By Henry Vernon Crock A.O., M.D., M.S., F.R.C.S., F.R.A.C.S. (auth.)
"... i might suggest this ebook for an in-depth research of the lumbar backbone and its degenerative states ... super worthwhile for the resident early in trainings as she or he makes an attempt to correlate the complicated 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
39 a, b) (Gimeno, 1978). These lesions may be large and lead to bony erosions requiring either simple decompression or occasionally, formal excision (Figs. 40 a, b,c). 37a-c. a An antero-posterior radiograph of the lower lumbar spine in a man aged 38 years presenting with symptoms of bilateral buttock and thigh pain extending to the back of the knee, aggravated by standing, sitting or walking. Note the orientation of the facets at LS/S 1 with the apices of the S 1 facet visible on the AP view in close proximity to the inferior borders of the pedicles of LS.
In Fig. 16, the origin of the S 1 nerve from the dural sac is shown just below the level of the inferior margin of the fifth lumbar pedicle. Medially at its origin it is related to the lateral aspect of the dural sac. 15. A transverse section through the lower lumbar spine at the level of the intervertebraUoramen, the section passing through the vertebral body. On the left of the specimen note the posterior relations of the nerve root. In the midline, the cauda equina can be clearly seen with a triangle of epidural fat lying posteriorly.
Meat industry workers, miners and foundry workers and building labourers are prone to single or repeated episodes of trauma which may give rise to this syndrome. It is also commonly seen among nurses whose work frequently involves moving heavy or disabled patients. 1. Clinical Features a) Symptoms Patients affected by severe grades of internal disc disruption present with an array of symptoms which should arouse the clinician's suspicion early in the course of management, especially if the history of the mechanism of injury is placed in its proper perspective.