脊柱-南医三院.pptxVIP

INTRODUCTION;Based on LOCATION of spinal cord injury Little functional benefit seen with 1 or 2 level improvement in upper thoracic(T9) cord injuries Conus (T10-L1) lesion are critical :bowel/bladder Low lumbar –roots more modating to canal compromise ,and more appropriate to recover ;Compression fractures Burst fractures Flexion-distraction/chance injury Fracture –dislocation Gun shot wounds to the spine ;POSTERIOR IMPLANTS STANDARD FIXATION DEVICE;PEDICLE SCREW PLATE SYSTEMS ;AIMS OBJECTIVES;INCLUSION CRITERION;EXCLUSION CRITERION;MATERIAL METHODS ;OBSERVATIONS;Age wise Distribution ;Gender Wise Distribution;Mode Of Injury ;Occupation ;Level Of Injury ;Type Of Fracture ;Duration of time between injury to surgery;Correlation of mode of injury and type of fracture;Correlation of vertebra affected with type of fracture;Correlation of type of fracture with bowel and bladder involvement;Correlation of type of fracture with Frankel scale and ASIA;There was no statistical evidence to conclude that the ASIA motor score can be related with particular type of fracture. (p value =0.473;0.05);Distribution of patient according to FRANKEL SCALE before treatment;Correlation of type of fracture with Anterior wedge Angle in degree;Correlation of type of fracture with Functional Independence Measure at 1 year follow up;Comparison of ASIA MOTOR, PIN PRICK, LIGHT TOUCH, VISUAL ANALOGUE SCALE, FIM AND ANTERIOR WEDGE ANGLE pre operative and post operative at one year follow up ;Hardware loosening ;Correlation of type of fracture with hardware loosening;Correlation of vertebra affected with hardware loosening;CASE 1: PRE OPERATIVE X RAY AND MRI;6 MONTH ;CASE 2 ;CONCLUSION;For safe, effective and early rehabilitation, surgical stabilization is essential and should be a part of neuprotective strategy. The effective rehabilitation strategy mainly focused on better self training for bladder and bowel care, prevention of bed sore and pneumonia etc, can be implemented to