Isolating the source of chronic back pain can be a complex diagnostic challenge. Discography is the only imaging procedure for assessment of DISCOGENIC PAIN in relation to the disc appearance.
This was a teaching lecture given by Prof. Mohamed Mohi Eldin, professor of neurosurgery, in the weekly conference of kasr El Aini Neurosurgery Department, Cairo University, December 2008.
Nukkuma-asentojen vaikutus nukkumiseen ja kipuoireisiin; vastamakuu, kylkimakuu ja selinmakuu. Nukkuma-asennon muuttaminen silloin, kun niska tai selkä kipeytyy nukkuma-asennon ollessa; kyljellä, selällä tai vatsalla. Tyynyn, patjan ja sängyn vaikutus nukkuma-asentoon. Nukkuma-asennon muuttaminen kivuttomaksi silloin, kun nukkuma-asento on syynä kipuoireisiin; niskakipu, selkäkipu, olkapääkipu, lonkkakipu, polvikipu, nilkkakipu, pohkeen ja jalkaterän krampit - suonenveto. Ympäristötekijöiden vaikutus nukkumiseen: veto, kosteus, melu, säteily ja valo.
This is an overview of PGD, based on a talk in Hangzhou, china in 2009-11-22.
It contains (not freat) sound that you can hear by clicking on the sound symbol on the lower right corner of the slide.
Isolating the source of chronic back pain can be a complex diagnostic challenge. Discography is the only imaging procedure for assessment of DISCOGENIC PAIN in relation to the disc appearance.
This was a teaching lecture given by Prof. Mohamed Mohi Eldin, professor of neurosurgery, in the weekly conference of kasr El Aini Neurosurgery Department, Cairo University, December 2008.
Nukkuma-asentojen vaikutus nukkumiseen ja kipuoireisiin; vastamakuu, kylkimakuu ja selinmakuu. Nukkuma-asennon muuttaminen silloin, kun niska tai selkä kipeytyy nukkuma-asennon ollessa; kyljellä, selällä tai vatsalla. Tyynyn, patjan ja sängyn vaikutus nukkuma-asentoon. Nukkuma-asennon muuttaminen kivuttomaksi silloin, kun nukkuma-asento on syynä kipuoireisiin; niskakipu, selkäkipu, olkapääkipu, lonkkakipu, polvikipu, nilkkakipu, pohkeen ja jalkaterän krampit - suonenveto. Ympäristötekijöiden vaikutus nukkumiseen: veto, kosteus, melu, säteily ja valo.
This is an overview of PGD, based on a talk in Hangzhou, china in 2009-11-22.
It contains (not freat) sound that you can hear by clicking on the sound symbol on the lower right corner of the slide.
Operative treatment of osteoporotic spinal fracturesAlexander Bardis
Osteoporosis is a systemic disease, which results in :
progressive bone mineral loss
concurrent changes in bony architecture
leaving the spinal column vulnerable to compression fractures, usually after minimal or no trauma.
Malignant thyroid tumors is not as common as benign swellings of thyroid. However, you have to rule out the possibility of malignancy in all thyroid swellings.
Osteoarthritis lecture from Rheumatology Department, Faculty of Medicine, Zagazig University, Egypt.
Disclaimer : not my slide. Just uploading for my personal use..
Operative treatment of osteoporotic spinal fracturesAlexander Bardis
Osteoporosis is a systemic disease, which results in :
progressive bone mineral loss
concurrent changes in bony architecture
leaving the spinal column vulnerable to compression fractures, usually after minimal or no trauma.
Malignant thyroid tumors is not as common as benign swellings of thyroid. However, you have to rule out the possibility of malignancy in all thyroid swellings.
Osteoarthritis lecture from Rheumatology Department, Faculty of Medicine, Zagazig University, Egypt.
Disclaimer : not my slide. Just uploading for my personal use..
1. Malignant Cervical
Spine Tumors
Operative treatment
G. SAPKAS
Professor in Orthopedics
Orthopaedic Department
for
Spinal and Musculoskeletal Disorders
“Metropolitan” Hospital
27. IInnddiiccaattiioonnss ffoorr ooppeerraattiivvee ttrreeaattmmeenntt
1. Spinal instability
2. Pain resistible to
conservative treatment
(radiotherapy –
chemotherapy)
3. Incomplete neurologic
deficit resistible to any
type of conservative
treatment
4. Rapid deterioration of the
neurologic deficit
30. Tomita’s ssttaaggiinngg ccllaassssiiffiiccaattiioonn ssyysstteemm
ffoorr tthhee pprriimmaarryy ttuummoorrss ooff tthhee ssppiinnee
Intra-compartmental Extra-compartmental Multiple skip
lesion
Type 1
Type 2
Type 3
Type 4
Type 5
Type 6
Type 7
Site
(1 or 2 or 3)
Anterior or posterior
Lesion in situ
Site
(1 +2 or 3 + 2)
Extension to pedicle
Site
(1 +2 +r 3)
Anterio-posterior
development
(any site + 4)
Epidural extension
(any site + 5)
Paravertebral
development
Involvement to
adjacent vertbra
Tomita T, et al, Spine 2001
36. These criteria allow the definition of a
pre-operative strategy and therefore
considerable variability in the choice of
treatment ranging:
• excisional operation should be performed
on those who scored above 9 points
• a palliative operation should be performed
on those who scored under 5 points
Tokuhashi Y. et al.
Spine 1990
37. Simpler system of preoperative
evaluation based on only three
parameters:
• the degree of malignacy
• the presence of visceral metastases
• the presence of bony metastases.
Tomita K. et al.
Spine 2001
Bauer H. et al.
Spine 2002
38. TToommiittaa’’ss ccllaassssiiffiiccaattiioonn ssyysstteemm
Intra-compartmental Extra-compartmental Multiple skip
lesion
Type 1
Type 2
Type 3
Type 4
Type 5
Type 6
Type 7
Site
(1 or 2 or 3)
Anterior or posterior
Lesion in situ
Site
(1 +2 or 3 + 2)
Extension to pedicle
Site
(1 +2 +r 3)
Anterio-posterior
development
(any site + 4)
Epidural extension
(any site + 5)
Paravertebral
development
Involvement to
adjacent vertbra
Tomita T, et al, Spine 2001
39.
40. PPaalllliiaattiivvee ttrreeaattmmeenntt
Palliative treatment, generally
produces modest results, but
contributes greatly to the quality
of life.
Moreover, it is reasonable to use
palliative means when life
expectancy is only:
4 to 15 months.
Wise J.F. et al Spine 1999.
Bouer H. et al. Spine 2002.
Pneumon’ s metastasis
Posterior
decompression & stabilization
44. a. Posterior decompression and
Occipitocervical stabilization
b. Post-operative adjuvant
chemotherapy - radiotherapy
N(-)
N(-)
A. St
F-84 yrs
14-7-2011
3 yrs pop