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SPINE

Dr. Sulastri C. Panjaitan, Sprad

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Anatomi

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Cervikal

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Thoracal

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Lumbal

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Trauma

Cervikal

Jefferson fracture

Burst fracture of the ring of C1

Classically, it involves fractures of the anteriorarch of C1 on both the right and left sides andthe posterior arch of C1 on both the right andleft sides

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Conventional radiography Open-mouth(odontoid) view is the most revealing Classically there is bilateral, lateral offset of C1 on

C2 Lateral view:

May show prevertebral soft tissue swelling anterior toC1

Pre-dentate space (distance between the anteriortubercle of C1 and the dens) may be widened togreater than 3 mm if there is damage to the transverseligament

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Hang mans fracture

Hangman fracture(also known as traumatic

spondylolisthesis of axis) is a fracture whichinvolves the pars interarticularisof C2on bothsides, and is a result of hyperextension anddistraction.

http://radiopaedia.org/articles/missing?article[title]=pars-interarticularishttp://radiopaedia.org/articles/c2http://radiopaedia.org/articles/c2http://radiopaedia.org/articles/missing?article[title]=pars-interarticularishttp://radiopaedia.org/articles/missing?article[title]=pars-interarticularis

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Radiographic features

bilateral lamina and pedicle fracture at C2

usually associated with anterolisthesisof C2on C3

http://radiopaedia.org/articles/anterolisthesishttp://radiopaedia.org/articles/anterolisthesis

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Burst fracture

Seen in the lower cervical vertebrae (C3-7).

Typically, the posterior fragment is posteriorly

displaced and may cause injury to the spinalcord.

Radiographically, it is characterized by a verticalsplit in the vertebral body, as seen on theanteroposterior view, but the lateral projectionor lateral tomography better demonstrates theextent of comminution and posteriordisplacement

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Toracolumbal

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fracture

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kompresi

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Kompresi T8

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Spondylolysis and Spondylolisthesis

Spondylolysis, a defect in the pars

interarticularis (neck of the Scotty dog) of avertebra, may be an acquired abnormality,secondary to an acute fracture, or, as is morecommonly the case, it may result from

chronic stress (stress fracture).

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Spondylolisthesis, a term introduced byKillian in 1854, is defined as ventral slipping orgliding of all or part of one vertebra on astationary vertebra beneath it

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Grade spondylolisthesis

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Degenerasi diskus intervertebralis

Radiografi menunjukan:

Penyempitan diskus, pembentukan osteofit, bonyendplate eburnation discogenic sclerosis,

vacuum phenomenon

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Vacuum phenomenon

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Differential diagnosa

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Ankylosing Spondylitis

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LSTV (lumbosacral transtitional

vertebrae)

LSTV are congenital spinal anomalies definedas either sacralization of the lowest lumbarsegment or lumbarization of the most

superior sacral segment of the spine.

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Sakralisasi L5

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Lumbalisasi S1

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Castellvisclassification

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