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Anatomy , Shoulder II. Anatomy Bone and Ligament Also available as a . See Also available as a . See Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Muscles Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) III. Anatomy: Bones r spine Third thoracic e r inferior angle Eighth thoracic e (7th rib) Clavicle IV (...) Shoulder Anatomy Shoulder Anatomy Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Shoulder Anatomy Shoulder Anatomy Aka: Shoulder
), as well as unexaminable patients (intoxicated, GCS <15, distracting injury), should undergo imaging of the thoracolumbar spine. Screening of the entire spine is advised, as an estimated 20% of spine injuries will have a second associated spinal injury at a noncontiguous level [26,27]. Radiography Thoracic and LumbarSpine It is well established that CT outperforms radiographs in the diagnosis of thoracolumbar spine fractures [104- 108]. Radiographs have a reported sensitivity of 49% to 62 (...) soft- tissue injuries of the chest, abdomen, and pelvic region that often accompany spinal fractures. However, CT imaging of the thoracolumbar spine is more commonly performed as part of CT evaluation of the entire thorax, abdomen, and pelvis in trauma patients with high index of suspicion for soft-tissue injuries or who cannot be cleared by clinical examination. It is debated whether dedicated reformatted images using collimated field-of- views centered on the thoracolumbar spine with dedicated
, and epidural abscess. b. Spinal cord infection including abscess. 4. Vascular disorders a. Spinal vascular malformations and/or the cause of occult subarachnoid hemorrhage. b. Spinal cord infarction. 5. Degenerative conditions a. Degenerative disk disease and its sequelae in the lumbar, thoracic, and cervical spine. b. Neurodegenerative disorders such as subacute combined degeneration, spinal muscular atrophy, amyotrophic lateral sclerosis. 6. Trauma Nature and extent of injury to spinal cord, vertebral (...) of treatment-related tumors several years to several decades later . These include bony neoplasms of the vertebralcolumn, intradural extramedullary tumors such as meningiomas, and gliomas of the cord. Again, MRI can portray the association of the neoplasm with the classic changes of prior radiation in the vertebralcolumn. I. Vascular Lesions of the Spine Multiple vascular lesions can affect the spine. There are two general categories, spinal cord ischemia and vascular malformations. MRI is the most
C7 intra-laminar screws for complex cervicothoracic spine surgeryâ€”a case series C7 has relatively unique anatomy compared to the remainder of the subaxial cervical spine (C3-C6) and upper thoracicspine. The C7 laminar has been previously reported in feasibility and biomechanical studies as an adequate fixation point in contrast to the lateral mass or pedicles, with few reports of its use in clinical practice. The purpose of this study was to review the safety and efficacy of using the C7 (...) later from extra-spinal disease, there was one wound breakdown requiring debridement without infection in a revision case, and one patient required laminectomy for post-traumatic syrinx formation.The C7 laminar provides an alternative fixation point for constructs involving the subaxial cervical spine and cervicothoracic junction, with excellent safety and efficacy in this small series. Larger series are required to more clarify the risk profile of this technique.
will classify this sample point as a "success". We will combine the 15 volunteers from the three cohorts (cervical-spine, thoracic-spine and lumbar-spine) and impose the following decision rule: If at least 12 out of the total 15 volunteers are success, then we declare the custom designed spine coil promising and worthy of further investigation. Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your (...) Spine Coil During the participant's MR scan, the custom spine coil will be placed between the participant and the immobilization mold. image parameters will be optimized for spineanatomy for the pulse sequences which are standard for MR imaging. Diagnostic Test: FDA approved spine coil During the participant's MR scan, the FDA spine coil will be placed between the participant and the immobilization mold. image parameters will be optimized for spineanatomy for the pulse sequences which are standard
evaluated. Statistics were generated using a chi-squared analysis.Set-up and total radiation data were collected for 270 spine surgeries performed by four surgeons at two locations. There were 30 thoracic and 240 thoracolumbar/lumbar cases; 78 anterior and 192 posterior cases. Average total radiation (set-up and intraoperative) was 8.04 rad, and average setup radiation was 1.90 rad (28%, std 2.97 rad) across all cases. On average for the thoracolumbar/lumbar cases, set-up radiation accounted for almost (...) localization is necessary in minimally invasive spine procedures to visualize anatomy, but increased radiation exposure is associated with health risks. Preoperative imaging for anatomical localization has not been previously analyzed as an appreciable source of radiation.From an institutional review board-approved database of more than 1100 procedures, the minimally invasive spine cases with recorded set-up radiation were extracted. The total radiation, set-up radiation, and procedure type data were
surgery (MIS) techniques such as percutaneous screw placement, balloon kyphoplasty (BKP), or vertebroplasty (VP) were accomplished in 80 patients with traumatic or osteoprotic spine injury between 2007 and 2015. The injured vertebral levels included the following: cervical spine, 41; thoracicspine, 22; and lumbarspine, 17. Neurological condition before and after surgery was assessed using the American Spinal Injury Association Impairment Scale (AIS). A total of 419 pedicle, lateral mass, or laminar (...) Image-guided Spine Stabilization for Traumatic or Osteoporotic Spine Injury: Radiological Accuracy and Neurological Outcome Significant progress has been made in image-guided surgery (IGS) over the last few decades. IGS can be effectively applied to spinal instrumentation surgery. In the present study, we focused our attention on the feasibility and safety of image-guided spine stabilization for traumatic or osteoporotic spine injury. The IGS spine fixation with or without minimally invasive
for symptomatic lumbar disc herniation with radiculopathy as reflected in the highest quality clinical lit - erature available on this subject as of July 2011. The goals of the guideline recommendations are to assist in delivering optimum, efficacious treatment and functional recovery from this spinal disorder. Scope, Purpose and Intended User This document was developed by the North American Spine So - ciety Evidence-based Guideline Development Committee as an educational tool to assist practitioners who (...) outcomes of surgical and nonsurgi- cal management of sciatica. Spine (Phila Pa 1976). Aug 1 1996;21(15):1777-1786. 3. Atlas SJ, Deyo RA, Keller RB, et al. The Maine LumbarSpine Study, Part III. 1-year outcomes of surgical and nonsurgical management of lumbarspinal stenosis. Spine (Phila Pa 1976). Aug 1 1996;21(15):1787-1794; discussion 1794-1785. 4. Atlas SJ, Keller RB, Chang Y , Deyo RA, Singer DE. Surgical and nonsurgical management of sciatica secondary to a lumbar disc herniation: five-year
is necessary; postoperative morbidity can be significant. The retropleural procedures are in their infancy, but the published results are promising. The purpose of this study is to introduce the posterolateral arthroscopic thoracic decompression and fusion procedure, which is extrapleural, less disruptive to normal anatomy, and cost-effective.Fifteen consecutive patients who underwent arthroscopic decompression and interbody fusion of the thoracicspine were prospectively studied according (...) Arthroscopic discectomy and interbody fusion of the thoracicspine: A report of ipsilateral 2-portal approach The standard approach to the thoracic disc is through thoracotomy. The video-assisted thoracoscopic approach has been used as an alternative to the open approach for nearly 20 years, and more recently, extracavitary, posterolateral approaches have been introduced. Both the transthoracic procedures involve deflating the lung for access to the spine, and postoperative thoracic drainage
Computer tomography assessment of pedicle screw placement in thoracicspine: comparison between free hand and a generic 3D-based navigation techniques. Although pedicle screw fixation is a well-established technique for the lumbarspine, screw placement in the thoracicspine is more challenging because of the smaller pedicle size and more complex 3D anatomy. The intraoperative use of image guidance devices may allow surgeons a safer, more accurate method for placing thoracic pedicle screws (...) (27 patients; 100 screws). The patients were operated upon from January 2009 to March 2010. Screw implantation was performed during internal fixation for fractures, tumors, and spondylodiscitis of the thoracicspine as well as for degenerative lumbar scoliosis.The accuracy rate in our work was 89.8 % in the free hand group compared to 98 % in the generic 3D navigated group.In conclusion, 3D navigation-assisted pedicle screw placement is superior to free hand technique in the thoracicspine.
Safety of fluoroscopy guided percutaneous access to the thoracicspine. Fluoroscopy-guided percutaneous access to thoracic vertebrae is technically demanding due to the complex radiological anatomy and close proximity of the spinal cord, major vessels and pleural cavity. There is a trend towards computed tomography (CT) guidance due to a perceived reduction in the risk of spinal canal intrusion by instrumentation causing neurological injury. Due to limited access to CT guidance, there is a need (...) for safe fluoroscopy-guided percutaneous access to the thoracic spine.To evaluate the safety of a strict radio-anatomical protocol in avoiding access-related neurological complications due to tool misplacement in fluoroscopy-guided percutaneous procedures on the thoracic spine.A combined two-surgeon prospective case series of 444 procedures (biopsy, vertebroplasty or kyphoplasty) covering all thoracicvertebral levels T1-T12. Clinical examination and routine observations were used to identify access
The anatomy of the spinal cord collateral circulation 23977520 2013 08 26 2018 11 13 2225-319X 1 3 2012 Sep Annals of cardiothoracic surgery Ann Cardiothorac Surg The anatomy of the spinal cord collateral circulation. 350-7 10.3978/j.issn.2225-319X.2012.09.03 Griepp Eva B EB Department of Cardiothoracic Surgery, Mount Sinai School of Medicine, New York, New York, USA. Di Luozzo Gabriele G Schray Deborah D Stefanovic Angelina A Geisbüsch Sarah S Griepp Randall B RB eng R01 HL045636 HL NHLBI NIH (...) HHS United States Journal Article China Ann Cardiothorac Surg 101605877 2225-319X 2012 08 04 2012 09 06 2013 8 27 6 0 2013 8 27 6 0 2013 8 27 6 1 ppublish 23977520 10.3978/j.issn.2225-319X.2012.09.03 acs-01-03-350 PMC3741758 Ann Thorac Surg. 2010 Oct;90(4):1237-44; discussion 1245 20868820 J Thorac Cardiovasc Surg. 2012 Dec;144(6):1471-8 23010582 J Thorac Cardiovasc Surg. 2011 Apr;141(4):1020-8 21419903 J Thorac Cardiovasc Surg. 2010 Jun;139(6):1464-72 20494193 Eur J Cardiothorac Surg. 2003 Nov;24
, and as the oldest segment of the population continues to grow its prevalence is likely to increase. However, data on surgical outcomes are limited. Open or wide decompressive laminectomy, often combined with medial facetectomy and foraminotomy, was formerly the standard treatment. In recent years a growing tendency towards less invasive decompressive procedures has emerged. Many spine surgeons today perform microdecompression for central lumbarspinal stenosis. Prospectively registered treatment and outcome (...) data are obtained from the Norwegian Registry for Spine Surgery (NORspine). Condition or disease Intervention/treatment Spinal Stenosis Spinal Cord Compression Procedure: microdecompression Procedure: laminectomy Study Design Go to Layout table for study information Study Type : Observational Actual Enrollment : 721 participants Observational Model: Cohort Time Perspective: Prospective Official Title: Comparative Effectiveness of Microdecompression and Laminectomy for Central LumbarSpinal Stenosis
C-Spine CT C-Spine CT Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 C-Spine CT C-Spine CT Aka: C-Spine CT , CT C-Spine , Cervical (...) -Spine over XRay In most cases imaging is performed with CT Alternatives such as is often inadequate with up to 20-40% C7 difficult visualization (e.g. obese or muscular patients) Abnormal cervical anatomy such as or in elderly (especially C1 and C2 injuries) III. Adverse Effects See Concentrated radiation to skin of neck and IV. Efficacy: Acute Traumatic Injury for : 98% CT alone with axial slices <3mm has 100% NPV for unstable May someday obviate need for or MRI in obtunded patients (follow local
Evaluation of Ultrasound-Assisted Thoracic Epidural Placement in Patients Undergoing Upper Abdominal and Thoracic Surgery: A Randomized, Double-Blind Study. The placement of thoracic epidurals can be technically challenging and requires a thorough understanding of neuraxial anatomy. Although ultrasound imaging of the thoracicspine has been described, no outcome studies on the use of this imaging have been performed. We evaluated whether preprocedural ultrasound of the thoracicspine would (...) facilitate the process of epidural catheterization.Subjects undergoing thoracic or upper abdominal surgery with planned thoracic epidural placement at T10 or higher were enrolled in this randomized double-blind study. Subjects were allocated into 1 of 2 groups for preoperative epidural placement: ultrasound guidance (group US) or palpation (group Palp). Subjects randomized to group US had a preprocedural ultrasound examination to identify pertinent spinalanatomy and make appropriate marks on the skin
structure (C0460005) Definition (FMA) Subdivision of body proper, which consists of a maximal set of diverse subclasses of organ and organ part spatially associated with the ribcage, thoracic and lumbarvertebralcolumn, sacrum and coccyx, it is partially surrounded by skin of trunk. Examples: There is only one trunk. Definition (MSH) The central part of the body to which the neck and limbs are attached. Definition (MSHCZE) Střední část těla, ke které je připojen krk a končetiny. Definition (UWDA) Body (...) part, which consists of a maximal set of diverse subclasses of organ and organ part spatially associated with the thoracic and lumbarvertebralcolumn, sacrum and coccyx, it is partially surrounded by skin of trunk. Examples: There is only one trunk. Definition (NCI_CDISC) The body excluding the head and neck and limbs. (NCI) Definition (NCI) The body excluding the head and neck and limbs. Concepts Body Location or Region ( T029 ) MSH SnomedCT 41253007 , 22943007 LNC LP7660-6, MTHU002839 English
of the injured cervical spine may create or exacerbate cervical spinal cord or cervical nerve root injury. – , , , This potential has led to the use of spinal immobilization for trauma patients who have sustained a cervical vertebralcolumn injury or experienced a mechanism of injury that could result in cervical spinalcolumn injury. , , – , , , , , , Kossuth , is credited with pioneering the currently accepted methods of protection and immobilization of the cervical spine during extrication of acute injury (...) % of spinalcolumn injuries involve multiple noncontinuous vertebral levels; therefore, the entire spinalcolumn is potentially at risk. – Consequently, complete spinal immobilization has been used in prehospital spinal care to limit motion until injury has been ruled out. – Over the last 30 years, there has been a dramatic improvement in the neurologic status of spinal cord--injured patients arriving in emergency departments. During the 1970s, the majority (55%) of patients referred to regional spinal