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MEDICAL ANIMATION TRANSCRIPT: Your spine is composed of individual bones called vertebrae. Your vertebrae form a protective tunnel called the spinal canal, which surrounds the spinal cord as it travels down the length of your spine. On each side of the spinal cord, spinal nerves exit the spinal canal through small, bony channels called neural foramina. Cervical spinal nerves travel through your neck, shoulders and arms. Between your skull and your ribcage are seven vertebrae that make up your cervical spine. Flexible pads, known as intervertebral disks, provide a cushion between your vertebrae for the range of movements your head and neck make every day. The cervical spine supports the weight of your head, allows your head to rotate and tilt, and helps you bend your neck. Cervical disc pressure increases when your neck bends forward, backward, and sideways. Intervertebral disks consist of a tough, outer ring of tissue called the annulus fibrosus, and a soft, jelly-like center called the nucleus pulposus. During a traumatic injury, your spine maybe forced forward, or hyperflexed, causing your vertebrae to compress the front of one or more of your cervical disks beyond normal limits. Hyperflexion of the neck is a common cause of cervical injury that occurs in motor vehicle accidents and some sports. As a result, your jelly-like nucleus pulposus is pushed backward into your annulus fibrosus, thinning your annulus and causing small tears. After a cervical disc injury, your annulus fibrosus begins to weaken and tear, and your nucleus pulposus becomes dry and stiff. Over time, these changes make your disk susceptible to further injury. As your intervertebral disk deteriorates, a weak annulus fibrosus can allow your nucleus pulposus to bulge, changing the disk's normal shape and flexibility. Depending on its size and location, the bulge may push on, or impinge, one of your spinal nerves or your spinal cord, causing pain and inflammation. Central disk bulges project backward into your spinal canal. Lateral disk bulges push into your neural foramen. Severe cervical disc injuries can tear open your annulus fibrosis. Pressure from your vertebrae may force the nucleus pulposus out of the torn annulus, causing a disk herniation. A herniated disk can impinge your spinal nerves or spinal cord, interrupt normal nerve signals, and cause symptoms such as pain, numbness, or weakness in one or both of your arms. Treatment for cervical disc injuries may include rest, anti-inflammatory medication, muscle relaxants, ice or heat applied to the injured area, physical therapy, steroid injections, and in more severe cases, surgery.
"There is nothing like a great graphic depicting the real nature and
extent of a victim's injuries to get full value for your client. I use
Medical Legal Art for mediations as well as trial."
Geoff Wells
Greene, Broillet, Panish & Wheeler
Santa Monica, CA
"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.
In addition, their custom illustrations show in great detail the extent of
injuries suffered and the devastating effects they have had on the client's
anatomy. These custom illustration can show, side by side, the body before
and after a catastrophic injury. The effect of this juxtaposition is
unmatched by any testimony that can be adduced at the time of trial.
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.
"Medical Legal Art wins our firm's highest accolades for professionalism and
exhibit quality. In fact, many of the doctors I work with request color
copies of your outstanding artwork to show to patients during the informed
consent process."
Jeanne Dolan, BSRN, AlNC Legal Nurse Consultant Golden Valley, MN
"At 3 PM it hit me--I needed exhibits of a tracheostomy, a coronary artery
bypass and a deep vein thrombosis--all in time for a for-trial video
deposition the next day. The Doe Report had each exhibit on line. In
addition, I ran across an exhibit I hadn't even thought of: reduced ejection
fraction after a heart attack. Because this was a video deposition, I could
use the e-mail version of the medical exhibit, print it on my color copier,
and let the camera zoom in. For $400, less than one blow-up by one of The
Doe Report's competitors, I got four first-rate exhibits in less than a day.
The Doe Report saved me time and money."
Medical Legal Art creates medical demonstrative evidence (medical
illustrations, drawings, pictures, graphics, charts, medical animations,
anatomical models, and interactive presentations) for use during legal
proceedings, including research, demand letters, client conferences,
depositions, arbitrations, mediations, settlement conferences, mock jury
trials and for use in the courtroom. We do not provide legal or medical
advice. If you have legal questions, you should find a lawyer with whom you
can discuss your case issues. If you have medical questions, you should seek the advice of a healthcare provider.