#spinal imaging

[gauricmi]

The Global Spinal Imaging Market is Anticipated to Witness High Growth Owing to Rising Incidence of Spinal Disorders

The global spinal imaging market encompasses imaging modalities and procedures used for evaluating spinal disorders and spine-related conditions. Key modalities include X-ray, CT myelography, MRI, nuclear imaging, and ultrasound. Spinal imaging provides detailed anatomical information and helps diagnose spinal disorders effectively. It plays a vital role in evaluating degenerative conditions, infections, masses, fractures, structural deformities, and post-surgical assessment. The growing burden of spinal disorders due to lifestyle changes and rising geriatric population is a key factor fueling demand for spinal imaging procedures worldwide. The Global spinal imaging market is estimated to be valued at US$ 2.10 BN in 2024 and is expected to exhibit a CAGR of 5.4% over the forecast period 2024 To 2031. Key Takeaways Key players operating in the Global Spinal Imaging Market Growth are Shimadzu Corp., FUJIFILM, Hitachi, Ltd., Toshiba Medical Systems, Inc., GE Healthcare, Koninklijke Philips N.V., Siemens Healthineers, Canon Medical Systems Corp., Bruker, and Mediso Ltd. These players are focusing on new product launches and offering advanced imaging modalities to bolster their market position. Major companies are also expanding their geographical presence in emerging markets through partnerships and acquisitions. For instance, in 2021, FUJIFILM acquired Hitachi's diagnostic imaging business to strengthen its position in the medical system business globally. The key opportunities in the market include increasing adoption of hybrid imaging systems, growing demand for minimally invasive procedures, and integration of AI and analytics with spinal imaging modalities. Hybrid imaging systems combine anatomical and functional imaging which help provide better visualization during diagnosis and treatment planning. Moreover, there is high potential for spinal imaging in emerging regions such as Asia Pacific, Latin America, and Middle East & Africa. Factors such as increasing healthcare expenditure, growing awareness about advanced spine care, and initiatives by market players will aid the adoption of spinal imaging in these markets over the forecast period. Market Drivers Rising incidence of spinal disorders due to obesity, trauma, age, and lifestyle changes is a major market driver. Spinal disorders account for a significant proportion of global musculoskeletal disease burden. According to the WHO, around 20% of the world's population is affected by spinal disorders annually. Get More Insights On This Topic:  Spinal Imaging Market

[oddestishottest]

not sure where I get the energy, but it's a new day I guess

[rathologic]

IM SO SORRY... I thought artemy's leg pain was popular fanon. I haven't checked pathic 2 in awhile. anyways! happy disability pride

HI YOU'RE GOOD sorry this took forever to get to! off the top of my head this is the line most people reference for it, c.f. this post:

CHILD: You know… Big, fat, dangerous, with bulgy eyes, a weird leg, a scary mug, and a stupid look on his face. Must be you.

and this line to Aspity:

HARUSPEX: My legs aren't that crooked, khetey.

ALSO from lika after the station massacre, implying the haruspex's leg was either (also) injured during that, or looked like it had been:

LIKA: Or do you want my collar? You could fix your leg with it.

honestly so so so so true. I do think part of it's the nature of "posts appreciating X attribute of a character usually won't reference other attributes unless directly related" but there's also such a wide variety of disability in pathologic's canon while I tend to only see discussion of its non-physical disabilities in the wild... we need in-depth essays on the representation of 2006's Some Git npc 1 million notes everywhere

[evilhorse]

His spinal column snaps like a twig.

(Shadow Hawk #1)

[rxvera]

ugghhhhhh I hate seeing shit that's like "omgggg women have to cut off their HEALTHY breast tissue to fit in, we need to change the way we treat women and we need to stop offering breast reduction surgery, and that's how you fix things, not AMPUTATING VITAL ORGANS 😡😡😡" as if breast tissue doesn't cause legit problems that can only be fixed surgically and the benefits usually far outweigh the risks and it's not at all vital

[skeletap]

It is our wonderful day of Halloween. 💀🎃👻😈

I will be accepting trick or treats 😱in my ask box 💌. Just send "trick or treat" and say your costume🧙‍♂️🧟‍♂️🧛‍♂️, and ill give you 🫵 various fun tricks and treats ranging from random in-theme images 🖼️ to Spinal Tap😈🍬🍫🍭 giving you a singular treat or Skeletor💀🪄💥✨ casting a spell on you.

Go crazy with it and start ringing the metaphorical doorbell on my blog. 🚪🏚️⚰️🌕

[cosmiccerealbowl]

Attack on Titan's Titan Serum

Generated on Bing, by Cosmiccerealbowl

[myrawjcsmicasereports]

 360° spinal fixations through posterior only approach in a child with pott’s disease: a case report by Md. Rezaul Amin in Journal of Clinical Case Reports Medical Images and Health Sciences.

Abstract

Tuberculosis (TB) is caused by acid-fast bacilli Mycobacterium tuberculosis and rarely by M. bovis, which is very common in developing countries like Bangladesh. Vertebral bodies are common site of extra-pulmonary involvement by TB. Although spinal TB is not very common in young children, pott’s disease affecting children and requiring surgical intervention have been reported. But in children, this surgery is often challenging due to greater technical difficulty with instrumentation. A 9-year-old girl presented with paraplegia due to compressive dorsal myelopathy due to pott’s disease at D4- D5 level. Anti-TB medication was started and two weeks later she underwent decompression of neural elements by D5 Laminectomy and corpectomy and stabilization by bilateral trans-pedicular screws and rods at D3, D4, D6 and D7 and fusion by mesh cage filled with autologous bone chips. Her post-operative recovery was uneventful. Histopathology report shows Granulomatous inflammation, compatible with tuberculosis. At the last follow-up, the patient was clinically and radiographically stable.

Keyword: 360° spinal fixation, Pott’s disease, Posterior only approach, Childhood spinal TB, Spinal instrumentation.

Introduction

Tuberculosis is a granulomatous inflammation involving various organs. The prevalence of TB is high in developing countries 1. High risk groups include the IV drug abusers, immunocompromised and HIV-infected people, prisoners and nursing home residents2. Vertebral tuberculosis, also known as Pott disease, is relatively common in certain regions of the world and is found in 1%–2% of TB cases worldwide3,4. Spinal TB is the most common site of extrapulmonary TB. The majority of Pott’s disease patients present with destruction and collapse of vertebrae and involvement of adjacent tissue. The disease may end up with spinal deformity and neurological complications like arachnoiditis, intramedullary tuberculoma and epidural abscesses5.

We report upper thoracic Pott’s disease in a 9-year-old girl with myelopathy. She was treated surgically with vertebral column resection and 360º reconstruction via a posterior-only approach to prevent the progression of neurological deficit and stabilize the deformity.

Case Report

History and Presentation

A 09 years old girl, 2nd issue of her non-consanguineous parent presented with the complaints of pain in the upper back for 02 months, weakness in both lower limbs for 2 weeks. Her weakness of lower limbs was sudden, asymmetrical (Left>right) and non-ascending type. Weakness was progressive and she became unable to walk or stand even with support 01 week later. She had no history of fever, convulsion, diarrhoea, vomiting, and headache. There was no history of contact with TB patient. Her bowel and bladder functions were normal.

Physical examination

Her lower limbs reveal visible muscle wasting of both legs, muscle tone was slightly increased, muscle power was MRC grade 0 in both lower limbs, deep tendon reflexes were exaggerated, planter were bilaterally extensor, sensory and autonomic function were intact. Upper limbs were neurologically intact, cerebellar sign absent, cranial nerve palsy absent; gait could not be assessed.

Investigations

CBC: Hb% 12gm/dl, ESR 47 mm in 1st hour, TC of WBC 7000/cmm, Neutrophil 65%,

Imaging: MRI of D/L spine with screening of whole spine shows T1 hypo & T2 hyperintense signal change with heterogenous contrast enhancement at D4 & D5 vertebral bodies and intervening intervertebral disc with almost complete collapse of D5 vertebral body with similar signal intensity pre and para vertebral soft tissue swelling at the same level with epidural extension causing spinal canal stenosis with cord compression and bilateral nerve root compression. Similar lesion is also present at S1 vertebral body.

Operative Procedure

Anti-TB medication started and two weeks later she underwent decompression of neural elements by D5 Laminectomy and corpectomy and stabilization by bilateral trans-pedicular screw and rod at D3, D4, D6 and D7 and fusion by mesh cage filled with autologous bone chips (Fig.2).

Postoperative course

Her post-operative recovery was uneventful. Her back pain was improved and she could walk without support. Histopathology report shows Granulomatous inflammation, compatible with tuberculosis. An 18 months antitubercular therapy was planned. During the first 3 months she got 4 drug regimen and for the rest of the 15 months, 2 drug regimen was advised. Pyridoxin was advised throughout the course of anti-TB therapy.

Follow Up

On 2nd post-operative day her lower limb muscle power improved to 3/5 and 02 weeks post op muscle power was 4-/5 and became able to walk without support and became pain-free. The patient was advised for follow-up in every 3 months (Fig. 3).

Discussion

Spondylitis is the most common manifestation of osseoarticular TB, and 1%–3% of patients with TB have skeletal involvement. It is most common in the first 3 decades of life and is a leading cause of paraplegia6. Vertebral body involvement usually occurs through the extensive venous plexus of Batson, spreading infection to multiple spinal segments while characteristically sparing the disc space7,8. Tuberculous spondylitis without any spinal cord compression or neurological deficits can be treated conservatively with anti-TB medications. Surgery is considered for patients with spinal cord compression or neurological compromise, significant spinal deformity, persistent severe axial pain or disease progression on maximal medical therapy9,10. Multiple surgical approaches are available for treatment of TB spondylitis in the pediatric age group. Outcomes of extensive surgery is similar to debridement alone except better correction of kyphosis and deformity in case of extensive surgery11. In addition, extensive surgery reduces the duration of chemotherapy12. Although Pott’s disease affecting young children are rare but it’s surgical management is technically challenging13. Presentation of vertebral TB in children are often insidious in onset and include back pain, fever and motor, sensory or autonomic dysfunction. Although chemotherapy is the first line of treatment, but surgery may be warranted if spinal cord compression or kyphotic deformity is present. Around 3% of children with pott’s disease develop severe kyphosis (> 60°)14 .Risk factors for kyphotic deformity includes age <10 years; involvement of ≥ 3 VBs; or involvement of  thoracic spine15. Severe kyphosis is cosmetically unacceptable and causes spinal cord compression over the apex of the deformity and cardiopulmonary dysfunction from restrictive lung disease. Skeletal immaturity of young children must be taken into account during surgical intervention and number of fused segments should be minimized (particularly in dorsal spine) to avoid complications such as iatrogenic short stature, crankshaft deformity, and restricted growth of the rib cage causing pulmonary hypoplasia. Younger patients exhibit a more aggressive form of TB, with severe extra-pulmonary involvement and progressive VB collapse13, placing them at a higher risk for disabling complications in comparison to adults. So we performed surgery which halted progression of kyphotic deformity and improved neurological symptoms in our patient. The surgical technique of choice for spinal TB has been a matter of continuous debate16. Posterior-only surgical approaches in these cases had unfavorable outcomes because they were usually limited to laminectomy with or without fusion but spinal cord compression is located anteriorly17.  In our patient, we performed extensive surgery with vertebral column reconstruction with an anterior titanium cage and posterior instrumentation extending from 2 levels above and 2 levels below the lesion, even in the setting of acute infection which resulted in debridement of infectious focus and a reduced and stabilized kyphotic deformity. Our patient represents one of the few young patients treated with a single-stage, 360 vertebral column reconstruction with an anterior titanium cage and posterior pedicle screw fixation through posterior only approach. At follow-up, our patient’s neurological examination and kyphotic deformity were stable. However, she needs to be followed for the next several years, given her young age and skeletal immaturity, to check for development of complications.

Conclusion

Pott’s disease with spinal cord compression in children is very uncommon. Various treatment options may be considered. We report the successful use of single-stage, 360 vertebral column reconstruction with an anterior titanium cage and posterior pedicle screw fixation through posterior only approach to reconstruct a 9-year-old child’s vertebral column for radical removal of the infectious TB focus and reduction of the kyphotic deformity. Although limited number of literature is available, surgical debridement and spinal fusion via posterior approach appear to provide a safe alternative to conservative treatment with prolonged bed rest.

DECLARATIONS

Authors Contributions:

Conception, Diagnosis and Design, Radiological Diagnosis and Final approval of manuscript:

Dr KM Tarikul Islam, Dr Md Rezaul Amin,  Dr Md Ataur Rahman,  Dr. Shamsul Alam, Prof. Moududul Haque

Manuscript Preparation, Technical Revision, and Manuscript editing and revision:

Dr KM Tarikul Islam, Dr Md Rezaul Amin, Dr Md Ataur Rahman,

Literature Review: Dr. Md. Rezaul Amin, Dr. Ataur Rahman

ACKNOWLEDGEMENTS: None

FUNDING SUPPORT AND SPONSORSHIP: This research didn’t receive any specific grant from funding agencies in public, commercial or not for profit sector.

CONFLICT OF INTEREST: There are no conflict of interest.

[tropicalcontinental]

[usmanpuraimaging]

Discover the benefits, pricing, and preparation tips for MRI whole spine screening at Usmanpura Imaging Centre. Learn what to expect during the procedure and how it can help detect spinal issues early.

[drforambhuta]

The commonly seen congenital disorders are:

1. Down Syndrome:

• Cause: Trisomy 21 during conception, linked to maternal age.

• Characteristics: Includes musculoskeletal issues, thyroid dysfunction.

• Diagnosis: Non-invasive prenatal testing, genetic screening.

• Treatment: Personalized healthcare with early intervention.

2. Cleft Lip and Palate:

• Cause: Genetic predisposition, environmental factors.

• Characteristics: Encompasses visible and psychological aspects.

• Diagnosis: Improved prenatal diagnoses through imaging, genetic testing.

• Treatment: Surgical correction, ongoing regenerative medicine research.

3. Congenital Heart Defects:

• Cause: Genetic, environmental factors, maternal influences.

• Characteristics: Examines neurodevelopment, overall quality of life.

• Diagnosis: AI and machine learning for early detection.

• Treatment: Beyond surgery, regenerative therapies, precision medicine.

4. Neural Tube Defects:

• Cause: Genetics, maternal nutrition, environmental factors.

• Characteristics: Focus on long-term neurological impacts.

• Diagnosis: Advanced imaging, molecular diagnostics.

• Treatment: Surgical interventions, neuroregenerative approaches.

5. Cystic Fibrosis:

• Cause: Complex genetic mutations, cellular mechanisms.

• Characteristics: Beyond respiratory, digestive impacts, considers psychological, nutritional aspects.

• Diagnosis: Precision medicine, advanced genetic testing.

• Treatment: Gene therapies, targeted medications advancements.

6. Sickle Cell Anemia:

• Cause: Genetic, molecular intricacies.

• Characteristics: Examines long-term impacts beyond clinical manifestations.

• Diagnosis: Early detection through genetic testing, newborn screening.

• Treatment: Exciting prospects with gene-editing technologies.

7. Hemophilia:

• Cause: Genetic, molecular underpinnings.

• Characteristics: Broader impact on joint health, quality of life.

• Diagnosis: Precision enhanced by molecular profiling.

• Treatment: Beyond clotting factor replacement, explores gene therapies.

8. Muscular Dystrophy:

• Cause: Specific genetic mutations associated with different forms.

• Characteristics: Progression impacts respiratory function, cardiac health.

• Diagnosis: Advanced imaging, molecular diagnostics.

• Treatment: Research into gene therapies, exon-skipping, pharmacological approaches.

9. Spinal Muscular Atrophy:

• Cause: Genetic intricacies, modifier genes, environmental influences.

• Characteristics: Beyond motor deficits, impact on respiratory function.

• Diagnosis: Advances in genetic testing, newborn screening.

• Treatment: Evolving landscape with gene-targeted therapies.

10. Williams Syndrome:

• Cause: Genetic deletions, insights into neurodevelopment.

• Characteristics: Encompasses delays, facial features, cognitive strengths/challenges.

• Diagnosis: Advanced genetic testing for accurate, early diagnoses.

• Treatment: Tailored education, early intervention, cardiovascular management.

Early diagnosis of the above conditions can be made with the help of regular full body health checkups for your child. You can opt for a full body health checkup at Indraprastha Apollo Hospitals in New Delhi, which is regarded to be one of the finest hospitals in Delhi.

[howdoesone]

How does one determine the cause of lower back pain using anatomy?

Lower back pain is a common complaint that can have various causes. The human spine is a complex structure, consisting of bones, joints, ligaments, muscles, and nerves. Therefore, diagnosing the exact cause of lower back pain can be challenging, but an understanding of the anatomy of the lower back can help. Continue reading Untitled

[the-fluffy-pancake]

[Image ID: The first image displays a flag made of five horizontal stripes. The top and bottom stripes are dark blue. The second and fourth stripes are grey. The middle stripe is white. In the center of the flag is the scoliosis awareness ribbon. The ribbon is green and one half of the ribbon is designed to look like vertebrae forming a spine.

The second image displays the same flag as above with the meaning for each stripe displayed on the stripes. Blue stripes are labeled "Spinal Surgery Awareness". Grey stripes are labeled "Rods screwed onto spine". The white stripe is labeled "Spine". /End ID]

Hello everyone!

I've made a Spinal Fusion flag to represent those struggling, recovering or simply living with a fused spine, like me!

I was diagnosed with a S curved scoliosis at the age of 5 and had surgery in summer of 2021, alongside multiple complication.

There seems to be not much representation to this specifically at all despite spinal surgery awareness! Sooo I thought I'll make something myself :]

Explaination:

(Ribbon featured is the scoliosis ribbon)

Not all wounds are visible 💜

[skeletap]

lovey dovey wine drunk skeletor VS confused wine drunk skeletor