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Escoliosis - 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 animation for other purposes, click here.

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Escoliosis - Medical Animation
La columna vertebral se compone de huesos, llamados vértebras, apilados uno encima del otro. Las vértebras protegen un haz de fibras nerviosas llamado médula espinal. Este se extiende a través de una abertura en el centro de cada vértebra. Las principales secciones de la columna vertebral son las regiones cervical, torácica y lumbar. Si se la mira desde el costado, la columna vertebral normalmente tiene tres curvas. Una C en la columna cervical, una C invertida en la columna torácica, y otra C en la columna lumbar. Vista desde atrás, la columna debe verse completamente recta, arriba y abajo. La escoliosis es una afección donde la columna vertebral tiene una curvatura anormal de lado a lado. La mayoría de los casos de escoliosis no tiene una causa conocida. En algunos casos, la escoliosis puede estar presente en el nacimiento. En otros casos, puede ocurrir con el tiempo. La causa más común en los adultos es la degeneración asimétrica de los discos, que hace que la columna vertebral se incline hacia un lado o el otro. Otras causas pueden incluir parálisis cerebral, parálisis, distrofia muscular, osteoporosis o fracturas vertebrales. Durante la infancia, generalmente la curva de la columna empeora durante los períodos de rápido crecimiento. Si la curva se agrava, puede causar problemas con la postura, para caminar y dolor de espalda. También puede hacer que a los órganos internos les falte espacio y causar problemas de corazón, respiración y digestión. La escoliosis a menudo se trata con un aparato ortopédico para que la curva no siga empeorando. Los médicos deben medir la curva de la columna vertebral a lo largo del tiempo para ver si la órtesis funciona. Para un adolescente, puede ser necesaria una intervención quirúrgica si la órtesis no funciona o si no hay opción de colocar un aparato ortopédico. Para un adulto con escoliosis, puede ser necesaria una intervención quirúrgica si experimenta adormecimiento o debilidad en las piernas. O bien, si tiene dolor de espalda que empeora progresivamente y que no mejora con tratamientos no quirúrgicos. El procedimiento quirúrgico más común para reparar la escoliosis se llama fusión espinal posterior con instrumentación e injerto óseo. Para empezar, el cirujano hace una abertura sobre el área de la curva de la columna vertebral. Las superficies de las vértebras se raspan para hacerlas rugosas y promover que los huesos curen juntos. El cirujano colocará tornillos, ganchos o alambres en las vértebras. Se colocan varillas a lo largo de las vértebras y se unen a tornillos, ganchos o cables con el fin de enderezar la columna vertebral. El cirujano puede extraer pequeños trozos de hueso de la pelvis para usarlos como injertos óseos. En otras ocasiones, el cirujano puede optar por utilizar hueso de donante de un banco de huesos para injertos. El cirujano coloca los injertos de hueso a lo largo de la columna vertebral para permitir que las vértebras crezcan juntas y mantengan la columna vertebral estable. Al final del procedimiento, la incisión se cierra con una sutura.

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"For us, the defining feature of effective demonstrative evidence is whether, by itself, the piece will tell the story of the case. Medical legal Art provides our firm with illustrations and animations that are clear and persuasive. Their exhibits tell the story in a way that allows the jury to understand a very complex subject, very quickly."

James D. Horwitz
Koskoff, Koskoff & Bieder, P.C.
Bridgeport, CT

"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

"Medical illustrations are essential during trial for any medical malpractice case. The people at MLA have the uncanny ability of creating medical illustrations that simplify the most complex of medical concepts and human anatomy to a lay audience. The exhibits of MLA allow experts to easily describe complex concepts and human anatomy in a manner that could not be done otherwise.

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Even jurors after trial have commented on the ease with which they grasp medical concepts and anatomy once the MLA exhibits were introduced and used by my experts. Even judges who have "seen it all" are thoroughly impressed by the detail and sophistication of the illustrations.

I would not want to try a case without them."

Lambros Y. Lambrou
New York, NY

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Jeanne Dolan, BSRN, AlNC
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Golden Valley, MN

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