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SPINE NEUROIMAGING
FAKULTAS KEDOKTERAN UNISSULASEMARANG
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NORMA
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RADIOGRAPHIC
ANATOMY
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TraumaDegenerative disease
Tumors and other massesInfammation and ine!tion"as!u#ar disorders$ongenita# anoma#ies
SPINE PATHOLOGY
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EVALUASI TRAUMA SPINE
Fra!ture % ain '#m ( $T
Dis#o!ation % ain '#m ( $T
Ligamentous in)ur* % MRI
$ord in)ur* % MRI Nerve root avu#sion % MRI
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Fraktur Kompre!
Fraktur kompre! a"a#a$ a#a$ atut!pe %raktur &a'( er!'( "!)umpa!pa"a trauma tu#a'( *e#aka'(
Fraktur !'! me'(ak!*atka' tu#a'(+erte*ra me')a"! p!p!$
Ser!'( *erka!ta' "e'(a' kea"aa'
oteoporo!
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SPONDYLOLISTHESIS
,eraa# "ar! kata Spo'"o - p!'e
L!t$e! -#!pe. *er(eer
Spo'"o#!t$e! /
per(eera' +erte*ra "!*a'"!'(ka'"e'(a'
+erte*ra "! *a(!a' "!ta#'&a0
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SKEMA SPONDYLOLISTHESIS
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+ FOTO ,RO-EKSILATERAL
Antero#isthe
sis o $.on$/
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GRADESPONDYLOLISTHESIS
Gra"e po'"o#!t$e! "!'!#a! "ar! pree'tae
per(eara' +erte*ra ter(a"ap +erte*ra "! *a(!a'
"!ta#'&a
Gra"e 1 / 2345 6
Gra"e 4 / 47 8 52 6
Gra"e 9 / 51 3:5 6
Gra"e ; / :7 8 122 6
Gra"e 5 / po'"opto! < +erte*ra *e'ar4te#a$ ter#epa "ar! +erte*ra "! *a(!a' "!ta#'&a=
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KLASIFIKASISPONDYLOLISTHESIS
Ko'(e'!ta#
It$m!>De(e'erat!%Traumat!>P$ato#o(!>
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SPONDYLOLYSIS
De%e>t par !'terart!ku#ar! +erte*ra
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Latera# radiogra&h o the #um0ar s&inesho1s s&ond*#o#*sis at L2 1ith
s&ond*#o#isthesis at L2 through S3
ture o% t$e Sp!'e=S&ond*#o#*sis
? Foto Latera#
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+ Foto Latera#
SpondylolyticSpondylolisthesis
+ FOTO ,RO-EKSI
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+ FOTO ,RO-EKSIO4LI5
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SKOLIOSIS
Sko#!o! / ke#e'(ku'(a' a*'orma#tu#a'( *e#aka'( ke ara$ amp!'(@ &a'(
"apat ter)a"! "ar! #e+e# er+!>a#@ toraka#ataupu' #um*a#0
Et!o#o(! / 3 I"!opat!k
3 Ko'(e'!ta# 3 Ga'((ua' otot &ara%
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Radiogra&hi! assessment o thes!o#iosis &atient
T$e ra"!o(rap$!> aeme't o% t$e >o#!o! pat!e't*e(!' B!t$ erecta'teropoter!or a'" #atera# +!eB o%t$e e't!re p!'e >!put to a>rum=0
t$e eam!'at!o' $ou#" !'>#u"e a #atera# +!eB o% t$e
#um*ar p!'e to #ook %or t$e pree'>e o% po'"o#&!or po'"o#!t$e!
T$e >o#!ot!> >ur+e ! t$e' meaure" %rom t$e AP +!eB0T$e mot >ommo'#& ue" met$o"! t$e Co** met$o"0
T$e Co** met$o" $a e+era# a"+a'ta(e o+er ot$ermet$o"@ !'>#u"!'( t$e %a>t t$at !t ! more #!ke#& to *e>o'!te't e+e' B$e' t$e pat!e't ! meaure" *&e+era# "!ere't eam!'er0
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S!o#iosis 67ra*
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SPONDYLOARTHROSIS
Spondyloarthrosis : uatu ko'"!! proe"e(e'erat!% pa"a discus !'ter+erte*ra#! "a'
)ar!'(a' pe'(!kat pere'"!a' a'tara rua3ruatu#a'( *e#aka'(0
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Spo'"oart$ro!
D!>o! art!#a(e "a' ero! %a>et= Mu#a! !'ta*!#!ta
!r!ta! )ar0 Lu'ak peu"ora"!>u#ar pa!'
Capu#e3#!(ame't >o'tra>ture@
Mu>#e t!($t a'" >o'tra>te"
Pem*e'tuka' oteot tep! %a>et "a' Corpu Pe'&emp!ta' %orame't !'ter+erte*ra#e Ir!ta!ra"! Ra"!>u#ar pa!'
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POTT S DISEASE
Pott "eeae - po'"!#!t!tu*erku#o!
Merupaka' !'%ek! tu*erku#o!ektrapu#mo'a# &a'( me'(e'a!atu . #e*!$ tu#a'( *e#aka'(
;2 352 6 ter)a"! "! +erte*ra toraka#
*aBa$
95 8 ;5 6 ter)a"! "! +erte*ra #um*a#
12 6 me#!*atka' er+!ka#
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RADIOGRAPHIC POTTS DISEASE
Ra"!o(rap$!> >$a'(e pree't re#at!+e#& #ate0
P#a!' ra"!o(rap$& "emo'trate t$e %o##oB!'(>$ara>ter!t!> >$a'(e o% p!'a# tu*er>u#o!
L&t!> "etru>t!o' o% a'ter!or port!o' o% +erte*ra#*o"&
I'>reae" a'ter!or Be"(!'(
Co##ape o% +erte*ra# *o"&
Rea>t!+e >#ero! o' a pro(re!+e #&t!> pro>e E'#ar(e" poa $a"oB B!t$ or B!t$out
>a#>!>at!o'
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A""!t!o'a# '"!'(
Verte*ra# e'" p#ate are oteoporot!>0
I'ter+erte*ra# "!k ma& *e $ru'k or
"etro&e"0 Verte*ra# *o"!e $oB +ar!a*#e "e(ree o%
"etru>t!o'0
Fu!%orm para+erte*ra# $a"oB u((et
a*>e %ormat!o'0
,o'e #e!o' ma& o>>ur at more t$a' o'e#e+e#
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