Computed tomography in the postoperative care of neurosurgical patients. Neuroradiology , 12 , — CT demonstration of pathologic changes of the spinal cord accompanying spina bifida and diastematomyelia. Kaufmann, pp. Basel, Karger. Advances in diagnosis: cranial and spinal computed tomography.
North Amer. CAT of the spine and spinal cord. Computed tomographic metrizamide myelography in spinal dysraphism in infants and children. Computer assisted tomography in syringomyelia. Spinal computed tomography: limitations and applications. AJR , , — Computed tomography of the spinal canal and cord. Lumbar spinal stenosis.
Radiographic diagnosis with special reference to transverse axial tomography. Computed tomography of the lower lumbar vertebral column.
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Anatomy of the spine
Morphology of the cervical spinal cord on computed myelography. Neuroradiology , 18 , 57— Van Den Bergh, R Nieuwe inzichten in de pathogenese, de semeiologie en de behandeling van syringomyelie. Wackenheim, A Congenital fusion of the anterior arch of the atlas demonstrated by computed tomography. Interval computed tomography in multiple sclerosis. Westberg, G Gas myelography and percutaneous puncture in the diagnosis of spinal cord cysts. Zumpano, B J Spinal intramedullary metastatic medulloblastoma. Download references. Reprints and Permissions.
The American Journal of Emergency Medicine Annals of Emergency Medicine The Italian Journal of Neurological Sciences Advanced search. Skip to main content. Abstract The author presents a comprehensive review of the literature on spinal computerized tomography in the evaluation of spinal fractures and fracture-dislocations, degenerative processes with bony encroachment into the spinal canal, disc protrusion, cystic degeneration of the cord, communicating hydro-syringomyelia, intra- and extra-medullary neoplasms and congenital malformations.
Google Scholar 37 Zumpano, B J Rights and permissions Reprints and Permissions. Further reading Occult fracture-dislocation of the cervical spine D. Korres , P. Papagelopoulos , H.
What is a myelogram?
Just skip this one for now. The wound is then closed, and no instrumentation or fusion is performed. This procedure would be indicated in which of the following: Review Topic. Imaging studies are shown in Figure A. Imaging studies are shown in Figure B. Imaging studies are shown in Figure C. Imaging studies are shown in Figure D. Imaging studies are shown in Figure E. Over the past 4 months, he also notes a decreased ability to walk long distances due to pain, which is relieved by sitting down.
Which of the following statements is true regarding this patient's 4-year outcome in regards to surgical and non-surgical management?
Review Topic. Surgical management will lead to more improvement in pain, function, and satisfaction. Surgical management will lead more improvement in function, but less improvement in pain. His surgery was remarkable for a dural tear that was repaired. He now presents with recurrence of his leg pain and back pain. Physical exam shows some mild erythema surrounding the incision. What is the most appropriate next step in management? Surgical irrigation and debridement with commencement of antibiotics after cultures are obtained.
He denies symptoms with exercise on a stationary bike. Initial treatment including physical therapy, NSAIDS, and an epidural steroid injection provided only temporary relief of his symptoms, which have returned and are now severe. On physical exam he has normal motor strength in his lower extremities, negative straight-leg raise tests bilaterally, and palpable bilateral dorsalis pedis pulses.
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Lumbar flexion-extension radiographs show no spondylolisthesis or instability. A decompressive laminectomy with bilateral medial facetectomies and foraminotomies. A decompressive laminectomy, bilateral medial facetectomies and foraminotomies, and an instrumented fusion. His pain is worse with prolonged standing and improves with sitting. His symptoms have progressed to the point that it is now difficult for him to walk to the mailbox.
Four months of physical therapy and a series of epidural corticosteroid injections failed to improve his symptoms. Figure A and B are an AP and lateral lumbar spine radiograph. What is the most appropriate next step in treatment? Preoperative flexion and extension radiographs of the lumbar spine are shown in Figure A. Following surgery she reports no significant improvement in her right leg pain.cars.cleantechnica.com/cuentos-de-charles-perrault-con.php
Lumbar Spinal Stenosis - Spine - Orthobullets
What is the most likely cause of her residual leg pain. A water-tight repair is subsequently performed. How will this affect postoperative care and ultimate clinical outcomes? A hemilaminectomy was performed to obtain adequate visualization of the defect, and primary repair of the tear was performed.
One month postoperatively he returns to the office complaining of severe headaches and occasional nausea which is worse with standing. He denies fever or chills. On physical exam his wound is well healed with no cellulitis or erythema. What is the most likely diagnosis? You plan on proceeding with lumbar decompression.