TAILIEUCHUNG - Chapter 016. Back and Neck Pain (Part 14)

Trauma to the Cervical Spine Trauma to the cervical spine (fractures, subluxation) places the spinal cord at risk for compression. Motor vehicle accidents, violent crimes, or falls account for 87% of spinal cord injuries (Chap. 372). Immediate immobilization of the neck is essential to minimize further spinal cord injury from movement of unstable cervical spine segments. A CT scan is the diagnostic procedure of choice for detection of acute fractures. Following major trauma to the cervical spine, injury to the vertebral arteries is common; most lesions are asymptomatic and can be visualized by MRI and angiography. Whiplash injury is due to. | Chapter 016. Back and Neck Pain Part 14 Trauma to the Cervical Spine Trauma to the cervical spine fractures subluxation places the spinal cord at risk for compression. Motor vehicle accidents violent crimes or falls account for 87 of spinal cord injuries Chap. 372 . Immediate immobilization of the neck is essential to minimize further spinal cord injury from movement of unstable cervical spine segments. A CT scan is the diagnostic procedure of choice for detection of acute fractures. Following major trauma to the cervical spine injury to the vertebral arteries is common most lesions are asymptomatic and can be visualized by MRI and angiography. Whiplash injury is due to trauma usually automobile accidents causing cervical musculoligamental sprain or strain due to hyperflexion or hyperextension. This diagnosis should not be applied to patients with fractures disk herniation head injury focal neurologic findings or altered consciousness. Imaging of the cervical spine is not cost-effective acutely but is useful to detect disk herniations when symptoms persist for 6 weeks following the injury. Severe initial symptoms have been associated with a poor long-term outcome. Cervical Disk Disease Herniation of a lower cervical disk is a common cause of neck shoulder arm or hand pain or tingling. Neck pain stiffness and a range of motion limited by pain are the usual manifestations. A herniated cervical disk is responsible for 25 of cervical radiculopathies. Extension and lateral rotation of the neck narrows the ipsilateral intervertebral foramen and may reproduce radicular symptoms Spurling s sign . In young persons acute nerve root compression from a ruptured cervical disk is often due to trauma. Cervical disk herniations are usually posterolateral near the lateral recess and intervertebral foramen. Typical patterns of reflex sensory and motor changes that accompany specific cervical nerve root lesions are summarized in Table 16-4 however 1 overlap in function between .

• Y học thường thức
• Back and Neck Pain
• bệnh học và điều trị
• bài giảng bệnh học
• tài liệu học ngành y
• Harrisons Internal Medicine
• BMC Musculoskeletal Disorders
• Neck pain
• Low back pain
• Concomitant neck
• Spinal pain
• Musculoskeletal pain
• Serial cross sectional design
• Neck and shoulder pain
• Back pain
• Body composition
• General population
• Primary care
• Psychological factors
• Population based study
• Ural eye
• Thoracic spine pain
• Appropriateness of care
• Spinal mobilization
• Spinal manipulation
• Chronic low back pain
• Chronic neck pain
• Patient preferences
• Treatment response
• Treatment disability
• Fear avoidance beliefs
• Work disability
• Return to work
• Brief intervention
• Proprioceptive training
• Systematic review
• Chiropractic care
• Visit frequency
• Behavioral model of health services use
• Muskuloskeletal manipulations
• Sports club participation
• Health promotion
• Fear–avoidance beliefs
• Psychosocial work factor
• 7 Steps to a Pain
• health education
• health knowledge
• health
• health care
• medical research