Articles

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742 results found
Article

Congenital scoliosis

Congenital scoliosis refers to scoliosis resulting from a congenital abnormality of the vertebra, e.g. a segmentation or fusion defect.  Terminology There are several definitions of congenital scoliosis. Some authors include neurological congenital causes. In this article, our focus will only ...
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Vertebral body endplate

Vertebral body endplates are anatomically discrete structures that form the interface between the vertebral bodies and the adjacent intervertebral discs. They are constituted centrally by a cartilaginous layer and peripherally by a bone ring apophysis. The cartilaginous layer is related to the n...
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Erector spinae muscles (mnemonic)

There are multiple handy mnemonics to recall the erector spinae muscles. They usually describe the position from lateral to medial.  I Like Standing I Love Sex I Long for Spinach I Like Siri Mnemonic I: iliocostalis L: longissimus S: spinalis
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AO Spine classification of upper cervical injuries

The AO Spine classification of upper cervical injuries is a concise and comprehensive system for categorizing the spectrum of traumatic bony and ligamentous injuries involving the occipital condyles, atlas (C1), or axis (C2). Usage The AO Spine upper cervical classification system is relativel...
Article

Neuromyelitis optica spectrum disorder

Neuromyelitis optica spectrum disorder (NMOSD) is a severe demyelinating diseases, which in seropositive cases, is caused by an autoantibody to the aquaporin-4 water channel. The classic presentation of NMOSD is with the triad of optic neuritis, longitudinally extensive myelitis, and positive an...
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Three column concept of spinal fractures

The three-column concept of thoracolumbar spinal fractures (of Denis) forms the basis of a number of widely used thoracolumbar spinal fracture classification systems. Usage While the three-column concept was initially developed for classification of thoracolumbar spinal fractures, it can also ...
Article

Scheuermann disease

Scheuermann disease, also known as juvenile kyphosis, juvenile discogenic disease 11, or vertebral epiphysitis, is a common condition which results in kyphosis of the thoracic or thoracolumbar spine. The diagnosis is usually made on plain radiograph. Epidemiology occurs in ~5% (range 0.4-8%) o...
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Osteoarthritis of the vertebral column

Osteoarthritis of the vertebral column, also known as spinal osteoarthritis, is so common that it is widely known as spinal "degenerative change". Complications such as spinal stenosis are important to recognize.  Radiographic features Spinal osteoarthritis presents radiologically like other j...
Article

Spinal neurofibroma

Spinal neurofibromas are benign peripheral nerve sheath tumors, usually of the localized subtype. This article specifically relates to spinal neurofibromas. For a general discussion of neurofibromas, including their epidemiology and pathology, refer to neurofibroma. For a discussion of the gene...
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Cervical degenerative spondylosis (grading)

Cervical degenerative disease is extremely common. Cervical spondylosis can be graded using a very old but reliable classification devised by Jonas Kellgren et al 1,2. It is based on findings on a lateral cervical spine radiograph although it can also be applied to MRI evaluation of spine. The ...
Article

Erosion of the odontoid process (differential)

Erosion of the odontoid peg can result from a number of pathological entities: inflammatory arthropathy rheumatoid arthritis: classic 1,2 systemic lupus erythematosus crystal arthropathy calcium pyrophosphate arthropathy (CPPD): relatively common gout non-inflammatory arthropathy: osteoar...
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Grisel syndrome

Grisel syndrome is a rare cause of torticollis that involves subluxation of atlanto-axial joint from inflammatory ligamentous laxity following an infectious process in the head and neck, usually a retropharyngeal abscess. Epidemiology It usually occurs in infants or young children. Clinical p...
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Tight filum terminale syndrome

Tight filum terminale syndrome, or tight filum syndrome, is a subtype of the tethered cord syndrome that is attributed to a thick, short, and/or otherwise inelastic filum terminale rather than other tethering agents. Terminology The term "tight filum terminale syndrome" is synonymous with "tet...
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Thoracic spine (lateral view)

The thoracic spine lateral view images the thoracic spine, which consists of twelve vertebrae. Indications This projection is utilized in many imaging contexts including trauma, postoperatively, and for chronic conditions. It can help to visualize any compression fractures, subluxation or kyph...
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Annulus fibrosus

The annulus fibrosus (plural: annuli fibrosi) surrounds the nucleus pulposus and together they form the intervertebral disc. Gross anatomy The annulus comprises 15 to 20 collagenous (type I) laminae which run obliquely from the edge of one vertebra down to the edge of the vertebra below. The d...
Article

Adjacent level ossification

Adjacent level ossification is a complication of anterior cervical discectomy and fusion (ACDF) with anterior plate stabilization. It represents pathological heterotopic ossification of the soft tissues above or below the ends of the plate, contiguous with the adjacent vertebral body. It occurs ...
Article

Middle clunal nerve entrapment

Middle clunal nerve entrapment is a potential cause of low back pain. The middle clunal nerves travel beneath the long posterior sacroiliac ligament and this is a potential space for nerve entrapment 1. Clinical presentation Low back pain and leg pain can be caused by entrapment of these nerve...
Article

Subaxial cervical spine injury classification

The subaxial cervical spine injury classification (SLIC) system and severity score is a system for cervical spine trauma that helps guide treatment and predicts prognosis. Classification Three parameters are assessed, two being radiologic determined and the last being a clinical assessment 1. ...
Article

Tuli classification of occipital condyle fractures

The Tuli classification of occipital condyle fractures is a clinically-oriented system for describing these injuries based on fracture displacement and ligamentous injury. It is newer than the more well-known Anderson and Montesano classification of occipital condyle fractures and allows the inc...
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Spinal metastasis

Spinal metastasis is a vague term that can be variably taken to refer to metastatic disease to any of the following: vertebral metastases (94%) may have epidural extension intradural extramedullary metastases (5%) intramedullary metastases (1%) Each of these are discussed separately. Below ...

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