Allograft Bone -
Sterile bone derived from another human, which is
used for grafting procedures.
Amaurosis - Loss of vision
without discoverable lesion in the eye structures
or optic nerve. Amaurosis fugax is temporary
blindness occurring in short periods.
Amenorrhea - Absence of the
menses due to causes other than pregnancy or
advancing age.
Amnesia - Loss of memory
caused by brain damage or by severe emotional
trauma.
Anesthesia - Loss of
sensation of the body or of a body part when
induced by the administration of a drug.
Anesthesiologist - Physician
who provides pain control and support of life
functions during surgery.
Aneurysm - Dilation of an
artery, formed by a circumscribed enlargement of
its wall. A saccular or berry aneurysm is a
sac-like bulging on one side of an artery usually
arising at an arterial branching.
Ankylosing Spondylitis -
Stiffening or fixation of the vertebra; an
inflammatory joint disease mainly affecting the
spine, hips, and pelvis.
Anorexia - Loss of appetite;
a condition marked by loss of appetite leading to
weight loss.
Anosmic - Lacking the sense
of smell.
Anoxia - Total lack of oxygen
supply.
Anterior Approach - Used to
approach the cervical, cervicodorsal, dorsal, and
lumbar spines, it is designed to provide
sufficient surface for multiple segmental spinal
fusions.
Anterior Cervical Discectomy
- An operation where the cervical spine is reached
through a small incision in the front of your
neck. After the soft tissues of the neck are
separated, the intervertebral disc and back spurs
are removed.
Anterior Cervical Discectomy with
Fusion - An operation performed on the upper
spine to relieve pressure on one or more nerve
roots, the spinal cord. The term is derived from
the words anterior (front), cervical (neck), and
fusion (joining the vertebrae with a bone graft).
Anterior Fusion - Fusion
performed on the front of the spine, usually by
replacing intervertebral discs with bone chips.
Anterior Horn - A front
portion of the Copes brace to correct the forward
rotation of the upper shoulder area.
Anterior Lumbar Interbody Fusion
(ALIF) - Operation where the lumbar spine is
approached through an incision in the abdomen. A
portion of the affected disc space is removed from
the spine and replaced with an implant.
Anterior Spinal Fusion -
Approaching the spine from the front, the
intervertable disc and/or vertebral body is
removed and bone guards are inserted. Some
variations of this procedure include the
Smith-Robinson, Cloward and Dowel procedures.
Anterior Spurring - Ligament
turning to bone on anterior side vertebral body.
Anterolateral - Situated or
occurring in front of and to the side.
Anterolateral Approach - An
approach to the dorsal spine resection to explore
the spine anteriorly and in some cases to do
spinal fusions and decompressions spinal cord.
Arthralgia - Joint pain.
Arthrodesis - The fusion of
bones across a joint space thereby limiting or
eliminating movement. It may occur spontaneously
or as result of a surgical procedure, such as
fusion of the spine.
Arthroscope - An instrument
inserted into its joint cavity to veil the
interior of a joint and corrects certain
abnormalities. An arthroscope is an endoscope for
use in a joint.
Arthroscopy - The procedure
of visualizing the inside of a joint by means of
an arthroscope.
Ataxia - A loss of muscular
coordination, abnormal clumsiness.
Atlas - First cervical
vertebrae, articulating with the occipital bone
rotating around the dens of the axis.
Atrophy - A wasting of the
tissues of a body part.
Autogenous Bone - Bone
originating from the same individual, i.e., an
individual’s own bone.
Autograft Bone - Bone
transplanted from one part of the body to another
in the same individual.
Axon - The part of a nerve
cell that usually sends signals to other nerves or
structures
Banks-Dervin Rod
- For scoliosis fixation; a multiple level rod
fixed with oblique spoinous process to
contra-lateral lamina screws.
Blood/Brain Barrier - The
barrier that exists between the cerebrospinal
fluid, which prevents the passage of various
substances from the bloodstream to the brain.
Bone Derivative - One of the
substances extracted from bone, as bone
morphogenic proteins (BMP).
Bone Graft - Pieces of bone
used to create a fusion, obtained from the
patient’s iliac crest, rib, or from the bone bank.
Bone Harvesting - The removal
of bone for transplation to another site. The most
common sources are the iliac crests because these
bones contain a large amount of cancellous bone,
the inner spongy part, which is useful for getting
grafts to “take.”
Bone Morphogenetic Protein-2
(BMP-2) - One of a family BMPs -- naturally
occurring chemicals in the body -- that play a
major in bone growth. BMP-like products: proteins
that enhance mineralize which can increase bone
formation.
Bone Screw - A threaded metal
device that is inserted into bones. The functions
of bone screws are to immobilize bones or bone
fragments or to affix other medical devices, such
as metal plates, to bone.
Bone - The hard tissue that
provides structural support to the body primarily
composed of hydroxyapatite crystals and collagen.
Individual bones may be classed as long, short, or
flat.
Boston Brace - A type of
spinal orthosis (brace) developed at the
Children’s Hospital, Boston. The Boston Brace
System starts with prefabricated, symmetric spinal
orthotic modules of different sizes.
Brown-Sequard’s Syndrome -
Loss of sensation of touch, position sense, and
movement on the side of a spinal cord lesion, loss
of pain sensation on the other side. Caused by a
lesion limited to one side of the spinal cord.
Cancellous Bone
- The spongy or honeycomb structure of solid bone
tissue typically found at the ends of long bones.
Cartilage - The hard, thin
layer of white glossy tissue that covers the end
of bone at a joint. This tissue allows motion to
take place with a minimum amount of
friction.
Cauda Equina Syndrome -
Sufficient pressure on the nerves to the low back
to produce multiple nerve root irritation and
commonly of bowel and bladder
control.
Cauda Equina - The bundle of
spinal nerve roots arising from the top of the
spinal cord and filling the lower part of the
spinal canal (from approximately the
thoracic-lumbar junction
down).
C-D Rods - Drs. Cotrel and
Dubousset designed this popular form of spinal
instrumentation, which was the first type of rod
system to use multiple hooks on one rod which
could be turned in either direction. C-D, TSRH,
and other similar systems are popular because they
offer more strength of fixation, more points of
attachment to the spine and can help preserve or
restore normal spinal contours of thoracic
kyphosis and lumbar
lordosis.
Central Cord Syndrome - Most
common of the incomplete traumatic spinal cord
syndromes characterized by motor impairments is
proportionately greater in the upper limbs than in
the lower, with bladder dysfunction and a variable
degree of sensory loss below the level of the cord
lesion.
Central Nervous System - Part
of the nervous system which consists of the brain
and spinal cord, to which sensory impulses are
transmitted and from which motor impulses pass
out, and which supervises and coordinates the
activity of the entire nervous
system.
Cerebellum - The lower part
of the brain, which is beneath the posterior
portion of the cerebrum and regulates unconscious
coordination of movement.
Cerebrospinal Fluid (CSF) -
Water-like fluid produced in the spine that
circulates around and protects the brain and
spinal cord. Shrinking or expanding of the cranial
contents is usually quickly balanced by increase
or decrease of this
fluid.
Cervical Spinal Fusion -
Spinal fusion involving the seven cervical
segments. This may include the base of the skull,
the occip and the first thoracic
spine.
Chiropractic Manipulation - A
precise biomechanical manual maneuver to reduce or
eliminate the axis misaliment of a joint or
joints.
CLF Board - The Copes Lateral
Fulcrum Board is an instrument designed to
derogate and elongate the scolotic spine. External
plastic device to accelerate curve correction.
Used in conjunction with the Copes Scoliosis
Brace.
Cobalt-Chrome - A term that
is used in deferring to cobalt-chuomium-molybednum
alloy, a mixture of metals used in many surgical
implants.
Coma - A state of profound
unconsciousness from which one can
rouse.
Compression - A squeezing
together; the exertion of pressure on the body in
such a way as to tend to increase its density; the
decrease dimension of a body under the action of
two external forces direction toward one another
in the same straight
line.
Compression of Nerve Root -
Mechanical process resulting a tumor, fracture, or
herniated disc; the resulting irritation is called
radiculitis if there is actual inflammation around
the nerve. Pain front type of disorder is called
radicular pain.
Computed Tomography (CT) Scan
- A diagnostic imaging technique in which a
computer reads x-rays to create a
three-dimensional map of soft tissue or
bone.
Congenital Scoliosis -
Scoliosis due to bony abnormalities present at
birth involving either failure of formation of a
vertebra or separation of adjacent
vertebrae.
Copes Brace - The Copes brace
is the first dynamitic corrective scolotic brace.
This brace is custom casted, designed, and
fabricated to the patient. This brace has air
injected force vectors, which are sertregacly
placed in the interphase of the brace. Air is
injected at six-week intervals to achieve spinal
and torsal correction.
Cortical Bone - The dense
bone that forms the outer surface of
bone.
Cramp - A painful muscle
spasm caused by prolonged titanic
contraction.
Crankshaft Phenomenon -
Progressions of a spinal curve continued growth of
the unfused anterior aspect of the spine following
a posterior spine fusion for scoliosis in
children.
Crankshaft Syndrome - The
fused portion of the spine does not grow, but the
area that does continue to grow begins to twist
the spine.
Degenerative Disc
Disease - Gradual of rapid deterioration
and chemical composition and physical properties
of the disc space.
Degenerative - The lesion
results from intersegmental instability long
duration.
Diastematomyelia - Congenital
defect associated with spinal in which the spinal
cord is split in a half by bony spicules of
fibrous each half being surrounded by a dural
sac.
Disc - The intervertebral
disc is a strong, rubbery and gelatin—like
structure which normally separates the individual
vertebral bodies and allows movement between them.
Discs are usually removed from the portion of the
spine undergoing anterior fusion and replaced with
bone chips to create a
fusion.
Dorsal Column - The main,
normal sensory tract to the
brain.
Dorsal Lateral Column - The
main tract of position and ton the
brain.
Dura - Dura
mater.
Dura mate - A tough fibrous
membrane that covers the brain spinal cord, but is
separated from them by a small
space.
Dural - Pertaining to the
dura.
Dwyer - Anteriorly placed
screws and band device for correction of spinal
deformities.
Dwyer-Hartsill — For failed
lumbar degenerative disc disease; pedicle screws
wired to a rectangular frame along with
posterolater fusion.
Facet Joint
- Joints at the back of each vertebra linking the
vertebrae together.
Flat Back Syndrome - The lack
of the normal lordosis/kyphosis in the spine
causes gradual postural imbalance, which leads to
rapid degeneration. The natural side view curves
were not restored during the original scoliosis
surgery, causing
imbalance.
Flexion - The act of flexing
or bending.
Flexion/Distraction
Mobilization - A therapy that remolds the
matrix of the spinal ligament. Performed in the
Copes Brace on a flexion/distraction table for 20
or more minutes.
Foramen - A natural opening
in a membrane or bone.
Fracture - An injury to a
bone in which the tissue of the bone is
broken.
Fusion - A continuous mass of
bone, which solidifies and immobilizes the desired
part of the spine. Adding bone graft to the
surfaces of vertebrae and then immobilizing that
part of the spine with instrumentation or with a
cast create a fusion. A solid fusion cannot bend
or curve more as time
passes.
Habit - A
behavioral response, practice, or custom
established in one’s repertoire by frequent
repetition of the same
act.
Harrington Rod - Designed by
Dr. Harrington, the Harrington Rod was the first
modern means of spinal instrumentation, which
reliably produced correction and
immobilization.
Heredity - The transmission
of characters from parent to offspring information
encoded in the parental germ
cells.
Herniated Disc - A herniated
disk is a disk that has bulged out from its proper
place.
Hematorrhachis - Spinal
apoplexy, hemorrhage in the vertebral
canal.
Hemisphierectomy - Excision
of one cerebral hemisphere undertaken for
malignant tumors.
Hemorrhage - Bleeding due to
the escape of blood from a blood
vessel.
Hibbs Spinal Fusion - A
lumbar spinal fusion that includes fusion spinous
process, lamina, and facet for
stabilization.
Hook - A hook is that portion
of the spinal instrumentation, which grasps the
vertebra.
Hormone - A chemical
substance formed in the gland or part of the body
and carried by the blood to another organ which it
stimulates the functional
activity.
Hydrotherapy - Water therapy
performed at home to reduce lactic acid build up
in the muscle and soft
tissue.
Hyoid Bone - Small,
vertically oriented bones lateral to the
trachea.
Hyper Flexion - Flexion of a
limb or part beyond the normal
limit.
Hyperesthesia - Excessive
sensibility to touch, pain or other
stimulants.
Hyperextension - Extension of
a limb or part beyond the normal
limit.
Hyperlordosis - Increase of
the normal anterior concavity of the cervical or
lumbar spine.
Hypertension - High blood
pressure.
Hypothalamus - A portion of
the brain, forming the floor and part of the
sidewall of the third
ventricle.
Iliac Bone -
A part of the pelvic bone that is above the hip
joint, from which autogenous bone grafts are
frequently obtained.
Iliac Crest - The large,
prominent portion of the pelvic bone at the belt
line of the body.
Iliopsoas Muscle - Large
muscles that becomes wider as they pick up
segments from the lower lumbar
spine.
Incision - The cut made
through the skin for the purposes of
operation.
Instrumentation - The metal
rods, hooks, screws, etc. which are attached to
the spine to change spinal shape and immobilize
the spine while fusion
occurs.
Kyphosis -
Curvature of the spine with the convexity pointing
toward the back. It is normal to have some
kyphosis in the thoracic spine, called
“hyperkyphosis,” Scheurmann’s kyphosis, or “round
back.” When there is not enough kyphosis in the
thoracic spine (as is usually the case with
idiopathic scoliosis), it is called thoracic
hypkyphosis.
Laser -
Light amplification by stimulated emission of
radiation. The device that produces a focused beam
of light at a defined wavelength that can vaporize
tissue, or promote
healing.
Lateral - Situated away from
the middle of the body; on the
side.
Leeds - For scoliosis,
segmental wiring of a contoured square-ending
Harrington Rod.
Leukoencephalitis - An
inflammation of the white matter of the
brain.
Ligament - A band of
flexible, fibrous connective tissue that is
attached to the end of a bone near
joint.
Ligamentum Flavum - A band of
yellow elastic tissue that runs between the lamina
from the axis to the sacrum; assists in holding
the body erect.
Localization - Limitation to
a definite area.
Long Beach Pedicle Screw -
Poster lateral fusion screw and
device.
Lordosis - Curvature of the
spine with the convexity toward the front. It is
normal to have lordosis in the cervical (neck) and
lumbar (waist area) portions of the
spine.
Lumbar - The lower part of
the spine between the thoracic region and the
sacrum.
Lumbar Curve - The curve with
apex between the first and the fourth lumbar
vertebrae.
Luque Rods, Wires - Named for
Dr. Luque, these spinal rods use sublaminar wires
(wires looped around the back part or each
vertebra) for attachment. Luque type
instrumentation is commonly used in paralytic
scoliosis such as that seen in cerebral
palsy.
Magnetic Resonance
Imaging (MRI) - Diagnostic test that
produces three-dimensional images of body
structures using power magnets and computer
technology rather than
x-rays.
Massage - A method of
manipulation of the body by rubbing, point
kneading, tapping, etc.
Medial - Situated closer to
the middling of the body.
Median Nerve - A nerve that
extends along the forearm and the
hand.
Meninges - Any one of the
three membranes that cover the brain and the
spinal cord.
Meningitis - An infection or
inflammation of the membranes covering the brain
and spinal cord.
Milwaukee Brace - The
Milwaukee Brace was the first modern spinal
orthosis used for scoliosis, and in its modified
form, is still used for Scheurmann’s kyphosis and
some spinal curves.
Pain - An
unpleasant sensation associated with actual or
potential tissue damage, and mediated by specific
nerve fibers to the brain with its conscious
appreciation may be modified by various
factors.
Paravertebral Muscle Spasm -
Spasm in the muscles on the side of the spinous
processes (midline of the
back).
Physical therapy - The
treatment consisting of exercising special parts
of the body such as the legs, arms, hands or neck,
in an effort to strengthen, regain motion, relearn
movement, to improve system
function.
Pituitary - A gland at the
base of the brain which secrets hormones in the
blood stream.
Polypeptide - The covalent
bond between two amino acids linked together by
condensation synthesis.
Post lateral (P/L) - Behind
and to the side.
Post lateral Fusion - A
fusion of both the lamina and transverse process,
using the lilac bone for graft, usually in the
lower lumbar and first sacral
segments.
Posterior Fusion - A fusion
performed on the posterior or back surface of the
spine.
Posture - The position of the
limbs or the carriage of the body as a
whole.
Powdered Surgical Instruments
- Powdered instruments by compressed air or
electricity and is used in surgical procedures to
cut, drill, or otherwise remove bone and
cartilage.
Pseudarthrosis - Failure of
the union to develop in
fusion.
Radiculopathy - Disease
of the nerve roots in or near the spinal canal as
a result of direct pressure from a
disc.
Reflex - An involuntary
reaction in response to a stimulus applied to
periphery and transmitted to the nervous centers
in the brain or spinal
cord.
Revision Surgery - Revision
is the salvage surgery for previous scoliosis
surgery.
Rib Hump - The prominence
formed by ribs on the convexity of a curve caused
by rotation of the spine and attached
ribs.
Risser - For scoliosis
deformity; particular attention to fusion of facet
joints and use of cast
stabilization.
Risser Sign - The top of the
pelvis bone matures in predictable stages referred
to as Risser stages. These give some indication of
growth remaining in the
spine.
Rod - A slender, metal
implant, which is used to immobilize the
spine.
Root Sleeve Fibrosis - Scar
tissue surrounding a nerve in the spinal canal or
neural foramen.
Rotation of Spine - The
motion of twisting the upper body around to the
right and then to the left at a transition point,
with keeping the hips
stationary.
Sacral -
Five fused segments of the lower spine, below the
end of the spinal column, that connects to the
pelvis on the outside.
Sacroiliac Joint - Lies next
to the spine and connects the sacrum (the
triangular bone at the bottom of the spine) with
the pelvis (iliac crest).
Sacrum - A part of the spine
that is also part of the
pelvis.
Schmorl Nodes - Development
change resulting in inferior or superior extension
of the interverbral disc into the vertebral
bodies.
Sciatic Nerve - The major
nerve that carries impulses for muscular action
and sensations between the lower back and thigh
and lower leg.
Scoliosis Centering Maneuver
(SCM) - A chiropractic maneuver developed by
Dr. Copes and Dr. Smouse to de-rotate the
vertebral bodies and straighten toward the midline
of both the primary and secondary curves of the
spine.
Scoliosis Muscle Analysis
Test - The development of the mineral analysis
of human hair is through atomic spectroscopy
techniques. Reveals mineral deficiencies and
imbalances.
Scoliotic Diet - A special
diet developed for patients to promote healing of
muscles, ligaments, and
bones.
Skeleton - The rigid
framework of bones that gives form to the body and
protects the soft organs and
tissues.
Spinal Column - The spinal
column is composed of individual vertebral bones,
ligaments, and discs. It surrounds the spinal
cord.
Spinal Cord - The spinal cord
travels through the spinal column and consists of
nerves, which carry and receive signals to and
from the arms, legs, and many internal
organs.
Spinal Denotation Platform -
A plastic instrument in which the S.M.S.T. is
performed.
Spinal Stenosis - Narrowing
of the nerve openings either around the spinal
cord or nerve roots that can cause
symptoms.
Spine - The flexible bone
column extending from the base of the spine at the
tailbone.
Spondylitis - Inflammation of
one or more vertebra.
Spondylosis - Abnormal
vertebral fixation or
immobility.
Stainless Steel - Iron based
metal containing chromium that is highly resistant
to stain, rust, and corrosion.
Sublaminar Wires - See Luque’
Instrumentation.
Surface Electromyography - A
non-invasive test that detects and records
electrical signals from muscles in which the brain
sent.
Temporomandibular
Joint Syndrome - An abnormal condition
with facial pain and dysfunction of the lower
jaw.
Tendon - The fibrous band of
tissue that connects muscle to bone mainly
composed of collagen.
Tendonitis - Inflammation of
the tendons.
Tension - The act of being
strained, tense, or under
pressure.
Thoraicic Curve - A spinal
curvature with its apex between the second and
eleventh thoriac
vertebrae.
Thoracic - The chest level
region of the spine that is located between the
cervical and the lumbar
vertebra.
Thorax - The chest or rib
cage.
Thyroid glandv - Responsible
for the secretion of hormone that is involved in
regulation of the rate of
metabolism.
Tissue - A collection of
similar cells and the intercellular substances
surrounding them.
Tissue Mineral Analysis Test
- The development of the mineral analysis of human
hair is through atomic spectroscopy techniques.
This test reveals the mineral deficiencies
imbalances.
Toxicology - The study of
harmful effects of substances on the
body.
Transition - The breaking
point of a curve from left to right, right to
left.
TSRH Rods - Similar to C-D
rods, named after the Texas Scottish Scottish Rite
Hospital.