traumatismele coloanei vertebrale
DESCRIPTION
TRAUMATISMELE COLOANEI VERTEBRALETRANSCRIPT
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TRAUMATISMELE TRAUMATISMELE COLOANEI COLOANEI
VERTEBRALEVERTEBRALE
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AnatomieAnatomie
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AnatomieAnatomie
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Biomecanica coloanei Biomecanica coloanei vertebralevertebrale
FlexieFlexie ExtensieExtensie RotatieRotatie LateralitateLateralitate Sumarea misacrilorSumarea misacrilor
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Nivelul TraumaticNivelul Traumatic CervicalCervical
C1-C4C1-C4 C5-C7C5-C7
DorsalDorsal LombarLombar
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Fractura de odontoidaFractura de odontoida Extensie/flexie brusca a capuluiExtensie/flexie brusca a capului Cadere pe frunte cu capul extins/flectatCadere pe frunte cu capul extins/flectat Acceleratie urmata de deceleratie Acceleratie urmata de deceleratie
bruscabrusca Forme anatomo-cliniceForme anatomo-clinice
Varf de odontoidaVarf de odontoida CorpCorp BazaBaza Cu/fara deplasareCu/fara deplasare
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FormeForme
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Fractura C1 si odontoidaFractura C1 si odontoida Apar frecvent asociateApar frecvent asociate Fractura salvatoare- odointoida se Fractura salvatoare- odointoida se
deplaseaza concomitent cu atlasul deplaseaza concomitent cu atlasul fracturat si evita compresia fracturat si evita compresia medularamedulara
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Mecanism de producereMecanism de producere Accidente rutiereAccidente rutiere
WhiplashWhiplash Centura de sigurantaCentura de siguranta
Caderi de la inaltime Caderi de la inaltime Surpari de terenSurpari de teren Mult mai frecvente in conditii de Mult mai frecvente in conditii de
razboi sau calamitatirazboi sau calamitati
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ComplicatiiComplicatii NeurologiceNeurologice
PartialePartiale TotaleTotale
TardiveTardive SpondilozaSpondiloza spondilolistezaspondilolisteza
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ImagisticaImagistica Radiografia din cel putin 2 incidenteRadiografia din cel putin 2 incidente CTCT RMNRMN
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Forme anatomiceForme anatomice Tasare verticalaTasare verticala Tasare cuneiformaTasare cuneiforma TorsionareTorsionare TranslatieTranslatie Avulsia apofizelor transverseAvulsia apofizelor transverse
Cu sau fara leziuni mieliceCu sau fara leziuni mielice
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TratamentTratament ConservatorConservator
Repaus la patRepaus la pat Membrele inferioare procliveMembrele inferioare proclive Mobilizare progresivaMobilizare progresiva
ChirurgicalChirurgical ChifoplastieChifoplastie VertebroplastieVertebroplastie Rahisinteza posterioaraRahisinteza posterioara
Elongatii-tractiuneElongatii-tractiune Minerva gipsataMinerva gipsata CorsetCorset Guler SchanzGuler Schanz
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Coloana-radiografie cu Coloana-radiografie cu aspect aspect normalnormal
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PolitraumatismulPolitraumatismul
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Tasarea vertebralaTasarea vertebrala
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ChifoplastiaChifoplastia
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Tasare vertebralaTasare vertebralaevolutie in timpevolutie in timp
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Deformarile coloanei Deformarile coloanei vertebralevertebrale
In plan frontal In plan frontal scoliozescolioze In plan sagital In plan sagital cifozecifoze In plan transversal In plan transversal derotariderotari Sumarea defromarilor Sumarea defromarilor cifoscoliozecifoscolioze
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Hernia de discHernia de disc
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HDHD
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HDHD
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HDHD
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HDHD
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HDHD
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ScoliozeleScoliozele Deformari in plan frontalDeformari in plan frontal Curbura dictata de convexitateCurbura dictata de convexitate 4 grade de gravitate dupa unghiul 4 grade de gravitate dupa unghiul
curburiicurburii Ghibozitate dupa directia de Ghibozitate dupa directia de
derotarederotare Afectarea organelor mediastinale si Afectarea organelor mediastinale si
cutiei toracicecutiei toracice
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Forme anatomocliniceForme anatomoclinice Noului nascut: asociat cu alte Noului nascut: asociat cu alte
malformatiimalformatii Primei copilariiPrimei copilarii Juvenila: cea mai frecventaJuvenila: cea mai frecventa AdolescentuluiAdolescentului
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Aspect radiologicAspect radiologic Unghiul lui CobbUnghiul lui Cobb In decubit dorsalIn decubit dorsal VerticalVertical Cu tractiuneCu tractiune
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TratamentTratament Simpla gimnastica medicalaSimpla gimnastica medicala CorsetCorset
MilwaukeeMilwaukee CheaunauCheaunau BostonBoston
ChirurgicalChirurgical HarringtonHarrington lukeluke
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Coloana cervicalaColoana cervicala
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CTCT
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CTCT
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CTCT
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Volume renderingVolume rendering
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RMNRMN
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RMNRMN
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Tasarea vertebralaTasarea vertebralaevolutia in timpevolutia in timp
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Tasare vertebralaTasare vertebralaevolutieevolutie
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Prezentare de Prezentare de caz caz
??
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Prezentare de cazPrezentare de caz??
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CTCT
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CTCT
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CTCT
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CTCT
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CTCT
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CTCT
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CTCT
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Prezentare de cazPrezentare de caz FemininFeminin 83 de ani83 de ani Cadere la domiciliuCadere la domiciliu lipsa mersului, ortostatismului, lipsa mersului, ortostatismului,
miscarile active ale membrelor miscarile active ale membrelor inferioare aboliteinferioare abolite
Mobilizarea pasiva dureroasaMobilizarea pasiva dureroasa Prezentare la serviciul de urgentaPrezentare la serviciul de urgenta
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Examen clinic si Examen clinic si radiologic la prezentareradiologic la prezentare
ConsultatieConsultatie Prelevari de probe biologicePrelevari de probe biologice Raiografie de bazin si coloana Raiografie de bazin si coloana
lombaralombara Tratament NSAID, miorelaxanteTratament NSAID, miorelaxante
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Examen clinic si Examen clinic si radiologic la prezentareradiologic la prezentare
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Examen clinic si Examen clinic si radiologic la prezentareradiologic la prezentare
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CT abdomen si sacruCT abdomen si sacru
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Mielom multipluMielom multiplu
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Mielom multiplu Mielom multiplu localizari de electielocalizari de electie
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Osteosarcom aspect CTOsteosarcom aspect CT
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Va multumim pentru Va multumim pentru atentieatentie