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| | Lumbar Degenerative Disk Disease - DynoMed.com |
 | | The lumbar vertebrae are the five largest and strongest of all vertebrae. They are found in your lower back between the chest and hips. The strong muscles of the back are attached to the lumbar vertebrae. | | | The cervical vertebrae are the seven vertebrae that form the upper part of your spine, between the skull and the chest. | | | Your sacrum and coccyx are the bones found at the base of your spine. The triangular sacrummade up of five vertebrae fused togethersupports the spine and connects it to the pelvis. Your coccyx, or tailbone, is formed from four fused vertebrae and has little function. |
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http://www.dynomed.com/encyclopedia/encyclopedia/spine/Lumbar_Degenerative_Disk_Disease.html
(1236 words)
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| | Lordosis: Assessment & Care |
| | For massage therapists lumbar curve is best assessed by palpation of the spinous processes of the lumbar vertebrae. | | | Above the lumbar spine is the thorax and below the lumbar spine is the sacrum and pelvis. | | | As massage therapists the spinous processes of the lumbar vertebrae are our best access for palpating the lumbar curve. |
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http://jeffreyburch.com/home/jb1/page/105/45
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| | A Patient's Guide to Anatomy and Function of the Spine |
| | The spine itself has three main segments: the cervical spine, the thoracic spine, and the lumbar spine. | | | The vertebrae in the lumbar spine area are the largest of the entire spine, so the lumbar spinal canal is larger than in the cervical or thoracic parts of the spine. | | | The individual bones of the spine are the vertebrae. |
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http://www.spineuniversity.com/public/spinesub.asp?id=71
(2434 words)
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| | z_vertebral_column.htm |
| | Lumbar vertebrae (5) ‑ large bodies, pedicles, laminae and transverse processes; articular facets are oriented in a sagittal plane. | | | A typical vertebra (by convention thoracic or upper lumbar) consists of a body (anterior) and a vertebral arch (posterior) surrounding the vertebral canal (houses spinal cord). | | | Sacral vertebrae (5) ‑ vertebrae are fused; lateral mass represents fused transverse processes; medial crest = fused spinous processes; anterior and posterior sacral foramina = intervertebral foramina for sacral spinal nerves; sacro‑iliac joint transmits weight from vertebrae to pelvis. |
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http://musom.marshall.edu/anatomy/grosshom/z_vertebral_column.htm
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| | University of Maryland Spine Center: Anatomy and Causes |
| | The vertebrae in the lumbar spine area are the largest of the entire spine, so the lumbar spinal canal is larger than in the cervical or thoracic parts of the spine. | | | The individual bones of the spine are the vertebrae. | | | The thoracic is the center portion of the spine, consisting of 12 vertebrae. |
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http://www.umm.edu/spinecenter/anatomy
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| | An Avoidable Complication of Lumbar Puncture? |
| | The associated risk of post-lumbar puncture headache was 70% for a 16- to 19-gauge needle, 20% to 40% for a 20- to 22-gauge needle, and 5% to 12% for a 24- to 27-gauge needle. | | | According to the report, patients who had headache before the procedure were not only at greater risk for post-lumbar puncture headache but their headaches usually were more severe and were longer in duration than those of patients who did not have headache prior to or during the lumbar puncture. | | | Two practices that perform a large number of diagnostic lumbar punctures with cutting needles and that document a greater than 10% frequency of severe post-lumbar puncture headache should be recruited to perform independent, double-blind, prospective studies of same-gauge cutting versus noncutting needles. |
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http://www.neurologyreviews.com/jan01/nr_jan01_lumbar.html
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| | AANOS |
| | In this study, 1,000 lumbar spine AP view x-rays were interpreted by 3 separate physicians and their conclusions in diagnosing the conditions of facet asymmetry, spina bifida occulta and transitional vertebrae were recorded. | | | The Relationship of Facet Asymmetry, Spina Bifida Occulta, and Transitional Vertebrae in the Lumbar Spine to Backache | | | Transitional vertebrae have been linked by some doctors to a clinical entity consisting of low back pain, with or with-out sciatica, which is associated with a disc herniation at the vertebral level craniad to the sacral articulation (Bertolotti's syndrome). |
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http://www.aanos.org/spinabifida&backache.html
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| | LOW BACK PAIN - ANATOMY |
| | Because the lumbar vertebrae are located between the pelvis and upper torso, the degree of stresses endured by the lumbar spine are great. | | | The paraspinal muscles in the lumbar spine attach to the spinal vertebrae and pelvis to provide the torso with movement. | | | Disc herniations in the lumbar spine are the most common causes of "sciatica", meaning pain running down the back of the leg in the area of the sciatic nerve. |
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http://www.dcdoctor.com/pages/rightpages_healthconditions/lowbackpain/lbp_anatomy.html
(624 words)
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| | Modern lumbar spine fusion surgery |
| | Instead, the objective of lumbar spine surgery is to stop the motion at a painful motion segment in the spine, thereby minimizing the pain and allowing the patient to increase his or her ability to function and enjoy everyday activities. | | | Lumbar spine fusion surgery for degenerative disc disease | | | Lumbar (lower) spine fusion surgery has progressed dramatically over the last ten to fifteen years. |
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http://www.spine-health.com/topics/surg/mlsf/mlsf01.html
(624 words)
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| | eMedicine - Lumbar Spine, Trauma : Article by Lennard A Nadalo, MD |
| | Unstable injuries to the pelvis often are associated with injury to the sacral plexus and the lower lumbar spine. | | | The primary ligamentous support for the lumbar spine is the anterior longitudinal ligament, the posterior longitudinal ligament, the attachments of the annulus fibrosis, the facet joints, and the interosseous ligaments between the spinous processes (see Images 5-6). | | | The movement of the lumbar spine is largely confined to flexion and extension with a minor degree of rotation. |
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http://www.emedicine.com/radio/topic817.htm
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| | back.html |
| | Lumbar vertebrae are characterized by massive bodies and robust spinous and transverse processes. | | | Likewise, the posterior protrusion of a herniated lower lumbar intervertebral disc, while not pressing on the spinal cord, can compress a lumbar nerve root, causing severe pain or physical dysfunction in distinct areas of the lower limb. | | | It attaches to lumbar and inferior thoracic transverse processes (longissimus dorsi) and in the thoracic region to the adjacent ribs (longissimus thoracis). |
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http://www.emory.edu/ANATOMY/AnatomyManual/back.html
(2141 words)
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| | Gale Encyclopedia of Cancer: Lumbar puncture |
| | Lumbar puncture (LP) is the technique of using a needle to withdraw cerebrospinal fluid (CSF) from the spinal canal. | | | Lumbar puncture should be performed only with extreme caution, and only if the benefits are thought to outweigh the risks, in certain conditions. | | | In a lumbar puncture, the area of the spinal column used to obtain the CSF sample is in the lumbar spine, or lower section of the back. |
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http://www.findarticles.com/p/articles/mi_gGEC/is_/ai_2699001256
(1472 words)
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| | Lumbar puncture (Spinal tap) - The Doctors Lounge(TM) |
| | A lumbar puncture must be done with aseptic technique by qualified medical practitioners. | | | In performing a lumbar puncture (in an adult), first the patient is usually placed in a left (or right) lateral position with his/her neck bent in full flexion and knees bent in full flexion up to his/her chest, approximating a fetal position as much as possible. | | | Diagnostic analysis of changes in fluid pressure during lumbar puncture procedures requires both attention to the patient's condition during the procedure and to their medical history. |
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http://www.thedoctorslounge.net/clinlounge/procedures/miscellaneous/lumbar_puncture.htm
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| | Herniated Lumbar Disc Mayfield Clinic |
| | Lumbar disc herniation is one of the most common causes of lower back pain associated with leg pain, and occurs 15 times more often than cervical (neck) disc herniation. | | | Most herniated discs occur in the lumbar section of the spine, where nerves from the spinal cord exit between the lumbar vertebrae and then join together again to form the sciatic nerve, which runs down your leg. | | | The lumbar (lower back) section of your spine bears most of the weight of the body and provides the most movement. |
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http://www.mayfieldclinic.com/PE-HLDisc.htm
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| | Hernia - Wikipedia, the free encyclopedia |
| | Higher in the abdomen, an (internal) "diaphragmatic hernia" results when part of the stomach or intestine protrudes into the chest cavity through a defect in the diaphragm. | | | An "incisional hernia" occurs when the defect is the result of an incompletely healed surgical wound. | | | internal hernia - hernia into or involving an intraabdominal structure |
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http://en.wikipedia.org/wiki/Hernia
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| | II. Osteology. 3a. 4. The Sacral and Coccygeal Vertebræ. Gray, Henry. 1918. Anatomy of the Human Body. |
| | The articular processes of the first sacral vertebra are large and oval in shape; their facets are concave from side to side, look backward and medialward, and articulate with the facets on the inferior processes of the fifth lumbar vertebra. | | | They are attached to the body of the first sacral vertebra and to the alæ by short thick pedicles; on the upper surface of each pedicle is a vertebral notch, which forms the lower part of the foramen between the last lumbar and first sacral vertebræ. | | | The transverse process of the first lumbar is sometimes developed as a separate piece, which may remain permanently ununited with the rest of the bone, thus forming a lumbar rib—a peculiarity, however, rarely met with. |
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http://www.bartleby.com/107/24.html
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| | ipedia.com: Vertebra Article |
| | There are 33 vertebrae in humans, including the five that are fused to form the sacrum and the four coccygeal bones. | | | The vertebrae (singular: vertebra) are those bones which compose the spine in vertebrates. | | | The vertebrae are those bones which compose the spine in vertebrates. |
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http://www.ipedia.com/vertebra.html
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| | Spinal Anesthesia for Lumbar Spine Surgery |
| | Influence of baricity on the outcome of spinal anesthesia with bupivacaine for lumbar spine surgery. | | | CONCLUSIONS: Plain bupivacaine is superior to hyperbaric bupivacaine for spinal anesthesia for elective lumbar spine surgery. | | | This study was designed to evaluate the influence of baricity on the performance of spinal anesthesia for lumbar spine surgery. |
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http://www.csen.com/anesthesia/spine.htm
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| | Lumbar puncture headache (Spinal Headaches) |
| | The frequency and severity of headaches following lumbar puncture may be reduced by using a fine gauge needle, having the patient lie prone for 4 hours after lumbar puncture, and maintaining bed rest for 24 hours after the procedure. | | | Cisternal and ventricular punctures are rarely followed by severe headaches, but when air, anesthetic, or radiographic contrast material (pantopaque or metrizamide) are injected into the ventricles or particularly when they are injected into the subarachnoid space by the lumbar route, severe and prostrating headaches may occur. | | | In other cases where there is an intracranial mass lesion, particularly when it is situated in the posterior fossa, lumbar puncture may result in herniation of the medulla into the foramen magnum and thus cause sudden death of the patient. |
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http://www.ncpainmanagement.com/Headache-Spinal.htm
(1025 words)
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| | DrDillin.com: Spine References |
| | Andreshak, T.G., et al., Lumbar spine surgery in the obese patient. | | | Birch, B.D., R.D. Desai, and P.C. McCormick, Surgical approaches to the thoracolumbar spine. | | | McCormick, P.C., Retropleural approach to the thoracic and thoracolumbar spine. |
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http://www.drdillin.com/education/references_lhd_1990.htm
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| | Lumbar puncture (& intrathecal chemotherapy) : CancerBACUP |
| | A lumbar puncture is a procedure in which a hollow needle is inserted between the bones of the lower back into the fluid around the lower part of the spinal cord. | | | After the lumbar puncture has been completed, the needle is removed and a small dressing is put on. | | | Before the lumbar puncture is done, you may have your blood pressure and pulse checked. |
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http://www.cancerbacup.org.uk/Treatments/Chemotherapy/Lumbarpuncture
(1120 words)
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| | Lumbar Spine Surgery |
| | Lumbar spinal stenosis (LSS) represents a degenerative condition of the spinal canal that develops as the lower spine narrows and deteriorates with the normal wear and tear of aging. | | | Conditions that may necessitate surgery of the lumbar spine include infection, tumor, vertebral fracture, cauda equina syndrome, spondylolysis with or without spondylolisthesis, herniated disc, lumbar spinal stenosis, axial pain and sciatica. | | | There is insufficient evidence from well-designed clinical studies supporting the routine use of spine instrumentation as an adjunct to fusion for degenerative conditions, such as grade 2 degenerative spondylolisthesis and spinal stenosis. |
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http://www.regence.com/trgmedpol/surgery/sur101.html
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| | Military Medicine: Lumbar puncture headache exacerbated by recumbent position |
| | A diagnostic lumbar puncture was performed using an 18gauge needle. | | | Lumbar puncture headache (LPH), a well-known phenomenon, is attributed to low intracranial pressure secondary to cerebrospinal fluid (CSF) leak1. | | | Ducal puncture during epidural anesthesia is followed by headache in 70% to 80% of cases, due to the large 17-gauge needle required to facilitate the passage of a catheter6. |
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http://www.findarticles.com/p/articles/mi_qa3912/is_200009/ai_n8923329
(1151 words)
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| | eMedicine - Abdominal Hernias : Article by Eustace S Golladay, MD |
| | The deep margin of the superior lumbar triangle is the transversus abdominis muscle, and the superficial margin is the latissimus dorsi muscle. | | | The superior lumbar triangle of Grynfeltt-Lesshaft is bounded superiorly by the 12th rib, the posterior lumbocostal ligament, and the serratus posterior inferior muscle; inferiorly by the superior border of the internal oblique muscle; and posteriorly by the lateral border of the sacrospinalis muscle. | | | Obturator hernia is associated with intermittent, acute, severe hypesthesia; hyperesthesia; or pain in the medial thigh or the greater trochanter. |
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http://www.emedicine.com/MED/topic2703.htm
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| | LUMBAR PUNCTURE |
| | Lumbar puncture (LP) is the insertion of a needle into the subarachnoid space (the area under the membrane that surrounds the brain and spinal cord) of the lumbar (lower back) region for diagnostic or therapeutic purposes. | | | Although the subarachnoid space can be accessed from other levels, the lumbar region is most often used as it allows the needle to be inserted below the end of the spinal cord. | | | Click on the small picture to right to see a larger view of LP needle inserted in lumbar region on patient on their left side. |
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http://www.neurobc.com/Neurological_Tests/lumbar_puncture.htm
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| | Bilateral irreducible lumbar hernia |
| | The patient underwent emergency surgery with repair of bilateral lumbar herniae. | | | Reconstruction is the challenging aspect of lumbar hernia surgery. | | | Lumbar hernias rarely result in strangulation and hence the prognosis is good. |
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http://www.edu.rcsed.ac.uk/Case%20Presentations/CP27.htm
(429 words)
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| | lumbar spine |
| | The Lumbar Spine is the part of your spine commonly referred to as your "lower back". | | | In addition to the muscles, many joints in this area are also supplied by nerves from the lumbar spine including the hips, knees, ankles and feet. | | | Although this is an area of the spine that many people recognize when they think of pain, the nerves that exit this portion of the spine have responsibilities for vital body functions. |
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http://www.echiropractic.net/nclumbars.htm
(429 words)
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| | WKBKLUM.DOC |
| | This is typically a motion occurring in the cervical and thoracic spine as the lumbar spine is poorly adapted to rotation. | | | As you will learn much of the lumbar assessment is a functional one, in other words will utilize movement to determine the nature of the pain. | | | The pain decreases with flexion and increases with lumbar hyperextension. |
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http://www.southernct.edu/departments/exs/moring1/exs288/WKBKLUM.DOC
(3482 words)
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| | Frankford Hospitals - Lumbar Puncture (LP) |
| | During the lumbar puncture you may lie on the examination table on your side with your chin tucked to your chest and knees tucked to your abdomen. | | | In addition, a lumbar puncture may be used to measure the pressure of the CSF, which flows freely between the spinal column and the brain. | | | The physician measures the pressure during a lumbar puncture using a special tube (called a manometer) that is attached to the lumbar puncture needle. |
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http://www.frankfordhospitals.org/healthinfo/t_and_p/neuro/TP022.html
(1796 words)
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