Wish You All A Very Happy New Year

2010 is about to end as I type these letter.

Tomorrow would be a new start, a new year 2011.

I wish everyone a very happy new year.

May your life become more meaningful and your health more satisfying.

May God be with you all.

Take care.

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Xray Of Kyphosis At C3-C4 Cervical Vertebrae Due To Cervical Spine Instabilty

The woman was 40 years old and had been admitted for hypertension and neckpain. She was apparently well about 3 days back when she started feeling pain in neck.

There were occasional episodes of vertigo.

Examination revealed tenderness at c4 level and there was mild loss of strength in her right hand grip.

The xray revealed reversal of lordosis and exaggereted kyphus at C3 C4 level.

The xray as shown above is an indicator of  severe cervical spine instability.

The patient was given a collar and sounded for need for operative intervention in form of fixation and fusion of C3-C4 vertebrae.

The patient does not want to undergo surgery and is satisfied with the collar for time being.

Popularity: 6% [?]

Anterior Surgery For Thoracolumbar Fractures Of Spine

Anterior surgery results in the most effective decompression of the spinal canal after burst fracture. Anterior surgery is indicated in patients with thoracolumbar fractures with an incomplete spinal cord injury
It is generally not indicated in patients without a neurologic deficit except in cases of patients with very severe kyphosis.

Supplementary posterior fixation is added in cases with massive posterior ligamentous disruption.

Anterior surgery is usually deferred in cases of retroperitoneal or intrathoracic injuries.

Technique

Decompression

The patient is placed in the lateral position with the left side up on a standard operating table.  The preparation and draping of the skin should include the iliac crest. [Read more...]

Popularity: 2% [?]

Artery of Adamkiewicz.

The Artery of Adamkiewicz is the largest anterior segmental medullary artery. It is also known by the following names

  • Adamkiewicz artery
  • Major anterior segmental medullary artery
  • Artery of the lumbar enlargement
  • Great radicular artery of Adamkiewicz
  • Great anterior radiculomedullary artery
  • Great anterior segmental medullary artery

It typically arises from a left posterior intercostal artery between T9-T11, which branches from the aorta, and supplies the lower two thirds of the spinal cord via the anterior spinal artery. [Read more...]

Popularity: 2% [?]

Xray of Elbow Showing Fracture Of Capitellum

Fracture of capitellum in 43 yars old lady. Fracture Of capitellum

She refused for any treatment though.

Popularity: 3% [?]

Posterior Surgery For Thoracolumbar Burst Fractures

Most of the surgeons perform posterior surgery to correct the kyphosis and stabilize the spine. It is also used for decompression but anterior surgery is preferred for that.

In patients who have an incomplete neurologic injury with spinal cord compression from retropulsed fragments, an anterior approach is preferred.

Exceptions are injuries at the T3 and T4 level, which can be difficult to approach anteriorly.

Vertebral body height loss > 50% or extensive comminution, pedicle screws are placed two levels above and below the fractured vertebra.

< 50% height loss, an attempt at short-segment stabilization is undertaken. [Read more...]

Popularity: 2% [?]

More Technical Stuff and Procedural Details Would be Added To The Website

In my effort to make information as understandable as possible by people who do not understand the technical aspect or medical jargon, I have always brought forth the information in simple language that almost everyone [I hope] could understand.

Deliberately, I had skipped some details on treatment section because, first for most, it is not necessary to know how a treatment is done and second the problem of technical aspect.

use first they were nsubnon technical peopleThis part of the article is quite technical and may not be understood by all. Rather they want to know what treatment and why it is done.

But there is a section of readers who looks for more technical stuff and asks “How”. These articles are meant for them.

There is another reason for doing this. This would also make the website wholesome. [Read more...]

Popularity: 1% [?]

Please Show Your Support – Promote and Link To Website

I have one appeal appealing in the sidebar, for donation. But that is not what I am going to ask you here. What I am going to request you is extremely simple as click but it will go long way in promoting the website and help it grow.

In this web centered world, users have acquired tremendous power to boost the website, especially after social media has taken a center stage.

If BoneAndSpine.com has helped you in any way, may that be information or an answered query, show that you care about this website.

You can do following things and encourage others to do so.

  • Link back to us from your website.
  • Mention Boneandspine.com in other forums you attend
  • Tweet about boneandspine.com
  • Retweet posts on the website
  • Mention the website to others in conversation
  • Mention and link to the website in your profile pages on Facebook
  • Like Boneandspine At Facebook
  • Mention it on your blog

Wherever you find a chance, mention the website. make BoneAndSpine.com more visible on the web radar.

We are gaining popularity day by day, thanks to you all.

The website needs to grow further to sustain. You can give it a push by a little effort.

Will you?

Popularity: 1% [?]

Magnetic Resonance Imaging Identifies Early Stage Rheumatoid Arhtritis Better Than Clinical Examination

Magnetic resonance imaging  is very sensitive and identifies joint damage in the wrists and fingers of patients with early-stage rheumatoid arthritis, a new research published on November 15th in Arthritis Care & Research.

The study was conducted by Dr. Mami Tama and colleagues in Nagasaki University.
In the study, MRI of wrists and finger joints of both hands were examined in 51 early-stage rheumatoid arthritis (RA) patients by both plain and Gd-DTPA enhanced MRI.

Synovitis, bone edema and bone erosion were considered as MRI-proven joint injury. A physical examination just before the MRI study was done by certified rheumatologist.

The presence of tender and/or swollen joints in the same fields as MRI was considered as joint injury on physical examination.
The association of MRI-proven joint injury with physical examination-proven joint injury was examined.

A total of 1110 sites were examined in the above mentioned patients.

MRI-proven joint injury was found in 521 sites whereas other 589 sites were normal.
[Read more...]

Popularity: 2% [?]

Bone And Spine Professional

I have been mulling over the thought for quite sometime. To create website that caters more technical aspects of orthopedics. Where professionals could gain education, learn about resources and discuss the issues.

There were few hitches in this and biggest of them was the lack of time.

But recently, the thought for creating such a center had become quite overpowering. So I  designed the project and moved the website to a better server.

For all those who saw the website down yesterday, the transfer was the reason. After the website files are located to new ip, it takes some time to get propogated.

I have created the domain and working on installations. Give me few days more and it would be live

Popularity: 1% [?]