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PROLAPSE(IVDP )
Is a hydrostatic, load bearing
structure between the
vertebral bodies from C2-3 to
L5-S1 .
Nucleus pulposus + annulus
fibrosus
Is relatively avascular.
L4-5, largest avascular
structure in the body.
U
.
.
Vital Functions of the IVD
a) Normal
b) Bulging disk
c) Focal bulge or protrusion. The
nucleus material remains within the
outermost fibres of the annulus
fibrosus.
d) Prolapse or extrusion.
The nucleus material has penetrated
the annulus fibrosus but is contained in
front of the posterior
longitudinal ligament.
e) Sequester or free fragment.
CAUSES
Chronic pain
Paralysis
TREATMENT OPTIONS
Pain medications.
Bed rest
Oral steroids .
Surgery
Indicated treatment.
Non-steroidal anti-inflammatory
drugs (NSAIDs).
Eg- Aspirin, Ibuprofen
Oral steroids
(e.g. prednisone or methylprednisolone).
Benzodiazepines( lowerdose)
Epidural cortisone injection.
TREATMENT
This procedure is
used to remove part
of an intervertebral
disc that is
compressing the
spinal cord or a nerve
root .
CHEMONUCLEOLYSIS-
Assessment
determining the onset,
location, and radiation of pain,
paresthesias, limited movement,
diminished function of the neck, shoulders, and
upper extremities
PROVIDING PREOPERATIVE CARE