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Herniated
Disc
The Evidence Store handles herniated disc cases on a regular basis. The
frequency of this type of injury has created the greatest volume of orders
for exhibits and models over the years. We have developed a multi-point
approach to teaching the jury about the anatomy and dynamics of a disc
injury and the trial attorney is well advised to keep these key exhibits
on hand routinely. Not only will they assist you in trying the case, you
will be able to use them in your consultations with prospective clients,
impressing them with both your knowledge of the injury and your readiness
for trial.
- Spinal column
- An effective presentation
starts with the doctor explaining the general anatomy of the spinal
column. A juror needs to understand the various level of the vertebrae,
and the purpose of the discs that cushion the bones for fluid movement.
- Herniated Disc
Color Exhibit
- Our own creation,
these 30x40 mounted and laminated color exhibits allow your doctor to
explain the anatomy of a disc and the difference between normal disc
structure, bulging and herniated discs. The illustration is designed
to show the transverse view and the sagital view as normally represented
in MRI presentations. They are available in both cervical and lumbar
versions.
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- Herniated Disc
Model
- The next step is
to use the L4-L5 disc model to show the anatomy in a three-dimensional
presentation. The model has interchangeable discs showing normal, bulging
and herniated conditions, and parallels the color exhibit for further
understanding. It is important to let the jury see how the bulge and
herniation pushes against the movable spinal cord in the model, demonstrating
how the nerve roots then travel to other parts of the body to create
the symptoms noted.
- Dermatome Chart
- The use of a dermatome
chart will assist in the presentation of the pain aspects of your client's
case. Since the body is mapped out in specific regions as innervated
by the spinal cord and its branches, this exhibit allows your doctor
to take a red marker and color in those regions of the body that are
affected by the specific injuries. The jury can then actually "see''
the pain your client is in, as the chart should match those areas of
pain and numbness stated in the medical records and brought out in testimony.
MRI Print Exhibits
- The doctor should
select those frames from the MRI films that best illustrate the condition
about which he is testifying. These frames should then be enlarged and
mounted with overlays so that the jury can now see the bulge or herniation
and understand its impact, having been educated by effective use of
the prior exhibits. Using the exhibits in this way, in this order, creates
a clear picture in the mind of the jury that you are dealing with a
very real, tangible injury, and that the client's pain and symptoms
are completely consistent with the objective findings on the MRI studies.
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