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The lesion can then be removed en bloc with the attached sacrum, coccyx, and involved sacral roots, with or without the rectum. The spinal cord contains longitudinally oriented spinal tracts white matter surrounding central areas gray matter where most spinal neuronal cell bodies are located. This can be different for the right and left side of the body. Deep pressure appreciation of the limbs applying firm pressure to the skin for 3—5 seconds at different locations of the wrist, fingers, ankles and toes can be tested for patients in whom light touch and pin prick modalities are graded as 0 absent. More than expert contributors—most of them new to this edition—address the full range of issues in contemporary physical medicine and rehabilitation and present state-of-the-art patient management strategies, emphasizing evidence-based recommendations. The presence of non-key muscle activity can be documented in the comment box on the worksheet. Each of these techniques has their own merit and can be used depending on the nature and location of the tumor and the surgeon's experience.
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