Responses to Ask a Spine Expert your SI Joint Question
Patel: If your pain is worse with standing and walking and the mid lumbar back pain is worse than the lateral thigh pain, have a diagnostic lumbar medial branch block performed under x-ray guidance at L4-5. I am a bit confused -- why would a bone scan show that I have this if I don't have inflammatory sacroiliitis? Should I get another opinion? He wants to prescribe me morphine-type pain medications for the pain
Back Pain - Invasive Procedures
Allograft bone has several drawbacks, including a minute (albeit unproven) risk of infectious disease transmission; possible immunological reaction to the allograft; and possible limited commercial availability of appropriate graft material. Holly et al (2007) described the surgical indications, technique, and preliminary clinical outcomes in a series of patients who underwent the 2-level minimally invasive posterior cervical foraminotomy procedure
Spinal surgery - Health Report - ABC Radio National (Australian Broadcasting Corporation)
I tried this type of surgery in the late '90s and probably this got up to my learning curve with the endoscopic type of surgery, and reviewed my results and decided that it wasn't worth continuing. Two, they should have experience say with open posterior cervical procedures in the neck where they've approached the spine from the back of the neck.Norman Swan: So they know the geography, they know the environment?Don Hilton: Know the anatomy -- and three, it's very key in my opinion, and I wrote a paper which was published last year in the Spine Journal on this on 3D localisation using anterior posterior fluoroscopy
An In-Depth Overview of Low Back Pain - HSS.edu - HSS
The variety of agents available to treat osteoporosis is large enough that an agent can generally found for each patient, even if other medical problems make one or another of the agents wrong for them. Inflammatory Low Back Pain Although comparatively few patients have low back pain due to inflammation, the problem can be life long and can impair function significantly
At the apex of the petrous part of the temporal bone the free and attached borders meet, and, crossing one another, are continued forward to be fixed to the anterior and posterior clinoid processes respectively. This cavity is small on the surface of the hemispheres of the brain; on the summit of each gyrus the pia mater and the arachnoid are in close contact; but in the sulci between the gyri, triangular spaces are left, in which the subarachnoid trabecular tissue is found, for the pia mater dips into the sulci, whereas the arachnoid bridges across them from gyrus to gyrus
Obstetrical Brachial Plexus Paralysis, Part 2: Radiological and Electrophysiological Detection of Nerve Roots Avulsion in Patients with Birth-Related Brachial Plexus Paralysis
Presence of an avulsion lesion implies devastating paralysis without possibility for spontaneous recovery, as well as associated spread of the traction force to neighboring spinal nerves or trunks. They found that a CT scan with enhancement greatly improves diagnostic accuracy, particularly at C5 and C6 root levels.As was mentioned earlier, the spinal nerves have progressively more oblique direction from C4 to T1
For example, if you think that an animal has proprioceptive deficits, check the nails of its toes for scuffing and watch it walk to see if it scuffs its toes on protraction and has any evidence of weakness or ataxia. This increase in muscle tone and reflexes is a result of loss of the normal inhibitory tone exerted by the UMN (any neurone originating in the brain and projecting to the LMN) on the LMN
Early Acute Management in Adults with Spinal Cord Injury
Their contributions were essential to making this document one that will improve both the quality of care and the quality of life for persons with SCI.The development of this clinical practice guideline is dependent on the exceptional administrative support and other services provided by the Paralyzed Veterans of America. A review of retrospective studies also suggests that early transfer to and treatment in a center experienced in the management of spinal cord injury resulted in a decreased risk of developing skin breakdown (Bagnall et al., 2003)
The Pelvis and the Skull Although not typically viewed as part of the spine, the pelvis and the skull are anatomic structures that closely inter-relate with the spine, and have a significant impact on the patient's balance. Inside each vertebra is cancellous bone, which is weaker than cortical bone and consists of loosely knit structures that look somewhat like a honeycomb
Syringomyelia The formation of a fluid-filled cavity (a syrinx) in an injured area of the spinal cord, which is a result of nerve fiber degradation and necrosis. As the person improves and the bladder voids more efficiently, the procedure interval time is extended and may result in 10 and 12 hour intervals between procedures
Spinal Surgery Cervical Thoracic Lumbar Sacral. Spine Nerves Discs
The Pelvis and the Skull Although not typically viewed as part of the spine, the pelvis and the skull are anatomic structures that closely inter-relate with the spine, and have a significant impact on the patient's balance. The ligamentum flavum also runs in front of the facets Muscles and Tendons The muscular system of the spine is complex, with several different muscles playing important roles
Using the multi-planar reconstruction technique of magnetic resonance imaging they investigated the relative length of spinal cord to vertebral column including ratios in 28 girls with AIS (mainly thoracic or double major curves) and 14 age-matched normal girls. According to this concept, longitudinal growth of the spinal cord fails to keep pace with growth of the vertebral column, and the idiopathic scoliosis is a consequence of maladaptation of the growing immature spine to a tether created by a short spinal cord
Neurotrauma Law Nexus - Neuroglossary
visual field defect - A problem in relation to what is seen as opposed to location of damage in optic system; occurs because of the crossing of half of the optic fibers at the optic chiasm. Communicating hydrocephalus is a condition in which there is no obstruction in the ventricular system and cerebrospinal fluid is able to pass out of the brain but is not re-absorbed
T8 level spinal cord injury can i walk? - mcrh.org
First, instead of no function below the injury level, ASIA A is defined as a person with no motor or sensory function preserved in the sacral segments S4-S5. However, much animal and clinical data suggest that an animal or person with no function below the injury site can recover some function when the spinal cord is reperfused (in the case of an arteriovenous malformation causing ischemia to the cord), decompressed (in the case of a spinal cord that is chronically compressed), or treated with a drug such as 4-aminopyridine
Contact CCSI for your user name and password Patient Login Featured Topics Patient stories Read about real patients and how treatment at CCSI set them on their road to recovery. Like other joints in the body, each facet joint is surrounded by a capsule of connective tissue and produces synovial fluid to nourish and lubricate the joint
CareCure Community - View Article
First, instead of no function below the injury level, ASIA A is defined as a person with no motor or sensory function preserved in the sacral segments S4-S5. However, much animal and clinical data suggest that an animal or person with no function below the injury site can recover some function when the spinal cord is reperfused (in the case of an arteriovenous malformation causing ischemia to the cord), decompressed (in the case of a spinal cord that is chronically compressed), or treated with a drug such as 4-aminopyridine
First, instead of no function below the injury level, ASIA A is defined as a person with no motor or sensory function preserved in the sacral segments S4-S5. Any medical matters, treatments or alternative therapies discussed on this website should be thoroughly reviewed by a medical professional or therapist before being acted upon
First, instead of no function below the injury level, ASIA A is defined as a person with no motor or sensory function preserved in the sacral segments S4-S5. However, much animal and clinical data suggest that an animal or person with no function below the injury site can recover some function when the spinal cord is reperfused (in the case of an arteriovenous malformation causing ischemia to the cord), decompressed (in the case of a spinal cord that is chronically compressed), or treated with a drug such as 4-aminopyridine
Lamina VII is equivalent to the intermediate zone and acts as a relay between muscle spindle to midbrain and cerebellum, and laminae VIII-IX comprise the ventral horn and contain mainly motor neurons. These cells are located at all levels of the spinal cord and are grouped into three main categories: root cells, column or tract cells and propriospinal cells
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