Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh

8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh

http://slidepdf.com/reader/full/fundamentals-of-spinal-injury-management-and-spinal-surgery-at- 1/147

&

H`l`jdhdlt

Fuli`hdlt`ns ef Qpol`n

Olkury & H`l`jdhdlt -

AHD

EL

-

0



Wrdp`rdi My

-Ir. Hi. L`zr

un Osn`h-HMMQ, H.sa. (M.Dlj).

Qupdrvosdi My

-

F]EH-

Idp`rthdlt ef Ertcepdioas“ &

Yrùh`tenejy

,

Qc`cddi

Qucr`w`riy Hdioa`n

Aenndjd Cespot`n, Ic`b`

-

0=7:,



=



Oltreiuatoels

ef Qpold

Qpol`n Olkury (QO)

W`tce

-

pcysoenejy ef Qpol`n Olkury

Fuli`hdlt`ns ef @ssdsshdlt &

Io`jlesos

-

Qpol`n Olkury W`todlts

H`l`jdhdlt ef Qpol`n Olkury

W`todlts.

]dc`monot`toel ef QO W`todlts

Aelanusoels

&



Qdatoel

-

=

Qdatoel

-

1

Qdatoel

-

9

Qdatoel

-

4

Qdatoel

-

6

Qdatoel

-

:

Qdatoel

-

0

1



Oltreiuatoels

Cuh`l ef Qpold



Qdatoel

-

0

Ycd cuh`l spold os ` iyl`hoa `li

aehpndx struaturd, wcoac dltdrtòls `

syhmoetoa rdn`toelscop mdtwddl v`roeus

husaun`r,

noj`hdlteus

, v`saun`r, `li

ldur`n tossuds.

Olkurods ef tcd spold h`y `ffdat `l

oliovoiu`n's ferh `li fulatoel, `li ol

sehd a`sds h`y ndì te sdvdrd ios`monoty

`li id`tc.

Qpol`n olkury (dotcdr mely er seft tossud)

h`l`jdhdlt

‑

prd

-

cespot`n/ cespot`n `rd

dqu`nny vdry ohpe

rt`lt fer prepdr

trd`thdlt/ suaadssfun rdturl te rdjun`r

9



W`ndep`tcenejoa`n olvdstoj`ters c`vd

feuli And`r dvoidlad ef spol`n

ioseridrs ol prdcosteroa tohds.

@t tcd dli ef `ltoquoty ( :tc adltury @.I.), Wùnus ef @djol` (6=4 ‑6?7

@.I.) pdrferhdi tcd forst suaadssfun

n`holdatehods.

@t tcd mdjollolj ef tcd =0st adltury,

spol`n surjdry c`s mdaehd herd

dvoidlad m`sdi, mut ot os stonn

tdaclenejy irovdl ol h`ly `rd`s.

Oltreiuatoels ef Qpold



Aelaosd Costery

ef Qpol`n Ioseridrs

-

4

Qdatoel

-

0



Fulatoels ef

Cuh`l Qpold

-

Ycd spold prevoids ` hd`ls ef

aelldatoljtcd uppdr `li newdr meiy vo` tcd

sàruh

wcoac aelldats tcd spold te tcd pdnvos.

Ycd spold c`s h`ly fulatoels olprevoiolj

cuh`ls wotc tcd `monoty te ndì tcd novds

tcdy

ie ‑

e Qtrdljtc `li Quppert

Hevdhdlt

Wretdatoel ef Ldrvds Mneei Quppny




Qdatoel

-

0

6






Qpold aelsosts ef `ntdrl`tolj

Mely vdrtdmr`d

Fomrea`rton`joleus iosa

Quppertdi my husaun`turd.

Hetoel sdjhdlt ‑ Ywe ìkàdltvdrtdmr`d wotc oltdrvdlolj iosa.

Qdatoel- 0

:



@l`tehy ef Qpold;

Ycd Qpold os `l oltroa`td struaturd ef

melds, noj`hdlts, husands, ldrvds, `li

tdliels.

Ot―s `l`tehy a`l md mreìny iovoidi olte ‑

C`ri Mely W`rt ‑

Ycd màbmeld, er spold, os hìd up ef 10

mely sdjhdlts a`nndi vdrtdmr`d;

e 3 adrvoa`n (ldab) vdrtdmr`de 0= tceràoa (hoiind màb) vdrtdmr`d

e 4 nuhm`r (newdr màb) vdrtdmr`d*

e 4 sàr`n (newdst `rd` ef tcd màb)

vdrtdmr`d

e 0 aeaayjd`n (aeaayx, er tònmeld)




Qdatoel- 0

3



Qpol`n Aeri

Oltdr vdrtdmr`n iosa

Husands

Ydliel,Noj`hdlts

Ldrvd

Vdssdns

Qeft Yossud W`rt ‑ Oltreiuatoels ef Qpold

@l`tehy ef Qpold;



Qdatoel- 0

?



4


@l`tehy ef Qpold;



Qdatoel- 0

07



Qpol`n Husands -

Husands `reuli tcd spold pn`y ` bdy rend

ol tcd cd`ntc ef tcd màb. Ot suppert tcd

trulb `li ceni tcd meiy uprojct. Ycdy

`nse `nnews tcd trulb te hevd, twost `limdli ol huntopnd iordatoels.

Ycrdd typds ef màb husands tc`t cdnp

spol`n fulatoel `rd tcd;

Dxtdlser husands- Ycdy olanuid tcdn`rjd husands ol tcd newdr màb (drdater

spol`d), wcoac cdnp ceni up tcd spold,

`li jnutd`n husands.


@l`tehy ef Qpold;



Qdatoel- 0

00



Fndxer husands- @ttàcdi te

tcd frelt ef tcd spold, tcdsd

husands olanuid tcd `miehol`nhusands. Ycdy `nnew us te fndx,

mdli ferw`ri, noft `li `rac tcd

newdr màb.

Emnoqud husands- Ycdsd

`rd `ttàcdi te tcd soids ef tcd

spold. Ycdy cdnp us ret`td tcd

spold `li hòltòl prepdr

Qpol`n Husands - Oltreiuatoels ef Qpold

@l`tehy ef Qpold;



Qdatoel- 0

0=

F i t n f Q o n



Qpol`n

Noj`hdlts -Lerh`n @l`tehy `li Aehpesotoel

Noj`hdlts surreuliolj tcd spold

prevoid oltrolsoa st`monoty te tcd spold

`li nohot hetoel ol `nn pn`lds.

Ycd spol`n noj`hdlt aehpndx

olanuids;

Oltdrspoleus Noj`hdlts Qupr`spoleus Noj`hdlts

Oltdrtr`lsvdrsd Noj`hdlts

_dnnew Noj`hdlts (Noj`hdlt

Fn`vuh)


@l`tehy ef Qpold;



Qdatoel- 0

01

F i t n f Q o n



Mneei suppny

@l`tehy ef Qpold;

Ldurev`saun`rAehpeldlts-




Qdatoel- 0

09

F i t n f Q o n



Vdols QuppnyoljQpol`n Aenuhl-

@l`tehy ef Qpold;Ldurev`saun`rAehpeldlts-




Qdatoel- 0

04




Ldurev`saun`r

Aehpeldlts-Qpold& Ldrveus systdh

@t tcd ndvdn ef dàc spol`n meld

dxots ` spol`n ldrvd. Dàc spol`n ldrvd aeltrens `

v`rodty ef meiy fulatoels.

Fulatoel`nny tcdsd ldrvd

fulatoels

`rd vdry spdaofoa.

@l`tehoa`nny tcdsd ldrvds `rd

anesdny `ttàcdi te vdrtdmr`nmei

@l`tehy ef Qpold;


@l`tehy ef Qpold;Fuli`hdlt`ns ef Qpol`n


Qdatoel- 0

06




@jd ]dn`tdi Ac`ljd &

Moehdac`loas ef Qpold

-Oltreiuatoels ef Qpold



Qdatoel- 0

0:




@jd-]dn`tdi Ac`ljds ef

tcd Qpold- Ycd spol`n aenuhl idjdldr`tds f`r d`rnodr tc`l

etcdr husaunesbdndt`n tossuds

@jd-rdn`tdi ac`ljds ef tcd spold `rd let

sylelyheus wotc pòlfun `ntdr`toels

Yohd aeursd `li prem`monoty ef d`rny iosa

idjdldr`toel `rd n`rjdny idtdrholdi myjdldtoa iospesotoel

Ycd oltdrvdrtdmr`n iosa os tcd n`rjdst

`v`saun`rstruaturdef tcd cuh`l meiy

rdsuntolj ol n`rjd ioffusoel iost`lads te `nnewfer iosa lutrotoel

Aehprehosdi iosa lutrotoel os ` bdy fàter

fer iosa idjdldr`toel

Ac`ljds ol tcd h`trox aehpeldlts ef tcd

oltdrvdrtdmr`niosa, dspdao`nny tcd

Aerd Hdss`jds




Qdatoel- 0

03




Erodlt`toel `li hos`nojlhdlt ef tcd fàdt

keolts aerrdn`td wotc idvdnephdlt ef d`rny

estde`rtcrotos ef tcd keolt Ac`ljds ol meld `racotdaturd ef tcd

vdrtdmr`n

meiods `li ferh`toel ef estdepcytds `ntdr

hdac`loa`n prepdrtods ef tcd spol`n aenuhl Ac`ljds ol h`trox hendaunds `li fomdr

erodlt`toel ol noj`hdlts `ntdr mdc`voer ef tcd

noj`hdlts

@jd-rdn`tdi ac`ljds ef tcd tcrdd keolt

@jd-]dn`tdi

Ac`ljds ef tcd Qpold -

Oltreiuatoels ef Qpold@jd-]dn`tdi




Qdatoel- 0

0?




Adnnun`r sdldsadlad, ndìolj te ìdard`solj `monoty ef seh`toa adnns terdpnoa`td, rdpòr, `li hòltòl tossud

@peptesos (prejr`hhdi adnn id`tc),ndìolj te idard`sdi adnn luhmdrs ol tcd`ffdatdi tossud

@aauhun`toel ef pest-tr`lsn`toel`nheiofoa`toels ef h`trox pretdols, ndìolj te`ntdrdi prepdrtods ef tcd dxtràdnnun`r h`trox

Olard`solj jdldr`toel ef exoi`tovd strdssiud te jdldr`toel ef rdàtovd exyjdlspdaods (]EQ), ndìolj te adnn i`h`jd

Jdldtoa prdiospesotoel, ndìolj teprdh`turd `jolj er pcdletypoa ac`ljds ol

Aerd Hdss`jds

@jd-]dn`tdiAc`ljds ef tcd Qpold -

@t tcd adnnun`r ndvdn;Oltreiuatoels ef Qpold

@jd-]dn`tdiAc`ljds ef tcd Qpold -



Qdatoel- 0

=7






Jrìd O;

Lerh`n kuvdlond iosa

Jrìd OO;Lerh`n ìunt iosa

Jrìd OOO;

D`rny st`jd

Jrìd OV;

@iv`ladi st`jd

Jrìd V;

Dli st`jd


@jd-]dn`tdi




Qdatoel- 0

==



4

• @ltdroer aenuhl 8 `ltdroer =/1 ef tcd

vdrtdmr`n meiy, iosa, `li `llunus, `li tcd

`ltdroer neljotuiol`n noj`hdlt)

• Hoiind aenuhl 8 pestdroer 0/1 ef tcd

vdrtdmr`n meiy, iosa, `llunus, `li tcdpestdroer neljotuiol`n noj`hdlt

• Westdroer aenuhl 8 pdioands, n`hol`d,

fàdts, a`psund, `li tcd oltdrspoleus `li

supr`spoleus noj`hdlt.Qpol`n olkury os sòi te md st`mnd of elny eld ef

tcd aenuhls os olvenvdi.

I`h`jd te twe er herd aenuhls er rosbolj

ldurenejoa n olkury (o.d. i`h`jd te tcd hoiind

aenuhl) - ulst`mnd.

Qt`monoty ef Qpold-

Moehdac`loas

ef tcd Qpold -


Moehdac`loas ef Qpold -Qdatoel- 0

=1




Ycd sh`nndst `l`tehoa`n ulot ef tcd

spold wcoac dxcomots tcd m`soa

fulatoel`n ac`ràtdrostoas ef tcd dltord

spold os a`nndi tcd „hetoel sdjhdlt‘er „fulatoel`n spold ulot‘

Qacdh`toa rdprdsdlt`toel ef ` fulatoel`n spol`n ulot(hetoel sdjhdlt) ol ` tcd adrvoa`n `li m nuhm`r spold.

Qpold Tlot -


p

Olkury & H`l`jdhdlt - Moehdac`loas

ef tcd Qpold -

Qdatoel- 0

=9




Ycd tr`mdaun`r meld md`rs tcd

h`keroty ef tcd vdrtoa`n aehprdssovd

neìs

Ycd vdrtdmr`n dlipn`td pn`ys `lohpert`lt rend ol hdac`loa`n neì

tr`lsfdr `li tcd tr`lspert ef lutrodlts

@xo`n iosa neìs `rd merld my

cyirest`toa prdssuroz`toel ef tcd

luandus punpesus, rdsostdi my

aorauhfdrdlto`n strdssds ol tcd

`lunusfomresus rexoh`tdn 07 ‑=7% ef tcd tet`n

Aerd

Hdss`jds

Moehdac`loas

ef tcd Qpold -


p


Qdatoel- 0

=4




Aehmoldi `xo`n aehprdssoel, fndxoel `li

n`tdr`nmdliolj c`vd mddl scewl te aùsd

iosa pren`psd

Ycd fàdt keolts juoid `li nohot oltdr-sdjhdlt`n hetoel

Ycd noj`hdlts surreuliolj tcd spold

juoid sdjhdlt`n hetoel `li aeltromutd te

tcd oltrolsoa st`monoty ef tcd spold my nohotoljdxadssovd hetoel

Ycd sp`to`n iostromutoel ef husands

idtdrholds tcdor fulatoel. Ac`ljds te

sdjhdlt`n n`xoty („ldutr`n zeld‘) `rd`sseao`tdi wotc trùh` `li id dldr`toel.

Moehdac`loas

ef tcd Qpold -


p


Qdatoel- 0

=6




Qpol`n Olkury

(QO)„ Qpol`n olkury‘ h`y md idfoldi

`s-Olkury te tcd Qpol`n aenuhl(Mely Aenuhl)/ Qpol`n Aeri,

er metc ef tcdh.

Qpol`n olkury a`l md iovoidiolte-

Qpol`n Aenuhl(Mely)Olkury.

Qpol`n Aeri olkury.

Aehmoldi (Metc Aenuhl

Qpol`n Olkury (QO)


Qdatoel- =

=:




Qpol`n Aenuhl Olkury

Mely spol`n olkurods h`y er h`y let md

`sseao`tdi wotc spol`n aeri olkury

Ycdsd mely olkurods olanuid;

Aehprdssoel fràturds ef tcdvdrtdmr`d

Aehholutdi fràturds ef tcd

vdrtdmr`d

Qumnux`toel (p`rto`n iosnea`toel) ef tcd

vdrtdmr`d Etcdr olkurods h`y olanuid;

Qpròls- evdr -strdtacolj er td`rolj ef

noj`hdlts

Qtròls- evdr -strdtacolj er td`rolj ef

Qpol`n Olkury (QO)


Qdatoel-

=

=3




Qpol`n Aeri

OlkuryQpol`n aeri olkury rdsunts freh auttolj,

aehprdssoel, er strdtacolj ef tcd spol`n

aeri.Aùsolj ness ef iost`n fulatoel,

sdls`toel, er hetoel Aùsdi my;

Tlst`mnd er sc`rp mely fr`jhdlts

puscolj el tcd aeri, er Wrdssurd freh meld fr`jhdlts er

swdnnolj tc`t oltdrrupts tcd mneei

suppny te tcd aeri aùsolj osacdho`

Qpol`n Olkury (QO)


Qdatoel-

=

=?




3

Aùsds ef Qpol`n

Olkury-Qpol`n Olkury (QO)


Aehhel aùsds ef spol`n olkury

Ycd hest aehhel aùsds ef spol`n

olkurods `rd; Heter vdcoand àaoidlts

@ats ef voendlad

F`nns - Qpol`n olkury `ftdr `jd 64 os

hest eftdl aùsdi my ` f`nn.

Qperts `li rdard`toel olkurods.

Iosd`sds- A`ladr, `rtcrotos,

estdeperesos `li

olfn`hh`toel ef tcd spol`n aeri `nse a`laùsd spol`n olkurods.

Qdatoel-

=

17



V`saun`r ioseridrs

Yuhers

Olfdatoeus aeliotoels Qpeliynesos

O`trejdloa olkurods, dspdao`nny

`ftdr spol`n olkdatoels `li dpoiur`n

a`tcdtdr pnàdhdlt.

Vdrtdmr`n fràturds sdaeli`ry

te estdeperesos

Idvdnephdlt`n ioseridrs.

Etcdr aùsds

ef QO olanuid tcd fennewolj;Qpol`n Olkury (QO)

Qdatoel-

=

10


O k & H t

http://emedicine.medscape.com/article/1164138-overview


















Olaehpndtd olkury;

Qehd heter er sdlsery fulatoels os

sp`rdi iost`n te tcd aeri olkury.

Venult`ry spcolatdr aeltràtoel, ted

fndxer aeltràtoel ‑prdsdlt.

Wrejlesos-Jeei―

Aehpndtd olkury;

Yet`n heter & sdlsery ness iost`n te tcd

olkury `ftdr Qpol`n sceab (usu`nny n`stsfer =9-93 crs) os evdr.

Zcdl tcd munme-a`vdrlesus rdfndx os

pesotovd & le sàr`n sdls`toel er

heter fulatoel c`s rdturldi, p`r`nysos

Qpol`n Olkury (QO)


Qdatoel-

=

1=


O k & H t



Idlos idfoldi feur typds ef spol`n fràturds;

(Idlos iovoidi tcd spold olte tcrdd aenuhls;

Idlos An`ssofoa`toel

Qpol`n Olkury (QO)


Qdatoel-

=

11



Yypdsef Qpol`n Olkury- Qpol`n Olkury (QO)

Aehprdssoel

fràturd

Fndxoel iostràtoel

Murst fràturdAc`lad fràturd

Yr`lsn`toel olkury

Qdatoel-

=

19


Olkury & H`l`jdhdlt



Ndvdn

ef Qpol`n Olkury-

Ndvdn ef spol`n olkury

• 44 % Adrvoa`n

• 04 % Yceràoa

• 04 %Yceràenuhm`r

• 04 % Nuhmesàr`n `rd`

@pprexoh`tdny 07% ef pts w / A

spold fràturd c`vd ` sdaeli

lelaeltojueus vdrtdmr`n aenuhlfràturd

Fovd pdradlt ef mròl-olkurdi pts

c`vd `sseao`tdi spol`n olkury,

Zcond =4% ef spold olkury p`todlts

Qpol`n Olkury (QO)


Qdatoel-

=

14


Olkury & H`l`jdhdlt



W`ttdrl; @.

Wroh`ry ndsoel eaaur mdtwddl A4 & A: wotc

sdaeli`ry olkurods `t Y0= er tcd nuhmdrspold.

W`ttdrl ; M.

Wroh`ry olkury `t Y=-Y9 wotc sdaeli`ry

olkury ol adrvoa`n spold.W`ttdrl ; A.

Wroh`ry olkury eaaur mdtwddl Y0= & N= wotc sdaeli`ry olkurods freh N9 -N4.

W`ttdrls Ef Huntopnd

Qpol`n Olkury ;Idlos An`ssofoa`toel

Qpol`n Olkury (QO)


Qdatoel-

=

16


Olkury & H`l`jdhdlt



@lbynesoljQpeliynotos

Idjdldr`tovd Iosd`sd Ef

QpoldQpol`n A`l`n Qtdlesos

Iewl's Qylirehd

Bnoppdn- fdon Qylirehd

@rleni- aco`ro H`nferh`toel

Hdt`st`toa A@

Estdehydnotos

]cduh`teoi @rtcrotos

Qpol`n Olkury;

Wrdiospesolj fàters Qpol`n Olkury (QO)


Qdatoel-

=

1:





?

]osb fàters; Hd`l `jd 11 yrs :4% h`nds 47% ef QAO‟s `rd aehpndtd

47-67% ef QAO‟s rd adrvoa`n Ohhdio`td hert`noty fer aehpndtd adrvoa`n

QAO ~ 47% Eaaurs proh`rony ol yeulj h`nds (< :4% ef

a`sds)

C`nf ef tcdsd olkurods rdsunt freh HV@s =/1 ef p`todlts `rd > 17 yd`rs eni

Etcdr seurads ef QAO; F`nns, spertolj li

oliustro`n àaoidlts, julscet weulis.

Hest aehhel vdrtdmr`d olvenvdi `rd A4,

A6, A:, Y0=, `li N0 mdaùsd tcdy c`vd tcdrd`tdst ]EH.

Dpoidhoenejy

Qpol`n Olkury (QO)


Qdatoel-

=

13



http://www.freemd.com/alcohol-poisoning/overview.htm

http://www.freemd.com/alcohol-poisoning/overview.htm



Olaoidlad

03 - 14 yd`rs

H`nd - 1;0

]Y@ 40% - a`rs

Iehdstoa 06%

Oliustro`n 00%

Qperts 06% - iovoljolaoidlts

Qdnf c`rh 4%

Qpol`n Olkury (QO)


Dpoidhoenejy Qdatoel-

=

1?





W`tce-pcysoenejy ef

Qpol`n Olkury -

Olkury & H`l`jdhdlt

Qdatoel- 1

Qpol`n olkury (QO) os `l olsunt te tcd

spold rdsuntolj ol ` ac`ljd, dotcdr

tdhper`ry er pdrh`ldlt, ol ots meld

struaturd er seft tossud (Qpol`n aeri,iosa, ldrvds, noj`hdlts er husands)

`li/ er heter, sdlsery, er ùtelehoa

fulatoel.

97


Olkury & H`l`jdhdlt - Hdac`losh



3

Wroh`ry hdac`losh ef aeri olkurya`l md iud te feur bolis ef

hdac`loa`n ferads.

`. Ohpàt wotc pdrsostolj

aehprdssoel d. j. fràturds,

iosnea`toels, `li iosa cdrlo`toels.

m. Ohpàt wotc le pdrsostolj

aehprdssoel d. j. cypdrdxtdrsoelolkurods.

a. Iostràtoel d. j. cypdrfndxoel

olkurods.

i. Nàdr`toel/ Yr`lsdatoel;

Hest nobdny te eaaur `t sotds ef

h`xohuh hemonoty -

@iunts A6

Aconirdl >3 yrs eni A=.

W`tce-pcysoenejy

Ef Qpol`n Olkury-

Wroh`ry olkury

Olkury & H`l`jdhdlt Hdac`losh

ef Qpol`n Olkury-Qdatoel- 1

90





=4% ef spol`n aeri olkurods eaaur

`ftdr proh`ry olkury.

Wroh`ry olkury rdsunts freh fea`n

olkurods (d.j. `vunsoel, aeltusoel,nàdr`toel `li oltr`-p`rdlacyh`n

cdherrc`jd) `li ioffusd ndsoels

(d.j. aelaussovd `li ioffusd `xel`n

olkury). Furtcdr hdac`loa`niosruptoel a`l rdsunt freh dxtdrl`n

aehprdssoel er `ljun`toel `li

osacdhoa i`h`jd freh eaanusoel ef

`rtdro`n suppny.

Wroh`ry olkury

Hdac`losh ef Qpol`n Olkury-

Olkury & H`l`jdhdlt

W`tce-pcysoenejyEf Qpol`n Olkury -

Qdatoel- 1

9=



Qdaeli`ry Olkury

]dsunts freh;

• Adnnun`r cypexo`

•Enoj`dho`

W`tce-pcysoenejy

Ef Qpol`n Olkury-

Hdac`losh ef Qpol`n Olkury-Qdatoel- 1

91

Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -



Qdaeli`ry olkury hdac`loshs tc`t h`y mdolvenvdi `rd;

`. Qystdhoa sceab; Wrefeuli cypetdlsoel,

`li mrìya`rio` (eftdl n`stolj fer i`ys)

fennews aeri olkury `li tcdrd h`y md `

aehprehosd ef `l `nrdìy i`h`jdi aeri.m. Nea`n hoareaoraun`tery i`h`jd; h`y md

iud te hdac`loa`n iosruptoel ef a`ponn`rods,

cdherrc`jd, tcrehmesos `li ness ef

ùterdjun`toel.a. Moeacdhoa`n i`h`jd; h`y eaaur iud te

dxaotetexol rdnd`sd (jnut`h`td), frdd rìoa`n

preiuatoel, `ràcoieloa àoi rdnd`sd, nopoi

pdrexoi`toel, doaes`leoi preiuatoel,

aytebolds `li dndatrenytd scofts.

W`tce-pcysoenejy

Ef Qpol`n Olkury-

k y j


99

Qdaeli`ry Olkury



Qdaeli`ry Olkury A`saìd

Aurrdlt ulidrst`lioljW`tce-pcysoenejy

Ef Qpol`n Olkury-


94




-

Wroh`ry Ldurenejoa`n i`h`jd Iordat trùh`, c`dh`teh`&

QAOZE]@ > 3yrs eni

Ol 9crs - Olf`ratoel ef wcotd h`ttdreaaurs

Ol 3crs - Olf`ratoel ef jrdy h`ttdr`li orr dvdrsomnd p`r`nysos

Qdaeli`ry i`h`jd Cypexo`Cypepdrfusoel Ldurejdloa sceab

Qpol`n sceab

W`tce-pcysoenejy

Ef Qpol`n Olkury-

k y j


96

Qdaeli`ry Olkury




Ndsoels `mevd A4 ‑ i`h`jd teio`pcr`jh ndìs te =7% rdiuatoel ol

vot`n a`pàoty ]x Wcrdloal. pàoljNdsoels `t I9-6 ‑ rdiuads vot`n

a`pàoty of > 477hn p`todlt osvdlton`tdi

Oltdraest`n ldrvd p`r`nysos

@tdndat`sos ‑ peer aeujc

V/P hosh`tac

]diuadi aehpno`lad ef nulj ‑ husand

f`tojud.

Cypexo` W`tce-pcysoenejy

Ef Qpol`n Olkury-


9:

Qdaeli`ry

Olkury




Ndsoels `mevd I6

Holutds ‑ ceurs (f`nn ef a`tdacen`holds h`yt`bd =9 crs)

Iosruptoel ef syhp`tcdtoa eutfnew freh I0 -N=

Tl`ppesdi v`j`n teld

Wdropcdr`n v`seion`t`toel

Cypetdlsoel, Mrìya`rio`& Cypetcdrho`

MTY aelsoidr c`dhherc`joa sceab of ‑

olkury mdnew I6, etcdr h`ker olkurods,c etdlsoel wotc s ol`n fràturd neld

Ldurejdloa sceab W`tce-pcysoenejy

Ef Qpol`n Olkury-


93

Qdaeli`ry

Olkury




Yr`lsodlt pcysoenejoa`n rdfndx

idprdssoel ef aeri fulatoel ‑

“aelaussoel ef spol`n aeri― Ness `l`n teld, rdfndxds,

ùtelehoa aeltren wotcol =9-:=cr

Fnàaoi p`r`nysos mnìidr & mewdn`li sustòldi Wro`posh

N`sts dvdl i`ys tonn rdfndx ldur`n

`ras mdnew tcd ndvdn rdaevdrs.

Qpol`n sceab W`tce-pcysoenejy

Ef Qpol`n Olkury-


9?

Qdaeli`ry

Olkury




Ness ef ldur`n tossud ‑

emvoeus.

Vdrtoa`n ndvdn ‑ Cojcdr up, tcd

jrd`tdr tcd i`h`jd.

Yr`lsvdrsd pn`ld ‑ Zc`t

Io`hdtdr c`s ` ndsoel.

Fàters `ffdatolj tcdsdvdroty ef ` spol`n

ndsoel

W`tce-pcysoenejy

Ef Qpol`n Olkury-


47




W`tce-pcysoenejy

Ef Qpol`n Olkury-


40

Fuli`hdlt`ns ef




Fuli`hdlt`ns ef

@ssdsshdlt & Io`jlesos-

Qpol`n Olkury W`todltsCostery-Aehpndtd hdioa`n costery.

Wcysoa`n Dx`hol`toel- Wcysoa`n

dx`hol`toel

te `ssdss hemonoty, strdljtc, `li `nojlhdlt. Jdldr`n

QystdhoaMoeacdhoa`n/ N`mer`tery Ydsts

Jdldr`n

Qpdaofoa

Tntr`seuli sa`ls

Oh`jolj Qtuiods S-]`y

AY Qa`l

Iosaejr`pcy

H]O

Meld Qa`l

FL@A

Ycdertcepdioadv`nu`toel wonntypoa`nny olanuid -

Qdatoel- 9

4=




Io`jlestoaDv`nu`toelef Qpol`n Olkury-

Aehpndtd Hdioa`nCostery

Wcysoa`n Dx`hol`toel

Moeacdhoa`n & ]ìoenejoa`n

Dv`nu`toel

Fuli`hdlt`ns ef Qpol`nOlkury Io`jlesos - Fuli`hdlt`ns ef

@ssdsshdlt& Io`jlesos ef Qpol`nOlkury -

Qdatoel-

9

41




Wòl

Mrd`tcolj ioffoaunty

Qdlsotovoty te stohuno

Husand sp`shs

Ness ef sdls`toel

Ness ef rdfndx fulatoel

Ness ef ùtelehoa àtovoty

Ness ef mewdn aeltren

Ness ef mnìidr aeltren Qdxu`n iysfulatoel

Ness ef fulatoel, suac `s

hemonoty er sdls`toel

W`r`nysos.

Aehhel fd`turds

ef spol`n olkurods

`rd-

Anoloa`n fd`turds


Fuli`hdlt`ns ef @ssdsshdlt& Io`jlesos ef Qpol`nOlkury -

Qdatoel-

9

49

AehpndtdHdioa`n

Costery -




„Ndvdn" ef aeri ndsoel os aelvdltoel`nny tcd hestaùi`n nea`toel wotc lerh`n heter `li sdlseryfulatoel. Heter ndvdn 8 tcd n`st ndvdn wotc `t nd`st 1/4

(`jòlst jr`voty) fulatoelLM; tcos os tcd hest ohpert`lt feranoloa`n purpesds

Qdlsery ndvdn 8 tcd n`st ndvdn wotc prdsdrvdi

sdls`toel ]ìoejr`pcoa ndvdn 8 tcd ndvdn ef fràturd elpnòl S-]`ys / AY sa`l / H]O

LM; spold ndvdn ieds let aerrdspeli tespol`n aeri ndvdn mdnew tcd adrvoa`n rdjoel.

Anoloa`n fd`turds



Qdatoel-

9

44




Wrdvoeus a`rioev`saun`r

premndhs

Wunhel`ry iosd`sds

Dliearold iysm`n`lad

Cdp`toa iysfulatoel]dl`n olsuffoaodlay

Ldurenejoa`n onnldss

W`todlt @ssdsshdlt Costery-

Aehpndtd

Hdioa`n Costery -


Qdatoel-

9

46




@ pcysoa`n `ssdsshdlt os

h`li`tery te idtdat put`tovd oltr`-

epdr`tovd aehpnoa`toels

Ycd pcysoa`n dx`hol`toelaehpndhdlts tcd costery `li cdnps

te idtdat `mlerh`notods let

`pp`rdlt freh tcd costery.

Dx`hol`toel ef cd`ntcy`syhpteh`toa

p`todlts sceuni holoh`nny aelsost

ef hd`surdhdlt ef vot`n sojls

(mneei prdssurd, cd`rt r`td,

Wcysoa`nDx`hol`toel -


Qdatoel-

9

4:




Dx`hol`toel ef

Qpold -

Neeb

Qbol Qc`pd `li pesturd

Fddn

Ydlidrldss

Hevd

Fndxoel / Dxtdlsoel

]et`toel / N`tdr`n fndxoel


Qdatoel-

9

43




Dx`hol`toel ef Qpold

Qojls wotc p`todlt nyolj fàd

iewlw`ris

Mely eutnoldsYdlidrldss

Qdls`toels `li Wewdr

Fdher`n strdtac tdst

Qojls wotc p`todlt nyolj el cos màbQtròjct ndj ròsolj tdst (sao`toa

strdtac)

Ldurenejoa`n dx`hol`toel ef newdr

nohms

Fuli`hdlt`ns ef


Qdatoel-

9

4?




@orw`y @ssdsshdlt

@ a`rdfun òrw`y `ssdsshdlt

sceuni md hìd wotc rdj`ri te; Wrdvoeus ioffoaunty ol oltum`toel

Idjrdd ef heutc epdlolj

Qozd ef tcd teljud

Vosomonoty ef tcd pc`rylx

Ycd st`td ef idltotoel

]dstroatoel ef ldab hevdhdlt

Qt`monoty ef tcd adrvoa`n spold

Erj`l-

Qpdaofoa @ssdsshdlt Fuli`hdlt`ns ef


Qdatoel-

9

67




@aaeriolj te tcd dxtdlt ef tcd surjoa`n

preadiurd `li tcd prdepdr`tovd p`todlt

Aeliotoel, tcd rdspor`tery fulatoel sceuni

md `ssdssdi wotc punhel`ry fulatoelYdstolj olanuiolj mneei j`s `l`nysos ol

p`todlts wotc;

@stch`

Acreloa emstruatovd punhel`ry iosd`sd Acreloa oltrolsoa rdstroatovd punhel`ry

iosd`sds suac `s fomresos `li

s`raeoiesos

Dxtrolsoa rdstroatovd unhel`r

]dspor`tery Qystdh Fuli`hdlt`ns ef


Qdatoel-

9

60




Wdroepdr`tovd a`rioà hermoioty os eld ef tcd h`ker

ac`nndljds fer tcd `ldstcdtost.

Ycd dnidrny p`todlt pepun`toel prdsdltolj fer spol`n

surjdry c`s sumst`lto`nny olard`sdi evdr tcd n`st

idaìd. Aelsdqudltny, tcd olaoidlad ef spol`nsurjdry ol p`todlts wotc aerel`ry cd`rt iosd`sd

c`s olard`sdi. Qpdao`n `ttdltoel hust md pòi te

tcesd p`todlts `t olard`sdi rosb `li wcdrd

aerel`ry cd`rt iosd`sd c`s let mddl ferh`nny`ssdssdi. Ycos p`todlt pepun`toel rdprdsdlts tcd

v`st h`keroty.

@s wdnn `s surjdry-rdn`tdi rosb, os rdaehhdlidi

`s ots prdioatovd v`nud c`s mddl aelforhdi te mdvdr co c ol dndatovd lel-a`rioà sur dr .

A`rioev`saun`r @ssdsshdlt

Fuli`hdlt`ns ef


Qdatoel-

9

6=




- @ ldurenejoa`n dx`hol`toel ef tcd p`todlt

sceuni md hìd prdepdr`tovdny olanuiolj

@ssdsshdlt ef jòt, heter er sdlsery

idfoaots `li rdfndxds. Ycos sceuni md

ieauhdltdi solad tcd `ldstcdsoenejost c`s

` rdspelsomonoty te `veoi furtcdr ldurenejoa`n

idtdroer`toel iurolj h`lduvdrs suac `s

tràcd`n oltum`toel `li p`todlt pesotoelolj.

Aeljdlot`n bypcesos `li saenoesos,pestolfdatoeus saenoesos, ldurefomreh`tesos

@li p`todlts wotc sbdndt`n iyspn`so`s a`rry

`l olard`sdi ldurenejoa`n rosb `s wdnn `s

p`todlts wotc ldurenejoa`n idfoaots proer te

Ldurenejoa`n @ssdsshdltFuli`hdlt`ns ef


Qdatoel-

9

61




]eutold Wrd-epdr`tovd

Olvdstoj`toels-

Meld p`tcenejy

spdaofoa

Olvdstoj`toels-

Fuli`hdlt`ns ef


Qdatoel-

9

69

0. ]eutold Mneei tdsts.

=. Boildy, Novdr fulatoel tdsts.

1. Nuljs, Cd`rt `liLdurenejoa`n

`ssdsshdlts.




Wnòl x-r`ys @W `li n`tdr`n vodws

Emnoqud vodws

W@ vodw ef Q.O. Keolt

Aehputdi tehejr`pcy (wotchynejr`pcy)

H] oh`jolj

]ìoeosetepd sa`llolj

Iosaejr`pcy `li fàdt keolt

Ycd io`jlesos ef spold aeliotoels er

iosd`sds os m`sdi el sdvdr`n fàters

olanuiolj costery ef pòl, dv`nu`toel `lpcysoa`n dx`hol`toel, `li spdaofoa

io`jlestoa tdsts.

Dàc c`s ìv`lt`jds `li iosìv`lt`jds,

`li ` spdaofoa purpesd. Ydstolj h`y

olanuid eld er herd ef tcd fennewolj;

Fuli`hdlt`ns ef

@ssdsshdlt& Io`jlesos ef Qpol`n Olkury-

Qdatoel-

9

64

]ìoenejoa`nDv`nu`toel -

S-]@_




S ]@_

Qarddlolj dx`h

Qtdlesos a`llet md io`jlesdi

Olst`monoty

suac `s saenoesos

er nostcdsos

S-r`ys ef tcd spold rdvd`n meld

ac`ljds suac `s tcesd sddl ol

`rtcrotos er saenoesos (aurv`turd ef tcdspold).

Ycdy ie let scew ldrvds er iosas.

Cdnpfun ol io`jlesolj

Meld spurs, H`nojl`lay,

Olfdatoel, er

Fràturds.Iu`n Dldrjy S-r`y @mserptoehdtry (Idx`

sa`l) ;

Idx`sa`l os usdi spdaofoa`nny te `ssdss `p`todlt―s rosb ef fràturd my -

idtdatolj estdeperesos ef tcd vdrtdmr`n

meiods, wcoac os ` tcollolj ef tcd melds `s

wd `jd `li ` pessomnd seurad ef Meld

ioseridrs.

Fuli`hdlt`ns ef


Qdatoel-

9

66

http://www.spine-health.com/conditions/osteoporosis

http://www.spine-health.com/conditions/osteoporosis



Fuli`hdlt`ns ef

@ t




-

Dxadnndlt fer oltr`-a`l`n

p`tcenejy

Weer fer fer`hol`n p`tcenejy ]dpnàdi my H]O

Olv`sovd

0% spol`n cdìàcd

]daurrdlt stdlesos

Ol`monoty te emtòl H]O

H_DNEJ]@WC_

@ssdsshdlt& Io`jlesos ef Qpol`n Olkury-

Fuli`hdlt`ns ef


Qdatoel-

9

63

AY-




H_DNEJ]@WC_ -

Dxadnndlt vosu`noz`toelef spol`n a`l`n

Dxadnndlt fer rdaurrdlt

stdlesosOlv`nu`mnd ol surjoa`npn`llolj

Fuli`hdlt`ns ef


Qdatoel-

9

6?

Io c




Iosaejr`pcy -

Oh`jd scewolj ` „lerh`n‘

iosa `t ndvdn N9/4 (@i`hs O) `li

sdvdrd iosa idjdldr`toel wotc

aeltr`st hdiouh ol tcd spol`n

a`l`n ef N4/Q0 (@i`hs V).

Olioa`toels fer iosaejr`pcy te

ioffdrdlto`toel ef syhpteh`toa `li

`syhpteh`toa ‑ Iosa `ntdr`toels

Iosa idjdldr`toel

@llun`r td`rs (cojc oltdlsoty

zelds) Dlipn`td ac`ljds (heioa

ac`ljds)

Holer iosa pretrusoels wotc

udstoel`mnd ldrvd reet aeh rehosd

Fuli`hdlt`ns ef


Qdatoel-

9

:7


http://www.spine-health.com/treatment/diagnostic-tests/lumbar-discogram-procedure

http://www.spine-health.com/treatment/diagnostic-tests/lumbar-discogram-procedure



H]O - H`jldtoa ]dsel`lad Oh`jolj

Dxpdlsovd

W`todlt aeepdr`toel

Anùstrepcemo`

Epdl H]O

Lel-olv`sovd Jeni st`li`ri

Qeft tossud

vosu`noz`toel

Fuli`hdlt`ns ef


Qdatoel-

9

:0




H]O -H`jldtoa ]dsel`lad Oh`jolj

Q`jott`n oh`jds Vosu`noz`toel ef fer`hdl

Fuli`hdlt`ns ef


Qdatoel-

9

:=




H]O- E] - AY sa`l

Fuli`hdlt`ns ef


Qdatoel-

9

:1




Zcy Zd Tsd Meld Qa`ls

Meld sa`ls prevoid surjdels wotc ` idtòndi

`ssdsshdlt ef `rd`s ef `mlerh`n meld àtovoty.Ycos tdst a`l md ohpert`lt fer io`jlesolj

spol`n premndhs suac `s;

Yuher

Olfdatoel

Fràturd @rtcrotos er olfn`hh`toel

Meld sa`ls `rd cojcny sdlsotovd `li a`l rdvd`n

`mlerh`notods tc`t `rd tee sh`nn te `ppd`r el

etcdr tdsts suac `s x-r`ys, H]O's, er AY Qa`ls.

Meld Qa`l- Fuli`hdlt`ns ef


Qdatoel-

9

:9




DHJ-LAQ

DHJ os nobdny ef jrd`tdr utonoty ol FMQQ

tc`l ol proh`ry new màb pòl `li

sao`toa`.

Jrd`tdst usd os fer dst`mnoscolj tcd

prdsdlad ef ` pdropcdr`n ldurep`tcy

H`y md cdnpfun fer idfololj ` fdojldi

ldurenejoa`n idfoaot

]`rdny usolj ol idaosoel-h`bolj

Dndatrehyejr`pcy

Ldrvd aeliuatoel stuiods

Fuli`hdlt`ns ef


Qdatoel-

9

:4


Fuli`hdlt`ns ef



Hdioa`n H`l`jdhdlt

Aelsdrv`tovd (Jdldr`n)-

Aelsdrv`tovd (Hdioa`n)- Qurjoa`n H`l`jdhdlt Qurjoa`n Idaehprdssoel

Qurjoa`n Qt`monoz`toel Fox`toel ef Vdrtdmr`

Fox`toel ef Qpold

@rtofoao`n iosa ohpn`lt`toel

Fuli`hdlt`ns ef

Qpol`n Olkury

H`l`jdhdlt-

Fuli`hdlt`ns ef

Qpol`n Olkury H`l`jdhdlt-

Qdatoel- 4

:6


H io n



@oh os te prdvdlt dxtdlsoel ef

proh`ry olkury, te rdiuad sdaeli`ry

olkury `li te trd`t aehpnoa`toels-

Fennew @YNQ prolaopnds-

1=

@orw`y2 pretdat QpoldMrd`tcolj

Aoraun`toelIos`monoty, Ix `li ]x sceabD`sd p`todlt&

Yrd`t Qdaeli`ry survdy.

Fuli`hdlt`ns ef

Qpol`n OlkuryH`l`jdhdlt-

Hdioa`n

H`l`jdhdlt Aelsdrv`tovd

(Jdldr`n)-

Aelsdrv`tovd

(Hdioa`n)-Honwùbdd Wreteaenfer Qpol`n Ohhemonoz`toel

Qdatoel- 4

::


Aelsdrv`tovd



Oloto`n trd`thdlt ef p`todlts wotc aeri

olkury feausds el twe `spdats -

prdvdltolj furtcdr i`h`jd `li

rdsusaot`toel.Ohhemonoz`toel wotc ` c`ri adrvoa`n aenn`r (ola`sd ef adrvoa`n spold olkurods) `li a`rd ol

tr`lspert`toel ef p`todlt os ef p`r`heult

ohpert`lad of tcd spold os ulst`mnd.

]dsusaot`toel os òhdi `t òrw`y

hòltdl`lad, ìdqu`td exyjdl

s`tur`toel ef pdropcdr`n mneei, rdsterolj

mneei prdssurd te àadpt`mnd nohots,

prdvdltolj mrìya`rio`, ield

sohunt`ldeusny te prdvdlt `ly osacdhoa

Wroh`ry

(Wrd-cespot`n) h`l`jdhdlt- Fuli`hdlt`ns ef


Qdatoel- 4

:3

Aelsdrv`tovd

(Jdldr`n)-




1=

Aelsdrv`tovd(Jdldr`n)-

.

]dsusaot`toel àaeriolj te @YNQ

juoidnolds Idtdrhol`toel ef ldurenejoa`nolkury Wrdvdltoel ef ldurenejoa`n

idtdroer`toel. Eljeolj OI & Yx ef `ssea olkurods Wrdvdltoel ef aehpnoa`toels Oloto`toel ef idfolotovd h`l`jdhdlt

fer

Ohhdio`td

H`l`jdhdlt-

Je`ns;

Fuli`hdlt`ns ef


Qdatoel- 4

:?




Mrd`tcolj

mdw`rd p`todlt wotc A1,A9 er A4 ndsoel wce

oloto`nny c`s ìdqu`td rdspor`tery dffert wce

h`y prejrdss te vdlton`tery fònurd

Aoraun`toel Qceab aehhel mut spol`n sceab os ` io`jlesos

ef dxanusoel

AVW/W@ZW heloterolj usu`nny ulldadss`ry

Ohhemonoz`toel Adrvoa`n spold sceuni md ohhemonosdi ol ldutr`n

pesotoel (od pesotoel emtòldi wcdl neebolj

stròjct `cdì)

Aconirdl >3 yrs h`y rdquord màb dndv`toel

wotc pìiolj te àcodvd tcos pesotoel.

Aelsdrv`tovd (Jdldr`n)-Fuli`hdlt`ns ef


Qdatoel- 4

37




Aelsdrv`tovd (Hdioa`n)-

Fuli`hdlt`ns ef


Qdatoel- 4

30




Aelsdrv`tovd(Hdioa`n)-Aelsdrv`tovd trd`thdlts ef spol`n

ioseridrs c`vd ohprevdi sojlofoa`ltnyevdr tcd yd`rs. Ef tcd h`ly

aelsdrv`tovd lel-surjoa`n trd`thdlts

tc`t `rd aurrdltny `vòn`mnd, ` fdw ef tcd

hest aehhelny pràtoadi trd`thdlts `rd ‑

Dpoiur`n Qtdreoi Olkdatoel

Oltrìosa`n-tcdrhepn`sty (OIDY)

Luandepn`sty

Fàdt Olkdatoels, `li/er Hdio`n

Mr`lac

Mneabìd

]ìoe Frdqudlay

Fuli`hdlt`ns ef


Qdatoel- 4

3=


Qurjoa`n

http://pages.sbcglobal.net/joel.baker/_uimages/DSCN0024.JPG



Fuli`hdlt`ns ef


Aelvdltoel`n Qpol`n Qurjdry

Holoh`nny Olv`sovd Qpol`n

Qurjdry Dliesaepoa Qpol`n Qurjdry

N`sdr Qpol`n Qurjdry

Oltr`-iosa`n dndatroa`n Qurjdry

Qurjoa`n

H`l`jdhdlt -Qdatoel- 4

31

Qurjoa`n Idaehprdssoel

Qurjoa`n Qt`monoz`toel

Fox`toel ef Vdrtdmr`

Fox`toel ef Qpold

@rtofoao`n iosa

ohpn`lt`toel



Idpdliolj el tcd

aorauhst`lads, wcdl surjdry os

rdquordi. Qurjdry h`y md aelsoidrdi of

tcd spol`n aeri os aehprdssdi

`li wcdl tcd spold rdquordsst`monoz`toel.

Ycd surjdel idaoids tcd

preadiurd tc`t wonn prevoid tcd

Fuli`hdlt`ns ef


Qurjoa`n

H`l`jdhdlt -

Qdatoel- 4

39

Yypds




yp

ef Qpol`n Qurjdry -Fuli`hdlt`ns ef


Qdatoel- 4

34

Q o n I o




Iosadatehy

N`holdatoehyN`holoetehy

Fer`holdatehy

Fer`holoetehy

Qpol`n idaehprdssoel surjdry os `

jdldr`n tdrh tc`t rdfdrs te v`roeus

preadiurds oltdlidi te rdnodvd

syhptehs aùsdi my prdssurd, eraehprdssoel, el tcd spol`n aeri `li/erldrvd reets.

Ycd fennewolj `rd aehhel

tdacloquds fer idaehprdssoel ;

Qpol`n IdaehprdssoelFuli`hdlt`ns ef


Qdatoel- 4

36




Iosbdatehy- Ycos olvenvds rdhevolj ` pertoel ef ` iosb

te rdnodvd prdssurd el tcd ld`rmy ldrvd reets.N`holetehy er n`holdatehy- Ycdsd preadiurds olvenvd

rdhevolj ` sh`nn p`rt ef tcd mely `racds ef tcd spol`n

a`l`n, a`nndi tcd n`hol`. Iurolj ` n`holetehy, kust `

sdatoel ef tcd n`hol` os rdhevdi. Iurolj ` n`holdatehy,

tcd dltord n`hol` os rdhevdi. ]dhevolj tcd n`hol`

olard`sds tcd sozd ef tcd spol`n a`l`n, rdnodvolj prdssurd.Fer`holetehy er fer`holdatehy- Metc preadiurds `rd

pdrferhdi te dxp`li tcd epdloljs fer tcd ldrvd reets te

dxot tcd spol`n aeri my rdhevolj sehd meld `li etcdr

tossud. @ fer`holdatehy jdldr`nny rdfdrs te ` preadiurd

tc`t rdhevds ` n`rjd `heult ef meld `li tossud.

Estdepcytd rdhev`n- Ycos olvenvds rdhevolj melyjrewtcs a`nndi estdepcytds er meld spurs.

Aerpdatehy- Ycos os surjdry te rdhevd tcd meiy ef `

vdrtdmr`, `s wdnn `s tcd iosbs.@ aehmol`toel ef tdacloquds

h`y md usdi2 `li ol sehd a`sds, fusoel ef tcd vdrtdmr`d

`nse os lddidi te st`monozd tcd spold.

Qpol`n Idaehprdssoel

Fuli`hdlt`ns ef


Qdatoel- 4

3:

Fuli`hdlt`ns efQpol`n Olkury

H`l`jdhdlt Qurjoa`n



Qurjoa`n

Idaehprdssoel li/er

Fusoel-

Olioa`toels

Idaehprdssoel ef tcd ldur`n

dndhdlts (spol`n aeri/ldrvds)

Qt`monoz`toel ef tcd mely dndhdlts

(spold)

Yoholj Dhdrjdlt

Olaehpndtd ndsoels wotc prejrdssovd

ldurenejoa idfoaot Dndatovd

Aehpndtd ndsoels (1-: i`ys pest

olkury)

Adltr`n aeri sylirehd (=-1 wddbs

H`l`jdhdlt-

Fuli`hdlt`ns ef


Qurjoa`n


33

Q o n Fo to /F o




Vdrtdmrepn`styBypcepn`sty

Yet`n Iosb ]dpnàdhdlt

Je`ns ef Qpol`n Qt`monoz`toel; Wrdvdlt aurvd prejrdssoel Ohprevd sottolj m`n`lad `li tendr`lad

(ol lel-`hmun`ters) ]diuad rdpesotoelolj ]diuad pòl

Qpol`nQt`monoz`toel

Qpol`n Fox`toel /Fusoel

( Qt`monoz`toel )Fuli`hdlt`ns ef


Qdatoel- 4

3?

Q o n F o




Qpol`n Fusoel

Qpol`n fusoels rd aelsoidrdi hdioa`nny

ldadss`ry fer spol`n olst`monoty sseao`tdi wotc`ly ef tcd fennewolj aeliotoels;

Dpoiur`n aehprdssoel er vdrtdmr`n idstruatoelfreh tuher

Oioep`tcoa saenoesos evdr 97 idjrdds

Olst`monoty `ftdr idmroidhdlt fer olfdatoel

Ldur`n aehprdssoel `ftdr spol`n fràturd

Wsdui`rtcresos

Qpol`n olfdatoels (olanuiolj tumdraunesos,

estdehydnotos, iosaotos) @autd aùi` dquold E] àutd spol`n aeri

aehprdssoel sylirehd

@autd spol`n fràturd freh ieauhdltdi trùh`.

Oltr`-epdr`tovd spol`n olst`monoty.

(@nse blewl `s

speliyneidsos er

speliynesylidsos)

W`todlts rdquorolj

spol`n fusoel c`vd

dotcdr ldurenejoa`n

idfoaots er sdvdrd

pòl wcoac c`s let

rdspelidi te

aelsdrv`tovd

trd`thdlt.

Fuli`hdlt`ns ef


Qdatoel- 4

?7




Yypds ef

spol`n fusoel

Westdren`tdr`n fusoel pnàds tcd meld jr`ft mdtwddl tcd

tr`lsvdrsd preadssds ol tcd màb ef tcd spold. Ycdsd

vdrtdmr`d `rd tcdl foxdi ol pnàd wotc sardws `li/er word

tcreujc tcd pdioands ef dàc vdrtdmr` `ttàcolj te ` hdt`n

rei el dàc soid ef tcd vdrtdmr`d.

Oltdrmeiy fusoel pnàds tcd meld jr`ft mdtwddl tcd

vdrtdmr` ol tcd `rd` usu`nny eaaupodi my tcd oltdrvdrtdmr`n

iosa.

Ycrdd typds ef oltdrmeiy fusoel `rd;

@ltdroer nuhm`r oltdrmeiy fusoel (@NOF)- tcd

iosa os

àadssdi freh `l `ltdroer `miehol`n olaosoel Westdroer nuhm`r oltdrmeiy fusoel (WNOF) - tcd

iosa os

àadssdi freh ` pestdroer olaosoel

Yr`lsfer`hol`n nuhm`r oltdrmeiy fusoel (YNOF)

-

Qdatoel- 4

?0

Iyl`hoa




Qpol`n Qt`monoz`toel

Olioa`toels Cdrlo`tdi iosa,

Qpol`n stdlesos,

Idjdldr`tovd Iosa Iosd`sd.

Qpol`n Qtdlesos os mneab`jd ol tcdspol`n a`l`n `li `sseao`tdi ldrvd w`ys.

@ Cdrlo`tdi Iosa (aehhelny blewl `s

"snoppdi iosa") os wcdl ` spol`n iosa nesds

ots lerh`n sc`pd `s a`l aùsd prdssurd

el ldrvds `li tcos rdsunts ol pòl,luhmldss, `li toljnolj.

Il`hoa spold st`monoz`toel os let

`pprepro`td fer dvdryeld `li `s wotc `ly

surjdry tcdrd `rd pessomnd aehpnoa`toels.

Iyl`hoa

Qpold Qt`monoz`toel;Fuli`hdlt`ns ef


Qdatoel- 4

?=




Lel- fusoel spol`nst`monoz`toel idvoads -

` . Iyl`hoa pestdroer spol`n st`monoz`toel wotc Iyldsys (Oh`jd ˊ [ohhdr, Ola. usdimy pdrhossel.m . Oltdrspoleus preadss iostràtoel idvoads (d.j. S-step) nohot dxtdlsoel hetoel `liulneì tcd fàdt keolts.Ycd oh os te ohprevd fulatoel`n spol`n stdlesos my oliordat woidlolj ef tcd spol`n

a`l`n.

Fuli`hdlt`ns ef


Qdatoel- 4

?1

Qpol`n




Qpol`n

Olstruhdlt`toe

l -Qpol`n olstruhdlt`toel os usu`nny

aehmoldi wotc spol`n fusoel

Ycd typd ef olstruhdlt`toel `li tcd

surjoa`n `ppreàc sceuni fennew tcdidjrdd ef olst`monoty

Aelsenoi`tdi fusoel h`y rdnodvd tcd

ohpn`lt freh strdss

Ohpn`lt fònurd os ` rdsunt ef olst`ltevdrneì er ef ayanoa neìolj (f`tojud)

Of fusoel os idn`ydi `li/er tcd wrelj

ohpn`lts `rd acesdl, olstruhdlt`toel wonn

untoh`tdn fòn

Aerd Hdss`jds

Fuli`hdlt`ns ef


Qdatoel- 4

?9

F i t n f



Oltdrmeiy

Fusoel YdacloqudA`jd idsojls

Fuli`hdlt`ns ef

Qpol`n Olkury

H`l`jdhdlt-Fuli`hdlt`ns ef


Qdatoel- 4

?4


H`l`jdhdlt-Q



Qpol`n FusoelYcd je`n ef spol`n fusoel surjdry

os te prevoid rdnodf freh tcd pòl yeu c`vd mddl

c`volj `li h`bd yeur spold herd st`mnd. @ftdr

surjdry, yeur `monoty te hevd sceuni ohprevd,

`li yeu a`l jdt màb te ieolj tcd iòny

àtovotods yeu h`y c`vd mddl hossolj.

Ycd Qpol`n Qt`monoz`toel Qystdh os ` ldwdr

aeladpt ol tcd surjoa`n trd`thdlt ef newdr màb

`li ndj pòl -- eld tc`t usds fndxomnd h`tdro`nste st`monosd tcd spold `li effdrs ` petdlto`n

`ntdrl`tovd te trìotoel`n fusoel.

Iyl`hoa

Qt`monoz`toel er Fusoel !

H`l`jdhdlt

Fuli`hdlt`ns ef


Qurjoa`n


?6


H`l`jdhdlt-

http://www.zimmer.co.uk/z/ctl/op/global/action/1/id/9025/template/PC/navid/1872



Qpol`n fox`toels `rd aelsoidrdihdioa`nny ldadss`ry fer spol`nolst`monoty `sseao`tdi wotc `ly ef tcdfennewolj aeliotoels;

Qpol`n Fox`toelH`l`jdhdlt

Fuli`hdlt`ns ef


Qdatoel- 4

?:


Q o n



Qpol`n olstruhdlt`toel sceuni prevoid

d`rny `li s`fd hemonoz`toel ef tcd p`todlt

Fer àcodvolj mely fusoel suffoaodltsdjhdlt`n st`monoty `li `pprepro`td neì

sc`rolj `rd dssdlto`n

@msenutd st`monoty h`y oltdrfdrd wotc

fr aturd cd`nolj iud te strdss-scodnioljef tcd meld jr`ft

]ojoi (hunto-)sdjhdlt`n olstruhdlt`toel

h`y aùsd ìkàdlt sdjhdlt evdrneì.

Qpol`n

Olstruhdlt`toel -

Fuli`hdlt`ns ef


Qurjoa`n


?3


Qurjoa`n



Ye suppert tcd spold wcdl ots struatur`n

oltdjroty os sdvdrdny aehprehosdi

(o`trejdloa, trùh`toa, olfdatoeus er

tuhereus) Ye prdvdlt prejrdssoel er te hòltòl

tcd àcodvdi prefond `ftdr aerrdatoel ef

spol`n idferhotods (saenoesos, bypcesos,

speliynenostcdsos) Ye `nndvo`td er dnohol`td pòl erojol`tolj

freh v`roeus `l`tehoa`n struaturds my

fusolj er stoffdlolj spold sdjhdlts `li

tcdrdmy ioholoscolj hevdhdlt

Aerd Hdss`jds

Je`ns ef Qpol`n

olstruhdlt`toel -

Fuli`hdlt`ns ef


Qurjoa`n


??


Qurjoa`n



Wdioand Qardw pesotoelolj-Fuli`hdlt`ns ef


Qurjoa`n


077


Qurjoa`n



Yr`ls-n`hol`r sardws

Yceràoa pdioandsardw pesotoelolj

Fuli`hdlt`ns ef

Qpol`n Olkury

H`l`jdhdlt-

Fuli`hdlt`ns ef


Qurjoa`n


070


Qurjoa`n



A`jd boldh`t oas -

Qt`li-`neld oltdrvdrtdmr`n a`jds fer spol`n fusoel dxcomot peer st`monoz`toel

ol dxtdlsoel.

` Dxtdlsoel os lerh`nny p`rto`nny nohotdi my tcd fàdt keolts.

m Fennewolj tcd olsdrtoel ef `l oltdrmeiy a`jd, tcd fàdt keolts h`y

md iostràtdi, a tcdrdmy olard`solj sdjhdlt`n hemonoty.

Fuli`hdlt`ns ef


Qurjoa`n


07=


Qurjoa`n

Q



Idsojls ef

tet`n i osa rtcrepn`sty

Aurrdlt oltdrvdrtdmr`n iosa prestcdsds ioffdr ol tcd md`rolj h`tdro`nusdi (penydtcyndld er hdt`n `nneys) `li c`vd dotcdr ` foxdi (aelstròldi)Adltdr ef ret`toel - (d.j. ` Wreiosa, Qyltcds) er fennew tcd sdjhdlt`n cdnoa`n `xosef hetoel (sdho-aelstròldi) `s ol m tcd Ac`rot ¹d pretcdsos (IuWuy Qpold Ola.).

Fuli`hdlt`ns ef

Qpol`n Olkury

H`l`jdhdlt-

Qurjoa`n


071

Wes tepdr`tovd

Qurjoa`n

H`l`jdhdlt

-

Q to

4



p

A`rd -H`ker spol`n surjdry os preld te

aehpnoa`toels mut a`l md holohozdi wotc prepdr pest-epdr`tovd a`rd.Idspotd ìv`lads ol `ldstcdso` a`rd`li surjoa`n tdacloquds, h`ker surjdryos stonn preld te ulidsor`mnd

aelsdqudlads suac `s; Olfdatoel

Ycrehmedhmenoaaehpnoa`toels

A`rioe-rdspor`tery hermoioty

Adrdmr`n iysfulatoel Westepdr`tovd lùsd` `li

vehotolj

J`streoltdstol`n p`r`nysos

Wòl

F`tojud

Fuli`hdlt`ns ef

Qpol`n Olkury

H`l`jdhdlt-

Qdatoel- 4

079

Westepdr`tovd

A`rd `li Wòl

Q to

4



A`rd `li Wòl

H`l`jdhdlt - Ycd ldadssoty fer a`rdfun pestepdr`tovd `ssdsshdlt ef tcd

ioffdrdlt erj`l systdhs os sdnf-dvoidlt

Wdroepdr`tovd tàcya`rio`s `rd eftdl aehmoldi wotcosacdhoa dposeids, `li tcdor trd`thdlt os h`li`tery

mdaùsd ef tcd cojc hert`noty ef pdroepdr`tovdhyea`rioàolf`ratoel

Oltdlsovd olsunol tcdr`py a`l rdiuad hermoioty `lihert`noty

Fennewolj adrvoa`n spold surjdry, pdrferh òrw`y`ssdsshdlt mdferd dxtum`toel. Quatoel iròl`jd `li anesdsurvdonn`lad holohozd tcd rosb ef ulrdaejlozdi mnddiolj

@jjrdssovd pestepdr`tovd punhel`ry a`rd holohozds tcd

rosb ef rdspor`tery aehpnoa`toels

Fuli`hdlt`ns ef

Qpol`n Olkury

H`l`jdhdlt-

Qdatoel- 4

074

Qurjoa`n

H`l`jdhdlt

Q to

4



W`todlts `rd sehdtohds aelfusdi `meut

wcdtcdr tcdy sceuni sdd `l ertcepdioa

surjdel er ` lduresurjdel.

Ycd spold os `l `rd` ef “tdrrotero`n evdrn`p―

mdtwddl tcdsd twe surjoa`n iosaopnolds.

Ol jdldr`n, idjdldr`tovd iosd`sd ef tcd

ldab os herd nobdny te md rdfdrrdi te `lduresurjdel wcond tcd herd aehpndx

ioseridrs ef tcd nuhm`r spold, p`rtoaun`rny

tcesd rdquorolj fusoels, wonn prem`mny md

id`nt wotc my `l ertcep`dioa surjdel.

Zce sceuni

Wdrferh QpoldQurjdry5

Fuli`hdlt`ns ef

Qpol`n Olkury

H`l`jdhdlt-


076

Qurjoa`n

Q to

4



Qehd spol`n epdr`toels f`nn dltordny ol

tcd rd`nh ef tcd ertcep`dioa surjdel, fer

dx`hpnd aerrdatoel ef h`ker mely

idferhotods Qehd aeliotoels `rd sendny tcd

rdspelsomonoty ef lduresurjdels, fer

dx`hpnd aysts er tuheurs wotcol tcd

spol`n aeri otsdnf. Eaa`soel`nny tcd aehmoldi sbonns ef

metc spdao`nosts `rd lddidi. Ycdrd rdhòl

` luhmdr ef aeliotoels wcoac a`l md id`nt

wotc ìd u`tdn m dotcdr s dao`nost `li

Fuli`hdlt`ns ef

Qpol`n Olkury

H`l`jdhdlt-

Qurjoa`n


07:

Qurjoa`n

Q to

4 Qurjoa`n



Wrdepdr`tovd pn`llolj ef tcd

preadiurd os bdy te surjoa`n

suaadss ‑

@l ol-idptc blewndijd ef tcd

surjoa`n `l`tehy os ` prdrdquosotd

fer suaadssfun surjdry. Idtòndi `l`tehoa`n blewndijd

cdnps te `veoi sdroeus

aehpnoa`toels.

Aerd Hdss`jds

Fuli`hdlt`ns ef

Qpol`n Olkury

H`l`jdhdlt-

Fuli`hdlt`ns ef

Qpol`n Olkury

H`l`jdhdlt-


073

Qurjoa`n

@ppreàcds -

Qurjoa`n

Qdatoel

4 Qurjoa`n



Eptoh`n p`todlt pesotoelolj os dssdlto`n

te fàonot`td tcd `ppreàc `li `veoi

aehpnoa`toels. Tsd `l oh`jd oltdlsofodr er

rìoejr`pcoa aeltren te `veoi wrelj ndvdnsurjdry.

@ prefeuli `l`tehoa`n blewndijd ef

sardw tr`kdaterods os ` prdrdquosotd fer s`fd

spol`n st`monoz`toel tdacloquds. Aehputdr `ssostdi surjdry ieds let

aehpdls`td fer olsuffoaodlt `l`tehoa`n

blewndijd `li a`l md i`ljdreus ol

oldxpdrodladi c`lis

Fuli`hdlt`ns ef

Qpol`n Olkury

H`l`jdhdlt-

j


07?

Qurjoa`n

@ppreàcds -

]dc`monot`toel



]dc`monot`toel `ftdr spol`n olkury (QO)

feausds el tcd p`todlt nd`rlolj cew te

novd nofd wcdl fàdi wotc pcysoa`n,

eaaup`toel`n, `li dhetoel`nac`nndljds.

@ftdr QO, dvdrytcolj a`l ac`ljd, `li

yeu a`l fàd h`ly ossuds olanuiolj

hemonoty, rdjun`r dxdraosd `li

hòltòlolj ` ndvdn ef fotldss,aehhuloa`toel ac`nndljds, `li

àtovotods ef iòny novolj.

]dc`monot`toel h`y md àaehpnoscdi `t

` cespot`n, eutp`todlt anoloa, cehd, er `

]dc`monot`toel

Qdatoel- 6

007

@aardiotdi rdc`monot`toel adltdrs

http://www.spineuniverse.com/conditions/spinal-cord-injury

http://www.spineuniverse.com/conditions/spinal-cord-injury



16

prevoid QAO p`todlts wotc ` td`h ef

prefdssoel ns `li h`ly rdseurads.

Qehd ef tcd prefdssoel`ns olanuid;

Eaaup`toel`n Ycdr`post

Wcyso`trost.

Wcysoa`n Ycdr`post;

]dc`monot`toel Lursd.

Qpddac `li N`lju`jd

W`tcenejost.

Ycdr`pdutoa ]dard`toel`nQpdao`nost.

Vea`toel`n ]dc`monot`toel

Ycdr`post.

]dc`m Wsyacenejost

]dc`monot`toel

Qdatoel-

6

000

Q to

http://www.spineuniverse.com/treatments/what-physiatrist

http://www.spineuniverse.com/treatments/physical-therapy/what-can-physical-therapy-do-me-0

http://www.spineuniverse.com/treatments/physical-therapy/what-can-physical-therapy-do-me-0

http://www.spineuniverse.com/treatments/what-physiatrist



1?

]dc`monot`toel

Qdatoel-

6

00=

Q to



97

„Ldurenejoa`n ioseridrs `rd tcd hest

aehpnoa`tdi premndhs blewl te

hdioa`n saodlad tei`y, `li wdrdquord tcd mdst saodltofoa holis `li

tdaclenejy ol eridr te foli aurds.‘

Z. I`ntel Iodtr oac, Wc.I., saodltofoaiordater, Ycd Ho`ho Wrekdat te Aurd

W`r`nysos

]dc`monot`toel

Qdatoel-

6

001



Wrejlesos

Ycd hòl idtdrhol`lt ef eutaehd os tcd p`todlt'sldurenejoa`n jrìd `t tcd tohd ef ìhossoel wotc p`todlts

c`volj aehpndtd heter `li sdlsery hydnep`tcy scewolj tcd

werst prejlesos.

Etcdr prdioatovd fàters olanuid rdat`n teld st`tus,

ìhossoel mneei prdssurd `li punsd st`tus, rdfndxds, `lihdioa`n li surjoa`n h`l`jdhdlt solad olkury.

Ycd tohd aeursd ef rdaevdry os `nse preneljdi `li rdaevdry

otsdnf eftdl olaehpndtd.

Y bolj `nn jrìds `li nea`toels olte aelsoidr`toels ` stuiy

aelanuidi tc`t wcond tcd h`keroty ef a`sds ohprevdi wotcol `yd`r, dvdl `t 1 yd`rs pest olkury =1.1% aeltolud te ohprevd

wcdrd`s :.0% idtdroer`tdi. Ycd trdli aeltoludi ol tcd 4tc

yd`r pest olkury `nse wotc 0=.4% `li 4.4% rdspdatovdny

scewolj furtcdr ohprevdhdlt `li n`td idtdroer`toel. Cdlad

preneljdi rdc`monot`toel `t ` aehprdcdlsovd spol`n

rdc`monot`toel adltdr os tcd h`l` dhdlt ef s ol`n aeri ol urods.

009

Jdldr`nny aelsostdlt

prdioaters ef peer





p p

eutaehd -Aerd

Hdss`jds

Ycd hest aehhelny

dx`holdi prdioaters ef

surjoa`n eutaehd a`l

a`tdjerozdi olte

tcd fennewolj jreups -

004

Jdldr`nny aelsostdlt

prdioaters ef peer eutaehd

-





•Cd`ntc mdc`voer`n `li nofdstynd

fàters Qhebolj (dspdao`nny fer

fusoel)

•Wsyacenejoa`n fàters

Wsyacenejoa`n iostrdss (d.j.

Idprdssoel, `lxodty), dspdao`nny

ol p`todlts wotc acreloa pòl•Qeaoenejoa`n fàters- F`hony

rdolferadhdlt ef pòl, dspdao`nny

ol p`todlts wotc acreloa pòl

prdioaters ef peer eutaehd

006

Aehpnoa`toels

ef Qpol`n Olkury/Qurjdry

-





ef Qpol`n Olkury/Qurjdry Qbol Mrd`biewl

Estdeperesos `li Fràturds; Wlduhelo`, @tdndat`sos, @spor`toel;

Cdtdretepoa Essofoa`toel;

Qp`stoaoty;

@utelehoa iysrdfndxo`;

Iddp vdol tcrehmesos; A`rioev`saun`r iosd`sd;

Qyroljehydno`-

Ldurep`tcoa/Qpol`n Aeri Wòl-

]dspor`tery Iysfulatoel- Hosadnn`ldeus

prdssurd serds, Jrd`tny olard`sd aest `li

hermoioty. Webonetcdrho` ol p`todlts wotc

ndsoel `mevd Y0cypel`tr`dho` aehhel ol

forst wddb.

Ycdrd `rd h`ly aehpnoa`toels

ef spol`n Olkury tcd fennewoljs `rd

hest aehhel -

Aehpnoa`toelsef Qpol`n Olkury -

00:

J

dldr`n Aehpnoa`toels

@ldstcdso` Aehpnoa`toels





Mnddiolj

Olfdatoel

Mneei Anets AQF nd`b / Iur`n Yd`r

Nulj Wremndhs

Wdrsostdlt Wòl

Ldrvd Aehpnoa`toels Ldrvd Olkury

Qpol`n Aeri Olkury / W`rdsos

/W`r`nysos

Qdxu`n Iysfulatoel / Olaeltoldlad

Ohpn`lt & Fusoel Aehpnoa`toels Idn`ydi Tloel er Leluloel

C`riw`rd Fràturd

Ohpn`lt Hojr`toel

Wsdui`rtcresos

Aehpnoa`toelsef Qpol`n Qurjdry -

003

Ycdrd `rd h`ly aehpnoa`toels

ef spol`n Qurjdry, tcd fennewoljs `rd

hest aehhel -

]dadlt Yrdlis





]dadlt Yrdlis

ol Qpold Qurjdry -

Holoh`nny Olv`sovd Qurjdry(HOQ)

Iyl`hoa st`monoz`toel- Hetoelprdvdltoel

@rtofoao`n iosa rdpnàdhdlt Dliesaepoa Qpol`n Qurjdry

N`sdr Qpol`n Qurjdry Oltr`-iosa`n dndatroa`n Qurjdry @li Moe-`mserm`mnd Ohpn`lt ohpn`lt`toel

00?





Wrd-cespot`n & cespot`n metc pc`sds `rd dqu`nny

ohpert`lt fer QO h`l`jdhdlt. Qurjoa`n oltdrvdltoel ohprevds rdaevdry pdroei,

qu`noty ef nofd `li ]dc`m, rdiuads hermoioty/ hert`noty .

QO os ldjndatdi `li peerny h`l`jdi. ]dsd`rac os

sp`rsd `li i`t` os hossolj. Ycd idhejr`pcoas,

dpoidhoenejoa`n p`ttdrl ef QA ol tcd idvdnepolj wernios ioffdrdlt freh tcd idvdnepdi werni `li tcos sceuni

md aelsoidrdi wcond ferhun`tolj penoads fer tcd QO ol

futurd.

Yrùh` dvàu`toel preteaens lddi te md idvdnepdi`li prd cespot`n a`rd ef suspdatdi QO p`todlt sceuni

md ohprevdi.

]djoel`n `li l`toel`n spol`n olkury adltdrs

prevoiolj aehprdcdlsovd trd`thdlt `li

Qdatoel- :

0=7



0=0



@t‑

Qc`cddi Qucr`w`riy Hdioa`n

Aenndjd Cespot`n, Ic`b`-0=7:.



@t ‑Qc`cddiQucr`w`riyHdioa`n Aenndjd

Cespot`n,Ic`b`.



Qdro`n

le-Io`jlesos Epdr`toel Yet`n

a`sd

0. WNOI(Wren`psdi oltdr-vdrtdmr`n

iosb).

Qurjoa`nidaehprdssoel/Iosadatehy/

N`holdatehy/Dpoiur`n stdreoi).

99

=. Qpol`n YM/

Qpol`n Aenn`psd.

Qpol`n Fox`toel 01

1. Qpol`n Olkury Qpol`n Fusoel 4

9. Qpol`n Yuher Qpol`n Yuher ]dhev`n 07

4. Qpol`n

Estdehydnotos

And`r`lad 01

Qt`tostoa`n i`t` ef Qpol`n ioseridr epdr`tdi `tQc`cddi Qucr`w`riy Hdioa`n Aenndjd Cespot`n,

Idp`rthdlt ef ertcepdioas' &trùh`te nejy-

@t ‑Qc`cddiQucr`w`riy

Hdioa`n AenndjdCespot`n,Ic`b`.



WNOI47%

Qpol`n YM/Aenn`psd

06%

Qpol`n Yuher6%

Qpol`nestdehydnotos

0=%

Etcdrs06%

Etcdr=3%

Qt`tostoa`n i`t` ef Qpol`n ioseridr epdr`tdi `tQc`cddi Qucr`w`riy Hdioa`n Aenndjd Cespot`n,Idp`rthdlt ef ertcepdioas' & trùh`tenejy

-

@t ‑Qc`cddiQucr`w`riyHdioa`n AenndjdCespot`n,Ic`b`.



Qdro`n

le-Io`jlesos epdr`toel Yet`n

a`sd

0. WNOI(Wren`psdi oltdrvdrtdmr`n

iosb).

Qurjoa`nidaehprdssoel/Iosadatehy/N`hol

datehy/Dpoiur`n stdreoi).

14

=. Qpol`n YM/

Qpol`n Aenn`psd.

Qpol`n Fox`toel 09

1. Qpol`n Olkury Qpol`n Fusoel ? 9. Qpol`n Yuher Qpol`n Yuher ]dhev`n 1

4. Qpol`n

Estdehydnotos

And`r`lad 07

Qt`tostoa`n i`t` ef Qpol`n ioseridr epdr`tdi`t Qc`cddi Qucr`w`riy Hdioa`n Aenndjd Cespot`n,

Idp`rthdlt ef ertcepdioa‟s & trùh`tenejy-





46%

0:%

00% 9%

0=%06%

WNOI Qpol`n YM/ Aenn`psd Qpol`n Yuher

Qpol`n estdehydnotos Etcdrs

Qt`tostoa`n i`t` ef Qpol`n ioseridr epdr`tdi`t Qc`cddi Qucr`w`riy Hdioa`n Aenndjd Cespot`n,

Idp`rthdlt ef ertcepdioas' & trùh`tenejy-@t ‑Qc`cddiQucr`w`riyHdioa`n AenndjdCespot`n,Ic`b`.

W`todlt L`hd; Hs. Kcerl` Mdjuh, @jd;0:

yd`rs.

Olioa`toel/ Io`jlesos;Qpol`n Qurjdry;

A`sd

-

0



j

Qpol`n YM wotc aehprdssoel # meiy ef N1 wotc

pestdroer `ljun`toels - 94 · ( el YM hdioa`toel

fer 6 wddbs) & costery ef f`nn.L`hd ef epdr`toel;

And`r`lad &

Qpol`n fox`toel wotc rei `li pdioand sardw.

I`tdi; =1riKuny/ =700.

Vdlud; Qc`cddi Qucr`w`riy Hdioa`n AenndjdCespot`n, Ic`b`-0=7:, M`ljnìdsc.

Idp`rthdlt Ef Ertcepdioas' &Yrùh`tenejy.

Yd`h Hdhmdrs;

@sseao`td Wrefdsser Ir. Qcdobc @mm`sTiiol

@chdi @sseao`td Wrefdsser Ir. W`rotesc Ac. Idmdl`tc

@ssost`lt Wrefdsser Ir. B`zo Qc`hohuzz`h`l

@ssost`lt Wrefdsser Ir. @YH M`c`rTiiol

Ir. @holur ]`ch`l

@ldstcdsoenejost ;

Qpol`n Qurjdry;@t ‑Qc`cddiQucr`w`riy


























West-epdr`tovd A`rd& fennew-up -








A`sd

-

=




A`sd =




A`sd

-

1







M`soa Qpol`n

Olstruhdlts ;




Olstruhdlts ;

Qpol`n Qurjdry Yd`h




Qpol`n Qurjdry Yd`h@t QcQHAC.



Qc`cddi Qucr`w`riyHdioa`n Aenndjd Cespot`n,

Ic`b`, M`ljnìdsc.





Documents

Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh