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Explore anatomy, terminology, imaging, surgical diagnoses, and procedures in spine surgery. Learn about spondylosis, spondylolysis, spondylolisthesis, arthrodesis, spinal stenosis, scoliosis, radiculopathy, cervicalgia, and disk herniation. Discover the principles and surgical techniques for spine treatments.
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Spine Surgery101 James Coyle, M.D.
Anatomy • Terminology • Spinal Imaging • Surgical Diagnoses –Pathology • Principles of Spine Surgery • Surgical Procedures
Spondylosis Spondylolysis Spondylolisthesis
Spondylosis (spän-də-ˈlō-səs) [GR. Spondylos, vertebra] Spondylos, vertebra, + osis, condition].
Spondylolysis (spän-də-ˈläl-ə-səs) [“ + lysis, a dissolution]. The breaking down of vertebral structure.
Spondylolisthesis (spän-də-lō-lis-ˈthē-səs) [“ + olisthesis, a slipping]. Forward subluxation of vertebrae.
Arthrodesis (är-ˈthrä-də-səs) Arthro –[ GR. arthron, joint + desis, binding]. The surgical immobilization of a joint.
Arthrodesis Bone Grafts • allogenic “allograft” • autogenous “autograft” Instrumentation
Spinal Stenosis (stə-ˈnō-səs) [GR.] Constriction or narrowing of the spinal canal or foramen.
Scoliosis (skō-lē-ˈō-səs) [GR. Skoliosis, curvature]. Lateral curvature of the spine. Usually consists of two curves.
Radiculopathy (rə-ˌdi-kyə-ˈlä-pə-thē) [L. radicula, little root + GR. Pathos, disease]. Any diseased condition of roots of spinal nerves.
Cervicalgia (cervix + -algia) Pain or significant discomfort in the neck.
Disk Herniation • HNP • Extrusion • Protrusion • Prolapse • Bulge
Spinal Imaging • X-Rays • Myelogram • Computerized Tomography (CT Scan) • CT Myelogram • MRI
The first X-ray photograph taken by Wilhelm Rontgen of his wife’s hand.
Computerized Tomography (CT Scan)
CT Myelogram
Surgical Pathology Herniation Arthritis Dislocations Scoliosis Stenosis Fractures Spondylolisthesis
Principles of Spine Surgery
Principles of Surgery Decompress Nerves Restore Alignment Stabilize the spine
Discectomy • Laminectomy • Fracture surgery • Fusions • Scoliosis surgery • Revision surgery