Articles

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More than 200 results
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...
Article

Sacrum

The sacrum is the penultimate segment of the vertebral column and also forms the posterior part of the bony pelvis. It transmits the total body weight between the lower appendicular skeleton and the axial skeleton. Gross anatomy The sacrum is an irregularly-shaped bone, shaped roughly like an ...
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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 ...
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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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Kümmell disease

Kümmell disease is an eponymous name for delayed post-traumatic vertebral body collapse. The underlying pathogenesis is osteonecrosis. Epidemiology Risk factors osteoporosis corticosteroid use alcoholism radiation therapy Pathology Kümmell disease represents delayed (usually two weeks) v...
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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...
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Pseudomeningocele

Pseudomeningoceles are abnormal collections of cerebrospinal fluid (CSF) that occur due to a defect in the dura surrounding the brain and/or spinal cord. They most commonly occur as a result of trauma or surgery and can result in a variety of local or distant complications. Epidemiology Psuedo...
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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 ...
Article

Facioscapulohumeral muscular dystrophy

Facioscapulohumeral muscular dystrophy (FSHD) is a form of muscular dystrophy characterized by extremely variable degrees of facial, scapular and upper limb muscle involvement. Epidemiology It is considered one of the more common hereditary muscular disorders with a prevalence of ~1 in 8,000. ...
Article

Axial spondyloarthritis

Axial spondyloarthrititis (SpA) is a clinical subset of the seronegative spondyloarthritides that present primarily with back pain and morning stiffness. There is a long delay, on average 14 years, between symptoms onset and diagnosis 1. Epidemiology The prevalence of axial SpA is ~1% 1. Age o...
Article

Spinothalamic tracts

The spinothalamic tracts are ascending pathways in the spinal cord primarily concerned with sensory function. They are responsible for transmitting pain, temperature, coarse (non-discriminative) touch and pressure sensations 1. Unlike other tracts main spinal tracts, the spinothalamic tracts de...
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Lateral spinothalamic tract

The lateral spinothalamic tract, also known as the lateral spinothalamic fasciculus, is an ascending pathway located anterolaterally within the peripheral white matter of the spinal cord. It is primarily responsible for transmitting pain and temperature as well as coarse touch.  The anterior sp...
Article

Anterior spinothalamic tract

The anterior spinothalamic tract, also known as the ventral spinothalamic fasciculus, is an ascending pathway located anteriorly within the spinal cord, primarily responsible for transmitting coarse touch and pressure.  The lateral spinothalamic tract (discussed separately), in contrast, primar...
Article

White matter tracts of the spinal cord

The spinal cord has numerous tracts of white matter that ascend and descend in the peripheral substance of the cord. They can be divided by their location and function: anterolateral columns anterior corticospinal tract medial longitudinal fasiculus spinothalamic tracts lateral spinothalami...

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