Anterior and Lateral Approaches to the Lumbar Spine
Fig. 5.1 Standard anterior approach to the lumbar spine via midline laparotomy. The bowel has been rotated out of the peritoneal cavity and is protected on the patient’s abdominal wall…
Radiology II: MRI
Fig. 3.1 A 50-year-old man. (a) Sagittal T2-weighted image of lumbar spine, (b) MR myelography, (c) axial T1-weighted image and (d) axial T2-weighted image of intervertebral disk and facet joints…
Clinical Anatomy of the Lumbosacral Spine
(1) Princeton Spine & Joint Center, Princeton, NJ, USA KeywordsAnatomySpineFacet jointsIntervertebral discsMusclesTendonsLigamentsNerves A chapter on clinical anatomy of the lumbosacral spine in a book like this can be challenging….
Exercises for Lower Back Pain
(1) Princeton Spine & Joint Center, Princeton, NJ, USA Exercise is very important for good spine health. Exercise helps spinal health in a number of ways. Exercise to achieve…
Discogenic Lower Back Pain
(1) Princeton Spine & Joint Center, Princeton, NJ, USA KeywordsIntervertebral discAnnular tearNucleus pulposusMcKenzieEpiduralDiscographyDisc stimulation testIntradiscal The intervertebral disc is the most common source of chronic lower back pain accounting…
Facet Joint Arthropathy
(1) Princeton Spine & Joint Center, Princeton, NJ, USA KeywordsZygapophysealMedial branchRadiofrequency rhizotomyDouble-block paradigmIntra-articular injectionExtension biased Facet joint pain is the second most common cause of chronic lower back pain,…
Lumbosacral Radiculopathy
(1) Princeton Spine & Joint Center, Princeton, NJ, USA A lumbosacral radiculopathy is commonly referred to by patients and doctors alike as a “pinched nerve” or “sciatica.” Translated from…
Clinical Case #11: Hector
(1) Princeton Spine & Joint Center, Princeton, NJ, USA Hector is a 20-year-old football player in his junior year at his state university. Hector developed lower back pain around…
Clinical Case #10: Rebecca
(1) Princeton Spine & Joint Center, Princeton, NJ, USA Rebecca is a 34-year-old attorney and a mother of two who presents with an 18-month history of right lower back…
Clinical Case #9: Esther
(1) Princeton Spine & Joint Center, Princeton, NJ, USA Esther is a 72-year-old mother of four children and grandmother of eight who presents with a 3-week history of right…
