Page 14 - 2021 IDMT Digital

LUMBAR DISK HERNIATION
Introduction:
• 'LVN KHUQLDWLRQ SURODSVH RI DQ LQWHUYHUWHEUDO GLVN WKURXJK D WHDU LQ WKH VXUURXQGLQJ
DQQXOXV ILEURVXV
• 7KH WHDU FDXVHV SDLQ ZKHQ WKH GLVN LPSLQJHV RQ DQ DGMDFHQW QHUYH URRW UDGLFXORSDWK\
ZLWK SDUHVWKHVLDV DQG D ZHDNQHVV LQ WKH GLVWULEXWLRQ RI WKH DIIHFWHG URRW UHVXOWV
• ! RI GLVN UXSWXUHV DIIHFW / RU 6 QHUYH URRWV
• (WLRORJ\
o 'LVN KHUQLDWLRQ RFFXUV ZKHQ WKH LQWHUYHUWHEUDO GLVN VXIIHUV D WUDXPDWLF LQMXU\ YLD
SRRU OLIWLQJ PHFKDQLFV
o 0D\ DOVR RFFXU LQ SDWLHQWV ZLWK FKURQLF ORZ EDFN SDLQ RU WKHUH PD\ EH QR LQFLWLQJ
HYHQW
• 7KH V\PSWRPRORJ\ DVVRFLDWHG ZLWK OXPEDU GLVN KHUQLDWLRQ LV FRPPRQO\ UHIHUUHG WR DV
6FLDWLFD
Subjective:
• 6LJQV DQG 6\PSWRPV
o %DFN 3DLQ
o :HDNQHVV LQ /(
o 1XPEQHVV RU WLQJOLQJ LQ DIIHFWHG OHJ 6FLDWLFD
o 3DLQ ZRUVH ZLWK VLWWLQJ FRXJKLQJ VQHH]LQJ
• )RFXVHG +LVWRU\
o $VVHVV IRU ³UHG IODJ´ V\PSWRPV
o +LVWRU\ RI LQMXU\
Objective:
• 3K\VLFDO ([DP
o 7HQGHUQHVV WR SDOSDWLRQ DW WKH OXPEDU SDUDVSLQDO PXVFOHV
o 0XVFOH VSDVP LQ WKH OXPEDU SDUDVSLQDO PXVFOHV PD\ EH QRWHG
o 520 OLPLWHG E\ SDLQ
o 6WUDLJKW OHJ UDLVH ZLOO EH SRVLWLYH ZLWK VFLDWLF QHUYH LQYROYHPHQW
o 0RWRU DQG VHQVRU\ GHILFLWV UHSUHVHQW D PRUH RPLQRXV SUREOHP
• 7RROV
o ,I QR ³UHG IODJ´ V\PSWRPV ; UD\V DUH QRW DSSURSULDWH XQOHVV SDWLHQW KDV KDG SDLQ
JUHDWHU WKDQ ZHHNV
Assessment:
• 'LIIHUHQWLDO
o &DXGD (TXLQD 6\QGURPH HYLGHQFH RI SDUDO\VLV ERZHO EODGGHU G\VIXQFWLRQ
o 7URFKDQWHULF EXUVLWLV SDLQ GRZQ ODWHUDO WKLJK H[TXLVLWH WHQGHUQHVV WR SDOSDWLRQ
RYHU WKH JUHDWHU WURFKDQWHU
o ,QIHFWLRQ IHYHU FKLOOV QLJKW VZHDWV
o &DXVHV RXWVLGH WKH VSLQH FRQVWLSDWLRQ SDQFUHDWLWLV NLGQH\ VWRQHV
o )UDFWXUH PHFKDQLVP RI LQMXU\
o 3LULIRUPLV V\QGURPH SVHXGR VFLDWLFD

[ 13 ]