PPT-Cervical and Thoracic Spinal Conditions

Chapter 11 Anatomy Spinal column Vertebrae Cervical 7 convex anteriorly Thoracic 12 concave anteriorly Lumbar 5 convex anteriorly Sacral 5 fused concave anteriorly Coccyx 4 fused. Mark A. Giovanini MD. NeuroMicroSpine. Specialist. Neurospine. Institute. . Gulf Breeze Florida. . Sandestin. Executive Health and Wellness Center. . Orlando Florida. . Park City Utah. www.neuromicrospine.com. Dr Malith Kumarasinghe. MBBS (Colombo). What is it?. Injection of intra-thecal contrast material to visualize disease or injury within the spinal column using CT and fluoroscopy. Invasive test with associated risks. 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 . ve. . Cervical Spinal cord:. . Cervical spinal nerve originates.. Thoracic Spinal Cord:. Thoracic spinal nerve originates. Lumbar Spinal cord: . Lumbar spinal nerve originates.. Sacral Spinal cord: . 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. DR NOOR US SABA. SR, DEPARTMENT OF ANATOMY . JNMCH, AMU, ALIGARH. THORACIC WALL. THORACIC INLET. INTERCOSTAL NERVE. CLINICAL APPLICATIONS. Sternum & marrow biopsy. Cervical rib. Thoracic outlet syndrome. 14/10 - Brainsteam and . cerebellum. 21/10 - Diencephalon. 28/10 - Telencephalon. 4/11 - Blood Supply, Meninges and . Cerebrospinal . fluid. 11/11 - Cranial nerves (III-VII, IX-XII). direct force . (. eg. : penetrating wounds ) or more likely due . to. indirect force . (. eg. : falling from a height –when spinal column collapses on its vertical axis or during violent free . movements )-. Sumethvanich. M.D.. Spinal injury. Stable injury. : vertebral component will not be displace by normal movement. Unstable injury. : there is significant risk of displacement and damage neural tissue. 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.. CERVICAL DISC DISEASE. Cervical spondylosis. Cervical osteophytosis. Most common progressive disease in the aging cervical spine. Seen in 95% of the people by 65 years. Pathophysiology. Dessication of the disc material and loss of disc height.