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&
H`l`jdhdlt
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt -
AHD
EL
-
0
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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Wrdp`rdi My
-Ir. Hi. L`zr
un Osn`h-HMMQ, H.sa. (M.Dlj).
Qupdrvosdi My
-
F]EH-
Idp`rthdlt ef Ertcepdioas“ &
Yr`uh`tenejy
,
Qc`cddi
Qucr`w`riy Hdioa`n
Aenndjd Cespot`n, Ic`b`
-
0=7:,
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt -
=
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Oltreiuatoels
ef Qpold
Qpol`n Olkury (QO)
W`tce
-
pcysoenejy ef Qpol`n Olkury
Fuli`hdlt`ns ef @ssdsshdlt &
Io`jlesos
-
Qpol`n Olkury W`todlts
H`l`jdhdlt ef Qpol`n Olkury
W`todlts.
]dc`monot`toel ef QO W`todlts
Aelanusoels
&
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt -
Qdatoel
-
=
Qdatoel
-
1
Qdatoel
-
9
Qdatoel
-
4
Qdatoel
-
6
Qdatoel
-
:
Qdatoel
-
0
1
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Oltreiuatoels
Cuh`l ef Qpold
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt -
Qdatoel
-
0
Ycd cuh`l spold os ` iyl`hoa `li
aehpndx struaturd, wcoac dltdrt`ols `
syhmoetoa rdn`toelscop mdtwddl v`roeus
husaun`r,
noj`hdlteus
, v`saun`r, `li
ldur`n tossuds.
Olkurods ef tcd spold h`y `ffdat `l
oliovoiu`n's ferh `li fulatoel, `li ol
sehd a`sds h`y nd`i te sdvdrd ios`monoty
`li id`tc.
Qpol`n olkury (dotcdr mely er seft tossud)
h`l`jdhdlt
‑
prd
-
cespot`n/ cespot`n `rd
dqu`nny vdry ohpe
rt`lt fer prepdr
trd`thdlt/ suaadssfun rdturl te rdjun`r
9
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W`ndep`tcenejoa`n olvdstoj`ters c`vd
feuli And`r dvoidlad ef spol`n
ioseridrs ol prdcosteroa tohds.
@t tcd dli ef `ltoquoty ( :tc adltury @.I.), W`unus ef @djol` (6=4 ‑6?7
@.I.) pdrferhdi tcd forst suaadssfun
n`holdatehods.
@t tcd mdjollolj ef tcd =0st adltury,
spol`n surjdry c`s mdaehd herd
dvoidlad m`sdi, mut ot os stonn
tdaclenejy irovdl ol h`ly `rd`s.
Oltreiuatoels ef Qpold
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt -
Aelaosd Costery
ef Qpol`n Ioseridrs
-
4
Qdatoel
-
0
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Fulatoels ef
Cuh`l Qpold
-
Ycd spold prevoids ` hd`ls ef
aelldatoljtcd uppdr `li newdr meiy vo` tcd
s`aruh
wcoac aelldats tcd spold te tcd pdnvos.
Ycd spold c`s h`ly fulatoels olprevoiolj
cuh`ls wotc tcd `monoty te nd`i tcd novds
tcdy
ie ‑
e Qtrdljtc `li Quppert
Hevdhdlt
Wretdatoel ef Ldrvds Mneei Quppny
Oltreiuatoels ef Qpold
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt -
Qdatoel
-
0
6
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Oltreiuatoels ef Qpold
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt -
Qpold aelsosts ef `ntdrl`tolj
Mely vdrtdmr`d
Fomrea`rton`joleus iosa
Quppertdi my husaun`turd.
Hetoel sdjhdlt ‑ Ywe `ik`adltvdrtdmr`d wotc oltdrvdlolj iosa.
Qdatoel- 0
:
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@l`tehy ef Qpold;
Ycd Qpold os `l oltroa`td struaturd ef
melds, noj`hdlts, husands, ldrvds, `li
tdliels.
Ot―s `l`tehy a`l md mre`iny iovoidi olte ‑
C`ri Mely W`rt ‑
Ycd m`abmeld, er spold, os h`id up ef 10
mely sdjhdlts a`nndi vdrtdmr`d;
e 3 adrvoa`n (ldab) vdrtdmr`de 0= tcer`aoa (hoiind m`ab) vdrtdmr`d
e 4 nuhm`r (newdr m`ab) vdrtdmr`d*
e 4 s`ar`n (newdst `rd` ef tcd m`ab)
vdrtdmr`d
e 0 aeaayjd`n (aeaayx, er t`onmeld)
Oltreiuatoels ef Qpold
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt -
Qdatoel- 0
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Qpol`n Aeri
Oltdr vdrtdmr`n iosa
Husands
Ydliel,Noj`hdlts
Ldrvd
Vdssdns
Qeft Yossud W`rt ‑ Oltreiuatoels ef Qpold
@l`tehy ef Qpold;
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt -
Qdatoel- 0
?
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4
Oltreiuatoels ef Qpold
@l`tehy ef Qpold;
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt -
Qdatoel- 0
07
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Qpol`n Husands -
Husands `reuli tcd spold pn`y ` bdy rend
ol tcd cd`ntc ef tcd m`ab. Ot suppert tcd
trulb `li ceni tcd meiy uprojct. Ycdy
`nse `nnews tcd trulb te hevd, twost `limdli ol huntopnd iordatoels.
Ycrdd typds ef m`ab husands tc`t cdnp
spol`n fulatoel `rd tcd;
Dxtdlser husands- Ycdy olanuid tcdn`rjd husands ol tcd newdr m`ab (drdater
spol`d), wcoac cdnp ceni up tcd spold,
`li jnutd`n husands.
Oltreiuatoels ef Qpold
@l`tehy ef Qpold;
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt -
Qdatoel- 0
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Fndxer husands- @tt`acdi te
tcd frelt ef tcd spold, tcdsd
husands olanuid tcd `miehol`nhusands. Ycdy `nnew us te fndx,
mdli ferw`ri, noft `li `rac tcd
newdr m`ab.
Emnoqud husands- Ycdsd
`rd `tt`acdi te tcd soids ef tcd
spold. Ycdy cdnp us ret`td tcd
spold `li h`olt`ol prepdr
Qpol`n Husands - Oltreiuatoels ef Qpold
@l`tehy ef Qpold;
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt -
Qdatoel- 0
0=
F i t n f Q o n
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Qpol`n
Noj`hdlts -Lerh`n @l`tehy `li Aehpesotoel
Noj`hdlts surreuliolj tcd spold
prevoid oltrolsoa st`monoty te tcd spold
`li nohot hetoel ol `nn pn`lds.
Ycd spol`n noj`hdlt aehpndx
olanuids;
Oltdrspoleus Noj`hdlts Qupr`spoleus Noj`hdlts
Oltdrtr`lsvdrsd Noj`hdlts
_dnnew Noj`hdlts (Noj`hdlt
Fn`vuh)
Oltreiuatoels ef Qpold
@l`tehy ef Qpold;
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt -
Qdatoel- 0
01
F i t n f Q o n
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Mneei suppny
@l`tehy ef Qpold;
Ldurev`saun`rAehpeldlts-
Oltreiuatoels ef Qpold
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt -
Qdatoel- 0
09
F i t n f Q o n
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Vdols QuppnyoljQpol`n Aenuhl-
@l`tehy ef Qpold;Ldurev`saun`rAehpeldlts-
Oltreiuatoels ef Qpold
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt -
Qdatoel- 0
04
Fuli`hdlt`ns ef Qpol`n
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Ldurev`saun`r
Aehpeldlts-Qpold& Ldrveus systdh
@t tcd ndvdn ef d`ac spol`n meld
dxots ` spol`n ldrvd. D`ac spol`n ldrvd aeltrens `
v`rodty ef meiy fulatoels.
Fulatoel`nny tcdsd ldrvd
fulatoels
`rd vdry spdaofoa.
@l`tehoa`nny tcdsd ldrvds `rd
anesdny `tt`acdi te vdrtdmr`nmei
@l`tehy ef Qpold;
Oltreiuatoels ef Qpold
@l`tehy ef Qpold;Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt -
Qdatoel- 0
06
Fuli`hdlt`ns ef Qpol`n
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@jd ]dn`tdi Ac`ljd &
Moehdac`loas ef Qpold
-Oltreiuatoels ef Qpold
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt -
Qdatoel- 0
0:
Fuli`hdlt`ns ef Qpol`n
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@jd-]dn`tdi Ac`ljds ef
tcd Qpold- Ycd spol`n aenuhl idjdldr`tds f`r d`rnodr tc`l
etcdr husaunesbdndt`n tossuds
@jd-rdn`tdi ac`ljds ef tcd spold `rd let
sylelyheus wotc p`olfun `ntdr`toels
Yohd aeursd `li prem`monoty ef d`rny iosa
idjdldr`toel `rd n`rjdny idtdrholdi myjdldtoa iospesotoel
Ycd oltdrvdrtdmr`n iosa os tcd n`rjdst
`v`saun`rstruaturdef tcd cuh`l meiy
rdsuntolj ol n`rjd ioffusoel iost`lads te `nnewfer iosa lutrotoel
Aehprehosdi iosa lutrotoel os ` bdy f`ater
fer iosa idjdldr`toel
Ac`ljds ol tcd h`trox aehpeldlts ef tcd
oltdrvdrtdmr`niosa, dspdao`nny tcd
Aerd Hdss`jds
Oltreiuatoels ef Qpold
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt -
Qdatoel- 0
03
Fuli`hdlt`ns ef Qpol`n
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Erodlt`toel `li hos`nojlhdlt ef tcd f`adt
keolts aerrdn`td wotc idvdnephdlt ef d`rny
estde`rtcrotos ef tcd keolt Ac`ljds ol meld `racotdaturd ef tcd
vdrtdmr`n
meiods `li ferh`toel ef estdepcytds `ntdr
hdac`loa`n prepdrtods ef tcd spol`n aenuhl Ac`ljds ol h`trox hendaunds `li fomdr
erodlt`toel ol noj`hdlts `ntdr mdc`voer ef tcd
noj`hdlts
@jd-rdn`tdi ac`ljds ef tcd tcrdd keolt
@jd-]dn`tdi
Ac`ljds ef tcd Qpold -
Oltreiuatoels ef Qpold@jd-]dn`tdi
Ac`ljds ef tcd Qpold -
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt -
Qdatoel- 0
0?
Fuli`hdlt`ns ef Qpol`n
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Adnnun`r sdldsadlad, nd`iolj te `idard`solj `monoty ef seh`toa adnns terdpnoa`td, rdp`or, `li h`olt`ol tossud
@peptesos (prejr`hhdi adnn id`tc),nd`iolj te idard`sdi adnn luhmdrs ol tcd`ffdatdi tossud
@aauhun`toel ef pest-tr`lsn`toel`nheiofoa`toels ef h`trox pretdols, nd`iolj te`ntdrdi prepdrtods ef tcd dxtr`adnnun`r h`trox
Olard`solj jdldr`toel ef exoi`tovd strdssiud te jdldr`toel ef rd`atovd exyjdlspdaods (]EQ), nd`iolj te adnn i`h`jd
Jdldtoa prdiospesotoel, nd`iolj teprdh`turd `jolj er pcdletypoa ac`ljds ol
Aerd Hdss`jds
@jd-]dn`tdiAc`ljds ef tcd Qpold -
@t tcd adnnun`r ndvdn;Oltreiuatoels ef Qpold
@jd-]dn`tdiAc`ljds ef tcd Qpold -
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt -
Qdatoel- 0
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Fuli`hdlt`ns ef Qpol`n
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Jr`id O;
Lerh`n kuvdlond iosa
Jr`id OO;Lerh`n `iunt iosa
Jr`id OOO;
D`rny st`jd
Jr`id OV;
@iv`ladi st`jd
Jr`id V;
Dli st`jd
Oltreiuatoels ef Qpold
@jd-]dn`tdi
Ac`ljds ef tcd Qpold -
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt -
Qdatoel- 0
==
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4
• @ltdroer aenuhl 8 `ltdroer =/1 ef tcd
vdrtdmr`n meiy, iosa, `li `llunus, `li tcd
`ltdroer neljotuiol`n noj`hdlt)
• Hoiind aenuhl 8 pestdroer 0/1 ef tcd
vdrtdmr`n meiy, iosa, `llunus, `li tcdpestdroer neljotuiol`n noj`hdlt
• Westdroer aenuhl 8 pdioands, n`hol`d,
f`adts, a`psund, `li tcd oltdrspoleus `li
supr`spoleus noj`hdlt.Qpol`n olkury os s`oi te md st`mnd of elny eld ef
tcd aenuhls os olvenvdi.
I`h`jd te twe er herd aenuhls er rosbolj
ldurenejoa n olkury (o.d. i`h`jd te tcd hoiind
aenuhl) - ulst`mnd.
Qt`monoty ef Qpold-
Moehdac`loas
ef tcd Qpold -
Oltreiuatoels ef Qpold
Moehdac`loas ef Qpold -Qdatoel- 0
=1
Fuli`hdlt`ns ef Qpol`n
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Ycd sh`nndst `l`tehoa`n ulot ef tcd
spold wcoac dxcomots tcd m`soa
fulatoel`n ac`r`atdrostoas ef tcd dltord
spold os a`nndi tcd „hetoel sdjhdlt‘er „fulatoel`n spold ulot‘
Qacdh`toa rdprdsdlt`toel ef ` fulatoel`n spol`n ulot(hetoel sdjhdlt) ol ` tcd adrvoa`n `li m nuhm`r spold.
Qpold Tlot -
Oltreiuatoels ef Qpold
p
Olkury & H`l`jdhdlt - Moehdac`loas
ef tcd Qpold -
Qdatoel- 0
=9
Fuli`hdlt`ns ef Qpol`n
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Ycd tr`mdaun`r meld md`rs tcd
h`keroty ef tcd vdrtoa`n aehprdssovd
ne`is
Ycd vdrtdmr`n dlipn`td pn`ys `lohpert`lt rend ol hdac`loa`n ne`i
tr`lsfdr `li tcd tr`lspert ef lutrodlts
@xo`n iosa ne`is `rd merld my
cyirest`toa prdssuroz`toel ef tcd
luandus punpesus, rdsostdi my
aorauhfdrdlto`n strdssds ol tcd
`lunusfomresus rexoh`tdn 07 ‑=7% ef tcd tet`n
Aerd
Hdss`jds
Moehdac`loas
ef tcd Qpold -
Oltreiuatoels ef Qpold
p
Olkury & H`l`jdhdlt -
Qdatoel- 0
=4
Fuli`hdlt`ns ef Qpol`n
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Aehmoldi `xo`n aehprdssoel, fndxoel `li
n`tdr`nmdliolj c`vd mddl scewl te a`usd
iosa pren`psd
Ycd f`adt keolts juoid `li nohot oltdr-sdjhdlt`n hetoel
Ycd noj`hdlts surreuliolj tcd spold
juoid sdjhdlt`n hetoel `li aeltromutd te
tcd oltrolsoa st`monoty ef tcd spold my nohotoljdxadssovd hetoel
Ycd sp`to`n iostromutoel ef husands
idtdrholds tcdor fulatoel. Ac`ljds te
sdjhdlt`n n`xoty („ldutr`n zeld‘) `rd`sseao`tdi wotc tr`uh` `li id dldr`toel.
Moehdac`loas
ef tcd Qpold -
Oltreiuatoels ef Qpold
p
Olkury & H`l`jdhdlt -
Qdatoel- 0
=6
Fuli`hdlt`ns ef Qpol`n
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Qpol`n Olkury
(QO)„ Qpol`n olkury‘ h`y md idfoldi
`s-Olkury te tcd Qpol`n aenuhl(Mely Aenuhl)/ Qpol`n Aeri,
er metc ef tcdh.
Qpol`n olkury a`l md iovoidiolte-
Qpol`n Aenuhl(Mely)Olkury.
Qpol`n Aeri olkury.
Aehmoldi (Metc Aenuhl
Qpol`n Olkury (QO)
Olkury & H`l`jdhdlt -
Qdatoel- =
=:
Fuli`hdlt`ns ef Qpol`n
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Qpol`n Aenuhl Olkury
Mely spol`n olkurods h`y er h`y let md
`sseao`tdi wotc spol`n aeri olkury
Ycdsd mely olkurods olanuid;
Aehprdssoel fr`aturds ef tcdvdrtdmr`d
Aehholutdi fr`aturds ef tcd
vdrtdmr`d
Qumnux`toel (p`rto`n iosnea`toel) ef tcd
vdrtdmr`d Etcdr olkurods h`y olanuid;
Qpr`ols- evdr -strdtacolj er td`rolj ef
noj`hdlts
Qtr`ols- evdr -strdtacolj er td`rolj ef
Qpol`n Olkury (QO)
Olkury & H`l`jdhdlt -
Qdatoel-
=
=3
Fuli`hdlt`ns ef Qpol`n
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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Qpol`n Aeri
OlkuryQpol`n aeri olkury rdsunts freh auttolj,
aehprdssoel, er strdtacolj ef tcd spol`n
aeri.A`usolj ness ef iost`n fulatoel,
sdls`toel, er hetoel A`usdi my;
Tlst`mnd er sc`rp mely fr`jhdlts
puscolj el tcd aeri, er Wrdssurd freh meld fr`jhdlts er
swdnnolj tc`t oltdrrupts tcd mneei
suppny te tcd aeri a`usolj osacdho`
Qpol`n Olkury (QO)
Olkury & H`l`jdhdlt -
Qdatoel-
=
=?
Fuli`hdlt`ns ef Qpol`n
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3
A`usds ef Qpol`n
Olkury-Qpol`n Olkury (QO)
Olkury & H`l`jdhdlt -
Aehhel a`usds ef spol`n olkury
Ycd hest aehhel a`usds ef spol`n
olkurods `rd; Heter vdcoand `aaoidlts
@ats ef voendlad
F`nns - Qpol`n olkury `ftdr `jd 64 os
hest eftdl a`usdi my ` f`nn.
Qperts `li rdard`toel olkurods.
Iosd`sds- A`ladr, `rtcrotos,
estdeperesos `li
olfn`hh`toel ef tcd spol`n aeri `nse a`la`usd spol`n olkurods.
Qdatoel-
=
17
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V`saun`r ioseridrs
Yuhers
Olfdatoeus aeliotoels Qpeliynesos
O`trejdloa olkurods, dspdao`nny
`ftdr spol`n olkdatoels `li dpoiur`n
a`tcdtdr pn`adhdlt.
Vdrtdmr`n fr`aturds sdaeli`ry
te estdeperesos
Idvdnephdlt`n ioseridrs.
Etcdr a`usds
ef QO olanuid tcd fennewolj;Qpol`n Olkury (QO)
Qdatoel-
=
10
Fuli`hdlt`ns ef Qpol`n
O k & H t
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Olaehpndtd olkury;
Qehd heter er sdlsery fulatoels os
sp`rdi iost`n te tcd aeri olkury.
Venult`ry spcolatdr aeltr`atoel, ted
fndxer aeltr`atoel ‑prdsdlt.
Wrejlesos-Jeei―
Aehpndtd olkury;
Yet`n heter & sdlsery ness iost`n te tcd
olkury `ftdr Qpol`n sceab (usu`nny n`stsfer =9-93 crs) os evdr.
Zcdl tcd munme-a`vdrlesus rdfndx os
pesotovd & le s`ar`n sdls`toel er
heter fulatoel c`s rdturldi, p`r`nysos
Qpol`n Olkury (QO)
Olkury & H`l`jdhdlt -
Qdatoel-
=
1=
Fuli`hdlt`ns ef Qpol`n
O k & H t
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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Idlos idfoldi feur typds ef spol`n fr`aturds;
(Idlos iovoidi tcd spold olte tcrdd aenuhls;
Idlos An`ssofoa`toel
Qpol`n Olkury (QO)
Olkury & H`l`jdhdlt -
Qdatoel-
=
11
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Yypdsef Qpol`n Olkury- Qpol`n Olkury (QO)
Aehprdssoel
fr`aturd
Fndxoel iostr`atoel
Murst fr`aturdAc`lad fr`aturd
Yr`lsn`toel olkury
Qdatoel-
=
19
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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Ndvdn
ef Qpol`n Olkury-
Ndvdn ef spol`n olkury
• 44 % Adrvoa`n
• 04 % Ycer`aoa
• 04 %Ycer`aenuhm`r
• 04 % Nuhmes`ar`n `rd`
@pprexoh`tdny 07% ef pts w / A
spold fr`aturd c`vd ` sdaeli
lelaeltojueus vdrtdmr`n aenuhlfr`aturd
Fovd pdradlt ef mr`ol-olkurdi pts
c`vd `sseao`tdi spol`n olkury,
Zcond =4% ef spold olkury p`todlts
Qpol`n Olkury (QO)
Olkury & H`l`jdhdlt -
Qdatoel-
=
14
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt
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W`ttdrl; @.
Wroh`ry ndsoel eaaur mdtwddl A4 & A: wotc
sdaeli`ry olkurods `t Y0= er tcd nuhmdrspold.
W`ttdrl ; M.
Wroh`ry olkury `t Y=-Y9 wotc sdaeli`ry
olkury ol adrvoa`n spold.W`ttdrl ; A.
Wroh`ry olkury eaaur mdtwddl Y0= & N= wotc sdaeli`ry olkurods freh N9 -N4.
W`ttdrls Ef Huntopnd
Qpol`n Olkury ;Idlos An`ssofoa`toel
Qpol`n Olkury (QO)
Olkury & H`l`jdhdlt -
Qdatoel-
=
16
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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@lbynesoljQpeliynotos
Idjdldr`tovd Iosd`sd Ef
QpoldQpol`n A`l`n Qtdlesos
Iewl's Qylirehd
Bnoppdn- fdon Qylirehd
@rleni- aco`ro H`nferh`toel
Hdt`st`toa A@
Estdehydnotos
]cduh`teoi @rtcrotos
Qpol`n Olkury;
Wrdiospesolj f`aters Qpol`n Olkury (QO)
Olkury & H`l`jdhdlt -
Qdatoel-
=
1:
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt -
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?
]osb f`aters; Hd`l `jd 11 yrs :4% h`nds 47% ef QAO‟s `rd aehpndtd
47-67% ef QAO‟s rd adrvoa`n Ohhdio`td hert`noty fer aehpndtd adrvoa`n
QAO ~ 47% Eaaurs proh`rony ol yeulj h`nds (< :4% ef
a`sds)
C`nf ef tcdsd olkurods rdsunt freh HV@s =/1 ef p`todlts `rd > 17 yd`rs eni
Etcdr seurads ef QAO; F`nns, spertolj li
oliustro`n `aaoidlts, julscet weulis.
Hest aehhel vdrtdmr`d olvenvdi `rd A4,
A6, A:, Y0=, `li N0 mda`usd tcdy c`vd tcdrd`tdst ]EH.
Dpoidhoenejy
Qpol`n Olkury (QO)
Olkury & H`l`jdhdlt -
Qdatoel-
=
13
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt -
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Olaoidlad
03 - 14 yd`rs
H`nd - 1;0
]Y@ 40% - a`rs
Iehdstoa 06%
Oliustro`n 00%
Qperts 06% - iovoljolaoidlts
Qdnf c`rh 4%
Qpol`n Olkury (QO)
Olkury & H`l`jdhdlt -
Dpoidhoenejy Qdatoel-
=
1?
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt -
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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W`tce-pcysoenejy ef
Qpol`n Olkury -
Olkury & H`l`jdhdlt
Qdatoel- 1
Qpol`n olkury (QO) os `l olsunt te tcd
spold rdsuntolj ol ` ac`ljd, dotcdr
tdhper`ry er pdrh`ldlt, ol ots meld
struaturd er seft tossud (Qpol`n aeri,iosa, ldrvds, noj`hdlts er husands)
`li/ er heter, sdlsery, er `utelehoa
fulatoel.
97
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt - Hdac`losh
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3
Wroh`ry hdac`losh ef aeri olkurya`l md iud te feur bolis ef
hdac`loa`n ferads.
`. Ohp`at wotc pdrsostolj
aehprdssoel d. j. fr`aturds,
iosnea`toels, `li iosa cdrlo`toels.
m. Ohp`at wotc le pdrsostolj
aehprdssoel d. j. cypdrdxtdrsoelolkurods.
a. Iostr`atoel d. j. cypdrfndxoel
olkurods.
i. N`adr`toel/ Yr`lsdatoel;
Hest nobdny te eaaur `t sotds ef
h`xohuh hemonoty -
@iunts A6
Aconirdl >3 yrs eni A=.
W`tce-pcysoenejy
Ef Qpol`n Olkury-
Wroh`ry olkury
Olkury & H`l`jdhdlt Hdac`losh
ef Qpol`n Olkury-Qdatoel- 1
90
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt -
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=4% ef spol`n aeri olkurods eaaur
`ftdr proh`ry olkury.
Wroh`ry olkury rdsunts freh fea`n
olkurods (d.j. `vunsoel, aeltusoel,n`adr`toel `li oltr`-p`rdlacyh`n
cdherrc`jd) `li ioffusd ndsoels
(d.j. aelaussovd `li ioffusd `xel`n
olkury). Furtcdr hdac`loa`niosruptoel a`l rdsunt freh dxtdrl`n
aehprdssoel er `ljun`toel `li
osacdhoa i`h`jd freh eaanusoel ef
`rtdro`n suppny.
Wroh`ry olkury
Hdac`losh ef Qpol`n Olkury-
Olkury & H`l`jdhdlt
W`tce-pcysoenejyEf Qpol`n Olkury -
Qdatoel- 1
9=
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Qdaeli`ry Olkury
]dsunts freh;
• Adnnun`r cypexo`
•Enoj`dho`
W`tce-pcysoenejy
Ef Qpol`n Olkury-
Hdac`losh ef Qpol`n Olkury-Qdatoel- 1
91
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
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Qdaeli`ry olkury hdac`loshs tc`t h`y mdolvenvdi `rd;
`. Qystdhoa sceab; Wrefeuli cypetdlsoel,
`li mr`iya`rio` (eftdl n`stolj fer i`ys)
fennews aeri olkury `li tcdrd h`y md `
aehprehosd ef `l `nrd`iy i`h`jdi aeri.m. Nea`n hoareaoraun`tery i`h`jd; h`y md
iud te hdac`loa`n iosruptoel ef a`ponn`rods,
cdherrc`jd, tcrehmesos `li ness ef
`uterdjun`toel.a. Moeacdhoa`n i`h`jd; h`y eaaur iud te
dxaotetexol rdnd`sd (jnut`h`td), frdd r`ioa`n
preiuatoel, `r`acoieloa `aoi rdnd`sd, nopoi
pdrexoi`toel, doaes`leoi preiuatoel,
aytebolds `li dndatrenytd scofts.
W`tce-pcysoenejy
Ef Qpol`n Olkury-
k y j
Hdac`losh ef Qpol`n Olkury-Qdatoel- 1
99
Qdaeli`ry Olkury
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Qdaeli`ry Olkury A`sa`id
Aurrdlt ulidrst`lioljW`tce-pcysoenejy
Ef Qpol`n Olkury-
Hdac`losh ef Qpol`n Olkury-Qdatoel- 1
94
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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-
Wroh`ry Ldurenejoa`n i`h`jd Iordat tr`uh`, c`dh`teh`&
QAOZE]@ > 3yrs eni
Ol 9crs - Olf`ratoel ef wcotd h`ttdreaaurs
Ol 3crs - Olf`ratoel ef jrdy h`ttdr`li orr dvdrsomnd p`r`nysos
Qdaeli`ry i`h`jd Cypexo`Cypepdrfusoel Ldurejdloa sceab
Qpol`n sceab
W`tce-pcysoenejy
Ef Qpol`n Olkury-
k y j
Hdac`losh ef Qpol`n Olkury-Qdatoel- 1
96
Qdaeli`ry Olkury
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
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Ndsoels `mevd A4 ‑ i`h`jd teio`pcr`jh nd`is te =7% rdiuatoel ol
vot`n a`p`aoty ]x Wcrdloal. p`aoljNdsoels `t I9-6 ‑ rdiuads vot`n
a`p`aoty of > 477hn p`todlt osvdlton`tdi
Oltdraest`n ldrvd p`r`nysos
@tdndat`sos ‑ peer aeujc
V/P hosh`tac
]diuadi aehpno`lad ef nulj ‑ husand
f`tojud.
Cypexo` W`tce-pcysoenejy
Ef Qpol`n Olkury-
Hdac`losh ef Qpol`n Olkury-Qdatoel- 1
9:
Qdaeli`ry
Olkury
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
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Ndsoels `mevd I6
Holutds ‑ ceurs (f`nn ef a`tdacen`holds h`yt`bd =9 crs)
Iosruptoel ef syhp`tcdtoa eutfnew freh I0 -N=
Tl`ppesdi v`j`n teld
Wdropcdr`n v`seion`t`toel
Cypetdlsoel, Mr`iya`rio`& Cypetcdrho`
MTY aelsoidr c`dhherc`joa sceab of ‑
olkury mdnew I6, etcdr h`ker olkurods,c etdlsoel wotc s ol`n fr`aturd neld
Ldurejdloa sceab W`tce-pcysoenejy
Ef Qpol`n Olkury-
Hdac`losh ef Qpol`n Olkury-Qdatoel- 1
93
Qdaeli`ry
Olkury
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
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Yr`lsodlt pcysoenejoa`n rdfndx
idprdssoel ef aeri fulatoel ‑
“aelaussoel ef spol`n aeri― Ness `l`n teld, rdfndxds,
`utelehoa aeltren wotcol =9-:=cr
Fn`aaoi p`r`nysos mn`iidr & mewdn`li sust`oldi Wro`posh
N`sts dvdl i`ys tonn rdfndx ldur`n
`ras mdnew tcd ndvdn rdaevdrs.
Qpol`n sceab W`tce-pcysoenejy
Ef Qpol`n Olkury-
Hdac`losh ef Qpol`n Olkury-Qdatoel- 1
9?
Qdaeli`ry
Olkury
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
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Ness ef ldur`n tossud ‑
emvoeus.
Vdrtoa`n ndvdn ‑ Cojcdr up, tcd
jrd`tdr tcd i`h`jd.
Yr`lsvdrsd pn`ld ‑ Zc`t
Io`hdtdr c`s ` ndsoel.
F`aters `ffdatolj tcdsdvdroty ef ` spol`n
ndsoel
W`tce-pcysoenejy
Ef Qpol`n Olkury-
Hdac`losh ef Qpol`n Olkury-Qdatoel- 1
47
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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W`tce-pcysoenejy
Ef Qpol`n Olkury-
Hdac`losh ef Qpol`n Olkury-Qdatoel- 1
40
Fuli`hdlt`ns ef
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
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Fuli`hdlt`ns ef
@ssdsshdlt & Io`jlesos-
Qpol`n Olkury W`todltsCostery-Aehpndtd hdioa`n costery.
Wcysoa`n Dx`hol`toel- Wcysoa`n
dx`hol`toel
te `ssdss hemonoty, strdljtc, `li `nojlhdlt. Jdldr`n
QystdhoaMoeacdhoa`n/ N`mer`tery Ydsts
Jdldr`n
Qpdaofoa
Tntr`seuli sa`ls
Oh`jolj Qtuiods S-]`y
AY Qa`l
Iosaejr`pcy
H]O
Meld Qa`l
FL@A
Ycdertcepdioadv`nu`toel wonntypoa`nny olanuid -
Qdatoel- 9
4=
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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Io`jlestoaDv`nu`toelef Qpol`n Olkury-
Aehpndtd Hdioa`nCostery
Wcysoa`n Dx`hol`toel
Moeacdhoa`n & ]`ioenejoa`n
Dv`nu`toel
Fuli`hdlt`ns ef Qpol`nOlkury Io`jlesos - Fuli`hdlt`ns ef
@ssdsshdlt& Io`jlesos ef Qpol`nOlkury -
Qdatoel-
9
41
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
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W`ol
Mrd`tcolj ioffoaunty
Qdlsotovoty te stohuno
Husand sp`shs
Ness ef sdls`toel
Ness ef rdfndx fulatoel
Ness ef `utelehoa `atovoty
Ness ef mewdn aeltren
Ness ef mn`iidr aeltren Qdxu`n iysfulatoel
Ness ef fulatoel, suac `s
hemonoty er sdls`toel
W`r`nysos.
Aehhel fd`turds
ef spol`n olkurods
`rd-
Anoloa`n fd`turds
Io`jlestoaDv`nu`toelef Qpol`n Olkury-
Fuli`hdlt`ns ef @ssdsshdlt& Io`jlesos ef Qpol`nOlkury -
Qdatoel-
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AehpndtdHdioa`n
Costery -
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
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„Ndvdn" ef aeri ndsoel os aelvdltoel`nny tcd hesta`ui`n nea`toel wotc lerh`n heter `li sdlseryfulatoel. Heter ndvdn 8 tcd n`st ndvdn wotc `t nd`st 1/4
(`j`olst jr`voty) fulatoelLM; tcos os tcd hest ohpert`lt feranoloa`n purpesds
Qdlsery ndvdn 8 tcd n`st ndvdn wotc prdsdrvdi
sdls`toel ]`ioejr`pcoa ndvdn 8 tcd ndvdn ef fr`aturd elpn`ol S-]`ys / AY sa`l / H]O
LM; spold ndvdn ieds let aerrdspeli tespol`n aeri ndvdn mdnew tcd adrvoa`n rdjoel.
Anoloa`n fd`turds
Io`jlestoaDv`nu`toelef Qpol`n Olkury-
Fuli`hdlt`ns ef @ssdsshdlt& Io`jlesos ef Qpol`nOlkury -
Qdatoel-
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Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
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Wrdvoeus a`rioev`saun`r
premndhs
Wunhel`ry iosd`sds
Dliearold iysm`n`lad
Cdp`toa iysfulatoel]dl`n olsuffoaodlay
Ldurenejoa`n onnldss
W`todlt @ssdsshdlt Costery-
Aehpndtd
Hdioa`n Costery -
Fuli`hdlt`ns ef @ssdsshdlt& Io`jlesos ef Qpol`nOlkury -
Qdatoel-
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46
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
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@ pcysoa`n `ssdsshdlt os
h`li`tery te idtdat put`tovd oltr`-
epdr`tovd aehpnoa`toels
Ycd pcysoa`n dx`hol`toelaehpndhdlts tcd costery `li cdnps
te idtdat `mlerh`notods let
`pp`rdlt freh tcd costery.
Dx`hol`toel ef cd`ntcy`syhpteh`toa
p`todlts sceuni holoh`nny aelsost
ef hd`surdhdlt ef vot`n sojls
(mneei prdssurd, cd`rt r`td,
Wcysoa`nDx`hol`toel -
Fuli`hdlt`ns ef @ssdsshdlt& Io`jlesos ef Qpol`nOlkury -
Qdatoel-
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4:
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Dx`hol`toel ef
Qpold -
Neeb
Qbol Qc`pd `li pesturd
Fddn
Ydlidrldss
Hevd
Fndxoel / Dxtdlsoel
]et`toel / N`tdr`n fndxoel
Fuli`hdlt`ns ef @ssdsshdlt& Io`jlesos ef Qpol`nOlkury -
Qdatoel-
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Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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Dx`hol`toel ef Qpold
Qojls wotc p`todlt nyolj f`ad
iewlw`ris
Mely eutnoldsYdlidrldss
Qdls`toels `li Wewdr
Fdher`n strdtac tdst
Qojls wotc p`todlt nyolj el cos m`abQtr`ojct ndj r`osolj tdst (sao`toa
strdtac)
Ldurenejoa`n dx`hol`toel ef newdr
nohms
Fuli`hdlt`ns ef
@ssdsshdlt& Io`jlesos ef Qpol`nOlkury -
Qdatoel-
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4?
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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@orw`y @ssdsshdlt
@ a`rdfun `orw`y `ssdsshdlt
sceuni md h`id wotc rdj`ri te; Wrdvoeus ioffoaunty ol oltum`toel
Idjrdd ef heutc epdlolj
Qozd ef tcd teljud
Vosomonoty ef tcd pc`rylx
Ycd st`td ef idltotoel
]dstroatoel ef ldab hevdhdlt
Qt`monoty ef tcd adrvoa`n spold
Erj`l-
Qpdaofoa @ssdsshdlt Fuli`hdlt`ns ef
@ssdsshdlt& Io`jlesos ef Qpol`nOlkury -
Qdatoel-
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Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
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@aaeriolj te tcd dxtdlt ef tcd surjoa`n
preadiurd `li tcd prdepdr`tovd p`todlt
Aeliotoel, tcd rdspor`tery fulatoel sceuni
md `ssdssdi wotc punhel`ry fulatoelYdstolj olanuiolj mneei j`s `l`nysos ol
p`todlts wotc;
@stch`
Acreloa emstruatovd punhel`ry iosd`sd Acreloa oltrolsoa rdstroatovd punhel`ry
iosd`sds suac `s fomresos `li
s`raeoiesos
Dxtrolsoa rdstroatovd unhel`r
]dspor`tery Qystdh Fuli`hdlt`ns ef
@ssdsshdlt& Io`jlesos ef Qpol`nOlkury -
Qdatoel-
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Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
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Wdroepdr`tovd a`rio`a hermoioty os eld ef tcd h`ker
ac`nndljds fer tcd `ldstcdtost.
Ycd dnidrny p`todlt pepun`toel prdsdltolj fer spol`n
surjdry c`s sumst`lto`nny olard`sdi evdr tcd n`st
ida`id. Aelsdqudltny, tcd olaoidlad ef spol`nsurjdry ol p`todlts wotc aerel`ry cd`rt iosd`sd
c`s olard`sdi. Qpdao`n `ttdltoel hust md p`oi te
tcesd p`todlts `t olard`sdi rosb `li wcdrd
aerel`ry cd`rt iosd`sd c`s let mddl ferh`nny`ssdssdi. Ycos p`todlt pepun`toel rdprdsdlts tcd
v`st h`keroty.
@s wdnn `s surjdry-rdn`tdi rosb, os rdaehhdlidi
`s ots prdioatovd v`nud c`s mddl aelforhdi te mdvdr co c ol dndatovd lel-a`rio`a sur dr .
A`rioev`saun`r @ssdsshdlt
Fuli`hdlt`ns ef
@ssdsshdlt& Io`jlesos ef Qpol`nOlkury -
Qdatoel-
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6=
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- @ ldurenejoa`n dx`hol`toel ef tcd p`todlt
sceuni md h`id prdepdr`tovdny olanuiolj
@ssdsshdlt ef j`ot, heter er sdlsery
idfoaots `li rdfndxds. Ycos sceuni md
ieauhdltdi solad tcd `ldstcdsoenejost c`s
` rdspelsomonoty te `veoi furtcdr ldurenejoa`n
idtdroer`toel iurolj h`lduvdrs suac `s
tr`acd`n oltum`toel `li p`todlt pesotoelolj.
Aeljdlot`n bypcesos `li saenoesos,pestolfdatoeus saenoesos, ldurefomreh`tesos
@li p`todlts wotc sbdndt`n iyspn`so`s a`rry
`l olard`sdi ldurenejoa`n rosb `s wdnn `s
p`todlts wotc ldurenejoa`n idfoaots proer te
Ldurenejoa`n @ssdsshdltFuli`hdlt`ns ef
@ssdsshdlt& Io`jlesos ef Qpol`nOlkury -
Qdatoel-
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61
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
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]eutold Wrd-epdr`tovd
Olvdstoj`toels-
Meld p`tcenejy
spdaofoa
Olvdstoj`toels-
Fuli`hdlt`ns ef
@ssdsshdlt& Io`jlesos ef Qpol`nOlkury -
Qdatoel-
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69
0. ]eutold Mneei tdsts.
=. Boildy, Novdr fulatoel tdsts.
1. Nuljs, Cd`rt `liLdurenejoa`n
`ssdsshdlts.
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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Wn`ol x-r`ys @W `li n`tdr`n vodws
Emnoqud vodws
W@ vodw ef Q.O. Keolt
Aehputdi tehejr`pcy (wotchynejr`pcy)
H] oh`jolj
]`ioeosetepd sa`llolj
Iosaejr`pcy `li f`adt keolt
Ycd io`jlesos ef spold aeliotoels er
iosd`sds os m`sdi el sdvdr`n f`aters
olanuiolj costery ef p`ol, dv`nu`toel `lpcysoa`n dx`hol`toel, `li spdaofoa
io`jlestoa tdsts.
D`ac c`s `iv`lt`jds `li ios`iv`lt`jds,
`li ` spdaofoa purpesd. Ydstolj h`y
olanuid eld er herd ef tcd fennewolj;
Fuli`hdlt`ns ef
@ssdsshdlt& Io`jlesos ef Qpol`n Olkury-
Qdatoel-
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64
]`ioenejoa`nDv`nu`toel -
S-]@_
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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S ]@_
Qarddlolj dx`h
Qtdlesos a`llet md io`jlesdi
Olst`monoty
suac `s saenoesos
er nostcdsos
S-r`ys ef tcd spold rdvd`n meld
ac`ljds suac `s tcesd sddl ol
`rtcrotos er saenoesos (aurv`turd ef tcdspold).
Ycdy ie let scew ldrvds er iosas.
Cdnpfun ol io`jlesolj
Meld spurs, H`nojl`lay,
Olfdatoel, er
Fr`aturds.Iu`n Dldrjy S-r`y @mserptoehdtry (Idx`
sa`l) ;
Idx`sa`l os usdi spdaofoa`nny te `ssdss `p`todlt―s rosb ef fr`aturd my -
idtdatolj estdeperesos ef tcd vdrtdmr`n
meiods, wcoac os ` tcollolj ef tcd melds `s
wd `jd `li ` pessomnd seurad ef Meld
ioseridrs.
Fuli`hdlt`ns ef
@ssdsshdlt& Io`jlesos ef Qpol`nOlkury -
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66
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Fuli`hdlt`ns ef
@ t
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
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-
Dxadnndlt fer oltr`-a`l`n
p`tcenejy
Weer fer fer`hol`n p`tcenejy ]dpn`adi my H]O
Olv`sovd
0% spol`n cd`i`acd
]daurrdlt stdlesos
Ol`monoty te emt`ol H]O
H_DNEJ]@WC_
@ssdsshdlt& Io`jlesos ef Qpol`n Olkury-
Fuli`hdlt`ns ef
@ssdsshdlt& Io`jlesos ef Qpol`nOlkury -
Qdatoel-
9
63
AY-
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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H_DNEJ]@WC_ -
Dxadnndlt vosu`noz`toelef spol`n a`l`n
Dxadnndlt fer rdaurrdlt
stdlesosOlv`nu`mnd ol surjoa`npn`llolj
Fuli`hdlt`ns ef
@ssdsshdlt& Io`jlesos ef Qpol`nOlkury -
Qdatoel-
9
6?
Io c
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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Iosaejr`pcy -
Oh`jd scewolj ` „lerh`n‘
iosa `t ndvdn N9/4 (@i`hs O) `li
sdvdrd iosa idjdldr`toel wotc
aeltr`st hdiouh ol tcd spol`n
a`l`n ef N4/Q0 (@i`hs V).
Olioa`toels fer iosaejr`pcy te
ioffdrdlto`toel ef syhpteh`toa `li
`syhpteh`toa ‑ Iosa `ntdr`toels
Iosa idjdldr`toel
@llun`r td`rs (cojc oltdlsoty
zelds) Dlipn`td ac`ljds (heioa
ac`ljds)
Holer iosa pretrusoels wotc
udstoel`mnd ldrvd reet aeh rehosd
Fuli`hdlt`ns ef
@ssdsshdlt& Io`jlesos ef Qpol`nOlkury -
Qdatoel-
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:7
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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H]O - H`jldtoa ]dsel`lad Oh`jolj
Dxpdlsovd
W`todlt aeepdr`toel
An`ustrepcemo`
Epdl H]O
Lel-olv`sovd Jeni st`li`ri
Qeft tossud
vosu`noz`toel
Fuli`hdlt`ns ef
@ssdsshdlt& Io`jlesos ef Qpol`nOlkury -
Qdatoel-
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:0
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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H]O -H`jldtoa ]dsel`lad Oh`jolj
Q`jott`n oh`jds Vosu`noz`toel ef fer`hdl
Fuli`hdlt`ns ef
@ssdsshdlt& Io`jlesos ef Qpol`nOlkury -
Qdatoel-
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:=
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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H]O- E] - AY sa`l
Fuli`hdlt`ns ef
@ssdsshdlt& Io`jlesos ef Qpol`nOlkury -
Qdatoel-
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:1
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8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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Zcy Zd Tsd Meld Qa`ls
Meld sa`ls prevoid surjdels wotc ` idt`ondi
`ssdsshdlt ef `rd`s ef `mlerh`n meld `atovoty.Ycos tdst a`l md ohpert`lt fer io`jlesolj
spol`n premndhs suac `s;
Yuher
Olfdatoel
Fr`aturd @rtcrotos er olfn`hh`toel
Meld sa`ls `rd cojcny sdlsotovd `li a`l rdvd`n
`mlerh`notods tc`t `rd tee sh`nn te `ppd`r el
etcdr tdsts suac `s x-r`ys, H]O's, er AY Qa`ls.
Meld Qa`l- Fuli`hdlt`ns ef
@ssdsshdlt& Io`jlesos ef Qpol`nOlkury -
Qdatoel-
9
:9
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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DHJ-LAQ
DHJ os nobdny ef jrd`tdr utonoty ol FMQQ
tc`l ol proh`ry new m`ab p`ol `li
sao`toa`.
Jrd`tdst usd os fer dst`mnoscolj tcd
prdsdlad ef ` pdropcdr`n ldurep`tcy
H`y md cdnpfun fer idfololj ` fdojldi
ldurenejoa`n idfoaot
]`rdny usolj ol idaosoel-h`bolj
Dndatrehyejr`pcy
Ldrvd aeliuatoel stuiods
Fuli`hdlt`ns ef
@ssdsshdlt& Io`jlesos ef Qpol`nOlkury -
Qdatoel-
9
:4
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
Fuli`hdlt`ns ef
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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Hdioa`n H`l`jdhdlt
Aelsdrv`tovd (Jdldr`n)-
Aelsdrv`tovd (Hdioa`n)- Qurjoa`n H`l`jdhdlt Qurjoa`n Idaehprdssoel
Qurjoa`n Qt`monoz`toel Fox`toel ef Vdrtdmr`
Fox`toel ef Qpold
@rtofoao`n iosa ohpn`lt`toel
Fuli`hdlt`ns ef
Qpol`n Olkury
H`l`jdhdlt-
Fuli`hdlt`ns ef
Qpol`n Olkury H`l`jdhdlt-
Qdatoel- 4
:6
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
H io n
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@oh os te prdvdlt dxtdlsoel ef
proh`ry olkury, te rdiuad sdaeli`ry
olkury `li te trd`t aehpnoa`toels-
Fennew @YNQ prolaopnds-
1=
@orw`y2 pretdat QpoldMrd`tcolj
Aoraun`toelIos`monoty, Ix `li ]x sceabD`sd p`todlt&
Yrd`t Qdaeli`ry survdy.
Fuli`hdlt`ns ef
Qpol`n OlkuryH`l`jdhdlt-
Hdioa`n
H`l`jdhdlt Aelsdrv`tovd
(Jdldr`n)-
Aelsdrv`tovd
(Hdioa`n)-Honw`ubdd Wreteaenfer Qpol`n Ohhemonoz`toel
Qdatoel- 4
::
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
Aelsdrv`tovd
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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Oloto`n trd`thdlt ef p`todlts wotc aeri
olkury feausds el twe `spdats -
prdvdltolj furtcdr i`h`jd `li
rdsusaot`toel.Ohhemonoz`toel wotc ` c`ri adrvoa`n aenn`r (ola`sd ef adrvoa`n spold olkurods) `li a`rd ol
tr`lspert`toel ef p`todlt os ef p`r`heult
ohpert`lad of tcd spold os ulst`mnd.
]dsusaot`toel os `ohdi `t `orw`y
h`oltdl`lad, `idqu`td exyjdl
s`tur`toel ef pdropcdr`n mneei, rdsterolj
mneei prdssurd te `aadpt`mnd nohots,
prdvdltolj mr`iya`rio`, ield
sohunt`ldeusny te prdvdlt `ly osacdhoa
Wroh`ry
(Wrd-cespot`n) h`l`jdhdlt- Fuli`hdlt`ns ef
Qpol`n OlkuryH`l`jdhdlt-
Qdatoel- 4
:3
Aelsdrv`tovd
(Jdldr`n)-
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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1=
Aelsdrv`tovd(Jdldr`n)-
.
]dsusaot`toel `aaeriolj te @YNQ
juoidnolds Idtdrhol`toel ef ldurenejoa`nolkury Wrdvdltoel ef ldurenejoa`n
idtdroer`toel. Eljeolj OI & Yx ef `ssea olkurods Wrdvdltoel ef aehpnoa`toels Oloto`toel ef idfolotovd h`l`jdhdlt
fer
Ohhdio`td
H`l`jdhdlt-
Je`ns;
Fuli`hdlt`ns ef
Qpol`n OlkuryH`l`jdhdlt-
Qdatoel- 4
:?
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
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Mrd`tcolj
mdw`rd p`todlt wotc A1,A9 er A4 ndsoel wce
oloto`nny c`s `idqu`td rdspor`tery dffert wce
h`y prejrdss te vdlton`tery f`onurd
Aoraun`toel Qceab aehhel mut spol`n sceab os ` io`jlesos
ef dxanusoel
AVW/W@ZW heloterolj usu`nny ulldadss`ry
Ohhemonoz`toel Adrvoa`n spold sceuni md ohhemonosdi ol ldutr`n
pesotoel (od pesotoel emt`oldi wcdl neebolj
str`ojct `cd`i)
Aconirdl >3 yrs h`y rdquord m`ab dndv`toel
wotc p`iiolj te `acodvd tcos pesotoel.
Aelsdrv`tovd (Jdldr`n)-Fuli`hdlt`ns ef
Qpol`n OlkuryH`l`jdhdlt-
Qdatoel- 4
37
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
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Aelsdrv`tovd (Hdioa`n)-
Fuli`hdlt`ns ef
Qpol`n OlkuryH`l`jdhdlt-
Qdatoel- 4
30
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
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Aelsdrv`tovd(Hdioa`n)-Aelsdrv`tovd trd`thdlts ef spol`n
ioseridrs c`vd ohprevdi sojlofoa`ltnyevdr tcd yd`rs. Ef tcd h`ly
aelsdrv`tovd lel-surjoa`n trd`thdlts
tc`t `rd aurrdltny `v`on`mnd, ` fdw ef tcd
hest aehhelny pr`atoadi trd`thdlts `rd ‑
Dpoiur`n Qtdreoi Olkdatoel
Oltr`iosa`n-tcdrhepn`sty (OIDY)
Luandepn`sty
F`adt Olkdatoels, `li/er Hdio`n
Mr`lac
Mneab`id
]`ioe Frdqudlay
Fuli`hdlt`ns ef
Qpol`n OlkuryH`l`jdhdlt-
Qdatoel- 4
3=
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
Qurjoa`n
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Fuli`hdlt`ns ef
Qpol`n OlkuryH`l`jdhdlt-
Aelvdltoel`n Qpol`n Qurjdry
Holoh`nny Olv`sovd Qpol`n
Qurjdry Dliesaepoa Qpol`n Qurjdry
N`sdr Qpol`n Qurjdry
Oltr`-iosa`n dndatroa`n Qurjdry
Qurjoa`n
H`l`jdhdlt -Qdatoel- 4
31
Qurjoa`n Idaehprdssoel
Qurjoa`n Qt`monoz`toel
Fox`toel ef Vdrtdmr`
Fox`toel ef Qpold
@rtofoao`n iosa
ohpn`lt`toel
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Idpdliolj el tcd
aorauhst`lads, wcdl surjdry os
rdquordi. Qurjdry h`y md aelsoidrdi of
tcd spol`n aeri os aehprdssdi
`li wcdl tcd spold rdquordsst`monoz`toel.
Ycd surjdel idaoids tcd
preadiurd tc`t wonn prevoid tcd
Fuli`hdlt`ns ef
Qpol`n OlkuryH`l`jdhdlt-
Qurjoa`n
H`l`jdhdlt -
Qdatoel- 4
39
Yypds
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
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yp
ef Qpol`n Qurjdry -Fuli`hdlt`ns ef
Qpol`n OlkuryH`l`jdhdlt-
Qdatoel- 4
34
Q o n I o
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
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Iosadatehy
N`holdatoehyN`holoetehy
Fer`holdatehy
Fer`holoetehy
Qpol`n idaehprdssoel surjdry os `
jdldr`n tdrh tc`t rdfdrs te v`roeus
preadiurds oltdlidi te rdnodvd
syhptehs a`usdi my prdssurd, eraehprdssoel, el tcd spol`n aeri `li/erldrvd reets.
Ycd fennewolj `rd aehhel
tdacloquds fer idaehprdssoel ;
Qpol`n IdaehprdssoelFuli`hdlt`ns ef
Qpol`n OlkuryH`l`jdhdlt-
Qdatoel- 4
36
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
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Iosbdatehy- Ycos olvenvds rdhevolj ` pertoel ef ` iosb
te rdnodvd prdssurd el tcd ld`rmy ldrvd reets.N`holetehy er n`holdatehy- Ycdsd preadiurds olvenvd
rdhevolj ` sh`nn p`rt ef tcd mely `racds ef tcd spol`n
a`l`n, a`nndi tcd n`hol`. Iurolj ` n`holetehy, kust `
sdatoel ef tcd n`hol` os rdhevdi. Iurolj ` n`holdatehy,
tcd dltord n`hol` os rdhevdi. ]dhevolj tcd n`hol`
olard`sds tcd sozd ef tcd spol`n a`l`n, rdnodvolj prdssurd.Fer`holetehy er fer`holdatehy- Metc preadiurds `rd
pdrferhdi te dxp`li tcd epdloljs fer tcd ldrvd reets te
dxot tcd spol`n aeri my rdhevolj sehd meld `li etcdr
tossud. @ fer`holdatehy jdldr`nny rdfdrs te ` preadiurd
tc`t rdhevds ` n`rjd `heult ef meld `li tossud.
Estdepcytd rdhev`n- Ycos olvenvds rdhevolj melyjrewtcs a`nndi estdepcytds er meld spurs.
Aerpdatehy- Ycos os surjdry te rdhevd tcd meiy ef `
vdrtdmr`, `s wdnn `s tcd iosbs.@ aehmol`toel ef tdacloquds
h`y md usdi2 `li ol sehd a`sds, fusoel ef tcd vdrtdmr`d
`nse os lddidi te st`monozd tcd spold.
Qpol`n Idaehprdssoel
Fuli`hdlt`ns ef
Qpol`n OlkuryH`l`jdhdlt-
Qdatoel- 4
3:
Fuli`hdlt`ns efQpol`n Olkury
H`l`jdhdlt Qurjoa`n
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Qurjoa`n
Idaehprdssoel li/er
Fusoel-
Olioa`toels
Idaehprdssoel ef tcd ldur`n
dndhdlts (spol`n aeri/ldrvds)
Qt`monoz`toel ef tcd mely dndhdlts
(spold)
Yoholj Dhdrjdlt
Olaehpndtd ndsoels wotc prejrdssovd
ldurenejoa idfoaot Dndatovd
Aehpndtd ndsoels (1-: i`ys pest
olkury)
Adltr`n aeri sylirehd (=-1 wddbs
H`l`jdhdlt-
Fuli`hdlt`ns ef
Qpol`n OlkuryH`l`jdhdlt-
Qurjoa`n
H`l`jdhdlt -Qdatoel- 4
33
Q o n Fo to /F o
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
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Vdrtdmrepn`styBypcepn`sty
Yet`n Iosb ]dpn`adhdlt
Je`ns ef Qpol`n Qt`monoz`toel; Wrdvdlt aurvd prejrdssoel Ohprevd sottolj m`n`lad `li tendr`lad
(ol lel-`hmun`ters) ]diuad rdpesotoelolj ]diuad p`ol
Qpol`nQt`monoz`toel
Qpol`n Fox`toel /Fusoel
( Qt`monoz`toel )Fuli`hdlt`ns ef
Qpol`n OlkuryH`l`jdhdlt-
Qdatoel- 4
3?
Q o n F o
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Qpol`n Fusoel
Qpol`n fusoels rd aelsoidrdi hdioa`nny
ldadss`ry fer spol`n olst`monoty sseao`tdi wotc`ly ef tcd fennewolj aeliotoels;
Dpoiur`n aehprdssoel er vdrtdmr`n idstruatoelfreh tuher
Oioep`tcoa saenoesos evdr 97 idjrdds
Olst`monoty `ftdr idmroidhdlt fer olfdatoel
Ldur`n aehprdssoel `ftdr spol`n fr`aturd
Wsdui`rtcresos
Qpol`n olfdatoels (olanuiolj tumdraunesos,
estdehydnotos, iosaotos) @autd a`ui` dquold E] `autd spol`n aeri
aehprdssoel sylirehd
@autd spol`n fr`aturd freh ieauhdltdi tr`uh`.
Oltr`-epdr`tovd spol`n olst`monoty.
(@nse blewl `s
speliyneidsos er
speliynesylidsos)
W`todlts rdquorolj
spol`n fusoel c`vd
dotcdr ldurenejoa`n
idfoaots er sdvdrd
p`ol wcoac c`s let
rdspelidi te
aelsdrv`tovd
trd`thdlt.
Fuli`hdlt`ns ef
Qpol`n OlkuryH`l`jdhdlt-
Qdatoel- 4
?7
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
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Yypds ef
spol`n fusoel
Westdren`tdr`n fusoel pn`ads tcd meld jr`ft mdtwddl tcd
tr`lsvdrsd preadssds ol tcd m`ab ef tcd spold. Ycdsd
vdrtdmr`d `rd tcdl foxdi ol pn`ad wotc sardws `li/er word
tcreujc tcd pdioands ef d`ac vdrtdmr` `tt`acolj te ` hdt`n
rei el d`ac soid ef tcd vdrtdmr`d.
Oltdrmeiy fusoel pn`ads tcd meld jr`ft mdtwddl tcd
vdrtdmr` ol tcd `rd` usu`nny eaaupodi my tcd oltdrvdrtdmr`n
iosa.
Ycrdd typds ef oltdrmeiy fusoel `rd;
@ltdroer nuhm`r oltdrmeiy fusoel (@NOF)- tcd
iosa os
`aadssdi freh `l `ltdroer `miehol`n olaosoel Westdroer nuhm`r oltdrmeiy fusoel (WNOF) - tcd
iosa os
`aadssdi freh ` pestdroer olaosoel
Yr`lsfer`hol`n nuhm`r oltdrmeiy fusoel (YNOF)
-
Qdatoel- 4
?0
Iyl`hoa
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
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Qpol`n Qt`monoz`toel
Olioa`toels Cdrlo`tdi iosa,
Qpol`n stdlesos,
Idjdldr`tovd Iosa Iosd`sd.
Qpol`n Qtdlesos os mneab`jd ol tcdspol`n a`l`n `li `sseao`tdi ldrvd w`ys.
@ Cdrlo`tdi Iosa (aehhelny blewl `s
"snoppdi iosa") os wcdl ` spol`n iosa nesds
ots lerh`n sc`pd `s a`l a`usd prdssurd
el ldrvds `li tcos rdsunts ol p`ol,luhmldss, `li toljnolj.
Il`hoa spold st`monoz`toel os let
`pprepro`td fer dvdryeld `li `s wotc `ly
surjdry tcdrd `rd pessomnd aehpnoa`toels.
Iyl`hoa
Qpold Qt`monoz`toel;Fuli`hdlt`ns ef
Qpol`n OlkuryH`l`jdhdlt-
Qdatoel- 4
?=
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
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Lel- fusoel spol`nst`monoz`toel idvoads -
` . Iyl`hoa pestdroer spol`n st`monoz`toel wotc Iyldsys (Oh`jd ˊ [ohhdr, Ola. usdimy pdrhossel.m . Oltdrspoleus preadss iostr`atoel idvoads (d.j. S-step) nohot dxtdlsoel hetoel `liulne`i tcd f`adt keolts.Ycd oh os te ohprevd fulatoel`n spol`n stdlesos my oliordat woidlolj ef tcd spol`n
a`l`n.
Fuli`hdlt`ns ef
Qpol`n OlkuryH`l`jdhdlt-
Qdatoel- 4
?1
Qpol`n
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
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Qpol`n
Olstruhdlt`toe
l -Qpol`n olstruhdlt`toel os usu`nny
aehmoldi wotc spol`n fusoel
Ycd typd ef olstruhdlt`toel `li tcd
surjoa`n `ppre`ac sceuni fennew tcdidjrdd ef olst`monoty
Aelsenoi`tdi fusoel h`y rdnodvd tcd
ohpn`lt freh strdss
Ohpn`lt f`onurd os ` rdsunt ef olst`ltevdrne`i er ef ayanoa ne`iolj (f`tojud)
Of fusoel os idn`ydi `li/er tcd wrelj
ohpn`lts `rd acesdl, olstruhdlt`toel wonn
untoh`tdn f`on
Aerd Hdss`jds
Fuli`hdlt`ns ef
Qpol`n OlkuryH`l`jdhdlt-
Qdatoel- 4
?9
F i t n f
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Oltdrmeiy
Fusoel YdacloqudA`jd idsojls
Fuli`hdlt`ns ef
Qpol`n Olkury
H`l`jdhdlt-Fuli`hdlt`ns ef
Qpol`n OlkuryH`l`jdhdlt-
Qdatoel- 4
?4
Fuli`hdlt`ns efQpol`n Olkury
H`l`jdhdlt-Q
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Qpol`n FusoelYcd je`n ef spol`n fusoel surjdry
os te prevoid rdnodf freh tcd p`ol yeu c`vd mddl
c`volj `li h`bd yeur spold herd st`mnd. @ftdr
surjdry, yeur `monoty te hevd sceuni ohprevd,
`li yeu a`l jdt m`ab te ieolj tcd i`ony
`atovotods yeu h`y c`vd mddl hossolj.
Ycd Qpol`n Qt`monoz`toel Qystdh os ` ldwdr
aeladpt ol tcd surjoa`n trd`thdlt ef newdr m`ab
`li ndj p`ol -- eld tc`t usds fndxomnd h`tdro`nste st`monosd tcd spold `li effdrs ` petdlto`n
`ntdrl`tovd te tr`iotoel`n fusoel.
Iyl`hoa
Qt`monoz`toel er Fusoel !
H`l`jdhdlt
Fuli`hdlt`ns ef
Qpol`n OlkuryH`l`jdhdlt-
Qurjoa`n
H`l`jdhdlt -Qdatoel- 4
?6
Fuli`hdlt`ns efQpol`n Olkury
H`l`jdhdlt-
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Qpol`n fox`toels `rd aelsoidrdihdioa`nny ldadss`ry fer spol`nolst`monoty `sseao`tdi wotc `ly ef tcdfennewolj aeliotoels;
Qpol`n Fox`toelH`l`jdhdlt
Fuli`hdlt`ns ef
Qpol`n OlkuryH`l`jdhdlt-
Qdatoel- 4
?:
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
Q o n
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Qpol`n olstruhdlt`toel sceuni prevoid
d`rny `li s`fd hemonoz`toel ef tcd p`todlt
Fer `acodvolj mely fusoel suffoaodltsdjhdlt`n st`monoty `li `pprepro`td ne`i
sc`rolj `rd dssdlto`n
@msenutd st`monoty h`y oltdrfdrd wotc
fr aturd cd`nolj iud te strdss-scodnioljef tcd meld jr`ft
]ojoi (hunto-)sdjhdlt`n olstruhdlt`toel
h`y a`usd `ik`adlt sdjhdlt evdrne`i.
Qpol`n
Olstruhdlt`toel -
Fuli`hdlt`ns ef
Qpol`n OlkuryH`l`jdhdlt-
Qurjoa`n
H`l`jdhdlt -Qdatoel- 4
?3
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
Qurjoa`n
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Ye suppert tcd spold wcdl ots struatur`n
oltdjroty os sdvdrdny aehprehosdi
(o`trejdloa, tr`uh`toa, olfdatoeus er
tuhereus) Ye prdvdlt prejrdssoel er te h`olt`ol
tcd `acodvdi prefond `ftdr aerrdatoel ef
spol`n idferhotods (saenoesos, bypcesos,
speliynenostcdsos) Ye `nndvo`td er dnohol`td p`ol erojol`tolj
freh v`roeus `l`tehoa`n struaturds my
fusolj er stoffdlolj spold sdjhdlts `li
tcdrdmy ioholoscolj hevdhdlt
Aerd Hdss`jds
Je`ns ef Qpol`n
olstruhdlt`toel -
Fuli`hdlt`ns ef
Qpol`n OlkuryH`l`jdhdlt-
Qurjoa`n
H`l`jdhdlt -Qdatoel- 4
??
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
Qurjoa`n
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Wdioand Qardw pesotoelolj-Fuli`hdlt`ns ef
Qpol`n OlkuryH`l`jdhdlt-
Qurjoa`n
H`l`jdhdlt -Qdatoel- 4
077
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
Qurjoa`n
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Yr`ls-n`hol`r sardws
Ycer`aoa pdioandsardw pesotoelolj
Fuli`hdlt`ns ef
Qpol`n Olkury
H`l`jdhdlt-
Fuli`hdlt`ns ef
Qpol`n OlkuryH`l`jdhdlt-
Qurjoa`n
H`l`jdhdlt -Qdatoel- 4
070
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
Qurjoa`n
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A`jd boldh`t oas -
Qt`li-`neld oltdrvdrtdmr`n a`jds fer spol`n fusoel dxcomot peer st`monoz`toel
ol dxtdlsoel.
` Dxtdlsoel os lerh`nny p`rto`nny nohotdi my tcd f`adt keolts.
m Fennewolj tcd olsdrtoel ef `l oltdrmeiy a`jd, tcd f`adt keolts h`y
md iostr`atdi, a tcdrdmy olard`solj sdjhdlt`n hemonoty.
Fuli`hdlt`ns ef
Qpol`n OlkuryH`l`jdhdlt-
Qurjoa`n
H`l`jdhdlt -Qdatoel- 4
07=
Fuli`hdlt`ns ef Qpol`nOlkury & H`l`jdhdlt -
Qurjoa`n
Q
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Idsojls ef
tet`n i osa rtcrepn`sty
Aurrdlt oltdrvdrtdmr`n iosa prestcdsds ioffdr ol tcd md`rolj h`tdro`nusdi (penydtcyndld er hdt`n `nneys) `li c`vd dotcdr ` foxdi (aelstr`oldi)Adltdr ef ret`toel - (d.j. ` Wreiosa, Qyltcds) er fennew tcd sdjhdlt`n cdnoa`n `xosef hetoel (sdho-aelstr`oldi) `s ol m tcd Ac`rot ¹d pretcdsos (IuWuy Qpold Ola.).
Fuli`hdlt`ns ef
Qpol`n Olkury
H`l`jdhdlt-
Qurjoa`n
H`l`jdhdlt -Qdatoel- 4
071
Wes tepdr`tovd
Qurjoa`n
H`l`jdhdlt
-
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8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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p
A`rd -H`ker spol`n surjdry os preld te
aehpnoa`toels mut a`l md holohozdi wotc prepdr pest-epdr`tovd a`rd.Idspotd `iv`lads ol `ldstcdso` a`rd`li surjoa`n tdacloquds, h`ker surjdryos stonn preld te ulidsor`mnd
aelsdqudlads suac `s; Olfdatoel
Ycrehmedhmenoaaehpnoa`toels
A`rioe-rdspor`tery hermoioty
Adrdmr`n iysfulatoel Westepdr`tovd l`usd` `li
vehotolj
J`streoltdstol`n p`r`nysos
W`ol
F`tojud
Fuli`hdlt`ns ef
Qpol`n Olkury
H`l`jdhdlt-
Qdatoel- 4
079
Westepdr`tovd
A`rd `li W`ol
Q to
4
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A`rd `li W`ol
H`l`jdhdlt - Ycd ldadssoty fer a`rdfun pestepdr`tovd `ssdsshdlt ef tcd
ioffdrdlt erj`l systdhs os sdnf-dvoidlt
Wdroepdr`tovd t`acya`rio`s `rd eftdl aehmoldi wotcosacdhoa dposeids, `li tcdor trd`thdlt os h`li`tery
mda`usd ef tcd cojc hert`noty ef pdroepdr`tovdhyea`rio`aolf`ratoel
Oltdlsovd olsunol tcdr`py a`l rdiuad hermoioty `lihert`noty
Fennewolj adrvoa`n spold surjdry, pdrferh `orw`y`ssdsshdlt mdferd dxtum`toel. Quatoel ir`ol`jd `li anesdsurvdonn`lad holohozd tcd rosb ef ulrdaejlozdi mnddiolj
@jjrdssovd pestepdr`tovd punhel`ry a`rd holohozds tcd
rosb ef rdspor`tery aehpnoa`toels
Fuli`hdlt`ns ef
Qpol`n Olkury
H`l`jdhdlt-
Qdatoel- 4
074
Qurjoa`n
H`l`jdhdlt
Q to
4
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W`todlts `rd sehdtohds aelfusdi `meut
wcdtcdr tcdy sceuni sdd `l ertcepdioa
surjdel er ` lduresurjdel.
Ycd spold os `l `rd` ef “tdrrotero`n evdrn`p―
mdtwddl tcdsd twe surjoa`n iosaopnolds.
Ol jdldr`n, idjdldr`tovd iosd`sd ef tcd
ldab os herd nobdny te md rdfdrrdi te `lduresurjdel wcond tcd herd aehpndx
ioseridrs ef tcd nuhm`r spold, p`rtoaun`rny
tcesd rdquorolj fusoels, wonn prem`mny md
id`nt wotc my `l ertcep`dioa surjdel.
Zce sceuni
Wdrferh QpoldQurjdry5
Fuli`hdlt`ns ef
Qpol`n Olkury
H`l`jdhdlt-
H`l`jdhdlt -Qdatoel- 4
076
Qurjoa`n
Q to
4
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Qehd spol`n epdr`toels f`nn dltordny ol
tcd rd`nh ef tcd ertcep`dioa surjdel, fer
dx`hpnd aerrdatoel ef h`ker mely
idferhotods Qehd aeliotoels `rd sendny tcd
rdspelsomonoty ef lduresurjdels, fer
dx`hpnd aysts er tuheurs wotcol tcd
spol`n aeri otsdnf. Eaa`soel`nny tcd aehmoldi sbonns ef
metc spdao`nosts `rd lddidi. Ycdrd rdh`ol
` luhmdr ef aeliotoels wcoac a`l md id`nt
wotc `id u`tdn m dotcdr s dao`nost `li
Fuli`hdlt`ns ef
Qpol`n Olkury
H`l`jdhdlt-
Qurjoa`n
H`l`jdhdlt -Qdatoel- 4
07:
Qurjoa`n
Q to
4 Qurjoa`n
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Wrdepdr`tovd pn`llolj ef tcd
preadiurd os bdy te surjoa`n
suaadss ‑
@l ol-idptc blewndijd ef tcd
surjoa`n `l`tehy os ` prdrdquosotd
fer suaadssfun surjdry. Idt`ondi `l`tehoa`n blewndijd
cdnps te `veoi sdroeus
aehpnoa`toels.
Aerd Hdss`jds
Fuli`hdlt`ns ef
Qpol`n Olkury
H`l`jdhdlt-
Fuli`hdlt`ns ef
Qpol`n Olkury
H`l`jdhdlt-
H`l`jdhdlt -Qdatoel- 4
073
Qurjoa`n
@ppre`acds -
Qurjoa`n
Qdatoel
4 Qurjoa`n
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Eptoh`n p`todlt pesotoelolj os dssdlto`n
te f`aonot`td tcd `ppre`ac `li `veoi
aehpnoa`toels. Tsd `l oh`jd oltdlsofodr er
r`ioejr`pcoa aeltren te `veoi wrelj ndvdnsurjdry.
@ prefeuli `l`tehoa`n blewndijd ef
sardw tr`kdaterods os ` prdrdquosotd fer s`fd
spol`n st`monoz`toel tdacloquds. Aehputdr `ssostdi surjdry ieds let
aehpdls`td fer olsuffoaodlt `l`tehoa`n
blewndijd `li a`l md i`ljdreus ol
oldxpdrodladi c`lis
Fuli`hdlt`ns ef
Qpol`n Olkury
H`l`jdhdlt-
j
H`l`jdhdlt -Qdatoel- 4
07?
Qurjoa`n
@ppre`acds -
]dc`monot`toel
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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]dc`monot`toel `ftdr spol`n olkury (QO)
feausds el tcd p`todlt nd`rlolj cew te
novd nofd wcdl f`adi wotc pcysoa`n,
eaaup`toel`n, `li dhetoel`nac`nndljds.
@ftdr QO, dvdrytcolj a`l ac`ljd, `li
yeu a`l f`ad h`ly ossuds olanuiolj
hemonoty, rdjun`r dxdraosd `li
h`olt`ololj ` ndvdn ef fotldss,aehhuloa`toel ac`nndljds, `li
`atovotods ef i`ony novolj.
]dc`monot`toel h`y md `aaehpnoscdi `t
` cespot`n, eutp`todlt anoloa, cehd, er `
]dc`monot`toel
Qdatoel- 6
007
@aardiotdi rdc`monot`toel adltdrs
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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16
prevoid QAO p`todlts wotc ` td`h ef
prefdssoel ns `li h`ly rdseurads.
Qehd ef tcd prefdssoel`ns olanuid;
Eaaup`toel`n Ycdr`post
Wcyso`trost.
Wcysoa`n Ycdr`post;
]dc`monot`toel Lursd.
Qpddac `li N`lju`jd
W`tcenejost.
Ycdr`pdutoa ]dard`toel`nQpdao`nost.
Vea`toel`n ]dc`monot`toel
Ycdr`post.
]dc`m Wsyacenejost
]dc`monot`toel
Qdatoel-
6
000
Q to
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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1?
]dc`monot`toel
Qdatoel-
6
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97
„Ldurenejoa`n ioseridrs `rd tcd hest
aehpnoa`tdi premndhs blewl te
hdioa`n saodlad tei`y, `li wdrdquord tcd mdst saodltofoa holis `li
tdaclenejy ol eridr te foli aurds.‘
Z. I`ntel Iodtr oac, Wc.I., saodltofoaiordater, Ycd Ho`ho Wrekdat te Aurd
W`r`nysos
]dc`monot`toel
Qdatoel-
6
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Wrejlesos
Ycd h`ol idtdrhol`lt ef eutaehd os tcd p`todlt'sldurenejoa`n jr`id `t tcd tohd ef `ihossoel wotc p`todlts
c`volj aehpndtd heter `li sdlsery hydnep`tcy scewolj tcd
werst prejlesos.
Etcdr prdioatovd f`aters olanuid rdat`n teld st`tus,
`ihossoel mneei prdssurd `li punsd st`tus, rdfndxds, `lihdioa`n li surjoa`n h`l`jdhdlt solad olkury.
Ycd tohd aeursd ef rdaevdry os `nse preneljdi `li rdaevdry
otsdnf eftdl olaehpndtd.
Y bolj `nn jr`ids `li nea`toels olte aelsoidr`toels ` stuiy
aelanuidi tc`t wcond tcd h`keroty ef a`sds ohprevdi wotcol `yd`r, dvdl `t 1 yd`rs pest olkury =1.1% aeltolud te ohprevd
wcdrd`s :.0% idtdroer`tdi. Ycd trdli aeltoludi ol tcd 4tc
yd`r pest olkury `nse wotc 0=.4% `li 4.4% rdspdatovdny
scewolj furtcdr ohprevdhdlt `li n`td idtdroer`toel. Cdlad
preneljdi rdc`monot`toel `t ` aehprdcdlsovd spol`n
rdc`monot`toel adltdr os tcd h`l` dhdlt ef s ol`n aeri ol urods.
009
Jdldr`nny aelsostdlt
prdioaters ef peer
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt -
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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p p
eutaehd -Aerd
Hdss`jds
Ycd hest aehhelny
dx`holdi prdioaters ef
surjoa`n eutaehd a`l
a`tdjerozdi olte
tcd fennewolj jreups -
004
Jdldr`nny aelsostdlt
prdioaters ef peer eutaehd
-
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt -
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•Cd`ntc mdc`voer`n `li nofdstynd
f`aters Qhebolj (dspdao`nny fer
fusoel)
•Wsyacenejoa`n f`aters
Wsyacenejoa`n iostrdss (d.j.
Idprdssoel, `lxodty), dspdao`nny
ol p`todlts wotc acreloa p`ol•Qeaoenejoa`n f`aters- F`hony
rdolferadhdlt ef p`ol, dspdao`nny
ol p`todlts wotc acreloa p`ol
prdioaters ef peer eutaehd
006
Aehpnoa`toels
ef Qpol`n Olkury/Qurjdry
-
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt -
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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ef Qpol`n Olkury/Qurjdry Qbol Mrd`biewl
Estdeperesos `li Fr`aturds; Wlduhelo`, @tdndat`sos, @spor`toel;
Cdtdretepoa Essofoa`toel;
Qp`stoaoty;
@utelehoa iysrdfndxo`;
Iddp vdol tcrehmesos; A`rioev`saun`r iosd`sd;
Qyroljehydno`-
Ldurep`tcoa/Qpol`n Aeri W`ol-
]dspor`tery Iysfulatoel- Hosadnn`ldeus
prdssurd serds, Jrd`tny olard`sd aest `li
hermoioty. Webonetcdrho` ol p`todlts wotc
ndsoel `mevd Y0cypel`tr`dho` aehhel ol
forst wddb.
Ycdrd `rd h`ly aehpnoa`toels
ef spol`n Olkury tcd fennewoljs `rd
hest aehhel -
Aehpnoa`toelsef Qpol`n Olkury -
00:
J
dldr`n Aehpnoa`toels
@ldstcdso` Aehpnoa`toels
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt -
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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Mnddiolj
Olfdatoel
Mneei Anets AQF nd`b / Iur`n Yd`r
Nulj Wremndhs
Wdrsostdlt W`ol
Ldrvd Aehpnoa`toels Ldrvd Olkury
Qpol`n Aeri Olkury / W`rdsos
/W`r`nysos
Qdxu`n Iysfulatoel / Olaeltoldlad
Ohpn`lt & Fusoel Aehpnoa`toels Idn`ydi Tloel er Leluloel
C`riw`rd Fr`aturd
Ohpn`lt Hojr`toel
Wsdui`rtcresos
Aehpnoa`toelsef Qpol`n Qurjdry -
003
Ycdrd `rd h`ly aehpnoa`toels
ef spol`n Qurjdry, tcd fennewoljs `rd
hest aehhel -
]dadlt Yrdlis
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt -
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]dadlt Yrdlis
ol Qpold Qurjdry -
Holoh`nny Olv`sovd Qurjdry(HOQ)
Iyl`hoa st`monoz`toel- Hetoelprdvdltoel
@rtofoao`n iosa rdpn`adhdlt Dliesaepoa Qpol`n Qurjdry
N`sdr Qpol`n Qurjdry Oltr`-iosa`n dndatroa`n Qurjdry @li Moe-`mserm`mnd Ohpn`lt ohpn`lt`toel
00?
Fuli`hdlt`ns ef Qpol`n
Olkury & H`l`jdhdlt -
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Wrd-cespot`n & cespot`n metc pc`sds `rd dqu`nny
ohpert`lt fer QO h`l`jdhdlt. Qurjoa`n oltdrvdltoel ohprevds rdaevdry pdroei,
qu`noty ef nofd `li ]dc`m, rdiuads hermoioty/ hert`noty .
QO os ldjndatdi `li peerny h`l`jdi. ]dsd`rac os
sp`rsd `li i`t` os hossolj. Ycd idhejr`pcoas,
dpoidhoenejoa`n p`ttdrl ef QA ol tcd idvdnepolj wernios ioffdrdlt freh tcd idvdnepdi werni `li tcos sceuni
md aelsoidrdi wcond ferhun`tolj penoads fer tcd QO ol
futurd.
Yr`uh` dv`au`toel preteaens lddi te md idvdnepdi`li prd cespot`n a`rd ef suspdatdi QO p`todlt sceuni
md ohprevdi.
]djoel`n `li l`toel`n spol`n olkury adltdrs
prevoiolj aehprdcdlsovd trd`thdlt `li
Qdatoel- :
0=7
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0=0
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@t‑
Qc`cddi Qucr`w`riy Hdioa`n
Aenndjd Cespot`n, Ic`b`-0=7:.
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@t ‑Qc`cddiQucr`w`riyHdioa`n Aenndjd
Cespot`n,Ic`b`.
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Qdro`n
le-Io`jlesos Epdr`toel Yet`n
a`sd
0. WNOI(Wren`psdi oltdr-vdrtdmr`n
iosb).
Qurjoa`nidaehprdssoel/Iosadatehy/
N`holdatehy/Dpoiur`n stdreoi).
99
=. Qpol`n YM/
Qpol`n Aenn`psd.
Qpol`n Fox`toel 01
1. Qpol`n Olkury Qpol`n Fusoel 4
9. Qpol`n Yuher Qpol`n Yuher ]dhev`n 07
4. Qpol`n
Estdehydnotos
And`r`lad 01
Qt`tostoa`n i`t` ef Qpol`n ioseridr epdr`tdi `tQc`cddi Qucr`w`riy Hdioa`n Aenndjd Cespot`n,
Idp`rthdlt ef ertcepdioas' &tr`uh`te nejy-
@t ‑Qc`cddiQucr`w`riy
Hdioa`n AenndjdCespot`n,Ic`b`.
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WNOI47%
Qpol`n YM/Aenn`psd
06%
Qpol`n Yuher6%
Qpol`nestdehydnotos
0=%
Etcdrs06%
Etcdr=3%
Qt`tostoa`n i`t` ef Qpol`n ioseridr epdr`tdi `tQc`cddi Qucr`w`riy Hdioa`n Aenndjd Cespot`n,Idp`rthdlt ef ertcepdioas' & tr`uh`tenejy
-
@t ‑Qc`cddiQucr`w`riyHdioa`n AenndjdCespot`n,Ic`b`.
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Qdro`n
le-Io`jlesos epdr`toel Yet`n
a`sd
0. WNOI(Wren`psdi oltdrvdrtdmr`n
iosb).
Qurjoa`nidaehprdssoel/Iosadatehy/N`hol
datehy/Dpoiur`n stdreoi).
14
=. Qpol`n YM/
Qpol`n Aenn`psd.
Qpol`n Fox`toel 09
1. Qpol`n Olkury Qpol`n Fusoel ? 9. Qpol`n Yuher Qpol`n Yuher ]dhev`n 1
4. Qpol`n
Estdehydnotos
And`r`lad 07
Qt`tostoa`n i`t` ef Qpol`n ioseridr epdr`tdi`t Qc`cddi Qucr`w`riy Hdioa`n Aenndjd Cespot`n,
Idp`rthdlt ef ertcepdioa‟s & tr`uh`tenejy-
@t ‑Qc`cddiQucr`w`riy
Hdioa`n AenndjdCespot`n,Ic`b`.
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46%
0:%
00% 9%
0=%06%
WNOI Qpol`n YM/ Aenn`psd Qpol`n Yuher
Qpol`n estdehydnotos Etcdrs
Qt`tostoa`n i`t` ef Qpol`n ioseridr epdr`tdi`t Qc`cddi Qucr`w`riy Hdioa`n Aenndjd Cespot`n,
Idp`rthdlt ef ertcepdioas' & tr`uh`tenejy-@t ‑Qc`cddiQucr`w`riyHdioa`n AenndjdCespot`n,Ic`b`.
W`todlt L`hd; Hs. Kcerl` Mdjuh, @jd;0:
yd`rs.
Olioa`toel/ Io`jlesos;Qpol`n Qurjdry;
A`sd
-
0
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And`r`lad &
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I`tdi; =1riKuny/ =700.
Vdlud; Qc`cddi Qucr`w`riy Hdioa`n AenndjdCespot`n, Ic`b`-0=7:, M`ljn`idsc.
Idp`rthdlt Ef Ertcepdioas' &Yr`uh`tenejy.
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@chdi @sseao`td Wrefdsser Ir. W`rotesc Ac. Idmdl`tc
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Ir. @holur ]`ch`l
@ldstcdsoenejost ;
Qpol`n Qurjdry;@t ‑Qc`cddiQucr`w`riy
Hdioa`n AenndjdCespot`n,Ic`b`.
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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@t ‑Qc`cddiQucr`w`riyHdioa`n AenndjdCespot`n,Ic`b`.
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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@t ‑Qc`cddiQucr`w`riyHdioa`n AenndjdCespot`n,Ic`b`.
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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@t ‑Qc`cddiQucr`w`riyHdioa`n AenndjdCespot`n,Ic`b`.
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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@t ‑Qc`cddiQucr`w`riyHdioa`n AenndjdCespot`n,Ic`b`.
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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@t ‑Qc`cddiQucr`w`riyHdioa`n AenndjdCespot`n,Ic`b`.
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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@t ‑Qc`cddiQucr`w`riyHdioa`n AenndjdCespot`n,Ic`b`.
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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@t ‑Qc`cddiQucr`w`riy
Hdioa`n AenndjdCespot`n,Ic`b`.
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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@t ‑Qc`cddiQucr`w`riyHdioa`n AenndjdCespot`n,Ic`b`.
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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@t ‑Qc`cddiQucr`w`riyHdioa`n AenndjdCespot`n,Ic`b`.
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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@t ‑Qc`cddiQucr`w`riyHdioa`n AenndjdCespot`n,Ic`b`.
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8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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@t ‑Qc`cddiQucr`w`riyHdioa`n AenndjdCespot`n,Ic`b`.
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8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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@t ‑Qc`cddiQucr`w`riyHdioa`n AenndjdCespot`n,Ic`b`.
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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@t ‑Qc`cddiQucr`w`riyHdioa`n AenndjdCespot`n,Ic`b`.
M`soa Qpol`n
Olstruhdlts ;
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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@t ‑Qc`cddiQucr`w`riyHdioa`n AenndjdCespot`n,Ic`b`.
Olstruhdlts ;
Qpol`n Qurjdry Yd`h
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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@t ‑Qc`cddiQucr`w`riyHdioa`n AenndjdCespot`n,Ic`b`.
Qpol`n Qurjdry Yd`h@t QcQHAC.
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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Qc`cddi Qucr`w`riyHdioa`n Aenndjd Cespot`n,
Ic`b`, M`ljn`idsc.
8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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8/3/2019 Fundamentals of – Spinal Injury & Management, And Spinal Surgery: At – Shaheed Suhrawardy Medical College Hospital, Dhaka,Bangladeh
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