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Spine column
2. 인대(ligament)
3. 신경근(Facet joint)
4. 근육(muscle)
5. 신경(nerve)
6. Blood supply
Ⅱ. 요추 추간판 탈출증(Herniation of intervertebral disc)
1. 정의
2. 질병의 원인
3. 증상
1) 척추관 중앙부 탈출형(medial type)
2) 내 외측부 탈출형(medio-lateral ty
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spine
① Rheumatoid arthritis with ligamentous instability or subluxation
② Midline protrusion of herniated disc
③ Atherosclerotic obstruction of the carotid or vertebral artery
④ Cervical brachial pain with important neurologic deficits
(2) In lumbar spine
① Compression S4 from disc
② Late pregnancy
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Lumbar 1회/day, TENS, 단순 운동치료, Traction L-spine, Hot pack
ㆍ경구 약물 투여 : 통증 및 하지 저린감 조절
MRI
L4-5 : Central protruding disc herniation with mild canal stenosis(less than 50%)
LAB
monocyte 0.82uL, ALT 43 IU/L 외 within normal limit
ECG
NORMAL SINUS RYTHEM
CXR
NORMAL
3. 진
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C-Spine 중에서
C3 – C7
Vertebral body Intervertebral disc Spinous process
Cranial 15 - 20°
Thyroid cartilage (C-4) 1. Anatomy
2. Cervical Spine
3. Thoracic Spine
4. Lumbar Spine
5. Whole bady Spine
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요추 척추관 협착증
1. 병태생리
요추 척추관 협착증
1. 병태생리
• 요추 척추관 협착증(Spinal stenosis of lumbar spine)
• 요추 추간판 탈출증(Herniated disc disease of lumbar spine)
2. 임상증상
<척추관 협착증의 증상>
3. 진단
① X선 검
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협착증)
*FORAMINAL STENOSYS
*SPINAL CANAL STENOSYS
4.HNP(HERNIATION NEUCLEAR PULPOSUS)
*FOOT DROP
*RUPTURE
5.SPONDYLITIS(척추염)
6.VERTEBRAL FRACTURE.(척추골절)
7.SPINAL CORD TUMOR.
8.ANKYLOSING SPONDYLITIS(강직성 척추염)
9.SCOLIOSIS.(척추측만증)
10.C-SPINE MRI OBL VIEW.
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