GLOSSARY ENTRY (DERIVED FROM QUESTION BELOW) | ||||||
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17:30 Aug 27, 2012 |
German to English translations [PRO] Medical - Medical (general) | |||||||
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| Selected response from: Patricia Daehler United States Local time: 01:06 | ||||||
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Summary of answers provided | ||||
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4 +4 | bony spinal canal |
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4 -1 | bony spinal column |
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Summary of reference entries provided | |||
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bony spinal canal |
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Discussion entries: 2 | |
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bony spinal column Explanation: faculty.washington.edu/chudler/spinal.htmlThe human spinal cord is protected by the bony spinal column shown to the left. The spinal column is made up of bones called vertebrae. Although the spinal ... -------------------------------------------------- Note added at 11 hrs (2012-08-28 04:48:22 GMT) -------------------------------------------------- or: vertebral column -------------------------------------------------- Note added at 11 hrs (2012-08-28 04:49:29 GMT) -------------------------------------------------- ww.apparelyzed.com/spine.htmlThe Vertebral Column (Spinal Column) supports the head and encloses the ... 5 sacral vertebrae which are fused together to form 1 bone called the sacrum. -------------------------------------------------- Note added at 11 hrs (2012-08-28 04:51:14 GMT) -------------------------------------------------- I would go with "bony spinal column" as in ... www.mayoclinic.org/medicalprofs/spinal-column-tumors.htmlSu... for malignant and primary spinal column tumors. Tumors of the bony spinal column may require resection and stabilization to improve patient outcome, ... |
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bony spinal canal Explanation: The pedicle is a paired, strong, tubular bony structure made of hard cortical bone on the outside and cancellous bone on the inside. Each pedicle comes out of the side of the vertebral body and projects to the back. Pedicles act as the lateral (side) walls of the ***bony spinal canal*** that protects the spinal cord and cauda equina, or nerve roots, in the lumbar region. There is also a space created between the facet joints and pedicles of one vertebral body and the next, called the intervertebral foramen, through which the spinal nerves branch out to the rest of your body. http://www.knowyourback.org/Pages/Definitions/AnatomySpine/B... see also reference below -------------------------------------------------- Note added at 1 day9 hrs (2012-08-29 03:15:29 GMT) -------------------------------------------------- Hi Emilia, I have been doing some more research, for example trying to find out what the usual diameter of the bony spinal canal at level C5/6 is, what causes stenosis, etc. It appears that the patient in your report has an absolute stenosis based on the diameters listed below. Which does not really help with the "primär weiter". I thought of different interpretations what they might have meant: - the bony spinal canal is primarily wide with the exception of level C4/C5 and level C5/C6 where there is severe stenosis caused by the herniated discs. - the bony spinal canal is primarily wide (no congenital malformation, no scoliosis, no bone spurs, no dislocation or fracture), however, it is narrowed due to these bulging discs. I would translate it as "primarily wide". See the last link for a very detailed list of reasons of spinal canal stenosis. Wann spricht man von einer Spinalkanalstenose? An der Wirbelsäule spricht man von einer relativen Spinalkanalstenose wenn der Durchmesser des Kanals weniger als 12 mm beträgt und von einer absoluten Spinalkanalstenose wenn der Durchmesser weniger als 10 mm beträgt. Dieses Kriterium reicht manchmal jedoch nicht zur Beurteilung aus, da der Spinalkanal in der Mitte noch ausreichend weit sein kann, an den Rändern des Spinalkanals jedoch schon eine Enge besteht, die die dort liegenden Nerven einengt (Rezessusstenose). http://www.neurochirurgie-katharinen.de/spinalkanalstenose.h... Anatomy The anteroposterior (AP) diameter of the normal adult male cervical canal has a mean value of 17-18 mm at vertebral levels C3-5 (see the image below). The lower cervical canal measures 12-14 mm. Cervical stenosis is associated with an AP diameter of less than 10 mm, whereas diameters of 10-13 mm are relatively stenotic in the upper cervical region. Sagittal measurements taken of the anteroposterior diameter of the cervical spinal canal are highly variable in otherwise healthy persons. An adult male without spinal stenosis has a diameter of 16-17 mm in the upper and middle cervical levels. Magnetic resonance imaging (MRI) scans and reformatted computed tomography (CT) images are equally as effective in obtaining these measurements, whereas radiography is not accurate. http://emedicine.medscape.com/article/344171-overview Cervical stenosis - absolute (AP canal diameter < 10 mm) or relative (10-13 mm canal diameter) stenosis are risk factors for myeopathy, radiculopathy, or both due to relatively minor spondylosis pathology or trauma; - normal is about 17 mm; http://www.wheelessonline.com/ortho/cervical_stenosis Cervical canal stenosis: Radiographic assessment normal AP diameter is approximately 17 mm. relative stenosis 10 - 13 mm. absolute stensosis < 10 mm. The width of the canal is not however constant, and progressively decreases as one moves down the cervical spine. C1 : 23 mm C2 : 20 mm C3 - C6 : 17mm C7 : 15 mm http://radiopaedia.org/articles/cervical_canal_stenosis Causes of Spinal Stenosis The normal central spinal canal provides adequate room for the spinal cord, the nerve roots, blood vessels and spinal fluid. Narrowing of the canal, which occurs in spinal stenosis, may be inherited or acquired. Some people have a developmentally (congenital) small spinal canal or may have a curvature of the spine (scoliosis) that alters the dimensions of the spinal canal and neuroforamen. In an inherited condition called achondroplasia, defective bone formation results in abnormally short and thickened pedicles (bony region of the spine) that reduce the diameter of (distance across) the central spinal canal. Spinal stenosis usually occurs secondary to a chronic gradual degenerative process, which includes age related changes. Both structural and inflammatory changes occur. As part of the degenerative process spinal ligaments may thicken, calcify and buckle. Marginal bony areas of the spine may also enlarge, and osteophytes (bone spurs) often develop. The intervertebral disc may bulge and/or herniate. This combined process contributes to the development of spinal stenosis. When the health of one part of the spine (spinal motion segment) fails, it usually places increased physical stress upon other areas of the spine. For example, degeneration of an intervertebral disc eventually leads to a loss of vertical disc height contributing to increased physical stress upon spinal joints (facet joint) at the same spinal level thus promoting spinal joint arthritis with joint enlargement in susceptible individuals. Bulging or herniation of the intervertebral disc associated with degenerative changes may narrow the spinal canal and compress the spinal cord or nerve root. When a segment of the spine becomes too mobile, the membrane (joint capsule) surrounding the spinal joints may thicken in an effort to stabilize the segment, and bone spurs may occur. This decreases the space (neuroforamen) available for nerve roots leaving the spinal cord. Conversely, when a segment of the spine is surgically fused or becomes stiff it may lead to additional physical stresses upon adjacent spinal segments. Two more common forms of arthritis, which afflict the spine and can cause spinal stenosis, are osteoarthritis and rheumatoid arthritis. Osteoarthritis remains the most common form of spinal arthritis. it occurs more frequently in middle-aged and older people. It is a chronic and degenerative process that typically involves multiple joints of the body, particularly larger weight bearing joints. The condition is characterized by a loss of normal cartilage integrity often accompanied by the overgrowth of bone, formation of bone spurs, and abnormal joint mobility. Degenerative changes affecting the vertebral body, spinal joints (facets) and the intervertebral disk at the same level is commonly referred to as spondylosis. Another condition, which can lead to spinal stenosis, is spondylolithesis, a condition in which one vertebra slips forward with respect to the one below it. This may occur secondary to a degenerative condition. A traumatic injury to the region or may be acquired at birth (congenital). The vertebral malposition and associated disc changes can result in compromise of the adjacent spinal cord or nerve roots. Rheumatoid arthritis usually affects people at an earlier age than osteoarthritis does and is associated with inflammation and enlargement of the soft tissues of the joints. Although not a common cause of spinal stenosis, damage to ligaments, bones, and joints that begins as synovitis (inflammation of the synovial membrane) has a severe and disrupting effect on joint function. The portions of the spine with the greatest mobility are often the areas most often afflicted in people with rheumatoid arthritis. There are a number of conditions not related to arthritis, which can result in acquired spinal stenosis. Non-arthritic causes include tumors of the spine referring to the development of abnormal growths of bone or soft tissue that may compromise the spinal canal or neuroforamen directly by growth into the regions. Abnormal tissue growth may lead to bone resorption (bone loss) or the displacement of bone either of which can cause collapse of the involved bone. Trauma can result in spinal stenosis secondary to spinal dislocations or fractures, which encroach upon or penetrate the central spinal canal and/or neuroforamen. Enlarged and deformed bones occur with a chronic disorder called Paget’s, which can affect any bone in the body including the spine. The disorder is characterized by excessive bone breakdown and development leading to a bony region with unusual areas of thick and fragile bone. The condition may be associated with bone pain, arthritis, bony deformities, and resultant fractures. Structural abnormalities of the involved vertebrae can cause narrowing of the spinal canal, producing a variety of neurological symptoms. An uncommon cause of spinal stenosis is flourosis, which refers to an excessive level of fluoride in the body. This may occur secondary to chronic inhalation of industrial dusts or gases contaminated with fluorides, prolonged ingestion of water containing large amounts of fluorides, or accidental ingestion of fluoride-containing insecticides. The condition may lead to calcified spinal ligaments, softened bones and to degenerative conditions including spinal stenosis. http://www.spinephysicians.org/dr0sdodetail.cfm?id=1 |
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