibrous tissue (filum teminale. BLOOD SUPPLY OF SPINAL CORD. Anterior and posterior spinal arteries. . . Branches of vertebral artery. These vessels extend longitudinally along the length of the spinal cord.. Anterior spinal artery.