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 valuable for the resident early in trainings as she or he makes an attempt to correlate the advanced anatomy of the lumbosacral zone with linked pathological states ...” magazine of Neurosurgery
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Additional info for A Short Practice of Spinal Surgery
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. Loss of signal on the T2 weighted image of the peripheral portions of the nucleus pulposus appears to be one of the earliest changes associated with the decrease in height between vertebral end-plates (Fig.
The use of myelography in the diagnosis of these problems is recommended and typical changes, with gross local deformity, can be seen in a number of the miscellaneous causes referred to in this text (Figs. 42 a, b). However, it is very important to recall that the myelogram may be reported as normal in many of these cases especially if root oedema has not been identified. The surgeon must then fall back on his clinical assessment of the patient, aided by plain X-ray findings, while deciding whether or not to recommend surgical treatment in a particular case.
B On the right following decompression by excising the apical and medial portions of the S 1 facet and the ligamentum flavum, note that the mechanical obstruction of the nerve roots is relieved and the venous drainage re-established. Refilling of these veins at operation is dramatic. Haemorrhage from the radicles should be controlled with gelfoam and patties. 36 a-d. a A diagrammatic representation of the findings of S 1 nerve root canal stenosis at the L5/S 1 level in isolated disc resorption.