KEY FACTS Terminology Lipomyelomeningocele, lipomyelocele, spinal lipomatous malformation You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
KEY FACTS Terminology Posterior spinal defect lacking skin covering → neural tissue, CSF, and meninges exposed to air Synonyms: Meningomyelocele, open spinal dysraphism, spina bifida aperta, spina bifida cystica You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
KEY FACTS Terminology Chiari 3 malformation Synonyms: Chiari III, rhombencephalocele You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
KEY FACTS Terminology Synonyms: Chiari 2 malformation 2, Chiari II Complex hindbrain malformation Virtually 100% associated with neural tube closure defect, usually lumbar myelomeningocele You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
KEY FACTS Terminology Complex Chiari malformation (CCM), Chiari 1.5 You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
KEY FACTS Terminology Synonyms: Chiari 1 malformation (CM1), Arnold-Chiari 1 malformation You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
KEY FACTS Terminology Synonyms: Hypoplastic C1, hypoplastic atlas You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
KEY FACTS Terminology Congenital small or absent odontoid process You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
KEY FACTS Terminology Synonym: Split C1 You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
KEY FACTS Terminology Synonym: Incomplete C1 posterior ring Definition: Posterior C1 arch is incompletely formed with midline or paramidline osseous defect(s) You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
KEY FACTS You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
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KEY FACTS Terminology Synonym: Ossiculum terminale persistens Persistence of unfused odontoid tip ossification center into adulthood You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
KEY FACTS Terminology Latin: “Little posterior bridge” Synonyms: Arcuate foramen, sagittale foramen, canalis vertebralis, retroarticular canal, retroarticular/retrocondylar vertebral artery ring, upper retroarticular foramen, and atlantal posterior foramen You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
KEY FACTS Terminology Synonyms: Atlantooccipital assimilation, atlantal assimilation, “occipitalization” Nonresegmentation of proatlas sclerotome → failure of C1 to correctly segment from occipital bone You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
KEY FACTS Terminology Congenital C2-C3 vertebral segmentation failure You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
KEY FACTS Terminology Intrathecal baclofen (ITB) Intraspinal drug delivery (IDD) Malfunction or malposition of pump or catheter delivery system Pathology ITB used for treatment of spasticity Typically used in children with severe quadriplegic pattern cerebral palsy IDD system therapy widely utilized in patients with intractable, nonmalignant, and malignant pain Epidural analgesia trial may be conducted to document efficacy prior to implantation of permanent intrathecal drug delivery…
KEY FACTS Terminology Spinal fusion surgery recommended when curve magnitude > 40-45° for adolescent idiopathic scoliosis Adult scoliosis presents with lumbar back ± leg pain, L3-L4 rotatory subluxation, L4-L5 tilt, and L5-S1 disc degeneration on radiographs Imaging Radiographs Main thoracic, thoracolumbar, and lumbar curves should be assessed for structural characteristics 36′ standing anteroposterior & lateral radiographs & supine side-bending radiographs In adult scoliosis, assess for degenerated…
KEY FACTS Terminology Synonyms: Interspinous posterior decompression, interspinous distraction device, interspinous spacer device (ISD), interspinous implant Dynamic stabilization alters movement & load transmission of spinal motion segment without fusion of segment Interspinous spacing device places stenotic segment in slight flexion while preventing extension Imaging Radiographs & CT helpful to evaluate interspinous location Assess for fractures Pathology Lumbar neurogenic claudication symptoms are exacerbated during extension, relieved during…
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