PPT-Cervical Spine Differential Diagnosis

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. SPINE TRAUMA . CERVICAL SPINE INJURY. THORACO-LUMBAR SPINE INJURY. CERVICAL SPINE INJURY. COMMON MECHANISMS OF INJURY. . HYPERFLEXION- . MVA, CAR COMES TO SUDDEN STOP. HYPEREXTENSION- MVA, CAR STRUCK FROM BEHIND. Shari Cui MD & John France MD. February 2016. Original: . . Steven . Frick, MD; March 2004. . Past Revised. : . Steven Frick, MD; August 2006. . Timothy . Moore, MD; November . 2011. Important Pediatric Differences. . LECTURE: . Dr.Khudur Shukur. . (F.I.B.M.S, Neurosurgery. Instability Parameters. MEASURING INSTABILITY. DENIS 3 Column Classification. Spine Surgery Criteria. Spinal content compromise (spinal cord. . and/or nerves). Heart/Lung Compromise (scoliosis > 60 degrees). Shari Cui MD & John France MD. February 2016. Original: . . Steven . Frick, MD; March 2004. . Past Revised. : . Steven Frick, MD; August 2006. . Timothy . Moore, MD; November . 2011. Important Pediatric Differences. Cervical Treatment Based Classification. Fritz & Brennan (2007). Physical Examination Objectives. Identify . c. ervical contribution to HA’s. Is there a comparable sign. Identify Impairments that may be directly or indirectly contributing to HA’s. neuro. deficits, and a . negative CT. High clinical suspicion and severe . c. ervical . s. pondylosis. -> . MRI. Otherwise . use clinical judgment, but likely no benefit from MRI and increased risk of . (I)!Teaching/Research/Admin Activities ...................................................................................................... 8!(Ii) Neurosurgical Courses Attended .................... Dr . La li Sekho n MD , PhD , FRACS , FACS , FAAN S Curr i cu l u m V it a e CONTACT DETA I L S ls e khon @ sierr an e u r o s u r g er y .c o m T el : 775 - 323 - 2080 F a x : 775 - 657 - 9881 S ierr ITeaching/Research/Admin Activities 8Ii Neurosurgical Courses Attended 9Iii Presentations At Meetings 2910 Bibliography 30-Reviewed Original Articles 30Ii Book Chapters 37Iii Abstracts 38Iv Ed Typical Cervical Vertebra C3-6. Small, relatively broad body. Bifid . Spinous. Process. Long and narrow . laminae. Spinal Canal:. large, triangular; remarkably consistent dimensions. Transverse Foramen:. Dr. Evan Katz DC. https://professionallyintegrated.com/. Two “sides” of PI. “Mills”. . Playing the “game”. Relationships over patient care. Concerned with colossus. Keep bills low. Simple diagnosis (. Stanford Hospital and Clinics. April 26, 2010. Motion segment. VERTEBRAE. Carry 70-90% of static axial load. Vary in cervical, thoracic, lumbar, sacral and . coccygeal. FACET JOINT. Carry 10-20% of static axial load. PATHOPHYSIOLOGY. 25% cervical trauma occurs in the upper cervical spine.. Most commonly involving the axis, comprising up to 20% of cervical spine injuries.. Atlas fractures occur in 3 – 13% of patients..