Vertebral Motion Analysis TM. Lumbar VMA Report

Transcription

1 Vertebral Motion Analysis TM Lumbar VMA Report Patient Name: Sample, David Testing Date: 11/30/014 Patient ID: DOB: 05/1/47 Prescribed By: Sample, Doctor Accession Number: Institution Name: Ortho Kinematics Warning: Inadequate tracking of the vertebral bodies across radiographic images can lead to erroneous results Image data and template placement must be reviewed prior to accepting any measurement results. If any templates are found to be incorrectly placed on the vertebral bodies, any associated measurements should not be utilized in clinical decision making. These images are provided in the front section of the printed report, prior to the quantitative data. Warning: When being viewed on a computer, a diagnostic-quality image review workstation should be used. o rt h o lliiilll KINEMATICS revolutionizing spine motion analysis \MA SW- \krsion:.. 0 Report created on: 30-0ec-014 :40 PM PST

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9 VMA TM Report Lumbar Motion Analysis Summary Patient Name: Sample, David Study Date: 11/30/014 DOB: 05/1/47 Patient ID: Prescribing Physician: Sample, Doctor Institution Name: Ortho Kinematics Accession Number: Patient results may exhibit missing data due to the following observations: Patient positioning resulted in too few bone edges for proper tracking Level In Any View Max Translation 1 Change Between Views 3 Flex/Ext Max Angulation Left/Right INSTRUMENTED LEVELS: Max Confirmable Angulation 4 /. mm CSE ( 7%) 1.5 mm CSE USF (4%) CL /. mm CSE ( 8%) 1.5 mm CSF CSE (4%) CS / 3.8 mm USE ( 11%) 3.5 mm CSF USE (%) 11 CL / 7.8 mm USF ( %) 1. mm CSF USF (3%) 9 CL /.4 mm USF (%) 1.4 mm CLE USF (4%) 11 CS KEY: C=Controlled U=Uncontrolled S= L=Lying F=Flexion N=Neutral E=Extension = no motion can be confirmed; = Not Applicable; = No Measurement Result or No Data 1. Maximum translation values are measured across all sagittal plane views. Translation is measured using the Myerding method, and provided in millimeter units (if possible). Translation is also provided as a percent of the inferior vertebral body sagittal plane depth. Subscripts refer to the specific view(s) from which the maximum translation values were observed (see KEY above). Values are only returned for non instrumented levels.. Maximum angulation values are measured across all views, measured in degrees. Subscripts refer to the specific view(s) from which the maximum translation values were observed (see KEY above). Values are only returned for non instrumented levels. 3. This value is taken as the absolute value of the maximum difference in intervertebral translation between any two views from among the following nine views: USF, USN, USE, CSF, CSN, CSE, CLF, CLN, CLE. 4. For instrumented levels, this is the maximum degrees of intervertebral angulation across the four device assisted bending directions. The icon depicts the specific bending mode in which the maximum angulation was observed. is returned for all non instrumented levels. VMA SW Version:..0 Report created on: 30 Dec 014 :41 AM PST 9

10 VMA TM Report Lumbar Translation Summary Patient Name: Sample, David Study Date: 11/30/014 DOB: 05/1/47 Patient ID: Prescribing Physician: Sample, David Institution Name: Ortho Kinematics Accession Number: Patient results may exhibit missing data due to the following observations: Patient positioning resulted in too few bone edges for proper tracking Level Neutral Translation 1 During Uncontrolled Bending Flexion Extension Neutral Translation 1 During Controlled Bending Flexion Extension Lying Neutral Translation 1 During Controlled Bending Lying Flexion Lying Extension / 0.8 mm ( %) 0.8 mm ( %) 1.4 mm ( 4%) 0.8 mm ( %). mm ( 7%).0 mm ( %) 1. mm ( 5%).0 mm ( %) /. mm ( %) 1.3 mm ( 4%) 1.3 mm ( 4%).3 mm ( 7%) 1. mm ( 3%). mm ( 8%) 1.3 mm ( 4%) 1.5 mm ( 4%).0 mm ( %) / 3.0 mm ( 8%).5 mm ( 7%) 3.8 mm ( 11%). mm ( %) 0.3 mm ( 1%) 3. mm ( 9%) 3. mm ( 9%) 1.3 mm ( 4%) 3.4 mm ( 9%) / 7. mm ( 1%) 7.8 mm ( %) 7.0 mm ( 0%) 7.0 mm ( 1%). mm ( 0%).7 mm ( 0%) 7.1 mm ( 1%) 7. mm ( 1%).9 mm ( 0%) / 5.4 mm (1%).4 mm (%).0 mm (18%).3 mm (18%). mm (18%) 5.9 mm (17%) 5.5 mm (1%) 5.7 mm (17%) 5.0 mm (15%) KEY: = no motion can be confirmed; = Not Applicable; = No Measurement Result or No Data 1. Translation is measured using the Myerding method, and provided in millimeter units (if possible). Translation is also provided as a percent of the inferior vertebral body sagittal plane depth. Negative values refer to retro listhesis, positive values refer to spondylolisthesis. Values are only returned for non instrumented levels. VMA SW Version:..0 Report created on: 30 Dec 014 :41 AM PST

11 VMA TM Report Lumbar Angulation (ROM): Flexion/Extension Patient Name: Sample, David Study Date: 11/30/014 Patient ID: DOB: 05/1/47 Accession #: Prescribing Physician: Sample, David Institution Name: Ortho Kinematics Patient results may exhibit missing data due to the following observations: Patient positioning resulted in too few bone edges for proper tracking CSF 50 CSE 0 CLF 35 CLE 35 Level / / / / / ROM 1 : Uncontrolled Bending ROM : Controlled Bending Lying 11 9 Ratio: Controlled to Lying Flex/Ext INSTRUMENTED LEVELS: Max Confirmable Angulation 4 8 Pain Scores 5 4 (VAS) Pain Scores 5 (VAS) 8 Pain Scores 5 4 (VAS) Pain Scores 5 4 (VAS) Overall Mobility 9 35 LEGEND Back Pain Score Leg Pain Score KEY CSF: Controlled Flexion CLF: Controlled Lying Flexion CSE: Controlled Extension CLE: Controlled Lying Extension KEY: = no motion can be confirmed; = Not Applicable; = No Measurement Result or No Data 1. Degrees of Intervertebral Range of Motion (angulation) observed between flexion and extension, taken from uncontrolled patient lumbar bending. Values are only returned for non instrumented levels.. Degrees of Intervertebral Range of Motion (angulation) observed between flexion and extension, taken from controlled, device assisted lumbar bending. Values are only returned for non instrumented levels. 3. This is the ratio of the inter vertebral angulation between controlled standing flexion/extension (CSFE) and controlled lying flexion/extension (CLFE) (max multiple of one to the other). Ratio = CSFE / CLFE, if CSFE is greater than CLFE, otherwise it is Ratio = CLFE / CSFE. A ratio value is only returned if both bending modes were set to the same range of overall lumbar bending at the time of imaging. Values are only returned for non instrumented levels, and when CSFE and CLFE are not. 4. For instrumented levels, this is the maximum degrees of intervertebral angulation across the four device assisted bending directions. The icon depicts the specific bending mode in which the maximum angulation was observed. is returned for all non instrumented levels. 5. Visual Analog Scale (VAS) Pain scores were collected from patient during testing. Separate scores were collected for leg (below the belt) vs. back (above the belt) pain.. This is the sum of the motion, measured between the two end ranges (full flexion to full extension). Values are only provided if there are measurements at each level. Note that the sum of each level s angulation may be greater than the overall mobility, as overall mobility is measured between the two end ranges, while segmental mobility is measured as the maximum value observed at any point during the bend. VMA SW Version:..0 Report created on: 30 Dec 014 :41 AM PST 11

12 VMA TM Report Lumbar Angulation (ROM): Left/Right Patient Name: Sample, David Study Date: 11/30/014 Patient ID: DOB: 05/1/47 Accession #: Prescribing Physician: Sample, Doctor Institution Name: Ortho Kinematics Patient results may exhibit missing data due to the following observations: Patient positioning resulted in too few bone edges for proper tracking Level ROM 1 : Uncontrolled Bending ROM : Controlled Bending Lying INSTRUMENTED LEVELS: Max Confirmable Angulation 3 / 4 / 3 / 3 / / Overall Mobility 5 14 LEGEND Back Pain Score Leg Pain Score KEY CSL: Controlled Left CSR: Controlled Right CLL: Controlled Lying Left CLR: Controlled Lying Right KEY: = no motion can be confirmed; = Not Applicable; = No Measurement Result or No Data 1. Degrees of Intervertebral Range of Motion (angulation) observed between left and right, taken from uncontrolled patient lumbar bending. Values are only returned for non instrumented levels.. Degrees of Intervertebral Range of Motion (angulation) observed between left and right, taken from controlled, device assisted lumbar bending. Values are only returned for non instrumented levels. 3. For instrumented levels, this is the maximum degrees of intervertebral angulation across the four device assisted bending directions. The icon depicts the specific bending mode in which the maximum angulation was observed. is returned for all non instrumented levels. 4. Visual Analog Scale (VAS) Pain scores were collected from patient during testing. Separate scores were collected for leg (below the belt) vs. back (above the belt) pain. 5. This is the sum of the motion, measured between the two end ranges (full left to full right). Values are only provided if there are measurements at each level. Note that the sum of each level s angulation may be greater than the overall mobility, as overall mobility is measured between the two end ranges, while segmental mobility is measured as the maximum value observed at any point during the bend. VMA SW Version:..0 Report created on: 30 Dec 014 :4 AM PST 1

13 Physician Alert Thresholds No Evidence Moderate to High Risk Clear Evidence Thresholds Set By: Sample, Doctor (green) (yellow) (red) Anomaly Category Anomaly Description Thresholds Thresholds Thresholds General Mobility I.A) Overall reduced mobility (Alert Disabled) II.A) Ligamentous instability (excessive translation) 4.5 mm 0% 4.5 mm 4.5 mm 0% 0% 4.5 mm 0% / / Non instrumented levels II.B) Ligamentous instability (excessive angulation) / / / II.E) Large delta between and Lying (Alert Disabled) Instrumented levels: Fusion III.A) Residual motion at a fusion level ROM = or in all bending modes ROM > for at least one bending mode REQUIRES VISUAL CONFIRMATION Instrumented levels: Motion Preserving IV.A) Motion preserving implant with ROM > for at least one bending mode ROM = or in all bending modes REQUIRES VISUAL CONFIRMATION 13