By Henry Vernon Crock A.O., M.D., M.S., F.R.C.S., F.R.A.C.S. (auth.)
"... i'd suggest this publication for an in-depth research of the lumbar backbone and its degenerative states ... tremendous necessary for the resident early in trainings as she or he makes an attempt to correlate the advanced anatomy of the lumbosacral area with linked pathological states ...” magazine of Neurosurgery
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Additional resources for A Short Practice of Spinal Surgery
Good physical therapists will stop treatment, recognizing that they are simply aggravating their patients' problems by continuing exercises. On purely clinical grounds it seems reasonable to conclude that there must be an increase in "noxious fluid exchanges" across the vertebral end-plates in these patients, varying with degrees of their physical activity. 1. CT discogram from a female patient aged 18 years showing internal disc disruption at LS/SI Studies of fluid exchanges within the intervertebral disc and across the vertebral end-plates have, to date, failed to raise awareness of their potential clinical significance, Ghosh (1988).
Disc prolapse at another level may be found, or vertebral end-plate sequestration at the level of the disc resorption may be confirmed. The radiculogram in a typical case is often reported as normal (Fig. 11). This could influence a surgeon who is not fully aware of the nature of this condition to advise against the surgery that should be indicated. iii) Magnetic Resonance Imaging This investigation is emerging as the most useful single test in establishing the diagnosis of isolated disc resorption and in studying its evolution.
In the midline, the cauda equina can be clearly seen with a triangle of epidural fat lying posteriorly. On the right side of the specimen the relations of the ligamentum flavum to the facet joint are shown with its free outer edge in the roof of the intervertebral foramen Isolated Lumbar Disc Resorption 17 below that, medial to the LS/S 1 intervertebral foramen; it then lies adjacent to the medial aspect of the pedicle of SLAt the lower border of this pedicle it enters the first sacral intervertebral foramen (Figs.
A Short Practice of Spinal Surgery by Henry Vernon Crock A.O., M.D., M.S., F.R.C.S., F.R.A.C.S. (auth.)