November 26‚ 2012 Basic Sciences 1 – News Essay New Surgical Technology: Adoption or Diffusion? This article raised an interesting subject: surgeons and patients seeking improved treatment often forget that a new technique is not necessarily a better one. Human body with its health problems remains the same but the surgical technology is always moving towards progress. People develop new surgical tools and new surgical procedures constantly. However‚ do we carefully test all these new tools
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Arnold-Chiari malformation is a constellation of congenital anomalies related to the hindbrain and base of the brain. It consists of cerebellar tonsils herniation through the foramen magnum into the cervical spinal canal. Chiari malformation is a rare entity and its etiology is not clearly known but said to be genetic. We report a case of Arnold Chiari Malformation type 1 with holocord syrinx. Chiari malformation is a rare disease with prevalence rates of 0.1-0.5% with a female predominance.[1]
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inspection of the cervical spine there was no pain or tenderness‚ each spinal process was palpated also checking for swelling. Once I was clear there was no pain or tenderness present I asked the patient to move her neck to assess movement‚ Mcaleod (2014) informs that asking the patient to chin to chest‚ look upwards as far as possible is a great way of assessing flexion and extension. I then proceeded to the thoracic spine‚ palpating the spinal processes and lastly the lumbar area of the spine. The patient
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2.5 Non Specific Low Back Pain Non-specific low back pain is often also referred to simple or mechanical low back pain (Burton et al.‚ 1995; Marcus‚ 2005). These are all general terms that refer to back pain in the lumbar area of the back that is not related to severe or surgical pathology (Burton et al.‚ 1995). Burton et al.‚ (1995) states that finding no exact cause also constitutes towards a diagnosis of NSLBP. 2.5.1 Stages of NSLBP NSLBP can be categorized into three categories: acute‚ sub-acute
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two groups‚ one with specific complaints with etiology like tumors‚ fractures and degenerative spine disorders like disc herniation‚ ligamentous abnormalities‚ cervical canal stenosis and the other group of patients with nonspecific complaints (1). Most patients require surgical intervention eventually as a result of significant neurologic impairment. Surgical treatment of cervical disc disorders can be broadly divided into the anterior or posterior approach. Anterior approach includes anterior cervical
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seen in the vast majority of patients with LBP include lumbar strains/sprains‚ disc herniation‚ or degenerative conditions‚ such as lumbar osteoarthritis‚ spinal stenosis‚ and spondylolysis to name a few (National Institute of Neurological Disorders and Stroke [NINDS] “Low Back Pain‚” 2014). However‚ there will be a small percentage of patients‚ whose back pain could be indicative of something serious‚ such as spinal infection‚ cancerous tumor‚ cauda equina syndrome‚ compression fractures and abdominal
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many forms of scoliosis there are many more related disorders that are caused from and are associated with scoliosis. Three types are explained in Aebis article of The adult scoliosis. Type 1 is primary degenerative scoliosis that deals with mostly disc or facet joint arthritis. Type 2 is Idiopathic adolescent scoliosis of the thoracic and/or lumbar spine in which correction and fusions could be needed. Type 3 is Secondary adult curves. This is divided in to types A and B. A‚ being neuromuscular and
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intractable lower back pain with left lower extremity radiculopathy to disc herniation and left S1 nerve root compression. Per operative reports‚ she is status post left L5-S1 hemilaminenctomy with mesial facetectomy and removal of very large herniated disc on 08/02/15‚ and status post reexploration of the L5-S1 area with hemilaminectomy at L5‚ mesial facetectomy at L5-S1 and foraminotomies with removal of the large recurrent herniated disc on 01/11/2016. Per the PT treatment note dated 07/29/16‚ the patient
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profound paraparesis‚ upper extremity diplegia‚ and apnea‚ which required intubation. Computerized axial tomography of the head showed a small amount of contra coup left frontal traumatic subarachnoid hemorrhage. MRI of the brain and upper cervical spinal cord performed within 19 hours after admission was negative except for the presence of a Chiari I malformation. All other radiographic studies at the time of admission were normal. The constellation of severe neurologic deficits after relatively
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patient undergoing general anesthesia has a risk of developing a high ICP that is also an indication of Intracranial Pressure Monitoring. If someone has a non-surgical intracranial hemorrhage‚ Head-injury with evidence of a possible devastating herniation or possibly a brainstem compression. If someone has a high ICP then it could be caused by hydrocephalus which is fluid in the brain‚ intracranial tumors‚ hepatic encephalopathy‚ and cerebral edema. The indications of Intracranial Pressure Monitoring
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