SPINAL STABILIZATION PPT
- 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.
- 9. 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.
- 10. 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.