(New) 2. Spine Neuroimaging Dr. Bekti

7/25/2019 (New) 2. Spine Neuroimaging Dr. Bekti

1/42

SPINE NEUROIMAGING

FAKULTAS KEDOKTERAN UNISSULASEMARANG


2/42

NORMA


3/42


4/42

RADIOGRAPHIC

ANATOMY


5/42


6/42


7/42


8/42


9/42


10/42


11/42


12/42

TraumaDegenerative disease

Tumors and other massesInfammation and ine!tion"as!u#ar disorders$ongenita# anoma#ies

SPINE PATHOLOGY


13/42

EVALUASI TRAUMA SPINE

Fra!ture % ain '#m ( $T

Dis#o!ation % ain '#m ( $T

Ligamentous in)ur* % MRI

$ord in)ur* % MRI Nerve root avu#sion % MRI


14/42

Fraktur Kompre!

Fraktur kompre! a"a#a$ a#a$ atut!pe %raktur &a'( er!'( "!)umpa!pa"a trauma tu#a'( *e#aka'(

Fraktur !'! me'(ak!*atka' tu#a'(+erte*ra me')a"! p!p!$

Ser!'( *erka!ta' "e'(a' kea"aa'

oteoporo!


15/42


16/42

SPONDYLOLISTHESIS

,eraa# "ar! kata Spo'"o - p!'e

L!t$e! -#!pe. *er(eer

Spo'"o#!t$e! /

per(eera' +erte*ra "!*a'"!'(ka'"e'(a'

+erte*ra "! *a(!a' "!ta#'&a0


17/42

SKEMA SPONDYLOLISTHESIS


18/42

+ FOTO ,RO-EKSILATERAL

Antero#isthe

sis o $.on$/


19/42

GRADESPONDYLOLISTHESIS

Gra"e po'"o#!t$e! "!'!#a! "ar! pree'tae

per(eara' +erte*ra ter(a"ap +erte*ra "! *a(!a'

"!ta#'&a

Gra"e 1 / 2345 6

Gra"e 4 / 47 8 52 6

Gra"e 9 / 51 3:5 6

Gra"e ; / :7 8 122 6

Gra"e 5 / po'"opto! < +erte*ra *e'ar4te#a$ ter#epa "ar! +erte*ra "! *a(!a' "!ta#'&a=


20/42


21/42

KLASIFIKASISPONDYLOLISTHESIS

Ko'(e'!ta#

It$m!>De(e'erat!%Traumat!>P$ato#o(!>


22/42

SPONDYLOLYSIS

De%e>t par !'terart!ku#ar! +erte*ra


23/42


24/42

Latera# radiogra&h o the #um0ar s&inesho1s s&ond*#o#*sis at L2 1ith

s&ond*#o#isthesis at L2 through S3

ture o% t$e Sp!'e=S&ond*#o#*sis

? Foto Latera#


25/42

+ Foto Latera#

SpondylolyticSpondylolisthesis

+ FOTO ,RO-EKSI


26/42

+ FOTO ,RO-EKSIO4LI5


27/42

SKOLIOSIS

Sko#!o! / ke#e'(ku'(a' a*'orma#tu#a'( *e#aka'( ke ara$ amp!'(@ &a'(

"apat ter)a"! "ar! #e+e# er+!>a#@ toraka#ataupu' #um*a#0

Et!o#o(! / 3 I"!opat!k

3 Ko'(e'!ta# 3 Ga'((ua' otot &ara%


28/42

Radiogra&hi! assessment o thes!o#iosis &atient

T$e ra"!o(rap$!> aeme't o% t$e >o#!o! pat!e't*e(!' B!t$ erecta'teropoter!or a'" #atera# +!eB o%t$e e't!re p!'e >!put to a>rum=0

t$e eam!'at!o' $ou#" !'>#u"e a #atera# +!eB o% t$e

#um*ar p!'e to #ook %or t$e pree'>e o% po'"o#&!or po'"o#!t$e!

T$e >o#!ot!> >ur+e ! t$e' meaure" %rom t$e AP +!eB0T$e mot >ommo'#& ue" met$o"! t$e Co** met$o"0

T$e Co** met$o" $a e+era# a"+a'ta(e o+er ot$ermet$o"@ !'>#u"!'( t$e %a>t t$at !t ! more #!ke#& to *e>o'!te't e+e' B$e' t$e pat!e't ! meaure" *&e+era# "!ere't eam!'er0


29/42


30/42


31/42

S!o#iosis 67ra*


32/42


33/42

SPONDYLOARTHROSIS

Spondyloarthrosis : uatu ko'"!! proe"e(e'erat!% pa"a discus !'ter+erte*ra#! "a'

)ar!'(a' pe'(!kat pere'"!a' a'tara rua3ruatu#a'( *e#aka'(0


34/42

Spo'"oart$ro!

D!>o! art!#a(e "a' ero! %a>et= Mu#a! !'ta*!#!ta

!r!ta! )ar0 Lu'ak peu"ora"!>u#ar pa!'

Capu#e3#!(ame't >o'tra>ture@

Mu>#e t!($t a'" >o'tra>te"

Pem*e'tuka' oteot tep! %a>et "a' Corpu Pe'&emp!ta' %orame't !'ter+erte*ra#e Ir!ta!ra"! Ra"!>u#ar pa!'


35/42


36/42


37/42

POTT S DISEASE

Pott "eeae - po'"!#!t!tu*erku#o!

Merupaka' !'%ek! tu*erku#o!ektrapu#mo'a# &a'( me'(e'a!atu . #e*!$ tu#a'( *e#aka'(

;2 352 6 ter)a"! "! +erte*ra toraka#

*aBa$

95 8 ;5 6 ter)a"! "! +erte*ra #um*a#

12 6 me#!*atka' er+!ka#


38/42

RADIOGRAPHIC POTTS DISEASE

Ra"!o(rap$!> >$a'(e pree't re#at!+e#& #ate0

P#a!' ra"!o(rap$& "emo'trate t$e %o##oB!'(>$ara>ter!t!> >$a'(e o% p!'a# tu*er>u#o!

L&t!> "etru>t!o' o% a'ter!or port!o' o% +erte*ra#*o"&

I'>reae" a'ter!or Be"(!'(

Co##ape o% +erte*ra# *o"&

Rea>t!+e >#ero! o' a pro(re!+e #&t!> pro>e E'#ar(e" poa $a"oB B!t$ or B!t$out

>a#>!>at!o'


39/42

A""!t!o'a# '"!'(

Verte*ra# e'" p#ate are oteoporot!>0

I'ter+erte*ra# "!k ma& *e $ru'k or

"etro&e"0 Verte*ra# *o"!e $oB +ar!a*#e "e(ree o%

"etru>t!o'0

Fu!%orm para+erte*ra# $a"oB u((et

a*>e %ormat!o'0

,o'e #e!o' ma& o>>ur at more t$a' o'e#e+e#


40/42


41/42


42/42

(New) 2. Spine Neuroimaging Dr. Bekti

Documents

Transcript of (New) 2. Spine Neuroimaging Dr. Bekti