Presentasi Referat fix.pptx

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    FRAKTUR VERTEBRAE

    SERVIKAL

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    ANATOMI

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     Secara anatomi vertebra servikal dibai men!adi d"a daera#$ servikal atas %&' dan &() dan daera# servikal ba*a# %&+ sam,a &-). /iantara r"as0r"as terseb"t ada tia r"as servikal 1an memiliki str"kt"r anatomi 1an "nik. Ketia r"as tela# diberi nama k#"s"s antara lain &' diseb"t atlas2 &( diseb"t a3is2 &- diseb"t ,rominens vertebra. Sedankan &+ sam,ai &4 diseb"t vertebra servikalis ti,ikal.

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     5ambar aris ,embatas ,ada vertebra servikal

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    6OSISI

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     Foto ,olos vertebra servikal normal ,ro1eksi A6

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     Foto ,olos vertebra servikal normal ,ro1eksi lateral

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     Foto ,olos vertebra servikal normal ,ro1eksi obli7"e

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    &T0S&AN

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     &T0Scan vertebra servikal norma ,ro1eksi saital

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     &T0Scan vertebra servikal norma ,ro1eksi coronal

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     &T0Scan vertebra servikal norma ,ro1eksi a3ial

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    MRI

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     MRI vertebra servikal normal ,ro1eksi saital

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     MRI vertebra servikal normal ,ro1eksi a3ial

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    /e8nisi Frakt"r Vertebrae

     Frakt"r adala# ,"t"sn1a kontin"itas t"lan da ditent"kan ses"ai denan !enis dan l"asn1a. Frakt" ter!adi ketika t"lan diberikan stress lebi# besar da kemam,"ann1a "nt"k mena#an. Frakt"r da,at ter!ad karena ,"k"lan lans"n2 kek"atan 1an berla*anan erakan ,em"ntiran tiba0tiba2 dan ba#kan kontrak otot 1an berlebi#an. 6ada keadaan t"lan 1an ,ata#2 str"kt"r sekitarn1a !"a akan ter,enar" ber",a edema !arinan l"nak2 ,erdara#an ke dalam t"lan dan sendi2 dislokasi sendi2 r",t"r tendon ker"sakan sara9 dan ,emb"l"# dara#

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    Etioloi Frakt"r Vertebra Servikal

     Frakt"r akibat tra"ma

     Frakt"r akibat kelela#an ata" tekanan

     Frakt"r ,atoloik karena kelema#an ,ada t"lan

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    6ato

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    Klasi8kasi Frakt"r Vertebra Servikal

    Frakt"r Servikal

    1. Bilateral Interfacetal Dislocation

    2. Flexi Teardrop Fracture Dislocation 3. Wedge Fracture

    4. Clay So!elers Fracture

    ". #dontoid Fracture

    1. $ang%ans Fracture

    2. &xtension Teardrop Fracture

    1. 'effersons Fracture

    2. Cer!ical tenga dan (a)a

    $iperflexi

    $iperextensi

    *xial In+ury Burst In+ury

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    Bilateral inter9acetal dislocation

     Ter!adi robekan ,ada liamen lonit"dinal anterior da k"m,"lan liament di ,osterior t"lan le#er. Lesi tida stabil. Tam,ak diskolasi anterior kor," vertebrae. /islokasi total sendi a,o8seal.

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     Foto ,olos Bilateral inter9acetal dislocation

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     &T0Scan Bilateral inter9acetal dislocation

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     MRI Bilateral inter9acetal dislocation

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    Fle3ion tear dro, 9ract"re dislocation

     Kek"atan ;eksi m"rni ditamba# kom,onen kom,resi men1ebabkan robekan ,ada liamen lonit"dinal anterior dan k"m,"lan liamen ,osterior disertai 9rakt"r av"lse ,ada baian antero0in9erior kor,"s vertebra. Lesi tidak stabil. Tam,ak t"lan servikal dalam ;eksi $

     Framen t"lan berbent"k seitia ,ada baian antero0 in9erior kor,"s vertebrae

     6embenkakan !arinan l"nak ,ravertebral.

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     %A) Foto ,olos Fle3ion tear dro,

    9ract"re dislocation

      %B) &T0Scan Fle3ion tear dro, 9ract"re dislocation

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     MRI Fle3ion tear dro, 9ract"re dislocation ,ro1eksi saital

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    Foto ,olos .

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     &T0Scan

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    &la1 S#ovelers Fract"re

     Fleksi t"lan le#er dimana terda,at kontraksi liament ,osterior t"lan le#er menakibatkan ter!adin1a 9rakt"r obli7"e ,ada ,roses"s s,inos"s $ biasan1a ,ada &VI0&VII ata" T#l.

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     Foto ,olos &la1 S#ovelers Fract"re

     &la1 s#[email protected] 9ract"re. A ((01ea old man s"stained a neck in!"r1 in an a"tomobile accident. %A) Later radiora,# o9 t#e cervical s,ine

    s#o*s a 9ract"re o9 t#e s,ino"s ,rocess o9 &- %arro*)2 identi91in t#is in!"r1 as a cla1 s#[email protected] 9ract"re. %B) On t#e antero,osteri vie*2 cla1 s#[email protected] 9ract"re can be identi8ed b1 t#e a,,earance o a do"ble s,ino"s ,rocess 9or &-.

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    %A) Foto ,olos &la1 S#ovelersFract"re

     %B) &T0Scan &la1 S#ovelers Fract"re

     %&) MRI &la1 S#ovelers Fract"re

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    Odontoid Fract"re

     6ata# t"lan odontoid ata" 1 biasa diseb"t ,e ata" ordens 9ract"re. /i mana ,roses ,ata# t"lan odontoid ter!adi di &(.

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     %A) Foto ,olos Odontoid Fract"re A6

     %B) Foto ,olos Odontoid Fract"re latera

     Fract"re o9 t#e odontoid ,rocess. A 4(0 1ear0old man s"stained a ;e3ion in!"r1

    o9 t#e cervical s,ine in an a"tomobile

    accident. O,en0mo"t# antero,osterior

    %A) and lateral %B) radiora,#s demonstrate a 9ract"re line at t#e base

    o9 t#e odontoid ,rocess2 b"t t#e details

    o9 t#is in!"r1 cannot be *ell a,,reciate  T#insection tris,iral tomora,#ic

    sections in t#e antero,osterior %&) and

    lateral %/) ,ro!ections con8rm t#e

    9ract"reat t#e base o9 t#e dens.

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     %A) &T0ScanOdontoid Fract"re ,ro1eksi coronal

     %B) &T0Scan Odontoid Fract"re ,ro1eksi saital

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     MRI Odontoid Fract"re

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    anmans Fract"re

      Ter!adi 9rakt"r ark"s bilateral dan dislokasi anterior &( ter#ada, &+

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     an[email protected] 9ract"re. T#is in!"r1 ma1 ,resent as nondis,laced 9ract"res t#ro"# t#e arc#es o9

    &(2 as seen #ere sc#ematicall1 on t#e lateral %A) and a3ial %B) vie*s2 or as dis,laced 9ract"res *it# anterior an"lation %&) and %/) associated *it# disr",tion o liaments2 t#e intervertebral disk2 or artic"lar 9acets

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     Foto ,olos anmans 9ract"re

    Kl i8k i F kt  

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    Klasi8kasi Frakt"r anmans

     Classifcation o Hangman' s

    ractures 

     Type I %4>C)

     #air0line 9ract"re

     &(0+ disc normal

     Type II %(?C)

     dis,laced &(

     disr",ted &(0+ disc

     liamento"s r",t"re *it# instabilit1

     &+ anteros",erior com,ression 9ract"re

     Type III %-C)

     dis,laced &(

     &(0+ Bilateral inter9acet dislocation

     Severe instabilit1

    E t i T d F t

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    E3tension Teardro, Fract"re

    Se,erti ;eksi 9rakt"r teardro, 2 ekstensi 9rakt"r teardro, !"