PPT-Ligamentous Anatomy Cervical Spine

Between Vertebral Bodies Anterior Longitudinal Ligament Between Vertebral Bodies Posterior Longitudinal Ligament Zygapophyseal Joint Ligamentum Flavum Zygapophyseal Joint Supraspinous and Interspinous . “Pain in the Neck” . . Clearing the C-Collar. Yolanda Michetti. Dept of EM. University of Pennsylvania. Eastern Association for the Surgery of Trauma. For the neurologically intact awake and alert patient complaining of neck pain with a negative CT:. 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). 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. I. sland . H. oppers . T. eaching, LLC. presents. The . Cervical Spine: Level One. August 15. th. and 16. th. , 2015. Location: . Ohau. . Shriners. Hospitals for Children — Honolulu 1310 . Punahou. http://youtu.be/aDvbAvBLQuM. Ligaments and Vertebral Discs. Muscular Anatomy. Neurological Anatomy. Prevention of Injuries to the Spine. Cervical Spine. Muscle Strengthening. Muscles of the neck resist hyperflexion, hyperextension and rotational forces. 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 . 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 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:. 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. When I started seeing MRI scans proving the existence of disc injuries, I was happy for the new technology but sad for all of those past clients who didn’t get justice, or the best possible medical care, because their disc injury couldn’t be proven. Many were labeled “complainers”. . Amy Gutman MD. Chief of Emergency Medicine. prehospitalmd@gmail.com. Objectives. Interdepartmental QA project to improve diagnostic accuracy & decrease number of reflexive send-outs for radiology reads of commonly ordered radiographs. 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. DR.SANAA AL-SHAARAWY.. CERVICAL SPINES. By the end of this lecture the student should be able to:. Describe the . 7 cervical vertebrae. , (typical & atypical).. Describe the . joints. between the cervical vertebrae.. 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..