Nursing Case Memo

DOI: 07/17/2013. This is a 25-year-old female cashier who incurred injury to her low back when she missed a step and fell off a ladder while stocking sleeping bags. MRI of the lumbar spine dated 10/03/2013 revealed broad based central disc protrusion at L4-L5; moderate discogenic edema along endplates at L4-5; and broad bulge with a central annual tear at L5-S1. CT scan of the lumbar spine dated 01/08/2014 revealed that at L3, bilateral pars interarticularis defects are seen with sclerotic margins. The vertebrae at L3-4 are normal in present on the prior MRI.

CHIEF COMPLAINT: Status post ORIF of the tibial plateau on the left. HISTORY OF PRESENT ILLNESS: This patient is new to me. He was treated by Todd Reilly, MD with ORIF. He was seen in followup by David Lin, MD.

DOI: 2/6/2003. The patient is a 46-year old female aide who sustained a work-related injury to her low back while she was transferring a high school student from wheel chair to table. MRI of the lumbar spine dated 2/19/16 revealed T12-L1, there is no focal posterolateral right disc protrusion; L1-2, no posterior disc protrusion/osteophyte complex; L2-3 , no posterior disc protrusion/osteophyte complex; L3-4, there is lateral left disc protrusion/osteophyte complex; L4-5, there is an approximately 3 mm posterior disc protrusion/osteophyte complex; and L5-S1, there is mild posterior disc/osteophyte complex.

DOI: 5/19/2010. Patient is a 57-year-old male electrician who sustained injury when he was struck in the back by a car in a parking lot. He underwent a L5 laminectomy and decompression of the neutral elements 2011. Per the progress report dated 5/18/16, the patient complained of low back and left leg pain.

DOI: 5/22/2000. Patient is a 52-year-old female stitcher operator who sustained injury while she was pushing load onto a stitcher when she strained her right shoulder, wrist elbow, and neck. She underwent exploration of cervical fusion at C5-T7 with anterior cervical discectomy with fusion at C3-C5 on 12/13/11 and implantation of new implantable pulse generator (IPG) and spinal cord stimulator unit on 09/17/14. Based on the latest medical report dated 01/29/16, the IW presents for follow up of neck and shoulder pain.

Review # 259374 Lucila Fernandez DOI: 03/28/2016. This is a 52-year-old female housekeeper who sustained an injury when she lost footing and twisted her right knee before completely falling 2 flights of stairs. The patient was subsequently diagnosed with meniscal tear. MRI of right knee without gadolinium dated 4/23/16 revealed there is a high-grade sprain of the ACL; there is a low-grade sprain of the MCL; there is a vertical oblique tear through the body of the medial meniscus with underlying chondromalacic change and subchondral edema; and mild to moderate chondromalacia of the patella.

On behalf of Cpt Wu 's, Major Blount reviewed have reviewed your MRI. MRI findings are the following: 1. Degenerative tear of the glenoid labrum. 2. Full-thickness tear of the anterior portion of the supraspinatus tendon.

Sacroiliac joint dysfunction is found in 15 to 30% individuals with low back pain.1 Sacroiliac joint dysfunction can be a result of acute trauma, heavy lifting, prolonged bending, torsional strain, fall on to the buttocks and motor vehicle accidents. Chronic and repetitive shear or torsional forces associated with sports like golf, bowling, skating may also result in sacroiliac joint dysfunction. Prolonged sitting or lying on the affected side, more weight bearing on the affected side during walking or standing, forward bending with knees extended may also predispose a person to sacroiliac joint dysfunction.3 Mechanism of dysfunction: Dysfunction occurs mostly when a person lifts something in a forward flexed position or stands in lordotic posture. Due to this, line of gravity shifts anterior to the acetabulum which creates rotational force in extension around

1 INTRODUCTION Chronic low back pain is the pain in the lower back area for longer than 3 months created by injury, disease or stress. It may include the pain in bone, nerve and muscle. The quality of pain may be aching, burning, stabbing, or tingling, sharp or dull and well defined or vague (Akuthota, Baker, & Danisa, 2009). It is a most common problem all over the world and the age group 40 to 80 years (D. G. Hoy et al., 2012).

Simulation of Robotic Arm for Spine Surgery Based on Pre-Operative Planning U. Saranya1, A.N. Nithyaa2 saran.saki21@gmail.com 1, nithyaa.an@rajalakshmi.edu.in 2 Department of Biomedical Engineering, Rajalakshmi Engineering College, Chennai Abstract: Disc prolapsed is the disorder in vertebrae which affects the spinal cord passing through it. It commonly occurs in lumbosacral region, which entraps the spine nerve at that point. Any damage to the motor and sensory nerve at that point has a direct effect on that particular organ connected with that ascending and descending tract. Disc prolapsed in thoracic region lead either to nerve root irritation or cord compression and it needs immediate surgery to cut away the disc lesion.

DOI: 5/23/2016. Patient is a 48-year-old male sales employee who sustained injury due to a car accident. Per OMNI, he was initially diagnosed with cervical and left shoulder sprain/strain. Based on the latest medical report dated 07/15/16, the patient notes his neck pain radiating to his left upper extremity is now described as 5/10 in intensity and notes the associated tingling on his left arm is now worse.