Teri Holwerda, APRN-BC's portrait
Teri Holwerda, APRN-BC
Advanced Practice Nurse, Spine and Neuroscience
Saint Mary's Health Care Neurosurgery
Grand Rapids, MI

About Teri Holwerda, APRN-BC

Board certified as an Orthopaedic Nurse, Teri Holwerda, MSN, RN, ONC, APRN-BC is an Advanced Practice Nurse at Spine and Neurosciences at Saint Mary's Health Center in Grand Rapids, MI.

Teri independently manages spine patients in an outpatient clinic setting and assists in the post-operative management of patients undergoing spine surgery at Saint Mary's. In addition, Teri is Chair of the Spine Task Force, a multidisciplinary group that tracks and manages data on hospitalized spine patients.

Teri is a graduate of the Blodgett School of Nursing, Mercy College of Detroit School of Nursing, and the Kirkhof School of Nursing at Grand Valley State University in Allendale, MI. She has served as clinical adjunct faculty for the Kirkhof School of Nursing and is a manuscript reviewer for Orthopaedic Nursing.

Teri is a member and former president of the National Association of Orthopaedic Nurses' Lake Michigan Chapter. Other association memberships include North American Spine Society, National Association of Clinical Nurse Specialists, Phi Kappa Phi, and Sigma Theta Tau.

Articles Written by Teri Holwerda, APRN-BC

Spinal Fractures: Stability and Treatment Options

Treatment of stable spinal fractures usually involves immobilization using a back brace, brief bed rest, and pain medications as necessary. If the compression is significant, while it may be considered stable and does not require urgent surgical management, surgery may be indicated. This is due to the fact that a significant deformity can result as well as neurologic deficit.

Spinal Fractures: References

References to the article "Spinal Fractures: The Three-Column Concept" by Teri L. Holwerda, MSN, RN, ONC, APRN-BC.

Spinal Fractures: The Three-Column Concept

Spinal fractures, whether caused by disease or trauma, can range from a mildly painful condition to a serious and even life-threatening situation. Since the human spine is a complex structure, spine surgeons need to be very careful in diagnosing exactly where a fracture occurs.

Radiographs, CT Scans, Myelography, MRI, Bone Scan, Electrodiagnostic Tests and Discography

Plain radiographs of the spine can identify deformity, most fractures, destructive lesions, spondylolisthesis, and spondolytic changes but are less sensitive for soft tissues.

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