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Reha Dani by Mind Map: Reha Dani
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Reha Dani

Reha Klinik stationär


swiss REHA

Enrique Steiger

Migg Lenz

Reha Kliniken nach Kt


Reha in ZH

Schulthess Klinik





Betreuung auf der Station


Visite 110502


Qi Gong


Spinal Column





Intervertrebal Disc




What are compression fractures? The spinal column consists of 34 individual bones called vertebrae.  Separating the vertebrae from each other are intervertebral discs that cushion and absorb the stress and shock that the body incurs during movement and give the spine its flexibility. A compression fracture occurs when a vertebrae collapses. People with osteoporosis are at higher risk for fracture, which may result from a minor fall or simple daily activities such as bending or lifting.



Dural sac

facet joints

The Facet joints are situated at the back on either side of the spinal column, between the discs and the vertebral bodies. Each vertebra has bony prominences on each side that form a Facet joint with the vertebra above and below. The Facet joints are enclosed within a joint capsule and research has shown that in the lower back there can be a 'meniscoid' structure within the joint space, just like a mini version of the meniscus in the knee joint. The role of the Facet joints is to limit excessive movement and provide stability for the spine.


Degenerative Disc Disease

Bericht Pintucci

- it was a L2 fracture (not L1 and L2) - you had a facet syndrome (luxation) of the articular facets L1/L2 with a consequent retro-listhesis of L2 respect of L1 - also you had a disc (L1/L2) rupture The operatioin was: - decompression (of the dural sac and the nerve roots) from L1 to L2 to remove the facet joints bilaterally to reduce the listhesis. In this way we get enough bone to put in the broken disc (L1/L2) and around the rods of the stabilization - a postero-lateral transpeduncolar stabilization from Th12 to L3 with 8 screws, it means 2x (one for the right pedicle and one for the left pedicle) screws at each level. It means 2 in Th12, 2 in L1, 2 in L2 and 2 in L3. So your conclusion: "Means L1 and L2 do not have to absorb any weight from the spinal column" is WRONG. In fact in this way it was possible to use a shorter stabilization that one taht would have not included L1 and L2. In this case you shald have done a stabilizazion maybe from Th10 (and Th11) 'till L4 - then rods that connect the screws in th12-L1-L2-L3 bilaterally (so 2 rods) - then 2x cross-links in the decompress  region, to prevent lateral bending I hope now you are ready for a PhD in spine surgeray, but if you want to get the Nobel prize, here you can check the stabilization system we used aimed by a system of image-guidance: O-Arm (remember that we were the first Department to have it in Switzerland) and Stealth-Station I suggest to check the situation with X-ray (standing position) about in the first 2 weeks in June. Then a spine-orthopedic or /-neurosurgeon visit. Then remember you a chronic degenerative discopathy in L4/L5 (broken anulus and Modic changes). There are a lot of pubblication and sites in internet about that....



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