2. Spine Neuroimaging Dr. Bekti

8/12/2019 2. Spine Neuroimaging Dr. Bekti

1/45


2/45


3/45


4/45


5/45


6/45


7/45


8/45


9/45


10/45


11/45


12/45


13/45


14/45

TraumaDegenerative disease

Tumors and other massesInflammation and infectionVascular disorders

Congenital anomalies


15/45


16/45

Fraktur kompresi adalah salah satu tipefraktur yang sering dijumpai pada trauma

tulang belakang Fraktur ini mengakibatkan tulang vertebra

menjadi pipih Sering berkaitan dengan keadaan

osteoporosis


17/45


18/45

Berasal dari kata Spondylo = spineListhesis = slipe/ bergeser

Spondylolisthesis :pergeseran vertebra dibandingkan denganvertebra di bagian distalnya.


19/45
http://refimgshow%281%29/


20/45

Anterolisthesisof C6 onC7


21/45

Grade spondylolisthesis dinilai dari presentasepergesaran vertebra tergadap vertebra di bagiandistalnya Grade 1 : 0-25 % Grade 2 : 26 50 % Grade 3 : 51 -75 %

Grade 4 : 76 100 % Grade 5 : spondyloptosis ( vertebra benar2 telah

terlepas dari vertebra di bagian distalnya)


22/45


23/45

Kongenital

IsthmicDegeneratifTraumatic

Phatologic


24/45

Defect pars interartikularis vertebra


25/45


26/45

Lateral radiograph of the lumbar spine shows spondylolysisat L5 with spondylolisthesis at L5 through S1

(Pars Fracture of the Spine)

Spondylolysis


27/45

SpondylolyticSpondylolisthesis

X Foto Lateral


28/45

X FOTO PROYEKSI OBLIQ


29/45

Skoliosis : kelengkungan abnormal tulangbelakang ke arah samping, yang dapat terjadi

dari level servical, torakal ataupun lumbal. Etiologi : - Idiopatik

- Kongenital- Gangguan otot & syaraf


30/45

The radiographic assessment of the scoliosis patientbegins with erectanteroposterior and lateral views of theentire spine (occiput to sacrum).

the examination should include a lateral view of the

lumbar spine to look for the presence of spondylolysis orspondylolisthesis

The scoliotic curve is then measured from the AP view.The most commonly used methodis the Cobb method.

The Cobb method has several advantages over othermethods, including the fact that it is more likely to beconsistent even when the patient is measured by severaldifferent examiners.


31/45


32/45


33/45

Scoliosis x-ray


34/45


35/45

Spondyloarthrosis : suatu kondisi proses degeneratif pada

discus intervertebralis dan jaringan pengikat persendian

antara ruas-ruas tulang belakang.


36/45


37/45


38/45


39/45


40/45


41/45

Additional findings Vertebral end plates are osteoporotic. Intervertebral disks may be shrunk or

destroyed. Vertebral bodies show variable degrees of

destruction.

Fusiform paravertebral shadows suggestabscess formation. Bone lesions may occur at more than one

level


42/45


43/45


44/45


45/45

2. Spine Neuroimaging Dr. Bekti

Documents

Transcript of 2. Spine Neuroimaging Dr. Bekti