OʀᴛʜᴏRᴇᴀD

Campbell's MCQs are coming very soon https://t.me/OrthoPoLLs/10650

https://t.me/OrthoFileS/2482

📗 Concise Orthopaedic Notes 📋 First Poll of Each Chapter — Quick Navigation Index 💾 Save this message to track your progress & revisit any chapter! ━━━━━━━━━━━━━━━━━━━━━ 📖 Chapter 1 — General Guidance for Exams 🔗 https://t.me/OrthoPoLLs/9925 🧬 Chapter 2 — Orthopaedic Basic Sciences 🔗 https://t.me/OrthoPoLLs/9937 🦴 Chapter 3 — Orthopaedic Adult Pathology 🔗 https://t.me/OrthoPoLLs/9958 👶 Chapter 4 — Paediatric Orthopaedics 🔗 https://t.me/OrthoPoLLs/9980 🦒 Chapter 5 — Spine 🔗 https://t.me/OrthoPoLLs/10001 💪 Chapter 6 — Upper Limb 🔗 https://t.me/OrthoPoLLs/10022 ✋ Chapter 7 — Hand & Wrist 🔗 https://t.me/OrthoPoLLs/10043 🦵 Chapter 8 — Lower Limb 🔗 https://t.me/OrthoPoLLs/10064 🦶 Chapter 9 — Foot & Ankle 🔗 https://t.me/OrthoPoLLs/10090 🚑 Chapter 10 — Trauma 🔗 https://t.me/OrthoPoLLs/10112 ━━━━━━━━━━━━━━━━━━━━━ 💡 Tap any link to jump straight to that chapter's first poll! 🔄 All 10 chapters completed — 190 polls total 🏷 @OrthoPoLLs 🌟 Sᴀʟᴀᴍ Aʙᴀʏᴀᴄʜɪ

📘 Miller's Review of Orthopaedics 📋 First Poll of Each Set — Quick Navigation Index 💾 Save this message to track your progress & revisit any set! ━━━━━━━━━━━━━━━━━━━━━ 🔹 Set 1 → https://t.me/OrthoPoLLs/8597 🔹 Set 2 → https://t.me/OrthoPoLLs/8616 🔹 Set 3 → https://t.me/OrthoPoLLs/8638 🔹 Set 4 → https://t.me/OrthoPoLLs/8649 🔹 Set 5 → https://t.me/OrthoPoLLs/8661 🔹 Set 6 → https://t.me/OrthoPoLLs/8672 🔹 Set 7 → https://t.me/OrthoPoLLs/8683 🔹 Set 8 → https://t.me/OrthoPoLLs/8694 🔹 Set 9 → https://t.me/OrthoPoLLs/8705 🔹 Set 10 → https://t.me/OrthoPoLLs/8716 🔹 Set 11 → https://t.me/OrthoPoLLs/8728 🔹 Set 12 → https://t.me/OrthoPoLLs/8744 🔹 Set 13 → https://t.me/OrthoPoLLs/8755 🔹 Set 14 → https://t.me/OrthoPoLLs/8766 🔹 Set 15 → https://t.me/OrthoPoLLs/8777 🔹 Set 16 → https://t.me/OrthoPoLLs/8788 🔹 Set 17 → https://t.me/OrthoPoLLs/8799 🔹 Set 18 → https://t.me/OrthoPoLLs/8811 🔹 Set 19 → https://t.me/OrthoPoLLs/8822 🔹 Set 20 → https://t.me/OrthoPoLLs/8833 🔹 Set 21 → https://t.me/OrthoPoLLs/8870 🔹 Set 22 → https://t.me/OrthoPoLLs/8935 🔹 Set 23 → https://t.me/OrthoPoLLs/8971 🔹 Set 24 → https://t.me/OrthoPoLLs/8994 🔹 Set 25 → https://t.me/OrthoPoLLs/9009 🔹 Set 26 → https://t.me/OrthoPoLLs/9023 🔹 Set 27 → https://t.me/OrthoPoLLs/9034 🔹 Set 28 → https://t.me/OrthoPoLLs/9047 🔹 Set 29 → https://t.me/OrthoPoLLs/9059 🔹 Set 30 → https://t.me/OrthoPoLLs/9071 🔹 Set 31 → https://t.me/OrthoPoLLs/9083 🔹 Set 32 → https://t.me/OrthoPoLLs/9097 🔹 Set 33 → https://t.me/OrthoPoLLs/9108 🔹 Set 34 → https://t.me/OrthoPoLLs/9122 🔹 Set 35 → https://t.me/OrthoPoLLs/9137 🔹 Set 36 → https://t.me/OrthoPoLLs/9151 🔹 Set 37 → https://t.me/OrthoPoLLs/9165 🔹 Set 38 → https://t.me/OrthoPoLLs/9179 🔹 Set 39 → https://t.me/OrthoPoLLs/9194 🔹 Set 40 → https://t.me/OrthoPoLLs/9211 🔹 Set 41 → https://t.me/OrthoPoLLs/9226 🔹 Set 42 → https://t.me/OrthoPoLLs/9241 🔹 Set 43 → https://t.me/OrthoPoLLs/9253 🔹 Set 44 → https://t.me/OrthoPoLLs/9266 🔹 Set 45 → https://t.me/OrthoPoLLs/9275 🔹 Set 46 → https://t.me/OrthoPoLLs/9286 🔹 Set 47 → https://t.me/OrthoPoLLs/9298 🔹 Set 48 → https://t.me/OrthoPoLLs/9309 🔹 Set 49 → https://t.me/OrthoPoLLs/9320 🔹 Set 50 → https://t.me/OrthoPoLLs/9353 🔹 Set 51 → https://t.me/OrthoPoLLs/9414 🔹 Set 52 → https://t.me/OrthoPoLLs/9537 🔹 Set 53 → https://t.me/OrthoPoLLs/9638 🔹 Set 54 → https://t.me/OrthoPoLLs/9655 🔹 Set 55 → https://t.me/OrthoPoLLs/9666 🔹 Set 56 → https://t.me/OrthoPoLLs/9677 🔹 Set 57 → https://t.me/OrthoPoLLs/9710 🔹 Set 58 → https://t.me/OrthoPoLLs/9721 🔹 Set 59 → https://t.me/OrthoPoLLs/9732 🔹 Set 60 → https://t.me/OrthoPoLLs/9743 🔹 Set 61 → https://t.me/OrthoPoLLs/9754 🔹 Set 62 → https://t.me/OrthoPoLLs/9765 ━━━━━━━━━━━━━━━━━━━━━ 💡 Tap any link to jump straight to that set's first poll! 🔄 New polls added regularly — check back often! 🏷 @OrthoPoLLs

📘 Apley's System of Orthopaedics & Fractures 📋 First Poll of Each Chapter — Quick Navigation Index 💾 Save this message to track your progress & revisit any chapter! ━━━━━━━━━━━━━━━━━━━━━ 📗 PART 1 — GENERAL ORTHOPAEDICS ━━━━━━━━━━━━━━━━━━━━━ 🦴 Chapter 1 — Diagnosis in Orthopaedics 🔗 https://t.me/OrthoPoLLs/8119 🦠 Chapter 2 — Infection 🔗 https://t.me/OrthoPoLLs/8130 🔥 Chapter 3 — Inflammatory Rheumatic Disorders 🔗 https://t.me/OrthoPoLLs/8141 💎 Chapter 4 — Crystal Deposition Disorders 🔗 https://t.me/OrthoPoLLs/8152 🦿 Chapter 5 — Osteoarthritis 🔗 https://t.me/OrthoPoLLs/8163 💀 Chapter 6 — Osteonecrosis and Related Disorders 🔗 https://t.me/OrthoPoLLs/8176 ⚡ Chapter 7 — Metabolic and Endocrine Disorders 🔗 https://t.me/OrthoPoLLs/8191 🧬 Chapter 8 — Genetic Disorders, Skeletal Dysplasias & Malformations 🔗 https://t.me/OrthoPoLLs/8204 🔬 Chapter 9 — Tumours 🔗 https://t.me/OrthoPoLLs/8215 🧠 Chapter 10 — Neuromuscular Disorders 🔗 https://t.me/OrthoPoLLs/8225 ⚡ Chapter 11 — Peripheral Nerve Injuries 🔗 https://t.me/OrthoPoLLs/8236 🏥 Chapter 12 — Orthopaedic Operations 🔗 https://t.me/OrthoPoLLs/8248 ━━━━━━━━━━━━━━━━━━━━━ 📕 PART 2 — REGIONAL ORTHOPAEDICS ━━━━━━━━━━━━━━━━━━━━━ 💪 Chapter 13 — The Shoulder and Pectoral Girdle 🔗 https://t.me/OrthoPoLLs/8325 🦾 Chapter 14 — The Elbow and Forearm 🔗 https://t.me/OrthoPoLLs/8335 ✋ Chapter 15 — The Wrist 🔗 https://t.me/OrthoPoLLs/8345 🤲 Chapter 16 — The Hand 🔗 https://t.me/OrthoPoLLs/8357 🦒 Chapter 17 — The Neck 🔗 https://t.me/OrthoPoLLs/8368 🔙 Chapter 18 — The Back 🔗 https://t.me/OrthoPoLLs/8379 🦶 Chapter 19 — The Hip 🔗 https://t.me/OrthoPoLLs/8390 🦵 Chapter 20 — The Knee 🔗 https://t.me/OrthoPoLLs/8414 🦶 Chapter 21 — The Ankle and Foot 🔗 https://t.me/OrthoPoLLs/8435 ━━━━━━━━━━━━━━━━━━━━━ 📙 PART 3 — FRACTURES & JOINT INJURIES ━━━━━━━━━━━━━━━━━━━━━ 🚑 Chapter 22 — The Management of Major Injuries 🔗 https://t.me/OrthoPoLLs/8446 🔨 Chapter 23 — Principles of Fractures 🔗 https://t.me/OrthoPoLLs/8472 💪 Chapter 24 — Shoulder, Upper Arm & Elbow 🔗 https://t.me/OrthoPoLLs/8506 🦴 Chapter 25 — Forearm & Wrist 🔗 https://t.me/OrthoPoLLs/8517 ✋ Chapter 26 — Hand Injuries 🔗 https://t.me/OrthoPoLLs/8528 🦴 Chapter 27 — Injuries of the Spine 🔗 https://t.me/OrthoPoLLs/8539 🦴 Chapter 28 — Injuries of the Pelvis 🔗 https://t.me/OrthoPoLLs/8550 🦴 Chapter 29 — Injuries of the Hip and Femur 🔗 https://t.me/OrthoPoLLs/8561 🦴 Chapter 30 — Injuries of the Knee and Leg 🔗 https://t.me/OrthoPoLLs/8572 🦶 Chapter 31 — Injuries of the Ankle and Foot 🔗 https://t.me/OrthoPoLLs/8583 ━━━━━━━━━━━━━━━━━━━━━ 💡 Tap any link to jump straight to that chapter's first poll! 🔄 New polls added regularly — check back often! 🏷 @OrthoPoLLs

Dear Orthos, Enhance your clinical foundation and test your orthopedic knowledge with our latest interactive review series. 📚🦴 We are launching a comprehensive, chapter-by-chapter review of Apley's System of Orthopedics. To help you solidify key concepts and evaluate your understanding, we have designed a specialized 10-poll set for each chapter. 📝📊 Assess your grasp of essential orthopedic principles and track your progress along the way. 🚀 The review series begins here: 👉 https://t.me/OrthoPoLLs/8119 Best of luck with your continuous learning! ⚕️🔧

​❓ OrthoReaD Mystery Case 1 (The Gadolinium Trap) ​The Scenario: A patient presents 2 years after an L4-L5 microdiscectomy with a sudden recurrence of severe, unilateral radicular leg pain. An unenhanced MRI reveals a soft tissue mass in the anterior epidural space, effacing the traversing nerve root. ​A junior resident is eager to book the patient for an urgent revision decompression, assuming it is a recurrent disc herniation. The senior attending immediately halts the plan and orders a Gadolinium-enhanced MRI. ​The senior attending explains: "Doctor, operating on mature epidural fibrosis (scar tissue) is notoriously bloody, highly complicated, and often leaves the patient worse off than before. We must definitively differentiate scar tissue from a true recurrent disc fragment." ​The senior attending asks: "What is the exact, pathognomonic difference in the gadolinium enhancement pattern between epidural fibrosis and a true recurrent disc herniation on a T1-weighted MRI?" ​Drop your answer below, or tap the hidden text! 👇 ​Answer: Epidural fibrosis (scar tissue) is vascularized and will enhance homogeneously and intensely throughout the mass. A recurrent disc fragment is avascular and will NOT enhance centrally (though it may show a thin peripheral ring of enhancement from the surrounding inflammatory granulation tissue). ​❓ OrthoReaD Mystery Case 2 (The Iatrogenic Fatigue) ​The Scenario: A 65-year-old patient is referred to your clinic 10 years after a long posterior lumbar fusion (L1 to S1). The patient's chief complaint is severe, debilitating lower back fatigue and pain that worsens throughout the day while standing. On examination, the patient stands with a pitched-forward posture, a retroverted pelvis, and flexed knees just to maintain a horizontal gaze. ​A fellow reviews the X-rays, notes that the hardware is perfectly intact with no signs of pseudarthrosis, and suggests a simple decompression for pain relief. ​The senior attending completely disagrees: "Doctor, a decompression will do absolutely nothing. This is a classic iatrogenic sagittal deformity. The original surgeon fused the lumbar spine straight, destroying the natural lordosis. The patient's extensor muscles are now completely exhausted from fighting gravity." ​The senior attending asks: "To officially mathematically diagnose this specific condition (Flatback Syndrome) and calculate the exact angle of the Pedicle Subtraction Osteotomy (PSO) needed, we must measure the mismatch between the patient's Lumbar Lordosis (LL) and which specific, highly-tested, fixed anatomical pelvic parameter?" ​Drop your answer below, or tap the hidden text! 👇 ​Answer: Pelvic Incidence (PI). The surgical goal in revision deformity is to restore the Lumbar Lordosis so that it matches the patient's fixed Pelvic Incidence (specifically, achieving a PI-LL mismatch of less than 10 degrees).

Chapter 33

​❓ OrthoReaD Mystery Case 1 (The Biomechanical Contraindication) ​The Scenario: A 42-year-old patient presents with chronic, severe discogenic back pain at L4-L5. The disc is heavily degenerated, and there is no instability or spondylolisthesis. A fellow suggests a Total Disc Replacement (TDR) to preserve motion and prevent adjacent segment disease. However, the preoperative CT scan reveals moderate-to-severe hypertrophic arthritic changes in the L4-L5 facet joints. ​The senior attending immediately cancels the TDR plan and switches it to a Lumbar Fusion: "Doctor, placing an artificial disc in the presence of severe facet arthropathy is considered an absolute 'Board-Fail' error, even if the disc itself is the primary pain generator." ​The senior attending asks: "Biomechanically, why is an artificial disc strictly contraindicated when the facet joints are arthritic?" ​Drop your answer below, or tap the hidden text! 👇 ​Answer: Unlike a fusion (which completely immobilizes the segment and eliminates mechanical pain), an artificial disc preserves motion and continuously transfers load and shear forces to the posterior column. If the facets are already arthritic, this preserved motion will cause relentless, severe facetogenic pain. ​❓ OrthoReaD Mystery Case 2 (The Biological Failure) ​The Scenario: A patient had a perfectly placed, uncomplicated cervical artificial disc replacement (cTDR) 3 years ago to treat radiculopathy. The radicular pain never returned, but the patient now complains of progressive neck stiffness and loss of range of motion. ​Standard radiographs reveal a solid, continuous bridge of mature bone forming completely outside the disc space, effectively locking the artificial device and fusing the segment. ​The senior attending asks: "Doctor, this spontaneous biological phenomenon defeats the entire purpose of motion preservation. What is the specific clinical term for this complication (which is classically graded using the McAfee or Mehren/Suchomel classifications), and what specific class of medication is sometimes given postoperatively as prophylaxis against it?" ​Drop your answer below, or tap the hidden text! 👇 ​Answer: Heterotopic Ossification (HO). The prophylactic medication class is NSAIDs (specifically, drugs like Indomethacin).

Chapter 32

​❓ OrthoReaD Mystery Case 1 (The Avascular Corridor) ​The Scenario: A fellow is setting up for a Minimally Invasive Transforaminal Lumbar Interbody Fusion (MIS TLIF). Instead of stripping the paraspinal muscles off the spinous processes (which causes denervation and atrophy), he uses serial dilators to gently separate the muscle fibers and dock his tubular retractor directly over the facet joint. ​The senior attending asks: "Doctor, to completely avoid cutting muscle fibers and to minimize bleeding, these dilators must pass through a specific, naturally avascular cleavage plane. What is the eponymous name of this classic paraspinal approach, and which two specific muscles does it separate?" ​Drop your answer below, or tap the hidden text! 👇 ​Answer: The Wiltse approach. It safely separates the multifidus muscle (medially) from the longissimus muscle (laterally). ​❓ OrthoReaD Mystery Case 2 (The Invisible Threat) ​The Scenario: You are performing a complex percutaneous pedicle screw fixation under heavy, continuous lateral fluoroscopy. The C-arm is positioned transversely across the table. The junior resident is standing on the side of the X-ray tube (the source), while the senior attending is standing on the opposite side next to the image intensifier (the detector). ​The senior attending asks: "Doctor, a major drawback of MISS is the high radiation exposure to the surgeon. Based on the physics of scatter radiation, which side of the table is receiving exponentially higher radiation exposure, and why?" ​Drop your answer below, or tap the hidden text! 👇 ​Answer: The side of the X-ray tube (where the resident is standing). The radiation beam strikes the patient's dense body and heavily scatters backward toward the source, making the tube side significantly more dangerous than the detector side.

Chapter 31

​❓ OrthoReaD Mystery Case 1 (The O'Brien Zones of Fixation) ​The Scenario: A fellow is planning a long posterior deformity correction from T10 to the sacrum. To save time, he decides to anchor the bottom of the construct using only large S1 pedicle screws and S2 alar screws. ​The senior attending immediately corrects the preoperative plan: "Doctor, for a long construct, stopping at the sacrum is a biomechanical guarantee of failure due to massive cantilever pullout forces. According to the globally recognized O'Brien classification of sacropelvic fixation, S1 is only Zone I, and S2/the sacral ala is only Zone II." ​The senior attending asks: "To adequately protect our S1 screws and provide definitive distal foundation, we MUST extend our fixation into O'Brien's Zone III. Anatomically, what specific bone constitutes Zone III?" ​Drop your answer below, or tap the hidden text! 👇 ​Answer: The Ilium (requiring Iliac or S2AI screws). ​❓ OrthoReaD Mystery Case 2 (The L5-S1 Biomechanical Shift) ​The Scenario: A patient is undergoing a long spinopelvic fusion (T10 to Ilium). The fellow suggests completing the entire surgery through a posterior-only approach. The senior attending insists on performing an L5-S1 Anterior Lumbar Interbody Fusion (ALIF) first, before flipping the patient prone for the posterior instrumentation. ​The senior attending explains: "Doctor, even with robust pelvic screws, the posterior rods alone are subjected to massive, cyclic bending forces because the L5-S1 disc space acts as a highly mobile pivot point. By placing a large, structural ALIF graft in the anterior column, we completely alter the construct's biomechanics." ​The senior attending asks: "By doing this, we strategically place the anterior structural graft under pure ___ forces, which allows our posterior rod-and-screw construct to function optimally as a ___ band. Fill in the two blanks." ​Drop your answer below, or tap the hidden text! 👇 ​Answer: Compression ; Tension. (The anterior graft is placed in compression, allowing the posterior instrumentation to act as a tension band—this is the ultimate biomechanical environment for achieving a solid fusion).

Chapter 30

​❓ OrthoReaD Mystery Case 1 (The S1 Biomechanical Anchor) ​The Scenario: A fellow is placing S1 pedicle screws at the base of a long thoracolumbar deformity construct. He aims straight anteriorly, achieving standard bicortical purchase. The senior attending stops him, insisting that for the S1 level, the trajectory MUST be directed more medially and cephalad (aiming specifically towards the sacral promontory). ​The senior attending explains: "Doctor, a standard bicortical S1 screw is the weakest link in a long construct. By angling towards the promontory, we intentionally engage the posterior sacral cortex, the anterior sacral cortex, AND the dense subchondral bone of the S1 superior endplate." ​The senior attending asks: "What is the specific biomechanical term for this exceptionally rigid, highly tested S1 screw trajectory?" ​Drop your answer below, or tap the hidden text! 👇 ​Answer: Tricortical purchase. ​❓ OrthoReaD Mystery Case 2 (Spinopelvic Fixation Evolution) ​The Scenario: You are completing a long fusion to the pelvis for adult spinal deformity. The junior resident begins aggressively dissecting the soft tissues over the Posterior Superior Iliac Spine (PSIS) to place traditional Iliac screws. ​The senior attending stops him: "Doctor, traditional iliac screws have a high rate of painful hardware prominence, require deep tissue dissection, and force us to use bulky side-offset connectors to link them to our lumbar rod." ​The senior attending asks: "Instead, we will use a more modern, lower-profile trajectory. The entry point starts directly in line with our S1 screws, crosses the sacroiliac joint, and drives deep into the ilium, completely eliminating the need for any offset connectors. What is the specific anatomical acronym for this spinopelvic screw?" ​Drop your answer below, or tap the hidden text! 👇 ​Answer: S2AI (S2 Alar-Iliac) screw.

Chapter 29

​❓ OrthoReaD Mystery Case 1 (The C1-C2 Fixation Trap) ​The Scenario: A fellow is planning a posterior C1-C2 arthrodesis for atlantoaxial instability. He decides to use the classic Magerl technique (C1-C2 transarticular screws) because of its superior biomechanical rigidity. However, while reviewing the preoperative parasagittal CT reconstruction, the senior attending immediately halts the plan, stating that the Magerl technique is strictly contraindicated on the right side for this specific patient. ​The senior attending asks: "Doctor, what specific, common anatomical anomaly (present in up to 20% of patients) creates an absolute contraindication for a C1-C2 transarticular screw, forcing us to use a Harms-Goel (C1 lateral mass / C2 pedicle) construct instead to avoid a catastrophic arterial blowout?" ​Drop your answer below, or tap the hidden text! 👇 ​Answer: A "High-riding" Vertebral Artery (an anomaly where the vertebral artery groove cuts deeply and superiorly into the C2 pars/isthmus, leaving a narrow osseous corridor of less than 4 mm, making safe transarticular screw passage impossible). ​❓ OrthoReaD Mystery Case 2 (C2 Pedicle vs. C2 Pars Screws) ​The Scenario: You are performing a posterior C1-C2 fusion using a rod-and-screw construct. On the right side, you angle your drill 20 to 30 degrees medially and 20 degrees cephalad, successfully advancing the screw into the C2 vertebral body. ​On the left side, the anatomy is challenging. The senior attending instructs you to change your trajectory completely: "Aim straight ahead, completely parallel to the sagittal plane (zero degrees of medial angulation), and stop your screw short of the C2 vertebral body." ​The senior attending asks: "Doctor, you just placed two biomechanically and anatomically distinct screws. The right side is a classic C2 Pedicle screw (passing medial to the vertebral artery). What is the exact anatomical name for the screw you just placed on the left side, which safely passes POSTERIOR to the vertebral artery?" ​Drop your answer below, or tap the hidden text! 👇 ​Answer: A C2 Pars screw. (The C2 pars is the portion of bone between the superior and inferior articular processes; a pars screw goes straight, whereas a pedicle screw must angle medially into the vertebral body).

Chapter 28

​❓ OrthoReaD Mystery Case 1 (The Vascular Tether Trap) ​The Scenario: A fellow is performing an Anterior Lumbar Interbody Fusion (ALIF) at the L4-L5 level via a standard left retroperitoneal approach. To safely expose the L4-L5 disc space, he begins to bluntly retract the great vessels, mobilizing the left common iliac vein medially (toward the right). ​The senior attending immediately grabs the retractor and stops him, pointing to a critical vascular structure laterally that firmly anchors the left common iliac vein to the pelvic sidewall. ​The senior attending warns: "Doctor, if you retract the common iliac vein before meticulously identifying, ligating, and dividing this specific tethering vessel, it will avulse, causing a massive, catastrophic hemorrhage deep in the pelvis." ​The senior attending asks: "What is the exact anatomical name of this tethering vein that MUST be ligated during an L4-L5 ALIF?" ​Drop your answer below, or tap the hidden text! 👇 ​Answer: The Iliolumbar Vein. ​❓ OrthoReaD Mystery Case 2 (The Thoracolumbar Ischemia) ​The Scenario: A patient undergoes a left-sided thoracoabdominal approach for a T11-T12 corpectomy and tumor resection. To safely mobilize the aorta, the surgeon ligates the left-sided segmental vessels at the mid-vertebral body level. Postoperatively, the patient awakens with a devastating Anterior Cord Syndrome (paraplegia, complete loss of pain and temperature sensation, but perfectly preserved dorsal column proprioception). ​The senior attending asks: "Doctor, this catastrophic ischemic complication occurred because one of those ligated left-sided segmental vessels happened to be the primary feeder to a critical, dominant radiculomedullary artery. This artery classically arises on the left side between T8 and L1 in 80% of patients. What is its eponymous name?" ​Drop your answer below, or tap the hidden text! 👇 ​Answer: The Artery of Adamkiewicz (Great Anterior Radiculomedullary Artery).

Chapter 27