scholarly journals Primary acute purulent osteomyelitis of the spine. B. Hubrich (Zentralbl. F. Chir. 1929, No. 33)

1929 ◽  
Vol 25 (10) ◽  
pp. 1115-1115
Author(s):  
I. Tsimkhes
Keyword(s):  
Lumbar Vertebra ◽  
Transverse Process ◽  
The Body ◽  
Partial Damage

B. Hubrich (Zentralbl. F. Chir. 1929, No. 33) observed 2 cases of primary acute purulent osteomyelitis: in one case of the left transverse process and part of the body of the IV lumbar vertebra; in another case, partial damage to the body of the V lumbar vertebra was observed.

Transverse sacralization of lumbar vertebrae: prevalence according to Castellvi classification

2016 ◽  
Vol 3 (1) ◽  
pp. 116
Author(s):  
Juhi V. Patel ◽  
Chetan M. Mehta ◽  
Nandakishore G. Patil ◽  
Shreya R. Sehgal
Keyword(s):  
Lumbar Vertebrae ◽  
Lumbar Vertebra ◽  
Transverse Process ◽  
The Body ◽  
Type I ◽  
Transitional Vertebra ◽  
Spinal Movement ◽  
Vertebral Disc ◽  
Fifth Lumbar Vertebra ◽  
Lumbosacral Transitional Vertebra

<p class="abstract"><strong>Background:</strong> Sacralization of L5 is a congenital anomaly, in which the lumbar vertebra, mainly its transverse process, gets fused or semi-fused with the sacrum or the ilium or to both. This fusion can occur in one or both sides of the body. Sacralization leads to fusion of the L5 (fifth lumbar vertebra) and S1 (first sacral vertebra) and the inter-vertebral disc between them may be narrow. Sacralization of lumbar vertebra may be asymptomatic but is not always clinically insignificant. While sacralization may not affect at all, it can cause problems in some cases. Sacralization may be at times associated with problems in biomechanics and affect the ways of movement and posture control. Sacralization may also be an important consideration in disc surgeries. This study has been carried out to find out prevalence of sacralisation of transverse process of fifth lumbar vertebrae<span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> The present study of transverse sacralisation of fifth lumbar vertebra was carried out on 35 randomly selected patients. The sample consisted of patients undergoing CT scan for abdominal complains. Bone window of all patients were evaluated to look for lumbosacral transitional vertebra.<strong></strong></p><p class="abstract"><strong>Results:</strong> The prevalence of transverse sacralization of lumbar vertebra turned out to be 25.7% out of which Castellvi type IIb was found to be most common, accounting for 33.3% cases. 5.7% comprised the group of normal variant (Castellvi’s type I) and 68.6% were normal<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> <span>It is important to determine lumbosacral transitional vertebra as it can affect spinal movement and put excess stress on the lumbar vertebrae and in between disc. Moreover it</span> can have a bearing on counting of vertebral levels specially during planning of spinal surgey<span lang="EN-IN">.</span></p><p> </p>

scholarly journals Emergence and optimization of upright posture among hominiform hominoids and the evolutionary pathophysiology of back pain

2007 ◽  
Vol 23 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Aaron G. Filler
Keyword(s):  
Lumbar Spine ◽  
Iliac Crest ◽  
Lumbar Vertebra ◽  
Transverse Process ◽  
Styloid Process ◽  
The Body ◽  
Old World Monkeys ◽  
Posterior Superior Iliac Spine ◽  
Flexor Muscle ◽  
Compressive Stresses

✓The lordotic region of the lumbar spine is a significant focus of pain and dysfunction in the human body, and its susceptibility to disorders may reflect its substantial reconfiguration during the course of human evolution. The basic anatomy of the lumbar vertebra in Old World Monkeys and Early Miocene apes, or proconsulids, retains typical mammalian architecture. The lumbar vertebra in humans is different in the repositioning of the lumbar transverse process dorsal to the vertebral body rather than originating on the body itself and in the loss of the styloid process that is adjacent to the facets in other primates. These two features appeared in Morotopithecus bishopi 21.6 million years ago, suggesting that this ape is the founder of an upright hominiform lineage. The iliocostalis lumborum muscles migrated onto the iliac crest approximately 18 million years ago, becoming a powerful lateral flexor muscle of the trunk. The posterior superior iliac spine shifted far dorsal to the longissimus insertion in the genus Homo between 1 and 2 million years ago, making this muscle a powerful extensor of the lumbar spine. Functionally, the establishment of strong muscular flexors and extensors adds dynamic compressive stresses to the lumbar disks and also makes these muscles susceptible to strain.

What is the onset mechanism of internal hernia after vertebral body fracture? A case of internal hernia secondary to traumatic vertebral fracture

2021 ◽  
Vol 14 (9) ◽  
pp. e241005
Author(s):  
Akiyo Matsumoto ◽  
Takahiko Akao ◽  
Hiroshi Matsumoto ◽  
Naoki Kobayashi ◽  
Makoto Kamiya
Keyword(s):  
Internal Hernia ◽  
Histopathological Examination ◽  
Lumbar Vertebra ◽  
The Body ◽  
Neurological Deficits ◽  
Disc Space ◽  
Ileal Loop ◽  
Body Fracture ◽  
Enhanced Ct

A 67-year-old man who had been pinned between a basket crane and a tree complained of severe pain in his lower back and a decreased appetite. Laparotomy after decompressing the gastrointestinal tract revealed incarceration of an ileal loop within a fractured third lumbar vertebra. The damaged bowel was resected, and an end-to-end anastomosis was performed. Once the patient’s condition had stabilised, posterior lumbar fixation was performed. There were no abdominal complications or lower limb neurological deficits during the follow-up period. Enhanced CT and MRI had been helpful in making the diagnoses. Histopathological examination revealed the aetiology of the traumatic incarceration: the intestine had been pinched as the disc space closed, and the body attempted to return to its original state by exerting countertraction.

Weak psoas and spine extensors potentially predispose to hip fracture

2020 ◽  
pp. 112070002090433
Author(s):  
Keong-Hwan Kim ◽  
Jun Hee Lee ◽  
Eic Ju Lim
Keyword(s):  
Hip Fracture ◽  
Lumbar Vertebra ◽  
Psoas Muscle ◽  
Hounsfield Unit ◽  
The Body ◽  
Whole Body ◽  
Cross Sectional ◽  
Fracture Group ◽  
Extensor Muscles ◽  
Significant Difference

Introduction: We performed a computed tomography analysis of muscle composition characteristics in hip fracture patients and non-hip fracture controls. Methods: In total, 43 patients (9 men, 34 women) were included in the hip fracture group, matched 1 to 1 with non-hip fracture controls. Muscle cross-sectional areas were measured in axial CT scan at the body level of the 4th lumbar vertebra (L4), intervertebral disc level between the 5th lumbar vertebra and the 1st sacral vertebra (L5-S1) and just below level of the lesser trochanter (LT). Attenuation was also evaluated through the mean Hounsfield unit (HU) in these areas. Results: The cross-sectional area per weight (CSA/Wt, mm2/kg) of psoas muscle and extensor muscles of the spine showed a significant difference between the 2 groups at both L4 (9.7 vs. 12.4, p  < 0.001 and 26.3 vs. 29.2, p  = 0.025) and L5-S1 (9.6 vs. 11.5, p  = 0.001 and 8.8 vs. 10.3, p  = 0.041) levels. In addition, the HU of these muscles differed significantly between the 2 groups at both L4 (33.3 vs. 47.6, p  < 0.001 and 13.7 vs. 30.2, p  < 0.001) and L5-S1 (39.7 vs. 52.6, p  < 0.001 and 3.8 vs. 15.1, p  = 0.012) levels. There was no difference in abdominal wall, gluteal, or thigh compartment musculature between the groups. Conclusions: Poorer quantity and quality of psoas muscle and extensor muscles of the spine rather than whole body muscles may contribute to falls and were characteristic features of the hip fracture patients in this series. These findings should be considered when recommending a preventive exercise and rehabilitation protocol.

A new species of Largocephalosaurus (Diapsida: Saurosphargidae), with implications for the morphological diversity and phylogeny of the group

2013 ◽  
Vol 151 (1) ◽  
pp. 100-120 ◽  
Author(s):  
CHUN LI ◽  
DA-YONG JIANG ◽  
LONG CHENG ◽  
XIAO-CHUN WU ◽  
OLIVIER RIEPPEL
Keyword(s):  
New Species ◽  
Type Species ◽  
Morphological Diversity ◽  
Transverse Process ◽  
Sister Group ◽  
The Body ◽  
Current Evidence ◽  
Diagnostic Features ◽  
Additional Information ◽  
A New Species

AbstractLargocephalosaurus polycarpon Cheng et al. 2012a was erected after the study of the skull and some parts of a skeleton and considered to be an eosauropterygian. Here we describe a new species of the genus, Largocephalosaurus qianensis, based on three specimens. The new species provides many anatomical details which were described only briefly or not at all in the type species, and clearly indicates that Largocephalosaurus is a saurosphargid. It differs from the type species mainly in having three premaxillary teeth, a very short retroarticular process, a large pineal foramen, two sacral vertebrae, and elongated small granular osteoderms mixed with some large ones along the lateral most side of the body. With additional information from the new species, we revise the diagnosis and the phylogenetic relationships of Largocephalosaurus and clarify a set of diagnostic features for the Saurosphargidae Li et al. 2011. Largocephalosaurus is characterized primarily by an oval supratemporal fenestra, an elongate dorsal ‘rib-basket’, a narrow and elongate transverse process of the dorsal vertebrae, and the lack of a complete dorsal carapace of osteoderms. The Saurosphargidae is distinct mainly in having a retracted external naris, a jugal–squamosal contact, a large supratemporal extensively contacting the quadrate shaft, a leaf-like tooth crown with convex labial surface and concave lingual surface, a closed dorsal ‘rib-basket’, many dorsal osteoderms, a large boomerang-like or atypical T-shaped interclavicle. Current evidence suggests that the Saurosphargidae is the sister-group of the Sauropterygia and that Largocephalosaurus is the sister-group of the Saurosphargis–Sinosaurosphargis clade within the family.

CT Assessment of Normal Splenic Size in Children

1994 ◽  
Vol 35 (2) ◽  
pp. 152-154 ◽  
Author(s):  
P. Prassopoulos ◽  
D. Cavouras
Keyword(s):  
Lumbar Vertebra ◽  
Maximum Size ◽  
The Body ◽  
Everyday Practice ◽  
Transverse Diameter ◽  
Splenic Volume ◽  
Significant Growth ◽  
Normal Spleen ◽  
Splenic Disease ◽  
Splenic Size

The size of the normal spleen was estimated by CT in 153 children, examined with indication unrelated to splenic disease. In each patient the width, thickness, length and volume of the spleen were calculated. Measurements were also normalized to the transverse diameter of the body of the first lumbar vertebra. The spleen underwent significant growth during the first 4 years of life and reached maximum size at the age of 13. There were no differences in splenic volume between boys and girls. Splenic thickness correlated best with normal splenic volume. The strongest correlation was also found between splenic thickness and volume in a group of 45 children with clinically evident splenomegaly. Splenic thickness, an easy-to-use measurement, may be employed in everyday practice to represent splenic volume on CT.

Minimally Invasive Surgical Treatment of Bertolotti's Syndrome: Case Report

2008 ◽  
Vol 62 (suppl_5) ◽  
pp. ONS454-ONS455 ◽  
Author(s):  
Kene T. Ugokwe ◽  
Tsu-Lee Chen ◽  
Eric Klineberg ◽  
Michael P. Steinmetz
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Surgical Treatment ◽  
Minimally Invasive ◽  
Lumbar Vertebra ◽  
Transverse Process ◽  
Low Back ◽  
X Rays ◽  
Invasive Approach

Abstract Objective: This article aims to provide more insight into the presentation, diagnosis, and treatment of Bertolotti's syndrome, which is a rare spinal disorder that is very difficult to recognize and diagnose correctly. The syndrome was first described by Bertolotti in 1917 and affects approximately 4 to 8% of the population. It is characterized by an enlarged transverse process at the most caudal lumbar vertebra with a pseudoarticulation of the transverse process and the sacral ala. It tends to present with low back pain and may be confused with facet and sacroiliac joint disease. Methods: In this case report, we describe a 40-year-old man who presented with low back pain and was eventually diagnosed with Bertolotti's syndrome. The correct diagnosis was made based on imaging studies which included computed tomographic scans, plain x-rays, and magnetic resonance imaging scans. The patient experienced temporary relief when the abnormal pseudoarticulation was injected with a cocktail consisting of lidocaine and steroids. In order to minimize the trauma associated with surgical treatment, a minimally invasive approach was chosen to resect the anomalous transverse process with the accompanying pseudoarticulation. Results: The patient did well postoperatively and had 97% resolution of his pain at 6 months after surgery. Conclusion: As with conventional surgical approaches, a complete knowledge of anatomy is required for minimally invasive spine surgery. This case is an example of the expanding utility of minimally invasive approaches in treating spinal disorders.

scholarly journals Traumatic Lumbosacral Dislocation Treated with Posterior Lumbar Interbody Fusion Using Intersomatic Cages

2009 ◽  
Vol 2009 ◽  
pp. 1-4 ◽  
Author(s):  
Katsuhiro Tofuku ◽  
Hiroaki Koga ◽  
Kazunori Yone ◽  
Setsuro Komiya
Keyword(s):  
Interbody Fusion ◽  
Posterior Lumbar Interbody Fusion ◽  
Lumbar Vertebra ◽  
Transverse Process ◽  
Normal Activity ◽  
Fusion Rate ◽  
Radiographic Examination ◽  
Lumbar Interbody Fusion ◽  
Fifth Lumbar Vertebra ◽  
Lumbosacral Dislocation

A 35-year-old man was struck by a car on his right side and presented with paraparesis of both lower extremities. Radiographic examination revealed multiple transverse process fractures and anterior displacement of L5 on S1. Computed tomography revealed a bilateral anterior facet dislocation of the fifth lumbar vertebra on the sacrum. MRI showed rupture of the posterior ligamentous complex. A posterior lumbar interbody fusion using two intersomatic cages and pedicle screw instrumentation and posterior fusion were performed. Although no major disc lesion was found at the level of L5-S1 on preoperative MRI, a severely collapsed L5-S1 disc was found intraoperatively. Two years after surgery, the patient was asymptomatic with normal neurological findings, and has resumed normal activity. We believe that lumbosacral dislocation can be considered a three-column injury with an L5-S1 disc lesion, and, therefore, requires a solid circumferential segmental arthrodesis to improve fusion rate.

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