1. Prolapsed intervertebral disc occurs when the gelatinous nucleus pulposus squeezes through the annulus fibrosus and bulges posteriorly or laterally, commonly compressing spinal nerves.
2. Spinal stenosis is a narrowing of the spinal canal that results in cord or root compression. It is often caused by degenerative changes like osteophyte formation.
3. Spondylosis, or spinal osteoarthritis, involves degenerative changes in discs, facets, and joints that cause loss of normal spinal structure and function, commonly affecting the cervical, thoracic, or lumbar regions.
Lumbar spinal canal stenosis is one of the difficult topic of spine. All the information are taken from Campbell's operative orthopedics Thirteen edition and from internet. I also took help from the lectures of renowned orthopedics professors of Bangladesh.
Avascular necrosis is a condition which appears when there is a loss of blood supply to the bone, resulting in bone death. Avascular necrosis is also known as aseptic necrosis, ischemic bone necrosis, or osteonecrosis
Dr. Donald Corenman, M.D., D.C. (http://neckandback.com 970-479-5895) is a spine surgeon who specializes in the anatomy of the spine. He treats chronic back pain and all conditions associated with the neck, back and spine including arthritis of the spine, slipped disc, degenerative disc disease, degenerative Spondylolysthesis, spinal stenosis, sciatica and scoliosis. He is in private practice at the Steadman Clinic, Spine Institute, in Vail, CO.
This presentation was created to help patients, students and physicians gain insight into understanding disorders of the spine, as well as provide a broader understanding relating to the anatomy of the spine. The presentation details the causes of chronic back pain and describes specific causes as they relate to spinal disorders.
Ligament stress, strain on the back, annular and disc tears, degenerative changes and aging can lead to chronic back pain. Understanding disorders of the spine and how they are caused will help provide the right treatment option for individual patients.
Dr. Corenman is a Colorado spine expert and talented lecturer and researcher. He has written countless medical articles on spine injuries, spine conditions and the surgical options that are available today. He recently launched his own website (http://neckandback.com) to educate patients on spine disorders and to offer second opinions to physicians and colleagues who are seeking additional information on specific spine injuries and treatment options.
Lumbar spinal canal stenosis is one of the difficult topic of spine. All the information are taken from Campbell's operative orthopedics Thirteen edition and from internet. I also took help from the lectures of renowned orthopedics professors of Bangladesh.
Avascular necrosis is a condition which appears when there is a loss of blood supply to the bone, resulting in bone death. Avascular necrosis is also known as aseptic necrosis, ischemic bone necrosis, or osteonecrosis
Dr. Donald Corenman, M.D., D.C. (http://neckandback.com 970-479-5895) is a spine surgeon who specializes in the anatomy of the spine. He treats chronic back pain and all conditions associated with the neck, back and spine including arthritis of the spine, slipped disc, degenerative disc disease, degenerative Spondylolysthesis, spinal stenosis, sciatica and scoliosis. He is in private practice at the Steadman Clinic, Spine Institute, in Vail, CO.
This presentation was created to help patients, students and physicians gain insight into understanding disorders of the spine, as well as provide a broader understanding relating to the anatomy of the spine. The presentation details the causes of chronic back pain and describes specific causes as they relate to spinal disorders.
Ligament stress, strain on the back, annular and disc tears, degenerative changes and aging can lead to chronic back pain. Understanding disorders of the spine and how they are caused will help provide the right treatment option for individual patients.
Dr. Corenman is a Colorado spine expert and talented lecturer and researcher. He has written countless medical articles on spine injuries, spine conditions and the surgical options that are available today. He recently launched his own website (http://neckandback.com) to educate patients on spine disorders and to offer second opinions to physicians and colleagues who are seeking additional information on specific spine injuries and treatment options.
What is structure of lumber disc? What is disc bulge/prolapse/herniation? What is difference between disc bulge, disc prolapse, disc herniation or disc extrusion? What is criteria to diagnose lumber disc prolapse? How lumber disc herniation is treated medically or surgically? How lumber disc herniation is treated by conservative method? How lumber disc herniation is treated through physical therapy? What is physiotherapy after various disc surgeries? What is radiological method to diagnose disc prolapse?
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
Embracing GenAI - A Strategic ImperativePeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
3. In PID, gelatinous nucleus pulposus squeezes through the fibres of the annulus fibrosusand bulges posteriorly or postrolaterallybeneath the posterior longitudinal ligament Causes: Herniation of intervertebral disc, senile degeneration of disc, obesity, sudden jerk, sprain, trauma to spine. History of: Over-straining of lumber spine, lifting weight, violent coughing, sudden stooping or twisting.
4. Because intervertebral disc are largest in the lumbar and lumbosacral region, where movement are consequently greater, posterolateralherniation of nucleus pulposus are common here. Common site: disc at L4/L5, L5/S1 , L3/L4(rare)
5. Types of herniation (Anatomy) posterolateral disc herniation – protrusion is usually posterolateral into vertebral canal, compress the roots of a spinal nerve protruded disc usually compresses next lower nerve as that nerve crosses level of disc in its path to its foramen (eg.protrusion of fifth lumbar disc usually affects S1 instead of L5) central (posterior) herniation: in the lower lumbar segments, central herniation may result in S1 radiculopathy less frequently, a protruded disc above second lumbar vertebra may compress spinal cord itself or or may result in caudaequinasyndrome lateral disc herniation: may compress the nerve root above the level of the herniation L4 nerve root is most often involved & patient typically have intense radicular pain
6.
7.
8. pressure on dural envelope of the nerve root – severe pain referred to the buttock and lower limb (sciatica)
9. pressure to the nerve itself – numbness, parasthesia,and muscle weakness
10.
11. Investigation X-Ray : lumbo-sacral spine • Narrowed disc spaces.• Loss of lumber lordosis.• Compensatory scoliosis. CT scan lumber spine • Outline of soft tissues.• Bulging out disc. MRI lumber spine • Intervertebral disc protrusion.• Compression of nerve root.
12. Management Rest, Reduction, Removal & Rehabilitation Conservative Heat therapy, NSAIDs Bed rests – During Acute attack In severe cases- traction is applied to leg or pelvis, provided there is no cord compression. Reginmobility gradually. Advice on spinal postural Restrict jerky movements, avoid forward bending, lifting weight, reduce weight if obese. Operative Indication : Caudaequina syndrome does not clear up within 6hours of starting bed rest and traction ( emergency!) Failed of conservative treatment Neurological deterioration Frequently recurring attack Nerve decompression- Laminotomy+Diskectomy (through post approach between adjacent vertebral laminae, dural sac is retracted to one side and bulging disc exposed. The friable partially shredded material is removed. )
14. Definition : Narrowing of spinal canal results in cord/root compression. Causes: Congenital stenosis - Idiopathic, osteopetrosis, achondroplasia Spine degenerative - OA- narrowing spinal canal d/t hypertrophy of facet and ligflavum associated with osteophyte. Spine instability - supporting lig torn/ stretched from severe back injury- bone move forward Disc herniation Degenerative spondylolisthesis- decreases its AP diameter Trauma
15.
16. Back pain - worse by extension, relieved by sitting/ forward leaning
27. Tiny tears or cracks in the annulus fibrosus may forced out the nucleus pulposus through the tears or cracks, which causes the disc to bulge, break or rupture.It can take place throughout the spine, but it most often occurs in the discs in the lower back (lumbar region) and the neck (cervical region).
28. CF - chronic back or neckpainw/out radiculopathy High risk : smoke cigarettes ,heavy physical work (repeated heavy lifting), obese A sudden (acute) injury leading to a herniated disc (such as a fall) may also begin the degeneration process. As the space between the vertebrae gets smaller, there is less padding between them, and the spine becomes less stable. The body reacts to this by constructing bony growths called bone spurs (osteophytes). Bone spurs can put pressure on the spinal nerve roots or spinal cord, resulting in pain and affecting nerve function.
29. Osteophyte on intervertebral foramina compress spinal nerve Hypertrophic changes at vertebral margins with spur formation Degeneration of lumbar IV disc
39. Defect or fracture of pars interarticularis(without slip) Pars interarticularis : portion of the neural arch that connects the superior and inferior articularfacet Causes: hyperextension sports ( gymnasts, karate) Common in paediatrics Common site : L5 Common cause of spondylolisthesis CF: insidious onset low back pain, worse with activity XRAY : L-spine oblique view: “ scottydog has a collar neck” Tx: rest, activity modification, physiotherapy, lumbar brace.
41. spondylolisthesis Def: Slippage/ displacement of one vertebra on adjacent vertebra Spondylolisthesiscan lead to a deformity of the spine as well as a narrowing of the spinal canal (central spinal stenosis) or compression of the exiting nerve roots (foraminalstenosis)
42. Types of spondylolisthesis Type 1: The dysplastic (congenital) type represents a defect in the upper sacrum or arch of L5.Commonly associated with spinabifida occulta and have nerve root involvement. Type 2: The isthmic (early) type results from a defect in pars interarticularis, which permits forward slippage of the superior vertebra, usually L5. Type 3: The degenerative (late) type is an acquired condition resulting from chronic disc degeneration and facet incompetence, leading to long-standing segmental instability and gradual slippage, usually at L4-5. Spondylosisis a general term reserved for acquired age-related degenerative changes of the spine that can lead to this type of spondylolisthesis. Type 4: The traumatic (any age) type results from fracture of any part of the neural arch or pars that leads to listhesis. Type 5: The pathologic type results from a generalized bone disease, such as Paget disease or osteogenesisimperfecta or tumor