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The ABC of the examination of the spine


The examination of the spine for either clinical or medico-legal assessment is delicate. Forming a diagnosis and determining any impairments that may have been caused by an injury or degenerative condition is challenging due to the highly sophisticated structural anatomy of the spine. The spine consists of several bony elements and components of the nervous system, whose function can be impaired all the way from the spinal cord to the nerve ending of the body extremities. For this reason, a thorough knowledge of the spine anatomy by a medical assessor is paramount to deliver a precise diagnosis and degree of impairment.

There is a wide range of clinical tests available as tools to dissect the exact region where a pathology to the spinal structures has occurred. The basis of the diagnosis is formed by clinical examination supported by radiological testing, ranging from simple X-rays, Computertomography (CT) to a more sensitive Magnetic Resonance Imaging.

The Medical experts of Lex Medicus have a profound understanding in the assessment of spinal conditions built through decades of experience in the conservative and surgical management of all kinds of spine pathologies and vertebral fractures treated with modern technologies including minimal invasive surgery.

The scope of delivering the topic of Spinal Examination through our Newsletter is to offer our clients the exact definition of the tests used for assessment of spinal pathologies. Surely many of you have encountered the terminology referred to in the examination linked below. We hope that the description of the methods of examination and special tests illustrated with precise, custom made photographic images will help you to better understand the approach used by an orthopaedic consultant in the process of impairment assessment, which in turn will assist you in understanding the medico legal report and assisting your clients. 

Examination of the Spine

Compartment syndrome refers to the elevation of interstitial pressure within a closed compartment of the human body that results in microvascular compromise and tissue ischaemia.
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