PJK and measures to avoid it -...
Transcript of PJK and measures to avoid it -...
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Columnafrakturer
Benny Dahl Rygsektionen
Ortopædkirurgisk Klinik HovedOrtoCentret
Rigshospitalet
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Videncenter for Reumatologi og Rygsygdomme, Glostrup
Rygsektionen, Rigshospitalet
Rygsektionen Ortopædkirurgisk afdeling Køge
Rygkirurgi i Østdanmark 2015
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Rygkirurgi Region Hovedstaden
• VRR • 20 kirurger • 2100 indgreb pr. år (5% akut):
– diskusprolaps, spinalstenose, spondylodese
• RH • 10 kirurger • 800 indgreb pr. år (40% akut):
– traumer, onkologi, deformiteter, infektioner
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Columnafrakturer kirurgisk behandling
• 40% primært indlagt • 60 % sekundært overflyttet
– 10% fra Herlev
• 15-20% neurologisk påvirkning • 40% konkurrerende læsioner
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Akut rygkirurgi Rigshospitalet
• Ortopædkirurgisk bagvagt: 35458001 • Ortopædkirurgisk forvagt: 35451260
• Rygkirurgisk vagthavende: 35450417 • (hverdage, 9-15.30) • Fax: 35452165 • Derudover rygkirurgiske beredskabsvagt 24-7
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Nødvendige oplysninger • Oplæg:
– Til visiterende rygkirurg – Traumetidspunkt (dato) – Høj-/lavenergitraume – Neurologisk status, evt. rektaleksploration,
motorik, sensibilitetsgrænse – Øvrige læsioner – Billeddiagnostik overført – Hvor er patienten – Hvem skal have svar (fax, telefonnummer)
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”Stabil vs. instabil?”
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Stabil vs. instabil?
• Højenergi vs. lavenergi • Hvilke hvirvler? • Kyfosering? • % reduktion anteriort? • % reduktion af spinalkanal?
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