Term
True or False; A Rhizotomy severs nerve roots in the spinal cord. |
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Definition
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A facet Rhizotomy may provide lasting low back pain by disabling what nerve in the facet joint? |
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A Rhizotomy is preformed on what type of patients? |
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Definition
Patients with muscle spasticity that is unresponsive to medication or injectable therapy. Also on children with Cerebral Palsy. |
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Term
What type of technology do they use to locate the spinal cord tip? |
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Definition
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What type of equipment is used to test the electrical patterns in the muscles? |
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Definition
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Over what part of the body is the incision made? |
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Definition
a 1 to 2 inch incision is made over L1. |
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What does the surgeon use to sever the nerves? |
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Definition
A laser or electrosurgical probe. |
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A position is the Patient in for this procedure? |
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Definition
Prone... the nurses will moan! |
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Term
A direct application of Fentanyl is used at the end of the procedure for what? |
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Definition
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The skin prep, draping and special equipment and supplies for this procedure are same as for a Laminectomy. True or False |
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Definition
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Term
There is a special rubber pad used for what purpose? |
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Definition
The pad provides a division between the sensory and motor nerves. It protects the motor nerves and allows the sensory nerves to be tested and selectively eliminated. |
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Term
Where are the nerves placed on the pad? |
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Definition
The motor nerves will be placed underneath the pad for protection and the sensory nerves stay on top. |
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Term
After the sensory nerves are identified and separated, they are tested. WHY? |
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Definition
They are tested with electromyography to record electrical patterns in the muscles. the damage is rated 1 to 4. 4 being the most severe. |
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Term
What layer is closed after the nerves have been severed? |
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Definition
The Dura Mater is closed. |
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Term
Between what vertebrae are the nerves tested and severed? |
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Definition
Between spinal nerves L2 and S2. |
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