By Henry Vernon Crock A.O., M.D., M.S., F.R.C.S., F.R.A.C.S. (auth.)
"... i'd suggest this ebook for an in-depth research of the lumbar backbone and its degenerative states ... tremendous useful for the resident early in trainings as she or he makes an attempt to correlate the complicated anatomy of the lumbosacral zone with linked pathological states ...” magazine of Neurosurgery
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Extra info for A Short Practice of Spinal Surgery
Selby (1991) has recently instigated a multi-centre clinical study in North America on internal disc disruption. Familiarity with the vascular anatomy of the vertebral bodies and with spinal circulation in general is central, on the one hand, to the understanding of the theoretical bases of many spinal pathological processes, including internal disc disruption, and, on the other hand, vital as a guide to safe surgical practice. 3. A transverse section through the lumbar vertebral body of a child aged 13 years.
In the area-indicated at the tip of the arrow, there was a bulky mass of soft tissue found at operation, semi-cartilaginous in consistency, causing foraminal and nerve root canal stenosis. o'"'"= (0 \J). e:. § n o .... o ~ (0 :! 39a,b. a An antero-posterior radiograph of the lower lumbar and upper sacral area showing a myelographic defect produced by an extra-dural arachnoid cyst of the Tarlov type. b A lateral radiograph of the myelogram in the same spine, showing the deformation of the lower end of the lumbosacral dural sac produced by a large extra-dural arachnoid cyst, acting as a space occupying lesion in the nerve root canal in this area, there being no associated abnormality of the disc or vertebral column.
Spinal infection may be suspected but can be excluded if blood examinations are normal and the psoas shadows are not distorted. vi) Epidural Venography Obstruction of the intervertebral veins can be demonstrated satisfactorily with this special investigation. However, its demonstration is of theoretical interest as the venous obstruction is a concomitant pathological finding in established cases of isolated disc resorption with facet joint subluxation, facet intrusion into the intervertebral foramen and ligamentum flavum buckling.