Ασθενής, γυναίκα, 19 ετών από τριμήνου παρουσιάζει άλγος και διόγκωση κάτω πέρατος του δεξιού πήχεως. Υφίσταται μερική χειρουργική αφαίρεση μορφώματος μαλακών μορίων σε άλλη κλινική με ιστολογική ένδειξη σαρκώματος. Ένα μήνα αργότερα παρουσιάζεται με μεγαλύτερη διόγκωση και πόνο στο ογκολογικό ιατρείο. Η φυσική εξέταση δείχνει περιορισμό της κερκιδικής έκτασης του καρπού και υπαισθησία κατά μήκος του κερκιδικού νεύρου. Μέσο και ωλένιο νεύρο δεν δείχνουν προσβολή. Ο ακτινολογικός έλεγχος και η μαγνητική τομογραφία αποκαλύπτουν προσβολή του κάτω πέρατος της κερκίδος σε μήκος 7 cm, καθώς και συμμετοχή των παρακείμενων μυϊκών ιστών.
The document discusses spine infections, including pyogenic (bacterial) spine infections and non-pyogenic tuberculosis spine infections. Pyogenic infections are usually caused by Staphylococcus aureus and can spread hematogenously, presenting with back pain and fever. Diagnosis involves blood tests, imaging like CT/MRI, and treatment consists of antibiotics and possible surgery. Tuberculosis spine infections typically involve the thoracic vertebrae and can cause angular deformities. They present with chronic back pain and exposure risk factors and are treated with anti-TB drugs.
This document discusses pyogenic vertebral osteomyelitis, including causes, symptoms, diagnostic imaging, treatment, and outcomes. The main points are:
- Pyogenic vertebral osteomyelitis is most commonly caused by hematogenous spread from a pulmonary or genitourinary infection, though direct inoculation or spread from adjacent structures can also occur.
- Common symptoms include back pain, fever, and neurological deficits depending on location and severity of infection.
- MRI is the best imaging modality to diagnose and evaluate the extent of infection and involvement of soft tissues and neural structures.
- Treatment involves intravenous antibiotics based on culture and sensitivity results for 2-6 weeks, followed by oral antibiotics. Sur
The document discusses the anatomy and embryology of the vertebral column and intervertebral discs. It then describes Potts disease, also known as tuberculosis of the spine. Key points include that Potts disease most commonly affects the lower thoracic and lumbar spine. The mycobacterium tuberculosis bacteria reach the spine via hematogenous spread from the lungs or lymph nodes. Types of vertebral involvement are described. The document outlines the clinical presentation, investigations, radiological findings, complications and management of Potts disease.
1. The document discusses various spinal infections and inflammatory conditions, including spondylodiskitis, spinal tuberculosis (Pott's disease), epidural abscess, and others.
2. For spondylodiskitis, the etiology can be pyogenic, tuberculosis, or fungal. MRI is the most sensitive imaging method, showing low T1 and high T2 signal in the infected disc space and bone marrow edema.
3. Spinal tuberculosis causes vertebral body destruction and gibbus deformity. It spreads underneath the longitudinal ligaments. Imaging shows bone destruction, kyphosis, and paraspinal abscesses without severe pain.
TB spine with neurological deficit can present with varying symptoms depending on the location and severity of involvement. On examination, patients may have spinal tenderness and deformity as well as neurological deficits. Investigations like ESR, Mantoux test, imaging and microbiology can help confirm the diagnosis of TB spine. Treatment involves anti-tubercular medications alongside surgical intervention if needed to address neurological deficits, deformity or abscesses.
Ασθενής, γυναίκα, 19 ετών από τριμήνου παρουσιάζει άλγος και διόγκωση κάτω πέρατος του δεξιού πήχεως. Υφίσταται μερική χειρουργική αφαίρεση μορφώματος μαλακών μορίων σε άλλη κλινική με ιστολογική ένδειξη σαρκώματος. Ένα μήνα αργότερα παρουσιάζεται με μεγαλύτερη διόγκωση και πόνο στο ογκολογικό ιατρείο. Η φυσική εξέταση δείχνει περιορισμό της κερκιδικής έκτασης του καρπού και υπαισθησία κατά μήκος του κερκιδικού νεύρου. Μέσο και ωλένιο νεύρο δεν δείχνουν προσβολή. Ο ακτινολογικός έλεγχος και η μαγνητική τομογραφία αποκαλύπτουν προσβολή του κάτω πέρατος της κερκίδος σε μήκος 7 cm, καθώς και συμμετοχή των παρακείμενων μυϊκών ιστών.
The document discusses spine infections, including pyogenic (bacterial) spine infections and non-pyogenic tuberculosis spine infections. Pyogenic infections are usually caused by Staphylococcus aureus and can spread hematogenously, presenting with back pain and fever. Diagnosis involves blood tests, imaging like CT/MRI, and treatment consists of antibiotics and possible surgery. Tuberculosis spine infections typically involve the thoracic vertebrae and can cause angular deformities. They present with chronic back pain and exposure risk factors and are treated with anti-TB drugs.
This document discusses pyogenic vertebral osteomyelitis, including causes, symptoms, diagnostic imaging, treatment, and outcomes. The main points are:
- Pyogenic vertebral osteomyelitis is most commonly caused by hematogenous spread from a pulmonary or genitourinary infection, though direct inoculation or spread from adjacent structures can also occur.
- Common symptoms include back pain, fever, and neurological deficits depending on location and severity of infection.
- MRI is the best imaging modality to diagnose and evaluate the extent of infection and involvement of soft tissues and neural structures.
- Treatment involves intravenous antibiotics based on culture and sensitivity results for 2-6 weeks, followed by oral antibiotics. Sur
The document discusses the anatomy and embryology of the vertebral column and intervertebral discs. It then describes Potts disease, also known as tuberculosis of the spine. Key points include that Potts disease most commonly affects the lower thoracic and lumbar spine. The mycobacterium tuberculosis bacteria reach the spine via hematogenous spread from the lungs or lymph nodes. Types of vertebral involvement are described. The document outlines the clinical presentation, investigations, radiological findings, complications and management of Potts disease.
1. The document discusses various spinal infections and inflammatory conditions, including spondylodiskitis, spinal tuberculosis (Pott's disease), epidural abscess, and others.
2. For spondylodiskitis, the etiology can be pyogenic, tuberculosis, or fungal. MRI is the most sensitive imaging method, showing low T1 and high T2 signal in the infected disc space and bone marrow edema.
3. Spinal tuberculosis causes vertebral body destruction and gibbus deformity. It spreads underneath the longitudinal ligaments. Imaging shows bone destruction, kyphosis, and paraspinal abscesses without severe pain.
TB spine with neurological deficit can present with varying symptoms depending on the location and severity of involvement. On examination, patients may have spinal tenderness and deformity as well as neurological deficits. Investigations like ESR, Mantoux test, imaging and microbiology can help confirm the diagnosis of TB spine. Treatment involves anti-tubercular medications alongside surgical intervention if needed to address neurological deficits, deformity or abscesses.
This document discusses treatment options for degenerative disc disease (DDD) in the lumbar spine. Conservative treatments include medications, injections, bracing, and rehabilitation. Surgery is considered when conservative options fail or symptoms persist for over 3 months and include microdiscectomy, dynamic stabilization systems, interspinous spacers, and lumbar fusion procedures like PLIF or TLIF to restore disc height and stability. Laminectomy risks instability without fusion but can be combined with PLIF and stabilization rods to provide decompression and stability. The goals of surgery are to restore disc height and foraminal width, achieve stability, realign joints, restore lordosis, and redistribute loads on the vertebral column.
1) Malignant cervical spine tumors can be primary tumors of the spine or metastatic tumors that spread from other locations like the lung, breast, or prostate.
2) Primary malignant tumors of the cervical spine are rare but include osteosarcoma, chordoma, and lymphoma. Metastatic tumors to the cervical spine are more common.
3) Clinical symptoms of metastatic spinal tumors include pain, neurologic deficits, and pathologic spinal fractures caused by tumor infiltration or compression of the spinal cord or nerves.
Economic impact of accidents athnes 9 5-2014Zoi Tsapou
Road traffic accidents have a significant economic impact on healthcare systems globally. According to WHO data, 1.2 million people die annually in road accidents, costing over $500 billion. Low and middle income countries account for 90% of deaths and half of fatalities are among those aged 15-44. The costs of accidents exceed development assistance for some poorer countries. Road accidents also have substantial social costs through loss of income, increased poverty, and psychological trauma for victims and families. Reducing accidents could save lives and free up resources for healthcare systems and economic development.
5% -10% of unconscious patients who present to the Emergency Dept. as the result of a M.V.A. or fall, have a major injury to the Cervical Spine
Spinal cord injury occurs in more than 11.000/USA pts per year/USA or in 40- 50 persons per million
Injuries of the Cervical Spine produce neurological damage in approximately 40% of patients
Θωρακική κύφωση
Επιδημιολογία
1-8% του γενικού πληθυσμού
Άνδρες - Γυναίκες
Φυσική εξέλιξη κυφώσεωςτύπου Scheuermann
Δεν υπάρχουν αρκετές καλά προγραμματισμένες, μελέτες με μακρύ χρόνο παρακολούθησης
Κριτικό όριο ως προς το σχήμα της θεραπευτικής αγωγής της κυφώσεως είναι οι 70ο – 90ο
ΟΡΘΟΠΑΙΔΙΚΗ ΚΑΙ ΤΡΑΥΜΑΤΟΛΟΓΙΑ -Orthopaidikh tarumatology 2009Zoi Tsapou
Η σωστή οργάνωση στην:
Α) διακομιδή του πολυτραυματία
Β) διάγνωση των προβλημάτων
Γ) συνεργασία των αρμοδίων ειδικοτήτων
Δ) ταχεία και συστηματική αντιμετώπιση των επιμέρους προβλημάτων
This document discusses treatment options for degenerative disc disease (DDD) in the lumbar spine. Conservative treatments include medications, injections, bracing, and rehabilitation. Surgery is considered when conservative options fail or symptoms persist for over 3 months and include microdiscectomy, dynamic stabilization systems, interspinous spacers, and lumbar fusion procedures like PLIF or TLIF to restore disc height and stability. Laminectomy risks instability without fusion but can be combined with PLIF and stabilization rods to provide decompression and stability. The goals of surgery are to restore disc height and foraminal width, achieve stability, realign joints, restore lordosis, and redistribute loads on the vertebral column.
1) Malignant cervical spine tumors can be primary tumors of the spine or metastatic tumors that spread from other locations like the lung, breast, or prostate.
2) Primary malignant tumors of the cervical spine are rare but include osteosarcoma, chordoma, and lymphoma. Metastatic tumors to the cervical spine are more common.
3) Clinical symptoms of metastatic spinal tumors include pain, neurologic deficits, and pathologic spinal fractures caused by tumor infiltration or compression of the spinal cord or nerves.
Economic impact of accidents athnes 9 5-2014Zoi Tsapou
Road traffic accidents have a significant economic impact on healthcare systems globally. According to WHO data, 1.2 million people die annually in road accidents, costing over $500 billion. Low and middle income countries account for 90% of deaths and half of fatalities are among those aged 15-44. The costs of accidents exceed development assistance for some poorer countries. Road accidents also have substantial social costs through loss of income, increased poverty, and psychological trauma for victims and families. Reducing accidents could save lives and free up resources for healthcare systems and economic development.
5% -10% of unconscious patients who present to the Emergency Dept. as the result of a M.V.A. or fall, have a major injury to the Cervical Spine
Spinal cord injury occurs in more than 11.000/USA pts per year/USA or in 40- 50 persons per million
Injuries of the Cervical Spine produce neurological damage in approximately 40% of patients
Θωρακική κύφωση
Επιδημιολογία
1-8% του γενικού πληθυσμού
Άνδρες - Γυναίκες
Φυσική εξέλιξη κυφώσεωςτύπου Scheuermann
Δεν υπάρχουν αρκετές καλά προγραμματισμένες, μελέτες με μακρύ χρόνο παρακολούθησης
Κριτικό όριο ως προς το σχήμα της θεραπευτικής αγωγής της κυφώσεως είναι οι 70ο – 90ο
ΟΡΘΟΠΑΙΔΙΚΗ ΚΑΙ ΤΡΑΥΜΑΤΟΛΟΓΙΑ -Orthopaidikh tarumatology 2009Zoi Tsapou
Η σωστή οργάνωση στην:
Α) διακομιδή του πολυτραυματία
Β) διάγνωση των προβλημάτων
Γ) συνεργασία των αρμοδίων ειδικοτήτων
Δ) ταχεία και συστηματική αντιμετώπιση των επιμέρους προβλημάτων