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Spine Surgery 101

Spine Surgery 101. James Coyle, M.D. Anatomy Terminology Spinal Imaging Surgical Diagnoses –Pathology Principles of Spine Surgery Surgical Procedures. Anatomy. Terminology. Fracture. Spondylosis Spondylolysis Spondylolisthesis. Spondylosis. ( spän-də -ˈ lō-səs )

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Spine Surgery 101

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  1. Spine Surgery101 James Coyle, M.D.

  2. Anatomy • Terminology • Spinal Imaging • Surgical Diagnoses –Pathology • Principles of Spine Surgery • Surgical Procedures

  3. Anatomy

  4. Terminology

  5. Fracture

  6. Spondylosis Spondylolysis Spondylolisthesis

  7. Spondylosis (spän-də-ˈlō-səs) [GR. Spondylos, vertebra] Spondylos, vertebra, + osis, condition].

  8. Spondylolysis (spän-də-ˈläl-ə-səs) [“ + lysis, a dissolution]. The breaking down of vertebral structure.

  9. Spondylolisthesis (spän-də-lō-lis-ˈthē-səs) [“ + olisthesis, a slipping]. Forward subluxation of vertebrae.

  10. Arthrodesis (är-ˈthrä-də-səs) Arthro –[ GR. arthron, joint + desis, binding]. The surgical immobilization of a joint.

  11. Arthrodesis Bone Grafts • allogenic “allograft” • autogenous “autograft” Instrumentation

  12. Spinal Stenosis (stə-ˈnō-səs) [GR.] Constriction or narrowing of the spinal canal or foramen.

  13. Scoliosis (skō-lē-ˈō-səs) [GR. Skoliosis, curvature]. Lateral curvature of the spine. Usually consists of two curves.

  14. Radiculopathy (rə-ˌdi-kyə-ˈlä-pə-thē) [L. radicula, little root + GR. Pathos, disease]. Any diseased condition of roots of spinal nerves.

  15. Cervicalgia (cervix +‎ -algia) Pain or significant discomfort in the neck.

  16. Disk Herniation • HNP • Extrusion • Protrusion • Prolapse • Bulge

  17. Spinal Imaging

  18. Spinal Imaging • X-Rays • Myelogram • Computerized Tomography (CT Scan) • CT Myelogram • MRI

  19. The first X-ray photograph taken by Wilhelm Rontgen of his wife’s hand.

  20. Lumbar Spine AP and Lateral X-ray

  21. Myelogram

  22. Overview

  23. Computerized Tomography (CT Scan)

  24. CT Myelogram

  25. MRI

  26. Surgical Diagnoses: Pathology

  27. Surgical Pathology Herniation Arthritis Dislocations Scoliosis Stenosis Fractures Spondylolisthesis

  28. Principles of Spine Surgery

  29. Principles of Surgery Decompress Nerves Restore Alignment Stabilize the spine

  30. Surgical Procedures

  31. Discectomy • Laminectomy • Fracture surgery • Fusions • Scoliosis surgery • Revision surgery

  32. Discectomy MRI

  33. Fracture Surgery

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