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بسم الله الرحمن الرحيم الحمد لله والصلاة والسلام على رسول الله

بسم الله الرحمن الرحيم الحمد لله والصلاة والسلام على رسول الله. نحن فداك يا رسول الله. RECENT ADVANCES IN FRACTURES OF THE SPINE. BY EMAD EL-MEHY, MD PROF. ORTHOP. T.U. FUNCTIONS. PROTECTION SUPPORT & POSTURE SHOCK ABSORPTION MOVEMENTS. ANATOMY. NORMAL CURVATURES

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بسم الله الرحمن الرحيم الحمد لله والصلاة والسلام على رسول الله

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  1. بسم الله الرحمن الرحيمالحمد لله والصلاة والسلام على رسول الله

  2. نحن فداك يا رسول الله

  3. RECENT ADVANCES IN FRACTURES OF THE SPINE BY EMAD EL-MEHY, MD PROF. ORTHOP. T.U.

  4. FUNCTIONS • PROTECTION • SUPPORT & POSTURE • SHOCK ABSORPTION • MOVEMENTS

  5. ANATOMY • NORMAL CURVATURES • SPINAL MOTION SEGMENT • REALATION TO SPINAL CORD & ROOTS • SPINAL CANAL

  6. active static dynamic hydrodynamic

  7. SPINAL STABILITY • The ability of the spine under physiological loads to maintain relationships between vertebrae without : • Spinal cord or nerve roots damage or irritation • Deformity • Pain • Abnormal mobility

  8. INCIDENCE • 60% at thoracolumbar junction (T11-L2) • 20% at cervical spine • 20% other parts

  9. AETIOLOGY • Major car accident • Fall from a height • Falling heavy object

  10. Classification • Angulation stress fractures • Displacement (Translation) stress fractures

  11. Angulation stress fx • Around X (transverse) Axis Hyper flexion Hyperextension • Around Y (A-P) Axis Rt lateral wedge Lt lateral wedge • Around Z (vertical) Axis Rt rotation Lt rotation

  12. Displacement (Translation) Stress Fx • Along X (transverse) Axis Rt translation Lt translation • Along Y (A-P) Axis Ant. translation Post. translation • Along Z (vertical) Axis Compr. (Burst) Distraction (Seat belt)

  13. The goals of treatment of spine injuries are (1) to realign the spine, (2) to prevent loss of function of undamaged neurological tissue, (3) to improve neurological recovery, (4) to obtain and maintain spinal stability, (5) to obtain early functional recovery.

  14. Thoracolumbar I F implants

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