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Lesiones de disco lumbar y tratamiento - Medical Animation


This animation may only be used in support of a single legal proceeding and for no other purpose. Read our License Agreement for details. To license this image for other purposes, click here.

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Lesiones de disco lumbar y tratamiento - Medical Animation
MEDICAL ANIMATION TRANSCRIPT: Su columna vertebral está compuesta de huesos individuales llamados vértebras. Su columna vertebral forma un túnel de protección llamado canal medular que rodea la médula espinal a la vez que baja por toda la longitud de su columna vertebral. A cada lado de la médula espinal, los nervios espinales salen del canal medular a través de canales pequeños y óseos llamados foramen neural. Su columna lumbar es el tercio inferior de su columna vertebral. Entre cada vértebra, una almohadilla flexible llamada disco invertebral actúa como un amortiguador de su columna. La presión del disco lumbar puede aumentar más de un 50% cuando uno cambia de una posición de parado a agachado o más de un 80% entre la posición de parado y sentado sin apoyo para la espalda. El resistente anillo exterior del disco invertebral es conocido como anillo fibroso. El centro suave y tipo gel se llama núcleo pulposo. En el caso de una lesión traumática, su columna vertebral puede doblarse a la fuerza, lo que causa que su vértebra comprima la parte delantera de uno o más discos lumbares más allá de los límites normales. Como resultado, la parte posterior de su disco sobresale hacia atrás, lo que causa pequeños desgarros y el adelgazamiento de su anillo fibroso. Con el tiempo, su anillo fibroso dañado puede debilitarse y cambiar de forma y su núcleo pulposo puede secarse y perder flexibilidad. A medida que su disco invertebral se deteriora, su núcleo pulposo puede empujar su anillo hacia afuera, lo que resulta en una protuberancia del disco. Dependiendo de su ubicación, la protuberancia puede empujar o afectar sus nervios espinales, su médula espinal o su cauda equina, que es un conjunto de raíces de nervios espinales en el extremo final de su médula espinal. La protuberancia del disco central sobresale hacia atrás en su canal espinal. La protuberancia del disco lateral se extiende en su neural foramen. Varias lesiones del disco lumbar pueden desgarrar su anillo fibroso. La presión de su vértebra puede empujar su anillo pulposo hacia afuera de su anillo desgarrado, lo que causa la hernia de disco. Un disco lumbar herniado puede afectar su cauda equina o nervios espinales y causar síntomas tales como dolor, entumecimiento o debilidad en una o ambas piernas. El tratamiento para las lesiones del disco lumbar puede incluir descanso, medicamentos antiinflamatorios, relajantes musculares, frío o calor aplicado al área lesionada, terapia física, una inyección epidural de esteroides que se coloca directamente en el área de irritación del nervio, y en casos más severos, la cirugía.

(10) Décima semana - Estado fetal
(10) Décima semana - Estado fetal - 3DSAJ18157j-es
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(12) Duodécima semana - Desarrollo de los reflejos
(12) Duodécima semana - Desarrollo de los reflejos - 3DSAJ18157m-es
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(13) Décima tercera semana - Segundo trimestre
(13) Décima tercera semana - Segundo trimestre - 3DSAJ18157n-es
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(14) Décima cuarta semana - Segundo trimestre
(14) Décima cuarta semana - Segundo trimestre - 3DSAJ18157o-es
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(15) Décima quinta semana - Succión del pulgar (chupando dedo)
(15) Décima quinta semana - Succión del pulgar (chupando dedo) - 3DSAJ18157p-es
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(16) Décima sexta semana - Respiración
(16) Décima sexta semana - Respiración - 3DSAJ18157q-es
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What attorneys say about MLA and The Doe Report:
"Thank you for the splendid medical-legal art work you did for us in the case of a young girl who was blinded by a bb pellet. As a result of your graphic illustrations of this tragic injury, we were able to persuade the insurance company to increase their initial offer of $75,000.00 to $475,000.00, just short of their policy limits.

We simply wanted you to know how pleased we were with your work which, to repeat, was of superlative character, and to let you know that we would be more than willing to serve as a reference in case you ever need one. Many thanks for an extraordinary and dramatic depiction of a very serious injury which clearly "catapulted" the insurance company's offer to a "full and fair" amount to settle this case."

Philip C. Coulter
Coulter &Coulter
Roanoke, VA

"It is my experience that it's much more effective to show a jury what happened than simply to tell a jury what happened. In this day and age where people are used to getting information visually, through television and other visual media, I would be at a disadvantage using only words.

I teach a Litigation Process class at the University of Baltimore Law Schooland use [Medical Legal Art's] animation in my class. Students always saythat they never really understood what happened to [to my client] until theysaw the animation.

Animations are powerful communication tools that should be used wheneverpossible to persuade juries."

Andrew G. Slutkin
Snyder Slutkin & Kopec
Baltimore, MD
"[Your staff] was extremely efficient, cooperative and gracious and [their] efforts produced a demonstrative exhibit that we used effectively throughout our trial. The jury verdict of $3,165,000.00 was, in no small measure, due to the impact of the demonstrative evidence. You may be sure that we will call again."

David J. Dean
Sullivan Papain Block McGrath & Cannavo, P.C.
New York, NY

"Whether it's demonstrating a rotator cuff tear, neck movement a few milliseconds after rear impact, or a proposed lumbar fusion, the Doe Report represents an instant on-line database of medical illustration for health-care and legal professionals.

Illustrations can be purchased 'as is' or modified within hours and sent either electronically or mounted on posterboard. An illustration is worth a thousand words, as juries perk up and look intently to capture concepts that are otherwise too abstract. Start with good illustrations, a clear and direct voice, a view of the jury as 12 medical students on day one of training, and your expert testimony becomes a pleasure, even on cross examination. An experienced trial lawyer should also emphasize these illustrations at the end of trial, as a means of visually reinforcing key concepts covered.

As a treating physician, I also use these accurate illustrations to educate my own patients about their medical conditions. The Doe Report is an invaluable resource, and its authors at MLA have always been a pleasure to work with."

Richard E. Seroussi M.D., M.Sc.
Diplomate, American Boards of Electrodiagnostic Medicine and PM&R
Seattle Spine & Rehabilitation Medicine

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