SPINAL STABILIZATION PPT

Spinal Stabilisation procedure and brief introduction

1. SPINAL STABILIZATION -SANDRA SUSAN SAJAN BACHELOR OF PHYSIOTHERAPY

2. BRIEF FUNCTIONAL ANATOMY Vertebral spine , the backbone of all the physical activities of our daily life , is composed of 33 vertebrae , forming four compact units. Cervical unit of 7 vertebrae Dorsal or thoracic unit of 12 vertebrae Lumbar unit of 5 vertebrae , and Sacrococcygeal unit of 9 fused vertebrae

3. The units are specially designed to perform the following three functions: Free mobility to the neck by the cervical unit , and free mobility of the trunk by the thoracolumbar unit. Stability (static as well as dynamic) to the body’s movement by the thoracic and sacrococcygeal unit. Protection to the soft vital organs by the thoracic unit and to the spinal cord by the vertebral chain formed by the cervical , dorsal as well as lumbar units.

4. * SPINAL STABILIZATION * Spinal cord stabilization involves surgical stabilization procedures that are used to treat acute spinal injuries. Stabilization of the spinal cord is a surgical procedure in which bone fragments are removed and the alignment of the vertebrae is restored. The degree of stabilization required depends on the severity of the problem and the assessment done by a Surgeon. Spinal stabilization surgery involves inserting instruments such as screws and plates in back of your spine to stabilize it and facilitate fusion after decompression. The spinal stability system consists of three sub-systems : passive spinal column , active spinal muscles and neural control unit.

5. Spinal stability ensures the muscles in your spine are working in the right way to properly support and stabilize the spine. Spinal stabilization is important if you suffer from chronic neck and back pain , whether it is acute or chronic , and if you want to remain pain-free. Spinal stabilization becomes necessary to treat a number of spine conditions. *IMPORTANCE OF SPINAL STABILISATION

6. Why you would need Spinal Stabilization Surgery Spinal stabilization surgery is used to treat the following conditions: Trauma from an auto or sports –related injury Trauma due to falling from a high place , resulting in spinal compression , fractures , and other conditions Degenerative conditions such as scoliosis and herniated discs Spinal fractures from bone loss due to osteoporosis Spondylolisthesis Spinal tumors

7. What happens in Spinal Stabilization Surgery Different surgical procedures are used to stabilize your spine . A common surgery involves instrumentation . Your surgeon will use hardware such as facet screws , percutaneous pedicle screws and spinous process plates to fuse the backbones together . Spinal instrumentation is done along with decompression which is a minimally invasive procedure performed to take pressure off the spinal cord or nerve roots . Before inserting the hardware , your surgeon will remove the part of the spine that is pressing on the nerves . After this , a fusion is done in which the surgeon puts in irradiated cadaver bone secured with rods , screws and plates that hold everything together till the time the patient’s bone and bone graft fuse together.

8. Minimally Invasive Spine Stabilization Surgery Minimally invasive stabilization procedures offer a safe and effective treatment option for most spinal conditions. In the minimally invasive procedure , stabilization of the spine is performed through a small incision without damaging or cutting the surrounding muscles . A special X-Ray guides the surgeon throughout the procedure . A tabular dilator is used to access the spine between the muscles . Retractors help keep the space open during the procedure . Special implants are then placed to fuse two or more vertebrae together.

9. How long does it take to recover from Spinal Stabilization Surgery? The pain will subside in four weeks after the procedure . However , there will be some pain over several months . Limited activity is allowed and there should be no lifting , bending ,and twisting while the bones fuse together . Physical Therapy will start in the first week after the surgery with walking and stretching followed by static stabilization exercises for the next two months . It takes around six months to fully recover from Spinal Stabilization Surgery.