Lumbosacral plexopathy is an injury to the nerves in the lumbar or sacral plexus. Lumbosacral plexopathy can be caused by many disorders. The prevalence of lumbosacral plexopathies is unknown and is much less common than brachial plexopathies. Risk factors vary based on cause. Relevant Anatomy The lumbar and sacral plexuses together make lumbosacral plexus which […]
Spine
Transitional Vertebra Definition and Types
Transitional vertebra at any junction is characterized by features retained from two adjacent regions in the vertebral column. For example in the lumbosacral transitional vertebra, there is an L5 vertebra can become like S1 vertebra or S1 can leave the sacrum and become L6. As we know from our knowledge of the anatomy of the […]
Adjacent Segment Disease Causes and Treatment
Adjacent Segment Disease is defined as new degenerative changes at a spinal level adjacent to a surgically treated level or levels in the spine, leading to symptoms of radiculopathy, myelopathy, or instability. It is denoted as ASDis This condition may or may not result in any symptoms. The term adjacent segment degeneration (ASDeg) is used […]
Neurogenic Claudication – Risks, Pathophysiology and Treatment
Neurogenic claudication, also called pseudoclaudication, is a common symptom of lumbar spinal stenosis due to causing impingement or inflammation of the spinal nerves Claudication refers to an impairment in walking or pain, discomfort, numbness, or tiredness in the legs that occurs during walking or standing and is relieved by rest. The word claudication comes from the Latin claudicare meaning ‘to limp’. Thus, it is […]
Spinal Stenosis – Causes, Types, Symptoms and Treatment
Spinal stenosis indicates a pathological condition causing the compression of the contents of the canal, especially neural structures. The term stenosis means a narrowing of the caliber of an orifice or a tube. Spinal stenosis, therefore, defines a narrowing of the bone channel occupied by the spinal nerves or the spinal cord. This is usually […]
Bertolotti Syndrome – Causes and Treatment
Bertolotti syndrome is the presence of a variation of the fifth lumbar vertebra with a large transverse process, either articulated or fused with the sacral basis or iliac crest, producing a chronic, persistent lower back pain. It may also cause isolated L4/5 disc disease. Bertolotti described a unilateral and bilateral enlargement of the transverse process […]
What is Spinal Tumor Syndrome?
Spinal tumor syndrome is not a condition in itself. It is a clinical label for the patient’s condition with many differentials in the offering. Most often, the term is used in cases of spine tuberculosis where there is no apparent osseous lesion. To understand spinal tumor syndrome one must first know about the typical presentation […]
Functional Abilities After Spinal Injury Patient at Different Levels
Correlation between the level of spinal cord lesion and eventual deficits has been discussed before. This article concentrates on functional abilities after spinal injuries at the different levels which means what the patient is expected to do and what she would be unable to do after the injury. In the absence of medical complications, the […]
Pyogenic Vertebral osteomyelitis Presentation and Treatment
Pyogenic vertebral osteomyelitis is a type of spinal infection which may result from direct trauma, the spread of infection from adjacent structures or hematogenous spread from the distant focus of infection. It can have devastating complications if untreated which could be a pathological fracture, epidural infection, and compression of the neural structures. Vertebral osteomyelitis is […]
IDSA 2015 Clinical Practice Guidelines for Native Vertebral Osteomyelitis in Adults
The guidelines are published by the Infectious Disease Society of America. These guidelines include evidence and opinion-based recommendations for the diagnosis and management of patients with native vertebral osteomyelitis treated with antimicrobial therapy, with or without surgical intervention. Native vertebral osteomyelitis in adults is often the result of hematogenous seeding of the adjacent disc space […]