Download - Patologias da Coluna Vertebral
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FACULDADE DE MEDICINA UNINOVE
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SISTEMA LOCOMOTOR
ORTOPEDIA E TRAUMATOLOGIA
PROF CAIO GONÇALVES DE SOUZA
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PATOLOGIAS DA COLUNA
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Coluna
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Coluna
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ESCOLIOSE
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Escoliose
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Escoliose
• É um desvio da coluna no plano frontal acompanhado de uma rotação
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Classificação
• Idiopática (causa desconhecida)
• Neuromuscular
• Congênita
– Relacionada com a falha na formação das vértebras
– Relacionada com a falha na segmentação
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Escoliose • Menor espaço entre
tórax e bacia
• Assimetria de cintura escapular
• Deformidade vertebral
• Cuidado com a assimetria de membros inferiores
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Teste de Adams
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Teste de Adams
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Radiografia
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Medição dos graus
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Colete de Milwakee
• Indicações:
– Curvas flexíveis e de mediana intensidade (20º a 40º segundo o Ângulo de Cobb) no adolescente
– A partir dos 40º devem ser operadas
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Cirurgia
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Cirurgia
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Hiperlordose
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Lordose
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Hiperlordose
• Lordose é um transtorno devido a uma curvatura excessiva da coluna para dentro
• Todos nós temos uma lordose na coluna lombar
• O patológico é esta lordose ser muito aumentada
• Caso haja dor, deve-se pesquisar a espondilolistese
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Espondilolistese
• Espondilolistese é o deslocamento anterior de uma vértebra em relação à vertebra inferior
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Espondilolistese
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Espondilolistese
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Espondilolistese - Tratamento
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Cifose
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Cifose
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Cifose
• Aumento anormal da convexividade posterior da coluna vertebral
• Causas: – Postural
– Scheuermann
– Mal de Pott (tuberculose óssea)
– Tumoral
– Osteoporose
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Cifose – Exame Físico
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Cifose – Possíveis Causas
• Fratura osteoporótica do corpo vertebral
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Osteoporose
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Osteoporose
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Hérnia de disco
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Hérnia de disco
• Ruptura do disco intervertebral
• Compressão da raíz nervosa
• Cervical
– Irradiação para membro superior
• Lombar
– Ciatalgia
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Hérnia de disco
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Hérnia de disco
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Hérnia de disco
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DÚVIDAS?