Any of the 23 plates of fibrocartilage found between the bodies of adjacent VERTEBRAE.
A plate of fibrous tissue that divides the temporomandibular joint into an upper and lower cavity. The disc is attached to the articular capsule and moves forward with the condyle in free opening and protrusion. (Boucher's Clinical Dental Terminology, 4th ed, p92)
A variety of conditions affecting the anatomic and functional characteristics of the temporomandibular joint. Factors contributing to the complexity of temporomandibular diseases are its relation to dentition and mastication and the symptomatic effects in other areas which account for referred pain to the joint and the difficulties in applying traditional diagnostic procedures to temporomandibular joint pathology where tissue is rarely obtained and x-rays are often inadequate or nonspecific. Common diseases are developmental abnormalities, trauma, subluxation, luxation, arthritis, and neoplasia. (From Thoma's Oral Pathology, 6th ed, pp577-600)
An INTERVERTEBRAL DISC in which the nucleus pulposus has protruded through surrounding fibrocartilage. This occurs most frequently in the lower lumbar region.
"Dislocation is a traumatic injury wherein the normal articulation between two bones at a joint is disrupted, resulting in the complete separation of the bone ends and associated soft tissues from their usual position."
Degenerative changes in the INTERVERTEBRAL DISC due to aging or structural damage, especially to the vertebral end-plates.
An articulation between the condyle of the mandible and the articular tubercle of the temporal bone.
The posterior process on the ramus of the mandible composed of two parts: a superior part, the articular portion, and an inferior part, the condylar neck.
Pain in the facial region including orofacial pain and craniofacial pain. Associated conditions include local inflammatory and neoplastic disorders and neuralgic syndromes involving the trigeminal, facial, and glossopharyngeal nerves. Conditions which feature recurrent or persistent facial pain as the primary manifestation of disease are referred to as FACIAL PAIN SYNDROMES.
VERTEBRAE in the region of the lower BACK below the THORACIC VERTEBRAE and above the SACRAL VERTEBRAE.
A type of CARTILAGE whose matrix contains large bundles of COLLAGEN TYPE I. Fibrocartilage is typically found in the INTERVERTEBRAL DISK; PUBIC SYMPHYSIS; TIBIAL MENISCI; and articular disks in synovial JOINTS. (From Ross et. al., Histology, 3rd ed., p132,136)
'Spinal diseases' is a broad term referring to various medical conditions that affect the structural integrity, function, or health of the spinal column, including degenerative disorders, infections, inflammatory processes, traumatic injuries, neoplasms, and congenital abnormalities.
Non-invasive method of demonstrating internal anatomy based on the principle that atomic nuclei in a strong magnetic field absorb pulses of radiofrequency energy and emit them as radiowaves which can be reconstructed into computerized images. The concept includes proton spin tomographic techniques.
The spinal or vertebral column.
The failure by the observer to measure or identify a phenomenon accurately, which results in an error. Sources for this may be due to the observer's missing an abnormality, or to faulty technique resulting in incorrect test measurement, or to misinterpretation of the data. Two varieties are inter-observer variation (the amount observers vary from one another when reporting on the same material) and intra-observer variation (the amount one observer varies between observations when reporting more than once on the same material).
The dissolving of the nucleus pulposus, the semi-gelatinous tissue of a displaced INTERVERTEBRAL DISC. It is usually achieved by the direct injection of a proteolytic enzyme, especially CHYMOPAPAIN, into the herniated disc.
Large HYALURONAN-containing proteoglycans found in articular cartilage (CARTILAGE, ARTICULAR). They form into aggregates that provide tissues with the capacity to resist high compressive and tensile forces.
The maximum compression a material can withstand without failure. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 5th ed, p427)
Excision, in part or whole, of an INTERVERTEBRAL DISC. The most common indication is disk displacement or herniation. In addition to standard surgical removal, it can be performed by percutaneous diskectomy (DISKECTOMY, PERCUTANEOUS) or by laparoscopic diskectomy, the former being the more common.
The first seven VERTEBRAE of the SPINAL COLUMN, which correspond to the VERTEBRAE of the NECK.
Region of the back including the LUMBAR VERTEBRAE, SACRUM, and nearby structures.
The physical state of supporting an applied load. This often refers to the weight-bearing bones or joints that support the body's weight, especially those in the spine, hip, knee, and foot.
A cartilaginous rod of mesodermal cells at the dorsal midline of all CHORDATE embryos. In lower vertebrates, notochord is the backbone of support. In the higher vertebrates, notochord is a transient structure, and segments of the vertebral column will develop around it. Notochord is also a source of midline signals that pattern surrounding tissues including the NEURAL TUBE development.
A cysteine endopeptidase isolated from papaya latex. Preferential cleavage at glutamic and aspartic acid residues. EC 3.4.22.6.
Outgrowth of immature bony processes or bone spurs (OSTEOPHYTE) from the VERTEBRAE, reflecting the presence of degenerative disease and calcification. It commonly occurs in cervical and lumbar SPONDYLOSIS.
The properties, processes, and behavior of biological systems under the action of mechanical forces.
A group of twelve VERTEBRAE connected to the ribs that support the upper trunk region.
Inflammation of an INTERVERTEBRAL DISC or disk space which may lead to disk erosion. Until recently, discitis has been defined as a nonbacterial inflammation and has been attributed to aseptic processes (e.g., chemical reaction to an injected substance). However, recent studies provide evidence that infection may be the initial cause, but perhaps not the promoter, of most cases of discitis. Discitis has been diagnosed in patients following discography, myelography, lumbar puncture, paravertebral injection, and obstetrical epidural anesthesia. Discitis following chemonucleolysis (especially with chymopapain) is attributed to chemical reaction by some and to introduction of microorganisms by others.
A fibrillar collagen found predominantly in CARTILAGE and vitreous humor. It consists of three identical alpha1(II) chains.
Acute or chronic pain in the lumbar or sacral regions, which may be associated with musculo-ligamentous SPRAINS AND STRAINS; INTERVERTEBRAL DISK DISPLACEMENT; and other conditions.
A condition characterized by pain radiating from the back into the buttock and posterior/lateral aspects of the leg. Sciatica may be a manifestation of SCIATIC NEUROPATHY; RADICULOPATHY (involving the SPINAL NERVE ROOTS; L4, L5, S1, or S2, often associated with INTERVERTEBRAL DISK DISPLACEMENT); or lesions of the CAUDA EQUINA.
Five fused VERTEBRAE forming a triangle-shaped structure at the back of the PELVIS. It articulates superiorly with the LUMBAR VERTEBRAE, inferiorly with the COCCYX, and anteriorly with the ILIUM of the PELVIS. The sacrum strengthens and stabilizes the PELVIS.
Operative immobilization or ankylosis of two or more vertebrae by fusion of the vertebral bodies with a short bone graft or often with diskectomy or laminectomy. (From Blauvelt & Nelson, A Manual of Orthopaedic Terminology, 5th ed, p236; Dorland, 28th ed)
X-ray visualization of the spinal cord following injection of contrast medium into the spinal arachnoid space.
Glycoproteins which have a very high polysaccharide content.
Disease involving a spinal nerve root (see SPINAL NERVE ROOTS) which may result from compression related to INTERVERTEBRAL DISK DISPLACEMENT; SPINAL CORD INJURIES; SPINAL DISEASES; and other conditions. Clinical manifestations include radicular pain, weakness, and sensory loss referable to structures innervated by the involved nerve root.
A fibril-associated collagen usually found crosslinked to the surface of COLLAGEN TYPE II fibrils. It is a heterotrimer containing alpha1(IX), alpha2(IX) and alpha3(IX) subunits.
Heteropolysaccharides which contain an N-acetylated hexosamine in a characteristic repeating disaccharide unit. The repeating structure of each disaccharide involves alternate 1,4- and 1,3-linkages consisting of either N-acetylglucosamine or N-acetylgalactosamine.
An appreciable lateral deviation in the normally straight vertical line of the spine. (Dorland, 27th ed)
A dead body, usually a human body.
Forward displacement of a superior vertebral body over the vertebral body below.
Percutaneous excision of a herniated or displaced INTERVERTEBRAL DISC by posterolateral approach, always remaining outside the spinal canal. Percutaneous nucleotomy was first described by Hijikata in Japan in 1975. In 1985 Onik introduced automated percutaneous nucleotomy which consists in percutaneous aspiration of the nucleus pulposus. It is carried out under local anesthesia, thus reducing the surgical insult and requiring brief hospitalization, often performed on an outpatient basis. It appears to be a well-tolerated alternative to surgical diskectomy and chymopapain nucleolysis.
A surgical procedure that entails removing all (laminectomy) or part (laminotomy) of selected vertebral lamina to relieve pressure on the SPINAL CORD and/or SPINAL NERVE ROOTS. Vertebral lamina is the thin flattened posterior wall of vertebral arch that forms the vertebral foramen through which pass the spinal cord and nerve roots.
Narrowing of the spinal canal.
A meshwork-like substance found within the extracellular space and in association with the basement membrane of the cell surface. It promotes cellular proliferation and provides a supporting structure to which cells or cell lysates in culture dishes adhere.
A purely physical condition which exists within any material because of strain or deformation by external forces or by non-uniform thermal expansion; expressed quantitatively in units of force per unit area.
A computer based method of simulating or analyzing the behavior of structures or components.
The replacement of intervertebral discs in the spinal column with artificial devices. The procedure is done in the lumbar or cervical spine to relieve severe pain resulting from INTERVERTEBRAL DISC DEGENERATION.
The cavity within the SPINAL COLUMN through which the SPINAL CORD passes.
Macromolecular organic compounds that contain carbon, hydrogen, oxygen, nitrogen, and usually, sulfur. These macromolecules (proteins) form an intricate meshwork in which cells are embedded to construct tissues. Variations in the relative types of macromolecules and their organization determine the type of extracellular matrix, each adapted to the functional requirements of the tissue. The two main classes of macromolecules that form the extracellular matrix are: glycosaminoglycans, usually linked to proteins (proteoglycans), and fibrous proteins (e.g., COLLAGEN; ELASTIN; FIBRONECTINS; and LAMININ).
Acute or chronic pain located in the posterior regions of the THORAX; LUMBOSACRAL REGION; or the adjacent regions.
Disease or injury involving multiple SPINAL NERVE ROOTS. Polyradiculitis refers to inflammation of multiple spinal nerve roots.
A surgical operation for the relief of pressure in a body compartment or on a body part. (From Dorland, 28th ed)
Injuries involving the vertebral column.
Polymorphic cells that form cartilage.
A small leucine-rich proteoglycan found in a variety of tissues including CAPILLARY ENDOTHELIUM; SKELETAL MUSCLE; CARTILAGE; BONE; and TENDONS. The protein contains two glycosaminoglycan chains and is similar in structure to DECORIN.
Shiny, flexible bands of fibrous tissue connecting together articular extremities of bones. They are pliant, tough, and inextensile.
An extracellular endopeptidase which excises a block of peptides at the amino terminal, nonhelical region of the procollagen molecule with the formation of collagen. Absence or deficiency of the enzyme causes accumulation of procollagen which results in the inherited connective tissue disorder--dermatosparaxis. EC 3.4.24.14.
The distance and direction to which a bone joint can be extended. Range of motion is a function of the condition of the joints, muscles, and connective tissues involved. Joint flexibility can be improved through appropriate MUSCLE STRETCHING EXERCISES.
Inflammation of the SPINE. This includes both arthritic and non-arthritic conditions.
Internal devices used in osteosynthesis to hold the position of the fracture in proper alignment. By applying the principles of biomedical engineering, the surgeon uses metal plates, nails, rods, etc., for the correction of skeletal defects.
An anionic, hydrophilic azo dye with an orange-yellow color used in fabrics, foods and cosmetics, and as a biological stain.
A sulfated mucopolysaccharide initially isolated from bovine cornea. At least two types are known. Type I, found mostly in the cornea, contains D-galactose and D-glucosamine-6-O-sulfate as the repeating unit; type II, found in skeletal tissues, contains D-galactose and D-galactosamine-6-O-sulfate as the repeating unit.
The anterior concavity in the curvature of the lumbar and cervical spine as viewed from the side. The term usually refers to abnormally increased curvature (hollow back, saddle back, swayback). It does not include lordosis as normal mating posture in certain animals ( = POSTURE + SEX BEHAVIOR, ANIMAL).
In anatomical terms, "tail" is not used as a medical definition to describe any part of the human body; it is however used in veterinary medicine to refer to the distal portion of the spine in animals possessing tails.
A SOXE transcription factor that plays a critical role in regulating CHONDROGENESIS; OSTEOGENESIS; and male sex determination. Loss of function of the SOX9 transcription factor due to genetic mutations is a cause of CAMPOMELIC DYSPLASIA.
Domesticated bovine animals of the genus Bos, usually kept on a farm or ranch and used for the production of meat or dairy products or for heavy labor.
The joint that occurs between facets of the interior and superior articular processes of adjacent VERTEBRAE.
The physiological renewal, repair, or replacement of tissue.
Diseases of the domestic dog (Canis familiaris). This term does not include diseases of wild dogs, WOLVES; FOXES; and other Canidae for which the heading CARNIVORA is used.
Deformities of the SPINE characterized by an exaggerated convexity of the vertebral column. The forward bending of the thoracic region usually is more than 40 degrees. This deformity sometimes is called round back or hunchback.
A non-vascular form of connective tissue composed of CHONDROCYTES embedded in a matrix that includes CHONDROITIN SULFATE and various types of FIBRILLAR COLLAGEN. There are three major types: HYALINE CARTILAGE; FIBROCARTILAGE; and ELASTIC CARTILAGE.
A type II keratin found associated with KERATIN-18 in simple, or predominately single layered, internal epithelia.
Deficient development or degeneration of a portion of the VERTEBRA, usually in the pars interarticularis (the bone bridge between the superior and inferior facet joints of the LUMBAR VERTEBRAE) leading to SPONDYLOLISTHESIS.
Histochemical localization of immunoreactive substances using labeled antibodies as reagents.
The gradual irreversible changes in structure and function of an organism that occur as a result of the passage of time.
Space between the dura mater and the walls of the vertebral canal.
Artificial substitutes for body parts, and materials inserted into tissue for functional, cosmetic, or therapeutic purposes. Prostheses can be functional, as in the case of artificial arms and legs, or cosmetic, as in the case of an artificial eye. Implants, all surgically inserted or grafted into the body, tend to be used therapeutically. IMPLANTS, EXPERIMENTAL is available for those used experimentally.
A degenerative spinal disease that can involve any part of the VERTEBRA, the INTERVERTEBRAL DISK, and the surrounding soft tissue.
Acute and chronic conditions characterized by external mechanical compression of the SPINAL CORD due to extramedullary neoplasm; EPIDURAL ABSCESS; SPINAL FRACTURES; bony deformities of the vertebral bodies; and other conditions. Clinical manifestations vary with the anatomic site of the lesion and may include localized pain, weakness, sensory loss, incontinence, and impotence.
Paired bundles of NERVE FIBERS entering and leaving the SPINAL CORD at each segment. The dorsal and ventral nerve roots join to form the mixed segmental spinal nerves. The dorsal roots are generally afferent, formed by the central projections of the spinal (dorsal root) ganglia sensory cells, and the ventral roots are efferent, comprising the axons of spinal motor and PREGANGLIONIC AUTONOMIC FIBERS.
The nine cartilages of the larynx, including the cricoid, thyroid and epiglottic, and two each of arytenoid, corniculate and cuneiform.
Generating tissue in vitro for clinical applications, such as replacing wounded tissues or impaired organs. The use of TISSUE SCAFFOLDING enables the generation of complex multi-layered tissues and tissue structures.
A polypeptide substance comprising about one third of the total protein in mammalian organisms. It is the main constituent of SKIN; CONNECTIVE TISSUE; and the organic substance of bones (BONE AND BONES) and teeth (TOOTH).
A degenerative joint disease involving the SPINE. It is characterized by progressive deterioration of the spinal articular cartilage (CARTILAGE, ARTICULAR), usually with hardening of the subchondral bone and outgrowth of bone spurs (OSTEOPHYTE).
Term used to designate tetrahydroxy aldehydic acids obtained by oxidation of hexose sugars, i.e. glucuronic acid, galacturonic acid, etc. Historically, the name hexuronic acid was originally given to ascorbic acid.
The pull on a limb or a part thereof. Skin traction (indirect traction) is applied by using a bandage to pull on the skin and fascia where light traction is required. Skeletal traction (direct traction), however, uses pins or wires inserted through bone and is attached to weights, pulleys, and ropes. (From Blauvelt & Nelson, A Manual of Orthopaedic Terminology, 5th ed)
Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film).
Local surroundings with which cells interact by processing various chemical and physical signals, and by contributing their own effects to this environment.
An inorganic pyrophosphate which affects calcium metabolism in mammals. Abnormalities in its metabolism occur in some human diseases, notably HYPOPHOSPHATASIA and pseudogout (CHONDROCALCINOSIS).
Surgical insertion of a prosthesis.
A non-fibrillar collagen found primarily in terminally differentiated hypertrophic CHONDROCYTES. It is a homotrimer of three identical alpha1(X) subunits.
Cells propagated in vitro in special media conducive to their growth. Cultured cells are used to study developmental, morphologic, metabolic, physiologic, and genetic processes, among others.
A type of CARTILAGE characterized by a homogenous amorphous matrix containing predominately TYPE II COLLAGEN and ground substance. Hyaline cartilage is found in ARTICULAR CARTILAGE; COSTAL CARTILAGE; LARYNGEAL CARTILAGES; and the NASAL SEPTUM.
Naturally occurring or experimentally induced animal diseases with pathological processes sufficiently similar to those of human diseases. They are used as study models for human diseases.
The most common form of fibrillar collagen. It is a major constituent of bone (BONE AND BONES) and SKIN and consists of a heterotrimer of two alpha1(I) and one alpha2(I) chains.
Transference of cells within an individual, between individuals of the same species, or between individuals of different species.
The maximum stress a material subjected to a stretching load can withstand without tearing. (McGraw-Hill Dictionary of Scientific and Technical Terms, 5th ed, p2001)
A growth differentiation factor that plays a role in early CHONDROGENESIS and joint formation.
A small leucine-rich proteoglycan that interacts with FIBRILLAR COLLAGENS and modifies the EXTRACELLULAR MATRIX structure of CONNECTIVE TISSUE. Decorin has also been shown to play additional roles in the regulation of cellular responses to GROWTH FACTORS. The protein contains a single glycosaminoglycan chain and is similar in structure to BIGLYCAN.
Tomography using x-ray transmission and a computer algorithm to reconstruct the image.

Genetic influences on cervical and lumbar disc degeneration: a magnetic resonance imaging study in twins. (1/1084)

OBJECTIVE: Degenerative intervertebral disc disease is common; however, the importance of genetic factors is unknown. This study sought to determine the extent of genetic influences on disc degeneration by classic twin study methods using magnetic resonance imaging (MRI). METHODS: We compared MRI features of degenerative disc disease in the cervical and lumbar spine of 172 monozygotic and 154 dizygotic twins (mean age 51.7 and 54.4, respectively) who were unselected for back pain or disc disease. An overall score for disc degeneration was calculated as the sum of the grades for disc height, bulge, osteophytosis, and signal intensity at each level. A "severe disease" score (excluding minor grades) and an "extent of disease" score (number of levels affected) were also calculated. RESULTS: For the overall score, heritability was 74% (95% confidence interval [95% CI] 64-81%) at the lumbar spine and 73% (95% CI 64-80%) at the cervical spine. For "severe disease," heritability was 64% and 79% at the lumbar and cervical spine, respectively, and for "extent of disease," heritability was 63% and 63%, respectively. These results were adjusted for age, weight, height, smoking, occupational manual work, and exercise. Examination of individual features revealed that disc height and bulge were highly heritable at both sites, and osteophytes were heritable in the lumbar spine. CONCLUSION: These results suggest an important genetic influence on variation in intervertebral disc degeneration. However, variation in disc signal is largely influenced by environmental factors shared by twins. The use of MRI scans to determine the phenotype in family and population studies should allow a better understanding of disease mechanisms and the identification of the genes involved.  (+info)

Clinical evaluation and treatment options for herniated lumbar disc. (2/1084)

Degeneration of the intervertebral disc from a combination of factors can result in herniation, particularly at the L4-5 and L5-S1 levels. The presence of pain, radiculopathy and other symptoms depends on the site and degree of herniation. A detailed history and careful physical examination, supplemented if necessary by magnetic resonance imaging, can differentiate a herniated lumbar disc from low back strain and other possible causes of similar symptoms. Most patients recover within four weeks of symptom onset. Many treatment modalities have been suggested for lumbar disc herniation, but studies often provide conflicting results. Initial screening for serious pathology and monitoring for the development of significant complications (such as neurologic defects, cauda equina syndrome or refractory pain) are essential in the management of lumbar disc herniation.  (+info)

Multiple disc herniations in spondyloepiphyseal dysplasia tarda. A case report. (3/1084)

Spondyloepiphyseal dysplasia (SED) tarda is a group of inherited dysplasias in which the spine and the epiphyses of long bones are affected from late childhood. A 19-year-old male was diagnosed as SED tarda. He had a thoracic and then lumbar disc herniations which were separated by a 4-year interval. Surgical excision was performed for each disc herniation. This is the first case report of multiple disc herniations in SED.  (+info)

Extradural inflammation associated with annular tears: demonstration with gadolinium-enhanced lumbar spine MRI. (4/1084)

Annular tears are manifest on MRI as the high-intensity zone (HIZ) or as annular enhancement. Patients with annular tears may experience low back pain with radiation into the lower limb in the absence of nerve root compression. Inflammation of nerve roots from leak of degenerative nuclear material through full-thickness annular tears is a proposed mechanism for such leg pain. The aim of this study is to illustrate the appearance of extradural enhancement adjacent to annular tears in patients being investigated for low back pain with radiation into the lower limb(s). Sagittal T1- and T2-weighted spin echo and axial T1-weighted spin echo sequences were obtained in eight patients being investigated for low back and leg pain. In all patients, the T1-weighted sequences were repeated following intravenous gadopentetate dimeglumine (Gd-DTPA). Annular tears were identified at 12 sites in eight patients. Extradural inflammation appeared as a region of intermediate signal intensity replacing the fat between the posterior disc margin and the theca, which enhanced following Gd-DTPA. The inflammatory change was always associated with an annular tear, and in four cases directly involved the nerve root. Enhancement of the nerve root was seen in two cases. The findings may be relevant in the diagnosis of chemical radiculopathy secondary to inflammation at the site of an annular leak from a degenerating disc.  (+info)

Ten- to 15-year outcome of surgery for lumbar disc herniation: radiographic instability and clinical findings. (5/1084)

The most appropriate treatment for radiculopathy associated with disc pathology is still controversial. Since 1934, surgical treatment has consisted of hemilaminectomy and removal of the herniated material. Many authors believe that these procedures may cause degenerative spondylosis and vertebral instability. Several surgical methods have been proposed, but the long-term effects are still being debated. In addition there appear to be few well-designed outcome studies on the management of this disease. In the present study, 150 patients were selected for surgery with strict criteria and all treated with the standard technique. The series was evaluated by subjective analyses (Roland questionnaire; 120 patients), objective examinations (68 patients - 56.6%) and radiographic studies including dynamic views (analyzed by the Taillard and Boxall methods) to establish the presence of vertebral instability (50 patients - 41.6%). The subjective and objective analyses showed a high rate of good results. Radiographic studies showed vertebral instability in 30 cases, but only 9 were symptomatic. Recurrences were not observed and only a few patients suffered from leg pain. The standard procedure for lumbar disc herniation showed good results at 10- and 15-year follow-up.  (+info)

The assessment of appropriate indications for laminectomy. (6/1084)

We have developed criteria to determine the appropriate indications for lumbar laminectomy, using the standard procedure developed at the RAND corporation and the University of California at Los Angeles (RAND-UCLA). A panel of five surgeons and four physicians individually assessed 1000 hypothetical cases of sciatica, back pain only, symptoms of spinal stenosis, spondylolisthesis, miscellaneous indications or the need for repeat laminectomy. For the first round each member of the panel used a scale ranging from 1 (extremely inappropriate) to 9 (extremely appropriate). After discussion and condensation of the results into three categories laminectomy was considered appropriate in 11% of the 1000 theoretical scenarios, equivocal in 26% and inappropriate in 63%. There was some variation between the six categories of malalignment, but full agreement in 64% of the hypothetical cases. We applied these criteria retrospectively to the records of 196 patients who had had surgical treatment for herniated discs in one Swiss University hospital. We found that 48% of the operations were for appropriate indications, 29% for equivocal reasons and that 23% were inappropriate. The RAND-UCLA method is a feasible, useful and coherent approach to the study of the indications for laminectomy and related procedures, providing a number of important insights. Our conclusions now require validation by carefully designed prospective clinical trials, such as those which are used for new medical techniques.  (+info)

Delayed vertebral slip and adjacent disc degeneration with an isthmic defect of the fifth lumbar vertebra. (7/1084)

We reviewed the radiographs of 325 unselected patients with defects in the pars interarticularis of L5 to study whether the incidence of vertebral slip in spondylolysis of L5 remained unchanged after the age of 20 years. MRI was also carried out on 111 of the patients to investigate the relationship between the shape of the transverse process of L5 and the degeneration of the discs adjacent to this level. The incidence of spondylolisthesis increased with age from 17% in the second decade to 51% in the sixth. The transverse process was significantly more slender in patients with less degeneration at L4/5 and advanced degeneration at L5/S1 than in patients with advanced degeneration at L4/5 and less degeneration at L5/S1. Vertebral slip secondary to an isthmic defect of L5 after the age of 20 years was confirmed and the adjacent disc degeneration was significantly related to the vertical thickness of the transverse process of L5.  (+info)

Kinetics of tissue and serum matrix metalloproteinase-3 and tissue inhibitor of metalloproteinases-1 in intervertebral disc degeneration and disc herniation. (8/1084)

We have evaluated the correlation between disc herniation or degeneration and the levels of matrix metalloproteinase-3 (MMP-3) or tissue inhibitor of metalloproteinases-1 (TIMP-1). The lumbar discs obtained from 22 autopsied cadavers and 21 patients with lumbar disc herniation were examined. Immunohistochemical study: The number of MMP-3-producing and TIMP-1-producing cells increased as disc herniation or degeneration progressed. Zymography: Activated type MMP-3 was observed in the normal and herniated intervertebral disc excluding the intervertebral disc with protrusion-type herniation. RT-PCR: The MMP-3 gene was expressed in all groups. However, the expression of the TIMP-1 gene was weak in the normal group as well as in the protrusion type disc herniation. Determination of tissue and serum levels of MMP-3 and TIMP-1 was increased as disc degeneration or herniation progressed. There were positive correlations between the number of MMP-3-producing or TIMP-1-producing cells in the intervertebral disc and the tissue or serum levels of MMP-3 and TIMP-1. These results suggested that MMP-3 and TIMP-1 were closely related to the progression of disc degeneration or herniation. The results also suggested that MMP-3 and TIMP-1 exhibited similar kinetics. Moreover, the serum levels of MMP-3 and TIMP-1 reflected the progression of disc degeneration and herniation.  (+info)

An intervertebral disc is a fibrocartilaginous structure found between the vertebrae of the spinal column in humans and other animals. It functions as a shock absorber, distributes mechanical stress during weight-bearing activities, and allows for varying degrees of mobility between adjacent vertebrae.

The disc is composed of two parts: the annulus fibrosus, which forms the tough, outer layer; and the nucleus pulposus, which is a gel-like substance in the center that contains proteoglycans and water. The combination of these components provides the disc with its unique ability to distribute forces and allow for movement.

The intervertebral discs are essential for the normal functioning of the spine, providing stability, flexibility, and protection to the spinal cord and nerves. However, they can also be subject to degeneration and injury, which may result in conditions such as herniated discs or degenerative disc disease.

The temporomandibular joint (TMJ) disc is a small, thin piece of fibrocartilaginous tissue located within the TMJ, which is the joint that connects the mandible (jawbone) to the temporal bone of the skull. The disc acts as a cushion and allows for smooth movement of the jaw during activities such as eating, speaking, and yawning. It divides the joint into two compartments: the upper and lower compartments.

The TMJ disc is composed of several types of tissue, including collagen fibers, elastin fibers, and a small number of cells called fibroblasts. The disc's unique structure allows it to withstand the forces generated during jaw movement and helps to distribute these forces evenly across the joint.

The TMJ disc can become damaged or displaced due to various factors such as trauma, teeth grinding (bruxism), or degenerative joint diseases like osteoarthritis. This can lead to temporomandibular disorders (TMDs) characterized by pain, stiffness, and limited jaw movement.

Temporomandibular Joint Disorders (TMD) refer to a group of conditions that cause pain and dysfunction in the temporomandibular joint (TMJ) and the muscles that control jaw movement. The TMJ is the hinge joint that connects the lower jaw (mandible) to the skull (temporal bone) in front of the ear. It allows for movements required for activities such as eating, speaking, and yawning.

TMD can result from various causes, including:

1. Muscle tension or spasm due to clenching or grinding teeth (bruxism), stress, or jaw misalignment
2. Dislocation or injury of the TMJ disc, which is a small piece of cartilage that acts as a cushion between the bones in the joint
3. Arthritis or other degenerative conditions affecting the TMJ
4. Bite problems (malocclusion) leading to abnormal stress on the TMJ and its surrounding muscles
5. Stress, which can exacerbate existing TMD symptoms by causing muscle tension

Symptoms of Temporomandibular Joint Disorders may include:
- Pain or tenderness in the jaw, face, neck, or shoulders
- Limited jaw movement or locking of the jaw
- Clicking, popping, or grating sounds when moving the jaw
- Headaches, earaches, or dizziness
- Difficulty chewing or biting
- Swelling on the side of the face

Treatment for TMD varies depending on the severity and cause of the condition. It may include self-care measures (like eating soft foods, avoiding extreme jaw movements, and applying heat or cold packs), physical therapy, medications (such as muscle relaxants, pain relievers, or anti-inflammatory drugs), dental work (including bite adjustments or orthodontic treatment), or even surgery in severe cases.

Intervertebral disc displacement, also known as a slipped disc or herniated disc, is a medical condition where the inner, softer material (nucleus pulposus) of the intervertebral disc bulges or ruptures through its outer, tougher ring (annulus fibrosus). This can put pressure on nearby nerves and cause pain, numbness, tingling, or weakness in the affected area, often in the lower back or neck. The displacement may also lead to inflammation and irritation of the surrounding spinal structures, further exacerbating the symptoms. The condition is typically caused by age-related wear and tear (degenerative disc disease) or sudden trauma.

A dislocation is a condition in which a bone slips out of its normal position in a joint. This can happen as a result of trauma or injury, such as a fall or direct blow to the body. Dislocations can cause pain, swelling, and limited mobility in the affected area. In some cases, a dislocation may also damage surrounding tissues, such as ligaments, tendons, and nerves.

Dislocations are typically treated by reducing the dislocation, which means putting the bone back into its normal position. This is usually done with the help of medication to relieve pain and relaxation techniques to help the person stay still during the reduction. In some cases, surgery may be necessary to repair damaged tissues or if the dislocation cannot be reduced through other methods. After the dislocation has been reduced, the joint may be immobilized with a splint or sling to allow it to heal properly.

It is important to seek medical attention promptly if you suspect that you have a dislocation. If left untreated, a dislocation can lead to further complications, such as joint instability and chronic pain.

Intervertebral disc degeneration is a physiological and biochemical process that occurs in the spinal discs, which are located between each vertebra in the spine. These discs act as shock absorbers and allow for movement and flexibility of the spine.

The degenerative process involves changes in the structure and composition of the disc, including loss of water content, decreased production of proteoglycans (which help to maintain the disc's elasticity), and disorganization of the collagen fibers that make up the disc's outer layer (annulus fibrosus). These changes can lead to a decrease in the disc's height and mobility, as well as the development of tears or cracks in the annulus fibrosus.

In advanced stages of degeneration, the disc may herniate or bulge outward, causing pressure on nearby nerves and potentially leading to pain, numbness, tingling, or weakness in the affected area. It's worth noting that while intervertebral disc degeneration is a normal part of aging, certain factors such as injury, smoking, obesity, and repetitive stress can accelerate the process.

The temporomandibular joint (TMJ) is the articulation between the mandible (lower jaw) and the temporal bone of the skull. It's a complex joint that involves the movement of two bones, several muscles, and various ligaments. The TMJ allows for movements like rotation and translation, enabling us to open and close our mouth, chew, speak, and yawn. Dysfunction in this joint can lead to temporomandibular joint disorders (TMD), which can cause pain, discomfort, and limited jaw movement.

The mandibular condyle is a part of the temporomandibular joint (TMJ) in the human body. It is a rounded eminence at the end of the mandible (lower jawbone) that articulates with the glenoid fossa of the temporal bone in the skull, allowing for movements such as opening and closing the mouth, chewing, speaking, and swallowing. The mandibular condyle has both a fibrocartilaginous articular surface and a synovial joint capsule surrounding it, which provides protection and lubrication during these movements.

Facial pain is a condition characterized by discomfort or pain felt in any part of the face. It can result from various causes, including nerve damage or irritation, injuries, infections, dental problems, migraines, or sinus congestion. The pain can range from mild to severe and may be sharp, dull, constant, or intermittent. In some cases, facial pain can also be associated with other symptoms such as headaches, redness, swelling, or changes in sensation. Accurate diagnosis and treatment of the underlying cause are essential for effective management of facial pain.

The lumbar vertebrae are the five largest and strongest vertebrae in the human spine, located in the lower back region. They are responsible for bearing most of the body's weight and providing stability during movement. The lumbar vertebrae have a characteristic shape, with a large body in the front, which serves as the main weight-bearing structure, and a bony ring in the back, formed by the pedicles, laminae, and processes. This ring encloses and protects the spinal cord and nerves. The lumbar vertebrae are numbered L1 to L5, starting from the uppermost one. They allow for flexion, extension, lateral bending, and rotation movements of the trunk.

Fibrocartilage is a type of tough, dense connective tissue that contains both collagen fibers and cartilaginous matrix. It is composed of fibroblasts embedded in a extracellular matrix rich in collagen types I and II, proteoglycans and elastin. Fibrocartilage is found in areas of the body where strong, flexible support is required, such as intervertebral discs, menisci (knee cartilage), labrum (shoulder and hip cartilage) and pubic symphysis. It has both the elasticity and flexibility of cartilage and the strength and durability of fibrous tissue. Fibrocartilage can withstand high compressive loads and provides cushioning, shock absorption and stability to the joints and spine.

Spinal diseases refer to a range of medical conditions that affect the spinal column, which is made up of vertebrae (bones), intervertebral discs, facet joints, nerves, ligaments, and muscles. These diseases can cause pain, discomfort, stiffness, numbness, weakness, or even paralysis, depending on the severity and location of the condition. Here are some examples of spinal diseases:

1. Degenerative disc disease: This is a condition where the intervertebral discs lose their elasticity and height, leading to stiffness, pain, and decreased mobility.
2. Herniated disc: This occurs when the inner material of the intervertebral disc bulges or herniates out through a tear in the outer layer, causing pressure on the spinal nerves and resulting in pain, numbness, tingling, or weakness in the affected area.
3. Spinal stenosis: This is a narrowing of the spinal canal or the neural foramen (the openings where the spinal nerves exit the spinal column), which can cause pressure on the spinal cord or nerves and result in pain, numbness, tingling, or weakness.
4. Scoliosis: This is a curvature of the spine that can occur in children or adults, leading to an abnormal posture, back pain, and decreased lung function.
5. Osteoarthritis: This is a degenerative joint disease that affects the facet joints in the spine, causing pain, stiffness, and decreased mobility.
6. Ankylosing spondylitis: This is a chronic inflammatory disease that affects the spine and sacroiliac joints, leading to pain, stiffness, and fusion of the vertebrae.
7. Spinal tumors: These are abnormal growths that can occur in the spinal column, which can be benign or malignant, causing pain, neurological symptoms, or even paralysis.
8. Infections: Bacterial or viral infections can affect the spine, leading to pain, fever, and other systemic symptoms.
9. Trauma: Fractures, dislocations, or sprains of the spine can occur due to accidents, falls, or sports injuries, causing pain, neurological deficits, or even paralysis.

Medical Definition:

Magnetic Resonance Imaging (MRI) is a non-invasive diagnostic imaging technique that uses a strong magnetic field and radio waves to create detailed cross-sectional or three-dimensional images of the internal structures of the body. The patient lies within a large, cylindrical magnet, and the scanner detects changes in the direction of the magnetic field caused by protons in the body. These changes are then converted into detailed images that help medical professionals to diagnose and monitor various medical conditions, such as tumors, injuries, or diseases affecting the brain, spinal cord, heart, blood vessels, joints, and other internal organs. MRI does not use radiation like computed tomography (CT) scans.

The spine, also known as the vertebral column, is a complex structure in the human body that is part of the axial skeleton. It is composed of 33 individual vertebrae (except in some people where there are fewer due to fusion of certain vertebrae), intervertebral discs, facet joints, ligaments, muscles, and nerves.

The spine has several important functions:

1. Protection: The spine protects the spinal cord, which is a major component of the nervous system, by enclosing it within a bony canal.
2. Support: The spine supports the head and upper body, allowing us to maintain an upright posture and facilitating movement of the trunk and head.
3. Movement: The spine enables various movements such as flexion (bending forward), extension (bending backward), lateral flexion (bending sideways), and rotation (twisting).
4. Weight-bearing: The spine helps distribute weight and pressure evenly across the body, reducing stress on individual vertebrae and other structures.
5. Blood vessel and nerve protection: The spine protects vital blood vessels and nerves that pass through it, including the aorta, vena cava, and spinal nerves.

The spine is divided into five regions: cervical (7 vertebrae), thoracic (12 vertebrae), lumbar (5 vertebrae), sacrum (5 fused vertebrae), and coccyx (4 fused vertebrae, also known as the tailbone). Each region has unique characteristics that allow for specific functions and adaptations to the body's needs.

Observer variation, also known as inter-observer variability or measurement agreement, refers to the difference in observations or measurements made by different observers or raters when evaluating the same subject or phenomenon. It is a common issue in various fields such as medicine, research, and quality control, where subjective assessments are involved.

In medical terms, observer variation can occur in various contexts, including:

1. Diagnostic tests: Different radiologists may interpret the same X-ray or MRI scan differently, leading to variations in diagnosis.
2. Clinical trials: Different researchers may have different interpretations of clinical outcomes or adverse events, affecting the consistency and reliability of trial results.
3. Medical records: Different healthcare providers may document medical histories, physical examinations, or treatment plans differently, leading to inconsistencies in patient care.
4. Pathology: Different pathologists may have varying interpretations of tissue samples or laboratory tests, affecting diagnostic accuracy.

Observer variation can be minimized through various methods, such as standardized assessment tools, training and calibration of observers, and statistical analysis of inter-rater reliability.

I am unable to find a medical definition for "Intervertebral Disc Chemolysis" as it is not a widely recognized or established term in the field of medicine. The term "chemolysis" refers to the breakdown of chemical compounds by chemical means, and "intervertebral disc" refers to the cushion-like structure found between the vertebrae in the spine.

However, I can tell you that there is a medical procedure called "chemonucleolysis," which involves the use of enzymes or chemicals to break down the nucleus pulposus (the inner, gel-like material) of an intervertebral disc in order to reduce the pressure on surrounding nerves and relieve pain.

Therefore, it is possible that "Intervertebral Disc Chemolysis" may refer to a similar process, but I cannot confirm this without further context or information.

Aggrecan is a large, complex proteoglycan molecule found in the extracellular matrix of articular cartilage and other connective tissues. It is a key component of the structural framework of these tissues, helping to provide resiliency, cushioning, and protection to the cells within. Aggrecan contains numerous glycosaminoglycan (GAG) chains, which are negatively charged molecules that attract water and ions, creating a swelling pressure that contributes to the tissue's load-bearing capacity.

The medical definition of 'Aggrecans' can be described as:

1. A large proteoglycan molecule found in articular cartilage and other connective tissues.
2. Composed of a core protein with attached glycosaminoglycan (GAG) chains, primarily chondroitin sulfate and keratan sulfate.
3. Plays a crucial role in the biomechanical properties of articular cartilage by attracting water and ions, creating a swelling pressure that contributes to the tissue's load-bearing capacity.
4. Aggrecan degradation or loss is associated with various joint diseases, such as osteoarthritis, due to reduced structural integrity and shock-absorbing capabilities of articular cartilage.

Compressive strength is a measure of the maximum compressive load that a material or structure can withstand before failure or deformation. It is typically expressed in units of pressure, such as pounds per square inch (psi) or megapascals (MPa). Compressive strength is an important property in the design and analysis of structures and materials, as it helps to ensure their safety and durability under compressive loads.

In medical terminology, compressive strength may refer to the ability of biological tissues, such as bone or cartilage, to withstand compressive forces without deforming or failing. For example, osteoporosis is a condition characterized by reduced bone density and compressive strength, which can increase the risk of fractures in affected individuals. Similarly, degenerative changes in articular cartilage can lead to decreased compressive strength and joint pain or stiffness.

Diskectomy is a surgical procedure in which all or part of an intervertebral disc (the cushion between two vertebrae) is removed. This procedure is typically performed to alleviate pressure on nerve roots or the spinal cord caused by a herniated or degenerative disc. In a diskectomy, the surgeon accesses the damaged disc through an incision in the back or neck and removes the portion of the disc that is causing the compression. This can help to relieve pain, numbness, tingling, or weakness in the affected limb. Diskectomy may be performed as an open surgery or using minimally invasive techniques, depending on the individual case.

The cervical vertebrae are the seven vertebrae that make up the upper part of the spine, also known as the neck region. They are labeled C1 to C7, with C1 being closest to the skull and C7 connecting to the thoracic vertebrae in the chest region. The cervical vertebrae have unique structures to allow for a wide range of motion in the neck while also protecting the spinal cord and providing attachment points for muscles and ligaments.

The lumbosacral region is the lower part of the back where the lumbar spine (five vertebrae in the lower back) connects with the sacrum (a triangular bone at the base of the spine). This region is subject to various conditions such as sprains, strains, herniated discs, and degenerative disorders that can cause pain and discomfort. It's also a common site for surgical intervention when non-surgical treatments fail to provide relief.

"Weight-bearing" is a term used in the medical field to describe the ability of a body part or limb to support the weight or pressure exerted upon it, typically while standing, walking, or performing other physical activities. In a clinical setting, healthcare professionals often use the term "weight-bearing exercise" to refer to physical activities that involve supporting one's own body weight, such as walking, jogging, or climbing stairs. These exercises can help improve bone density, muscle strength, and overall physical function, particularly in individuals with conditions affecting the bones, joints, or muscles.

In addition, "weight-bearing" is also used to describe the positioning of a body part during medical imaging studies, such as X-rays or MRIs. For example, a weight-bearing X-ray of the foot or ankle involves taking an image while the patient stands on the affected limb, allowing healthcare providers to assess any alignment or stability issues that may not be apparent in a non-weight-bearing position.

The notochord is a flexible, rod-shaped structure that is present in the embryos of chordates, including humans. It is composed of cells called chordocytes and is surrounded by a sheath. The notochord runs along the length of the body, providing support and flexibility. In human embryos, the notochord eventually becomes part of the discs between the vertebrae in the spine. An abnormal or absent notochord can lead to developmental problems with the spine and nervous system.

Chymopapain is a proteolytic enzyme that is derived from the papaya fruit (Carica papaya). It is specifically obtained from the latex of unripe papayas. Chymopapain is used in medical treatments, particularly as an enzyme therapy for disc herniation in the spine, which can cause pain, numbness, or weakness due to pressure on nearby nerves.

The procedure, called chemonucleolysis, involves injecting chymopapain directly into the damaged intervertebral disc. The enzyme breaks down and dissolves part of the proteoglycan matrix in the nucleus pulposus (the inner, gel-like portion of the intervertebral disc), reducing its size and relieving pressure on the affected nerves. This can help alleviate pain and improve function in some patients with herniated discs.

However, the use of chymopapain for disc herniation has declined over time due to the development of other treatment options, such as minimally invasive surgical techniques, and concerns about potential side effects and allergic reactions associated with its use. It is essential to consult a healthcare professional for appropriate evaluation and management of spinal conditions.

Spinal osteophytosis, also known as spinal osteophyte formation or bone spurs on the spine, refers to the abnormal growth of bony projections along the vertebral column's margins. These bony outgrowths develop due to degenerative changes, inflammation, or injury in the joints between the vertebrae (facet joints) and can cause stiffness, pain, and reduced mobility. In some cases, spinal osteophytosis may lead to complications such as spinal stenosis or nerve compression.

Biomechanics is the application of mechanical laws to living structures and systems, particularly in the field of medicine and healthcare. A biomechanical phenomenon refers to a observable event or occurrence that involves the interaction of biological tissues or systems with mechanical forces. These phenomena can be studied at various levels, from the molecular and cellular level to the tissue, organ, and whole-body level.

Examples of biomechanical phenomena include:

1. The way that bones and muscles work together to produce movement (known as joint kinematics).
2. The mechanical behavior of biological tissues such as bone, cartilage, tendons, and ligaments under various loads and stresses.
3. The response of cells and tissues to mechanical stimuli, such as the way that bone tissue adapts to changes in loading conditions (known as Wolff's law).
4. The biomechanics of injury and disease processes, such as the mechanisms of joint injury or the development of osteoarthritis.
5. The use of mechanical devices and interventions to treat medical conditions, such as orthopedic implants or assistive devices for mobility impairments.

Understanding biomechanical phenomena is essential for developing effective treatments and prevention strategies for a wide range of medical conditions, from musculoskeletal injuries to neurological disorders.

The thoracic vertebrae are the 12 vertebrae in the thoracic region of the spine, which is the portion between the cervical and lumbar regions. These vertebrae are numbered T1 to T12, with T1 being closest to the skull and T12 connecting to the lumbar region.

The main function of the thoracic vertebrae is to provide stability and support for the chest region, including protection for the vital organs within, such as the heart and lungs. Each thoracic vertebra has costal facets on its sides, which articulate with the heads of the ribs, forming the costovertebral joints. This connection between the spine and the ribcage allows for a range of movements while maintaining stability.

The thoracic vertebrae have a unique structure compared to other regions of the spine. They are characterized by having long, narrow bodies, small bony processes, and prominent spinous processes that point downwards. This particular shape and orientation of the thoracic vertebrae contribute to their role in limiting excessive spinal movement and providing overall trunk stability.

Discitis is a medical condition that refers to an inflammation of the intervertebral disc space, which is the area between two adjacent vertebrae in the spine. The condition is usually caused by an infection, most commonly bacterial, that spreads to the disc space from nearby tissues or the bloodstream.

The symptoms of discitis may include lower back pain, fever, and difficulty walking or standing upright. In some cases, the condition may also cause nerve root compression, leading to radiating pain, numbness, or weakness in the legs. Diagnosis of discitis typically involves imaging studies such as X-rays, MRI scans, or CT scans, as well as blood tests and sometimes a biopsy to confirm the presence of an infection.

Treatment for discitis usually involves antibiotics to treat the underlying infection, as well as pain management and physical therapy to help manage symptoms and maintain mobility. In severe cases, surgery may be necessary to remove infected tissue or stabilize the spine.

Collagen Type II is a specific type of collagen that is a major component of the extracellular matrix in articular cartilage, which is the connective tissue that covers and protects the ends of bones in joints. It is also found in other tissues such as the vitreous humor of the eye and the inner ear.

Collagen Type II is a triple helix molecule composed of three polypeptide chains that contain a high proportion of the amino acids proline and hydroxyproline. This type of collagen provides structural support and elasticity to tissues, and it also plays a role in the regulation of cell behavior and signaling.

Collagen Type II is a target for autoimmune responses in conditions such as rheumatoid arthritis, where the immune system mistakenly attacks the body's own collagen, leading to joint inflammation and damage. It is also a common component of various dietary supplements and therapies used to support joint health and treat osteoarthritis.

Low back pain is a common musculoskeletal disorder characterized by discomfort or pain in the lower part of the back, typically between the costal margin (bottom of the ribcage) and the gluteal folds (buttocks). It can be caused by several factors including strain or sprain of the muscles or ligaments, disc herniation, spinal stenosis, osteoarthritis, or other degenerative conditions affecting the spine. The pain can range from a dull ache to a sharp stabbing sensation and may be accompanied by stiffness, limited mobility, and radiating pain down the legs in some cases. Low back pain is often described as acute (lasting less than 6 weeks), subacute (lasting between 6-12 weeks), or chronic (lasting more than 12 weeks).

Sciatica is not a medical condition itself but rather a symptom of an underlying medical problem. It's typically described as pain that radiates along the sciatic nerve, which runs from your lower back through your hips and buttocks and down each leg.

The pain can vary widely, from a mild ache to a sharp, burning sensation or excruciating discomfort. Sometimes, the pain is severe enough to make moving difficult. Sciatica most commonly occurs when a herniated disk, bone spur on the spine, or narrowing of the spine (spinal stenosis) compresses part of the nerve.

While sciatica can be quite painful, it's not typically a sign of permanent nerve damage and can often be relieved with non-surgical treatments. However, if the pain is severe or persists for a long period, it's essential to seek medical attention as it could indicate a more serious underlying condition.

The sacrum is a triangular-shaped bone in the lower portion of the human vertebral column, located between the lumbar spine and the coccyx (tailbone). It forms through the fusion of several vertebrae during fetal development. The sacrum's base articulates with the fifth lumbar vertebra, while its apex connects with the coccyx.

The sacrum plays an essential role in supporting the spine and transmitting weight from the upper body to the pelvis and lower limbs. It also serves as an attachment site for various muscles and ligaments. The sacral region is often a focus in medical and chiropractic treatments due to its importance in spinal stability, posture, and overall health.

Spinal fusion is a surgical procedure where two or more vertebrae in the spine are fused together to create a solid bone. The purpose of this procedure is to restrict movement between the fused vertebrae, which can help reduce pain and stabilize the spine. This is typically done using bone grafts or bone graft substitutes, along with hardware such as rods, screws, or cages to hold the vertebrae in place while they heal together. The procedure may be recommended for various spinal conditions, including degenerative disc disease, spinal stenosis, spondylolisthesis, scoliosis, or fractures.

Myelography is a medical imaging technique used to examine the spinal cord and surrounding structures, such as the spinal nerves, intervertebral discs, and the spinal column. This procedure involves the injection of a contrast dye into the subarachnoid space, which is the area surrounding the spinal cord filled with cerebrospinal fluid (CSF). The dye outlines the spinal structures, making them visible on X-ray or CT scan images.

The primary purpose of myelography is to diagnose various spinal conditions, including herniated discs, spinal stenosis, tumors, infection, and traumatic injuries. It can help identify any compression or irritation of the spinal cord or nerves that may be causing pain, numbness, weakness, or other neurological symptoms.

The procedure typically requires the patient to lie flat on their stomach or side while the radiologist inserts a thin needle into the subarachnoid space, usually at the lower lumbar level. Once the contrast dye is injected, the patient will be repositioned for various X-ray views or undergo a CT scan to capture detailed images of the spine. After the procedure, patients may experience headaches, nausea, or discomfort at the injection site, but these symptoms usually resolve within a few days.

Proteoglycans are complex, highly negatively charged macromolecules that are composed of a core protein covalently linked to one or more glycosaminoglycan (GAG) chains. They are a major component of the extracellular matrix (ECM) and play crucial roles in various biological processes, including cell signaling, regulation of growth factor activity, and maintenance of tissue structure and function.

The GAG chains, which can vary in length and composition, are long, unbranched polysaccharides that are composed of repeating disaccharide units containing a hexuronic acid (either glucuronic or iduronic acid) and a hexosamine (either N-acetylglucosamine or N-acetylgalactosamine). These GAG chains can be sulfated to varying degrees, which contributes to the negative charge of proteoglycans.

Proteoglycans are classified into four major groups based on their core protein structure and GAG composition: heparan sulfate/heparin proteoglycans, chondroitin/dermatan sulfate proteoglycans, keratan sulfate proteoglycans, and hyaluronan-binding proteoglycans. Each group has distinct functions and is found in specific tissues and cell types.

In summary, proteoglycans are complex macromolecules composed of a core protein and one or more GAG chains that play important roles in the ECM and various biological processes, including cell signaling, growth factor regulation, and tissue structure maintenance.

Radiculopathy is a medical term that refers to the condition where there is damage or disturbance in the nerve roots as they exit the spinal column. These nerve roots, also known as radicles, can become damaged due to various reasons such as compression, inflammation, or injury, leading to a range of symptoms.

Radiculopathy may occur in any part of the spine, but it is most commonly found in the cervical (neck) and lumbar (lower back) regions. When the nerve roots in the cervical region are affected, it can result in symptoms such as neck pain, shoulder pain, arm pain, numbness, tingling, or weakness in the arms or fingers. On the other hand, when the nerve roots in the lumbar region are affected, it can cause lower back pain, leg pain, numbness, tingling, or weakness in the legs or feet.

The symptoms of radiculopathy can vary depending on the severity and location of the damage to the nerve roots. In some cases, the condition may resolve on its own with rest and conservative treatment. However, in more severe cases, medical intervention such as physical therapy, medication, or surgery may be necessary to alleviate the symptoms and prevent further damage.

Collagen type IX is a type of collagen that is found in the extracellular matrix, particularly in the cartilage and vitreous humor of the eye. It is a heterotrimeric protein made up of three alpha chains (alpha1, alpha2, and alpha3), which are encoded by different genes (COL9A1, COL9A2, and COL9A3). Collagen type IX is thought to play a role in the organization and stability of collagen fibrils, as well as in the interaction between collagen and other extracellular matrix components. It has been implicated in various connective tissue disorders, such as Stickler syndrome and Marshall syndrome.

Glycosaminoglycans (GAGs) are long, unbranched polysaccharides composed of repeating disaccharide units. They are a major component of the extracellular matrix and connective tissues in the body. GAGs are negatively charged due to the presence of sulfate and carboxyl groups, which allows them to attract positively charged ions and water molecules, contributing to their ability to retain moisture and maintain tissue hydration and elasticity.

GAGs can be categorized into four main groups: heparin/heparan sulfate, chondroitin sulfate/dermatan sulfate, keratan sulfate, and hyaluronic acid. These different types of GAGs have varying structures and functions in the body, including roles in cell signaling, inflammation, and protection against enzymatic degradation.

Heparin is a highly sulfated form of heparan sulfate that is found in mast cells and has anticoagulant properties. Chondroitin sulfate and dermatan sulfate are commonly found in cartilage and contribute to its resiliency and ability to withstand compressive forces. Keratan sulfate is found in corneas, cartilage, and bone, where it plays a role in maintaining the structure and function of these tissues. Hyaluronic acid is a large, nonsulfated GAG that is widely distributed throughout the body, including in synovial fluid, where it provides lubrication and shock absorption for joints.

Scoliosis is a medical condition characterized by an abnormal lateral curvature of the spine, which most often occurs in the thoracic or lumbar regions. The curvature can be "C" or "S" shaped and may also include rotation of the vertebrae. Mild scoliosis doesn't typically cause problems, but severe cases can interfere with breathing and other bodily functions.

The exact cause of most scoliosis is unknown, but it may be related to genetic factors. It often develops in the pre-teen or teenage years, particularly in girls, and is more commonly found in individuals with certain neuromuscular disorders such as cerebral palsy and muscular dystrophy.

Treatment for scoliosis depends on the severity of the curve, its location, and the age and expected growth of the individual. Mild cases may only require regular monitoring to ensure the curve doesn't worsen. More severe cases may require bracing or surgery to correct the curvature and prevent it from getting worse.

A cadaver is a deceased body that is used for medical research or education. In the field of medicine, cadavers are often used in anatomy lessons, surgical training, and other forms of medical research. The use of cadavers allows medical professionals to gain a deeper understanding of the human body and its various systems without causing harm to living subjects. Cadavers may be donated to medical schools or obtained through other means, such as through consent of the deceased or their next of kin. It is important to handle and treat cadavers with respect and dignity, as they were once living individuals who deserve to be treated with care even in death.

Spondylolisthesis is a medical condition that affects the spine, specifically the vertebrae in the lower back (lumbar region). It occurs when one vertebra slips forward and onto the vertebra below it. This slippage can lead to narrowing of the spinal canal and compression of the nerves exiting the spine, causing pain and discomfort. The condition can be congenital, degenerative, or result from trauma or injury. Symptoms may include lower back pain, stiffness, and radiating pain down the legs. Treatment options range from physical therapy and pain management to surgical intervention in severe cases.

A percutaneous diskectomy is a minimally invasive surgical procedure to remove herniated disc material that is causing pain or neurological symptoms. "Percutaneous" means that the surgery is performed through a small incision or needle stick, rather than through a larger incision that requires muscle dissection.

During the procedure, the surgeon uses imaging guidance, such as fluoroscopy or computed tomography (CT), to guide a needle or series of needles into the affected disc space. Once the needle is in place, the surgeon uses small instruments or lasers to remove the herniated disc material that is pressing on nearby nerves or the spinal cord.

Percutaneous diskectomy is typically recommended for patients who have not responded to conservative treatments such as physical therapy, medication, and rest, and who have symptoms that are severe or worsening. The procedure is usually performed on an outpatient basis and has a shorter recovery time compared to traditional open discectomy. However, it may not be appropriate for all cases of herniated discs, particularly those with significant nerve compression or spinal instability.

A laminectomy is a surgical procedure that involves the removal of the lamina, which is the back part of the vertebra that covers the spinal canal. This procedure is often performed to relieve pressure on the spinal cord or nerves caused by conditions such as herniated discs, spinal stenosis, or tumors. By removing the lamina, the surgeon can access the affected area and alleviate the compression on the spinal cord or nerves, thereby reducing pain, numbness, or weakness in the back, legs, or arms.

Laminectomy may be performed as a standalone procedure or in combination with other surgical techniques such as discectomy, foraminotomy, or spinal fusion. The specific approach and extent of the surgery will depend on the patient's individual condition and symptoms.

Spinal stenosis is a narrowing of the spinal canal or the neural foramina (the openings through which nerves exit the spinal column), typically in the lower back (lumbar) or neck (cervical) regions. This can put pressure on the spinal cord and/or nerve roots, causing pain, numbness, tingling, or weakness in the affected areas, often in the legs, arms, or hands. It's most commonly caused by age-related wear and tear, but can also be due to degenerative changes, herniated discs, tumors, or spinal injuries.

The extracellular matrix (ECM) is a complex network of biomolecules that provides structural and biochemical support to cells in tissues and organs. It is composed of various proteins, glycoproteins, and polysaccharides, such as collagens, elastin, fibronectin, laminin, and proteoglycans. The ECM plays crucial roles in maintaining tissue architecture, regulating cell behavior, and facilitating communication between cells. It provides a scaffold for cell attachment, migration, and differentiation, and helps to maintain the structural integrity of tissues by resisting mechanical stresses. Additionally, the ECM contains various growth factors, cytokines, and chemokines that can influence cellular processes such as proliferation, survival, and differentiation. Overall, the extracellular matrix is essential for the normal functioning of tissues and organs, and its dysregulation can contribute to various pathological conditions, including fibrosis, cancer, and degenerative diseases.

Mechanical stress, in the context of physiology and medicine, refers to any type of force that is applied to body tissues or organs, which can cause deformation or displacement of those structures. Mechanical stress can be either external, such as forces exerted on the body during physical activity or trauma, or internal, such as the pressure changes that occur within blood vessels or other hollow organs.

Mechanical stress can have a variety of effects on the body, depending on the type, duration, and magnitude of the force applied. For example, prolonged exposure to mechanical stress can lead to tissue damage, inflammation, and chronic pain. Additionally, abnormal or excessive mechanical stress can contribute to the development of various musculoskeletal disorders, such as tendinitis, osteoarthritis, and herniated discs.

In order to mitigate the negative effects of mechanical stress, the body has a number of adaptive responses that help to distribute forces more evenly across tissues and maintain structural integrity. These responses include changes in muscle tone, joint positioning, and connective tissue stiffness, as well as the remodeling of bone and other tissues over time. However, when these adaptive mechanisms are overwhelmed or impaired, mechanical stress can become a significant factor in the development of various pathological conditions.

I'm sorry for any confusion, but "Finite Element Analysis" (FEA) is not a medical term. It is a computational technique used in engineering and physical sciences. FEA is a computerized method for predicting how a product reacts to real-world forces, vibration, heat, fluid flow, and other physical effects. It's a way that engineers can simulate the performance of a product or system before it is built, which can help reduce costs, improve quality, and shorten the development time.

However, in a medical context, FEA might be used in the field of biomechanical engineering to analyze the mechanical behavior of biological systems, such as bones, joints, or soft tissues, under various loads and conditions. This can help researchers and clinicians better understand the mechanisms of injury, disease, or the effects of treatment, and develop more effective prevention, diagnostic, or therapeutic strategies.

Total disc replacement (TDR), also known as total disc arthroplasty, is a surgical procedure in which the damaged or degenerated intervertebral disc in the spine is removed and replaced with an artificial device. The primary goal of this procedure is to maintain motion within the spinal segment while alleviating pain and other symptoms caused by the damaged disc.

The artificial disc, typically made from materials such as metal or polymer, is designed to replicate the natural movement and function of a healthy intervertebral disc. The surgery can be performed at various levels of the spine, including cervical (neck) and lumbar (lower back), depending on the location of the damaged disc.

TDR is generally considered for patients with degenerative disc disease who have not responded to non-surgical treatments such as physical therapy or pain management. The potential benefits of TDR over traditional spinal fusion surgery include preserving motion, reducing the risk of adjacent segment degeneration, and potentially faster recovery times. However, as with any surgical procedure, there are risks involved, including infection, implant wear, dislocation, or subsidence (sinking of the implant into the bone). It is essential to discuss these potential risks and benefits with a qualified medical professional before making a decision about undergoing TDR surgery.

The spinal canal is the bony, protective channel within the vertebral column that contains and houses the spinal cord. It extends from the foramen magnum at the base of the skull to the sacrum, where the spinal cord ends and forms the cauda equina. The spinal canal is formed by a series of vertebral bodies stacked on top of each other, intervertebral discs in between them, and the laminae and spinous processes that form the posterior elements of the vertebrae. The spinal canal provides protection to the spinal cord from external trauma and contains cerebrospinal fluid (CSF) that circulates around the cord, providing nutrients and cushioning. Any narrowing or compression of the spinal canal, known as spinal stenosis, can cause various neurological symptoms due to pressure on the spinal cord or nerve roots.

Extracellular matrix (ECM) proteins are a group of structural and functional molecules that provide support, organization, and regulation to the cells in tissues and organs. The ECM is composed of a complex network of proteins, glycoproteins, and carbohydrates that are secreted by the cells and deposited outside of them.

ECM proteins can be classified into several categories based on their structure and function, including:

1. Collagens: These are the most abundant ECM proteins and provide strength and stability to tissues. They form fibrils that can withstand high tensile forces.
2. Proteoglycans: These are complex molecules made up of a core protein and one or more glycosaminoglycan (GAG) chains. The GAG chains attract water, making proteoglycans important for maintaining tissue hydration and resilience.
3. Elastin: This is an elastic protein that allows tissues to stretch and recoil, such as in the lungs and blood vessels.
4. Fibronectins: These are large glycoproteins that bind to cells and ECM components, providing adhesion, migration, and signaling functions.
5. Laminins: These are large proteins found in basement membranes, which provide structural support for epithelial and endothelial cells.
6. Tenascins: These are large glycoproteins that modulate cell adhesion and migration, and regulate ECM assembly and remodeling.

Together, these ECM proteins create a microenvironment that influences cell behavior, differentiation, and function. Dysregulation of ECM proteins has been implicated in various diseases, including fibrosis, cancer, and degenerative disorders.

Back pain is a common symptom characterized by discomfort or soreness in the back, often occurring in the lower region of the back (lumbago). It can range from a mild ache to a sharp stabbing or shooting pain, and it may be accompanied by stiffness, restricted mobility, and difficulty performing daily activities. Back pain is typically caused by strain or sprain to the muscles, ligaments, or spinal joints, but it can also result from degenerative conditions, disc herniation, spinal stenosis, osteoarthritis, or other medical issues affecting the spine. The severity and duration of back pain can vary widely, with some cases resolving on their own within a few days or weeks, while others may require medical treatment and rehabilitation.

Polyradiculopathy is a medical term that refers to a condition affecting multiple nerve roots. It's a type of neurological disorder where there is damage or injury to the nerve roots, which are the beginning portions of nerves as they exit the spinal cord. This damage can result in various symptoms such as weakness, numbness, tingling, and pain in the affected areas of the body, depending on the specific nerves involved.

Polyradiculopathy can be caused by a variety of factors, including trauma, infection, inflammation, compression, or degenerative changes in the spine. Some common causes include spinal cord tumors, herniated discs, spinal stenosis, and autoimmune disorders such as Guillain-Barre syndrome.

Diagnosing polyradiculopathy typically involves a thorough neurological examination, imaging studies such as MRI or CT scans, and sometimes nerve conduction studies or electromyography (EMG) to assess the function of the affected nerves. Treatment for polyradiculopathy depends on the underlying cause but may include medications, physical therapy, surgery, or a combination of these approaches.

Surgical decompression is a medical procedure that involves relieving pressure on a nerve or tissue by creating additional space. This is typically accomplished through the removal of a portion of bone or other tissue that is causing the compression. The goal of surgical decompression is to alleviate symptoms such as pain, numbness, tingling, or weakness caused by the compression.

In the context of spinal disorders, surgical decompression is often used to treat conditions such as herniated discs, spinal stenosis, or bone spurs that are compressing nerves in the spine. The specific procedure used may vary depending on the location and severity of the compression, but common techniques include laminectomy, discectomy, and foraminotomy.

It's important to note that surgical decompression is a significant medical intervention that carries risks such as infection, bleeding, and injury to surrounding tissues. As with any surgery, it should be considered as a last resort after other conservative treatments have been tried and found to be ineffective. A thorough evaluation by a qualified medical professional is necessary to determine whether surgical decompression is appropriate in a given case.

Spinal injuries refer to damages or traumas that occur to the vertebral column, which houses and protects the spinal cord. These injuries can be caused by various factors such as trauma from accidents (motor vehicle, sports-related, falls, etc.), violence, or degenerative conditions like arthritis, disc herniation, or spinal stenosis.

Spinal injuries can result in bruising, fractures, dislocations, or compression of the vertebrae, which may then cause damage to the spinal cord and its surrounding tissues, nerves, and blood vessels. The severity of a spinal injury can range from mild, with temporary symptoms, to severe, resulting in permanent impairment or paralysis below the level of injury.

Symptoms of spinal injuries may include:
- Pain or stiffness in the neck or back
- Numbness, tingling, or weakness in the limbs
- Loss of bladder or bowel control
- Difficulty walking or maintaining balance
- Paralysis or loss of sensation below the level of injury
- In severe cases, respiratory problems and difficulty in breathing

Immediate medical attention is crucial for spinal injuries to prevent further damage and ensure proper treatment. Treatment options may include immobilization, surgery, medication, rehabilitation, and physical therapy.

Chondrocytes are the specialized cells that produce and maintain the extracellular matrix of cartilage tissue. They are responsible for synthesizing and secreting the collagen fibers, proteoglycans, and other components that give cartilage its unique properties, such as elasticity, resiliency, and resistance to compression. Chondrocytes are located within lacunae, or small cavities, in the cartilage matrix, and they receive nutrients and oxygen through diffusion from the surrounding tissue fluid. They are capable of adapting to changes in mechanical stress by modulating the production and organization of the extracellular matrix, which allows cartilage to withstand various loads and maintain its structural integrity. Chondrocytes play a crucial role in the development, maintenance, and repair of cartilaginous tissues throughout the body, including articular cartilage, costal cartilage, and growth plate cartilage.

Biglycan is a type of small leucine-rich proteoglycan (SLRP) that is found in the extracellular matrix of various tissues, including bone, cartilage, and tendons. It plays important roles in the organization and stabilization of the extracellular matrix, as well as in the regulation of cell behavior and signaling pathways.

Biglycan is composed of a core protein and one or more glycosaminoglycan (GAG) chains, which are long, unbranched polysaccharides made up of repeating disaccharide units. The GAG chains attach to the core protein via specific serine residues, forming a proteoglycan.

In addition to its structural roles, biglycan has been shown to interact with various growth factors and cytokines, modulating their activity and influencing cellular responses such as proliferation, differentiation, and migration. Dysregulation of biglycan expression or function has been implicated in several diseases, including osteoarthritis, cancer, and fibrosis.

Ligaments are bands of dense, fibrous connective tissue that surround joints and provide support, stability, and limits the range of motion. They are made up primarily of collagen fibers arranged in a parallel pattern to withstand tension and stress. Ligaments attach bone to bone, and their function is to prevent excessive movement that could cause injury or dislocation.

There are two main types of ligaments: extracapsular and intracapsular. Extracapsular ligaments are located outside the joint capsule and provide stability to the joint by limiting its range of motion. Intracapsular ligaments, on the other hand, are found inside the joint capsule and help maintain the alignment of the joint surfaces.

Examples of common ligaments in the body include the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) in the knee, the medial collateral ligament (MCL) and lateral collateral ligament (LCL) in the elbow, and the coracoacromial ligament in the shoulder.

Injuries to ligaments can occur due to sudden trauma or overuse, leading to sprains, strains, or tears. These injuries can cause pain, swelling, bruising, and limited mobility, and may require medical treatment such as immobilization, physical therapy, or surgery.

Procollagen N-Endopeptidase, also known as ADAMTS2 (A Disintegrin And Metalloproteinase with Thrombospondin type 1 motif, member 2), is an enzyme involved in the processing and maturation of procollagens. Specifically, it cleaves off the N-terminal extension peptides from procollagen types I, II, and III, allowing for the formation of stable collagen fibrils. Mutations in the ADAMTS2 gene can lead to various connective tissue disorders, such as Ehlers-Danlos syndrome and dermatosparaxis type of cutis laxa.

Articular Range of Motion (AROM) is a term used in physiotherapy and orthopedics to describe the amount of movement available in a joint, measured in degrees of a circle. It refers to the range through which synovial joints can actively move without causing pain or injury. AROM is assessed by measuring the degree of motion achieved by active muscle contraction, as opposed to passive range of motion (PROM), where the movement is generated by an external force.

Assessment of AROM is important in evaluating a patient's functional ability and progress, planning treatment interventions, and determining return to normal activities or sports participation. It is also used to identify any restrictions in joint mobility that may be due to injury, disease, or surgery, and to monitor the effectiveness of rehabilitation programs.

Spondylitis is a term used to describe inflammation in the spinal vertebrae, often leading to stiffness and pain. The most common form is Ankylosing Spondylitis, which is a chronic autoimmune disease where the body's immune system mistakenly attacks the joints in the spine. This can cause the bones in the spine to grow together, resulting in a rigid and inflexible spine. Other forms of spondylitis include reactive spondylitis, infectious spondylitis, and seronegative spondyloarthropathies. Symptoms may also include pain and stiffness in the neck, lower back, hips, and small joints of the body.

Internal fixators are medical devices that are implanted into the body through surgery to stabilize and hold broken or fractured bones in the correct position while they heal. These devices can be made from various materials, such as metal (stainless steel or titanium) or bioabsorbable materials. Internal fixators can take many forms, including plates, screws, rods, nails, wires, or cages, depending on the type and location of the fracture.

The main goal of using internal fixators is to promote bone healing by maintaining accurate reduction and alignment of the fractured bones, allowing for early mobilization and rehabilitation. This can help reduce the risk of complications such as malunion, nonunion, or deformity. Internal fixators are typically removed once the bone has healed, although some bioabsorbable devices may not require a second surgery for removal.

It is important to note that while internal fixators provide stability and support for fractured bones, they do not replace the need for proper immobilization, protection, or rehabilitation during the healing process. Close follow-up with an orthopedic surgeon is essential to ensure appropriate healing and address any potential complications.

Tartrazine is a synthetic food coloring agent, also known as E number E102. It is a yellow dye derived from coal tar and is primarily used in the food industry to add or restore color. Tartrazine can be found in various products such as candies, desserts, beverages, sauces, and baked goods.

In addition to its use in food, tartrazine is also employed in cosmetics, personal care items, and pharmaceuticals. It serves as a coloring agent and can help improve the appearance of these products. However, some people may experience allergic reactions or sensitivities to tartrazine, which can result in symptoms like hives, itching, or swelling.

It is essential to note that tartrazine has been approved for use by regulatory bodies worldwide, including the U.S. Food and Drug Administration (FDA) and the European Food Safety Authority (EFSA). However, these organizations recommend limiting its usage in food products due to potential health concerns.

Keratan sulfate is a type of glycosaminoglycan (GAG), which is a complex carbohydrate found in connective tissues, including the cornea and cartilage. It is composed of repeating disaccharide units of galactose and N-acetylglucosamine, with sulfate groups attached to some of the sugar molecules.

Keratan sulfate is unique among GAGs because it contains a high proportion of non-sulfated sugars and is often found covalently linked to proteins in structures called proteoglycans. In the cornea, keratan sulfate plays important roles in maintaining transparency and regulating hydration. In cartilage, it contributes to the elasticity and resilience of the tissue.

Abnormalities in keratan sulfate metabolism have been associated with several genetic disorders, including corneal dystrophies and skeletal dysplasias.

Lordosis is a term used in the medical field to describe an excessive inward curvature of the spine. It most commonly occurs in the cervical (neck) and lumbar (lower back) regions. When it happens in the lower back, it's often referred to as swayback. While some degree of lordosis is normal and necessary for proper spinal alignment and movement, excessive curvature can lead to pain, discomfort, and difficulty with mobility. It can be caused by a variety of factors, including poor posture, obesity, pregnancy, and certain medical conditions such as kyphosis or spondylolisthesis.

In the context of human anatomy, the term "tail" is not used to describe any part of the body. Humans are considered tailless primates, and there is no structure or feature that corresponds directly to the tails found in many other animals.

However, there are some medical terms related to the lower end of the spine that might be confused with a tail:

1. Coccyx (Tailbone): The coccyx is a small triangular bone at the very bottom of the spinal column, formed by the fusion of several rudimentary vertebrae. It's also known as the tailbone because it resembles the end of an animal's tail in its location and appearance.
2. Cauda Equina (Horse's Tail): The cauda equina is a bundle of nerve roots at the lower end of the spinal cord, just above the coccyx. It got its name because it looks like a horse's tail due to the numerous rootlets radiating from the conus medullaris (the tapering end of the spinal cord).

These two structures are not tails in the traditional sense but rather medical terms related to the lower end of the human spine.

SOX9 (SRY-related HMG-box gene 9) is a transcription factor that belongs to the SOX family of proteins, which are characterized by a high mobility group (HMG) box DNA-binding domain. SOX9 plays crucial roles in various developmental processes, including sex determination, chondrogenesis, and neurogenesis.

As a transcription factor, SOX9 binds to specific DNA sequences in the promoter or enhancer regions of its target genes and regulates their expression. In the context of sex determination, SOX9 is essential for the development of Sertoli cells in the male gonad, which are responsible for supporting sperm production. SOX9 also plays a role in maintaining the undifferentiated state of stem cells and promoting cell differentiation in various tissues.

Mutations in the SOX9 gene have been associated with several human genetic disorders, including campomelic dysplasia, a severe skeletal disorder characterized by bowed legs, and sex reversal in individuals with XY chromosomes.

"Cattle" is a term used in the agricultural and veterinary fields to refer to domesticated animals of the genus *Bos*, primarily *Bos taurus* (European cattle) and *Bos indicus* (Zebu). These animals are often raised for meat, milk, leather, and labor. They are also known as bovines or cows (for females), bulls (intact males), and steers/bullocks (castrated males). However, in a strict medical definition, "cattle" does not apply to humans or other animals.

A zygapophyseal joint, also known as a facet joint, is a type of synovial joint that connects the articulating processes of adjacent vertebrae in the spine. These joints are formed by the superior and inferior articular processes of the vertebral bodies and are covered with hyaline cartilage. They allow for smooth movement between the vertebrae, providing stability and limiting excessive motion while allowing flexibility in the spine. The zygapophyseal joints are supported by a capsule and ligaments that help to maintain their alignment and restrict abnormal movements. These joints can become sources of pain and discomfort when they become inflamed or damaged due to conditions such as arthritis, degenerative disc disease, or injury.

Regeneration in a medical context refers to the process of renewal, restoration, and growth that replaces damaged or missing cells, tissues, organs, or even whole limbs in some organisms. This complex biological process involves various cellular and molecular mechanisms, such as cell proliferation, differentiation, and migration, which work together to restore the structural and functional integrity of the affected area.

In human medicine, regeneration has attracted significant interest due to its potential therapeutic applications in treating various conditions, including degenerative diseases, trauma, and congenital disorders. Researchers are actively studying the underlying mechanisms of regeneration in various model organisms to develop novel strategies for promoting tissue repair and regeneration in humans.

Examples of regeneration in human medicine include liver regeneration after partial hepatectomy, where the remaining liver lobes can grow back to their original size within weeks, and skin wound healing, where keratinocytes migrate and proliferate to close the wound and restore the epidermal layer. However, the regenerative capacity of humans is limited compared to some other organisms, such as planarians and axolotls, which can regenerate entire body parts or even their central nervous system.

There is no medical definition for "dog diseases" as it is too broad a term. However, dogs can suffer from various health conditions and illnesses that are specific to their species or similar to those found in humans. Some common categories of dog diseases include:

1. Infectious Diseases: These are caused by viruses, bacteria, fungi, or parasites. Examples include distemper, parvovirus, kennel cough, Lyme disease, and heartworms.
2. Hereditary/Genetic Disorders: Some dogs may inherit certain genetic disorders from their parents. Examples include hip dysplasia, elbow dysplasia, progressive retinal atrophy (PRA), and degenerative myelopathy.
3. Age-Related Diseases: As dogs age, they become more susceptible to various health issues. Common age-related diseases in dogs include arthritis, dental disease, cancer, and cognitive dysfunction syndrome (CDS).
4. Nutritional Disorders: Malnutrition or improper feeding can lead to various health problems in dogs. Examples include obesity, malnutrition, and vitamin deficiencies.
5. Environmental Diseases: These are caused by exposure to environmental factors such as toxins, allergens, or extreme temperatures. Examples include heatstroke, frostbite, and toxicities from ingesting harmful substances.
6. Neurological Disorders: Dogs can suffer from various neurological conditions that affect their nervous system. Examples include epilepsy, intervertebral disc disease (IVDD), and vestibular disease.
7. Behavioral Disorders: Some dogs may develop behavioral issues due to various factors such as anxiety, fear, or aggression. Examples include separation anxiety, noise phobias, and resource guarding.

It's important to note that regular veterinary care, proper nutrition, exercise, and preventative measures can help reduce the risk of many dog diseases.

Kyphosis is a medical term used to describe an excessive curvature of the spine in the sagittal plane, leading to a rounded or humped back appearance. This condition often affects the thoracic region of the spine and can result from various factors such as age-related degenerative changes, congenital disorders, Scheuermann's disease, osteoporosis, or traumatic injuries. Mild kyphosis may not cause any significant symptoms; however, severe cases can lead to pain, respiratory difficulties, and decreased quality of life. Treatment options typically include physical therapy, bracing, and, in some cases, surgical intervention.

Cartilage is a type of connective tissue that is found throughout the body in various forms. It is made up of specialized cells called chondrocytes, which are embedded in a firm, flexible matrix composed of collagen fibers and proteoglycans. This unique structure gives cartilage its characteristic properties of being both strong and flexible.

There are three main types of cartilage in the human body: hyaline cartilage, elastic cartilage, and fibrocartilage.

1. Hyaline cartilage is the most common type and is found in areas such as the articular surfaces of bones (where they meet to form joints), the nose, trachea, and larynx. It has a smooth, glassy appearance and provides a smooth, lubricated surface for joint movement.
2. Elastic cartilage contains more elastin fibers than hyaline cartilage, which gives it greater flexibility and resilience. It is found in structures such as the external ear and parts of the larynx and epiglottis.
3. Fibrocartilage has a higher proportion of collagen fibers and fewer chondrocytes than hyaline or elastic cartilage. It is found in areas that require high tensile strength, such as the intervertebral discs, menisci (found in joints like the knee), and the pubic symphysis.

Cartilage plays a crucial role in supporting and protecting various structures within the body, allowing for smooth movement and providing a cushion between bones to absorb shock and prevent wear and tear. However, cartilage has limited capacity for self-repair and regeneration, making damage or degeneration of cartilage tissue a significant concern in conditions such as osteoarthritis.

Keratin-8 is a type of keratin protein that is primarily found in the epithelial cells, including those that line the surfaces of organs and glands. It is one of the major components of intermediate filaments, which are the structural proteins that help to maintain the shape and integrity of cells.

Keratin-8 is known to form heteropolymers with keratin-18 and is abundant in simple epithelia such as those lining the gastrointestinal tract, respiratory system, and reproductive organs. It has been implicated in various cellular processes, including protection against mechanical stress, regulation of cell signaling, and apoptosis (programmed cell death).

Mutations in the gene that encodes keratin-8 have been associated with several diseases, including a rare form of liver disease called cryptogenic cirrhosis. Additionally, abnormalities in keratin-8 expression and assembly have been linked to cancer progression and metastasis.

Spondylolysis is a defect or stress fracture in the pars interarticularis, which is a part of the vertebra in the lower back (lumbar spine). This condition most commonly affects young athletes who participate in sports that involve repetitive hyperextension of the lower back, such as gymnastics, football, and dance. Spondylolysis can cause lower back pain and stiffness, and if left untreated, it may lead to spondylolisthesis, a condition where one vertebra slips forward over the one below it. In some cases, spondylolysis may not cause any symptoms and may be discovered during an imaging test performed for another reason.

Immunohistochemistry (IHC) is a technique used in pathology and laboratory medicine to identify specific proteins or antigens in tissue sections. It combines the principles of immunology and histology to detect the presence and location of these target molecules within cells and tissues. This technique utilizes antibodies that are specific to the protein or antigen of interest, which are then tagged with a detection system such as a chromogen or fluorophore. The stained tissue sections can be examined under a microscope, allowing for the visualization and analysis of the distribution and expression patterns of the target molecule in the context of the tissue architecture. Immunohistochemistry is widely used in diagnostic pathology to help identify various diseases, including cancer, infectious diseases, and immune-mediated disorders.

Aging is a complex, progressive and inevitable process of bodily changes over time, characterized by the accumulation of cellular damage and degenerative changes that eventually lead to increased vulnerability to disease and death. It involves various biological, genetic, environmental, and lifestyle factors that contribute to the decline in physical and mental functions. The medical field studies aging through the discipline of gerontology, which aims to understand the underlying mechanisms of aging and develop interventions to promote healthy aging and extend the human healthspan.

The epidural space is the potential space located outside the dura mater, which is the outermost of the three membranes covering the brain and spinal cord (the meninges). This space runs the entire length of the spinal canal and contains fatty tissue, blood vessels, and nerve roots. It is often used as a route for administering anesthesia during childbirth or surgery, as well as for pain management in certain medical conditions. The injection of medications into this space is called an epidural block.

Prostheses: Artificial substitutes or replacements for missing body parts, such as limbs, eyes, or teeth. They are designed to restore the function, appearance, or mobility of the lost part. Prosthetic devices can be categorized into several types, including:

1. External prostheses: Devices that are attached to the outside of the body, like artificial arms, legs, hands, and feet. These may be further classified into:
a. Cosmetic or aesthetic prostheses: Primarily designed to improve the appearance of the affected area.
b. Functional prostheses: Designed to help restore the functionality and mobility of the lost limb.
2. Internal prostheses: Implanted artificial parts that replace missing internal organs, bones, or tissues, such as heart valves, hip joints, or intraocular lenses.

Implants: Medical devices or substances that are intentionally placed inside the body to replace or support a missing or damaged biological structure, deliver medication, monitor physiological functions, or enhance bodily functions. Examples of implants include:

1. Orthopedic implants: Devices used to replace or reinforce damaged bones, joints, or cartilage, such as knee or hip replacements.
2. Cardiovascular implants: Devices that help support or regulate heart function, like pacemakers, defibrillators, and artificial heart valves.
3. Dental implants: Artificial tooth roots that are placed into the jawbone to support dental prostheses, such as crowns, bridges, or dentures.
4. Neurological implants: Devices used to stimulate nerves, brain structures, or spinal cord tissues to treat various neurological conditions, like deep brain stimulators for Parkinson's disease or cochlear implants for hearing loss.
5. Ophthalmic implants: Artificial lenses that are placed inside the eye to replace a damaged or removed natural lens, such as intraocular lenses used in cataract surgery.

Spondylosis is a general term that refers to degenerative changes in the spine, particularly in the joints (facets) between vertebrae and/or intervertebral discs. It's a common age-related condition, which can also be caused by stresses on the spine due to poor posture, repetitive movements, or injury.

The degenerative process often involves loss of hydration and elasticity in the intervertebral discs, leading to decreased disc height and potential disc herniation. This can cause narrowing of the spinal canal (spinal stenosis) or nerve root canal (foraminal stenosis), resulting in pressure on the spinal cord and/or nerves.

Spondylosis can occur throughout the spine, but it is most commonly found in the cervical (neck) and lumbar (lower back) regions. Symptoms may include pain, stiffness, numbness, tingling, or weakness in the neck, arms, legs, or back, depending on the location and severity of the degeneration. However, it's worth noting that many people with spondylosis might not experience any symptoms at all. Treatment options typically include pain management, physical therapy, and, in severe cases, surgery.

Spinal cord compression is a medical condition that refers to the narrowing of the spinal canal, which puts pressure on the spinal cord and the nerves that branch out from it. This can occur due to various reasons such as degenerative changes in the spine, herniated discs, bone spurs, tumors, or fractures. The compression can lead to a range of symptoms including pain, numbness, tingling, weakness, or loss of bladder and bowel control. In severe cases, it can cause paralysis. Treatment options depend on the underlying cause and may include physical therapy, medication, surgery, or radiation therapy.

Spinal nerve roots are the initial parts of spinal nerves that emerge from the spinal cord through the intervertebral foramen, which are small openings between each vertebra in the spine. These nerve roots carry motor, sensory, and autonomic fibers to and from specific regions of the body. There are 31 pairs of spinal nerve roots in total, with 8 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 1 coccygeal pair. Each root has a dorsal (posterior) and ventral (anterior) ramus that branch off to form the peripheral nervous system. Irritation or compression of these nerve roots can result in pain, numbness, weakness, or loss of reflexes in the affected area.

Laryngeal cartilages refer to the various pieces of cartilage that make up the structure of the larynx, also known as the voice box. The larynx is a crucial part of the respiratory system, located in the neck between the pharynx and the trachea. It plays a vital role in protecting the lower airways from food or drink entering the windpipe, as well as producing sound during speech.

There are several laryngeal cartilages, including:

1. Thyroid cartilage: This is the largest and most superior of the laryngeal cartilages. It forms the Adam's apple in men and has a prominent notch in the front called the thyroid notch. The thyroid cartilage protects the larynx and provides attachment for various muscles and ligaments.
2. Cricoid cartilage: This is the only complete ring of cartilage in the airway and lies inferior to the thyroid cartilage. It has a broad, flat superior portion called the cricoid lamina and a narrower, more curved inferior portion called the cricoid arch. The cricoid cartilage serves as an attachment site for several muscles and ligaments involved in breathing and swallowing.
3. Arytenoid cartilages: These are paired, pyramid-shaped structures that sit on top of the cricoid cartilage. They help form the posterior portion of the laryngeal inlet and provide attachment for the vocal cords (vocal folds). The arytenoid cartilages play a crucial role in voice production and respiration.
4. Corniculate cartilages: These are small, conical-shaped structures that project from the superior aspect of each arytenoid cartilage. They help form the most posterior portion of the laryngeal inlet.
5. Cuneiform cartilages: These are tiny, flat, crescent-shaped structures located near the corniculate cartilages. They also contribute to forming the posterior aspect of the laryngeal inlet.

These laryngeal cartilages work together to protect the airway, facilitate breathing, and enable voice production.

Tissue engineering is a branch of biomedical engineering that combines the principles of engineering, materials science, and biological sciences to develop functional substitutes for damaged or diseased tissues and organs. It involves the creation of living, three-dimensional structures that can restore, maintain, or improve tissue function. This is typically accomplished through the use of cells, scaffolds (biodegradable matrices), and biologically active molecules. The goal of tissue engineering is to develop biological substitutes that can ultimately restore normal function and structure in damaged tissues or organs.

Collagen is the most abundant protein in the human body, and it is a major component of connective tissues such as tendons, ligaments, skin, and bones. Collagen provides structure and strength to these tissues and helps them to withstand stretching and tension. It is made up of long chains of amino acids, primarily glycine, proline, and hydroxyproline, which are arranged in a triple helix structure. There are at least 16 different types of collagen found in the body, each with slightly different structures and functions. Collagen is important for maintaining the integrity and health of tissues throughout the body, and it has been studied for its potential therapeutic uses in various medical conditions.

Osteoarthritis of the spine, also known as spondylosis, is a degenerative joint disease that affects the spine. It is characterized by the breakdown and eventual loss of cartilage in the joints of the spine, which can lead to pain, stiffness, and decreased mobility. The condition most commonly affects the joints in the lower back (lumbar) and neck (cervical) regions of the spine.

The symptoms of osteoarthritis of the spine can vary widely, but may include:

* Pain and stiffness in the neck or back, especially after prolonged periods of inactivity or overuse
* Numbness, tingling, or weakness in the arms or legs, due to nerve compression
* Decreased range of motion and flexibility in the spine
* Popping, cracking, or grinding sounds in the spine with movement
* In severe cases, loss of bladder or bowel control.

The diagnosis of osteoarthritis of the spine is typically made through a combination of physical exam, medical history, and imaging studies such as X-rays, MRI, or CT scan. Treatment options may include pain medication, physical therapy, exercise, and in some cases, surgery.

Hexuronic acids are a type of uronic acid that contains six carbon atoms and is commonly found in various biological tissues and polysaccharides, such as pectins, heparin, and certain glycoproteins. The most common hexuronic acids are glucuronic acid and iduronic acid, which are formed from the oxidation of the corresponding hexoses, glucose and galactose, respectively. Hexuronic acids play important roles in various biological processes, including the detoxification and excretion of xenobiotics, the formation of proteoglycans, and the regulation of cell growth and differentiation.

Traction, in medical terms, refers to the application of a pulling force to distract or align parts of the body, particularly bones, joints, or muscles, with the aim of immobilizing, reducing displacement, or realigning them. This is often achieved through the use of various devices such as tongs, pulleys, weights, or specialized traction tables. Traction may be applied manually or mechanically and can be continuous or intermittent, depending on the specific medical condition being treated. Common indications for traction include fractures, dislocations, spinal cord injuries, and certain neurological conditions.

Radiography is a diagnostic technique that uses X-rays, gamma rays, or similar types of radiation to produce images of the internal structures of the body. It is a non-invasive procedure that can help healthcare professionals diagnose and monitor a wide range of medical conditions, including bone fractures, tumors, infections, and foreign objects lodged in the body.

During a radiography exam, a patient is positioned between an X-ray machine and a special film or digital detector. The machine emits a beam of radiation that passes through the body and strikes the film or detector, creating a shadow image of the internal structures. Denser tissues, such as bones, block more of the radiation and appear white on the image, while less dense tissues, such as muscles and organs, allow more of the radiation to pass through and appear darker.

Radiography is a valuable tool in modern medicine, but it does involve exposure to ionizing radiation, which can carry some risks. Healthcare professionals take steps to minimize these risks by using the lowest possible dose of radiation necessary to produce a diagnostic image, and by shielding sensitive areas of the body with lead aprons or other protective devices.

The cellular microenvironment refers to the sum of all physical and biochemical factors in the immediate vicinity of a cell that influence its behavior and function. This includes elements such as:

1. Extracellular matrix (ECM): The non-cellular component that provides structural support, anchorage, and biochemical cues to cells through various molecules like collagens, fibronectin, and laminins.
2. Soluble factors: These include growth factors, hormones, cytokines, and chemokines that bind to cell surface receptors and modulate cellular responses.
3. Neighboring cells: The types and states of nearby cells can significantly impact a cell's behavior through direct contact, paracrine signaling, or competition for resources.
4. Physical conditions: Variables such as temperature, pH, oxygen tension, and mechanical stresses (e.g., stiffness, strain) also contribute to the cellular microenvironment.
5. Biochemical gradients: Concentration gradients of molecules within the ECM or surrounding fluid can guide cell migration, differentiation, and other responses.

Collectively, these factors interact to create a complex and dynamic milieu that regulates various aspects of cellular physiology, including proliferation, differentiation, survival, and motility. Understanding the cellular microenvironment is crucial for developing effective therapies and tissue engineering strategies in regenerative medicine and cancer treatment.

Calcium pyrophosphate is a mineral compound made up of calcium and pyrophosphate ions. In the body, it can form crystals that deposit in joints, causing a type of arthritis known as calcium pyrophosphate deposition (CPPD) disease or pseudogout. CPPD disease is characterized by sudden attacks of joint pain and swelling, often in the knee or wrist. The condition is more common in older adults and can also occur in people with underlying medical conditions such as hyperparathyroidism, hemochromatosis, and hypophosphatasia. Calcium pyrophosphate crystals may also be found in the fluid around the heart (pericardial fluid) or in other tissues, but they do not always cause symptoms.

Prosthesis implantation is a surgical procedure where an artificial device or component, known as a prosthesis, is placed inside the body to replace a missing or damaged body part. The prosthesis can be made from various materials such as metal, plastic, or ceramic and is designed to perform the same function as the original body part.

The implantation procedure involves making an incision in the skin to create a pocket where the prosthesis will be placed. The prosthesis is then carefully positioned and secured in place using screws, cement, or other fixation methods. In some cases, tissue from the patient's own body may be used to help anchor the prosthesis.

Once the prosthesis is in place, the incision is closed with sutures or staples, and the area is bandaged. The patient will typically need to undergo rehabilitation and physical therapy to learn how to use the new prosthesis and regain mobility and strength.

Prosthesis implantation is commonly performed for a variety of reasons, including joint replacement due to arthritis or injury, dental implants to replace missing teeth, and breast reconstruction after mastectomy. The specific procedure and recovery time will depend on the type and location of the prosthesis being implanted.

Collagen type X is a specific type of collagen that is primarily found in the hypertrophic zone of mature cartilage, which is located near the site of bone formation during endochondral ossification. It plays a crucial role in the mineralization process of the cartilage matrix and is essential for the formation of healthy bones. Collagen type X is composed of three identical alpha chains that form a triple helix structure, and it is synthesized by chondrocytes, which are the specialized cells found in cartilage tissue. Mutations in the gene that encodes collagen type X have been associated with certain skeletal disorders, such as Schmid metaphyseal chondrodysplasia.

"Cells, cultured" is a medical term that refers to cells that have been removed from an organism and grown in controlled laboratory conditions outside of the body. This process is called cell culture and it allows scientists to study cells in a more controlled and accessible environment than they would have inside the body. Cultured cells can be derived from a variety of sources, including tissues, organs, or fluids from humans, animals, or cell lines that have been previously established in the laboratory.

Cell culture involves several steps, including isolation of the cells from the tissue, purification and characterization of the cells, and maintenance of the cells in appropriate growth conditions. The cells are typically grown in specialized media that contain nutrients, growth factors, and other components necessary for their survival and proliferation. Cultured cells can be used for a variety of purposes, including basic research, drug development and testing, and production of biological products such as vaccines and gene therapies.

It is important to note that cultured cells may behave differently than they do in the body, and results obtained from cell culture studies may not always translate directly to human physiology or disease. Therefore, it is essential to validate findings from cell culture experiments using additional models and ultimately in clinical trials involving human subjects.

Hyaline cartilage is a type of cartilaginous tissue that is primarily found in the articulating surfaces of bones, ribcage, nose, ears, and trachea. It has a smooth, glassy appearance (hence the name "hyaline," derived from the Greek word "hyalos" meaning glass) due to the presence of type II collagen fibers that are arranged in a precise pattern and embedded in a proteoglycan-rich matrix.

The high concentration of proteoglycans, which are complex molecules made up of a protein core and glycosaminoglycan side chains, gives hyaline cartilage its firm yet flexible properties. This type of cartilage is avascular, meaning it does not contain blood vessels, and receives nutrients through diffusion from the surrounding synovial fluid in joints or adjacent tissues.

Hyaline cartilage plays a crucial role in providing structural support, reducing friction between articulating bones, and facilitating smooth movement in joints. It also serves as a template for endochondral ossification, a process by which long bones grow in length during development.

Animal disease models are specialized animals, typically rodents such as mice or rats, that have been genetically engineered or exposed to certain conditions to develop symptoms and physiological changes similar to those seen in human diseases. These models are used in medical research to study the pathophysiology of diseases, identify potential therapeutic targets, test drug efficacy and safety, and understand disease mechanisms.

The genetic modifications can include knockout or knock-in mutations, transgenic expression of specific genes, or RNA interference techniques. The animals may also be exposed to environmental factors such as chemicals, radiation, or infectious agents to induce the disease state.

Examples of animal disease models include:

1. Mouse models of cancer: Genetically engineered mice that develop various types of tumors, allowing researchers to study cancer initiation, progression, and metastasis.
2. Alzheimer's disease models: Transgenic mice expressing mutant human genes associated with Alzheimer's disease, which exhibit amyloid plaque formation and cognitive decline.
3. Diabetes models: Obese and diabetic mouse strains like the NOD (non-obese diabetic) or db/db mice, used to study the development of type 1 and type 2 diabetes, respectively.
4. Cardiovascular disease models: Atherosclerosis-prone mice, such as ApoE-deficient or LDLR-deficient mice, that develop plaque buildup in their arteries when fed a high-fat diet.
5. Inflammatory bowel disease models: Mice with genetic mutations affecting intestinal barrier function and immune response, such as IL-10 knockout or SAMP1/YitFc mice, which develop colitis.

Animal disease models are essential tools in preclinical research, but it is important to recognize their limitations. Differences between species can affect the translatability of results from animal studies to human patients. Therefore, researchers must carefully consider the choice of model and interpret findings cautiously when applying them to human diseases.

Collagen Type I is the most abundant form of collagen in the human body, found in various connective tissues such as tendons, ligaments, skin, and bones. It is a structural protein that provides strength and integrity to these tissues. Collagen Type I is composed of three alpha chains, two alpha-1(I) chains, and one alpha-2(I) chain, arranged in a triple helix structure. This type of collagen is often used in medical research and clinical applications, such as tissue engineering and regenerative medicine, due to its excellent mechanical properties and biocompatibility.

Cell transplantation is the process of transferring living cells from one part of the body to another or from one individual to another. In medicine, cell transplantation is often used as a treatment for various diseases and conditions, including neurodegenerative disorders, diabetes, and certain types of cancer. The goal of cell transplantation is to replace damaged or dysfunctional cells with healthy ones, thereby restoring normal function to the affected area.

In the context of medical research, cell transplantation may involve the use of stem cells, which are immature cells that have the ability to develop into many different types of specialized cells. Stem cell transplantation has shown promise in the treatment of a variety of conditions, including spinal cord injuries, stroke, and heart disease.

It is important to note that cell transplantation carries certain risks, such as immune rejection and infection. As such, it is typically reserved for cases where other treatments have failed or are unlikely to be effective.

Tensile strength is a material property that measures the maximum amount of tensile (pulling) stress that a material can withstand before failure, such as breaking or fracturing. It is usually measured in units of force per unit area, such as pounds per square inch (psi) or pascals (Pa). In the context of medical devices or biomaterials, tensile strength may be used to describe the mechanical properties of materials used in implants, surgical tools, or other medical equipment. High tensile strength is often desirable in these applications to ensure that the material can withstand the stresses and forces it will encounter during use.

Growth Differentiation Factor 5 (GDF5) is a member of the transforming growth factor-beta (TGF-β) superfamily of proteins, which are involved in various developmental processes such as cell growth, differentiation, and migration. GDF5 plays crucial roles in skeletal development, joint formation, and cartilage maintenance. It is a secreted signaling molecule that binds to specific receptors on the cell surface, activating intracellular signaling pathways that regulate gene expression and ultimately influence cell behavior.

GDF5 has been associated with several genetic disorders affecting the musculoskeletal system, such as brachydactyly type C (shortened fingers or toes), Grebe's recessive chondrodysplasia (disproportionate short stature and joint deformities), and Hunter-Thompson syndrome (a rare skeletal disorder characterized by abnormal bone growth, joint laxity, and other features). Additionally, GDF5 has been implicated in osteoarthritis, a degenerative joint disease, due to its role in maintaining cartilage homeostasis.

Decorin is a small proteoglycan, a type of protein with a attached sugar chain, that is found in the extracellular matrix of connective tissues in the body. It is composed of a core protein and one or more glycosaminoglycan (GAG) chains, specifically dermatan sulfate. Decorin plays important roles in the organization and biomechanical properties of collagen fibrils, regulation of cell proliferation and migration, and modulation of growth factor activity. It has been studied for its potential role in various physiological and pathological processes, including wound healing, fibrosis, and cancer.

X-ray computed tomography (CT or CAT scan) is a medical imaging method that uses computer-processed combinations of many X-ray images taken from different angles to produce cross-sectional (tomographic) images (virtual "slices") of the body. These cross-sectional images can then be used to display detailed internal views of organs, bones, and soft tissues in the body.

The term "computed tomography" is used instead of "CT scan" or "CAT scan" because the machines take a series of X-ray measurements from different angles around the body and then use a computer to process these data to create detailed images of internal structures within the body.

CT scanning is a noninvasive, painless medical test that helps physicians diagnose and treat medical conditions. CT imaging provides detailed information about many types of tissue including lung, bone, soft tissue and blood vessels. CT examinations can be performed on every part of the body for a variety of reasons including diagnosis, surgical planning, and monitoring of therapeutic responses.

In computed tomography (CT), an X-ray source and detector rotate around the patient, measuring the X-ray attenuation at many different angles. A computer uses this data to construct a cross-sectional image by the process of reconstruction. This technique is called "tomography". The term "computed" refers to the use of a computer to reconstruct the images.

CT has become an important tool in medical imaging and diagnosis, allowing radiologists and other physicians to view detailed internal images of the body. It can help identify many different medical conditions including cancer, heart disease, lung nodules, liver tumors, and internal injuries from trauma. CT is also commonly used for guiding biopsies and other minimally invasive procedures.

In summary, X-ray computed tomography (CT or CAT scan) is a medical imaging technique that uses computer-processed combinations of many X-ray images taken from different angles to produce cross-sectional images of the body. It provides detailed internal views of organs, bones, and soft tissues in the body, allowing physicians to diagnose and treat medical conditions.

Degeneration of the intervertebral disc, facet joints, and its capsules, and ligamentum flavum all can also cause spinal canal ... This abnormal weight bearing from bone displacement will cause spondylosis to occur. Poor postures and loss of the normal ... MRI can show intervertebral foramen, spinal canal, ligaments, degree of disc degeneration or herniation, alignment of the spine ... Cervical X-rays may show osteophytes, decreased intervertebral disc height, narrowing of the spinal canal, and abnormal ...
A FSU consists of two adjacent vertebrae, the intervertebral disc and all adjoining ligaments between them and excludes other ... The typical load-displacement behavior of a cadaveric FSU specimen is nonlinear. Within the total range of passive motion of ... It is a region in which a small load causes a relatively large displacement. The 'elastic zone' is the remaining region of FSU ... In the vicinity of the resting neutral position of the FSU, this load-displacement behavior is highly flexible. This is the ...
Wear of total intervertebral spinal disc prostheses ISO 18192-1:2011 Part 1: Loading and displacement parameters for wear ... Optical disc media - Storage practices ISO 18926:2012 Imaging materials - Information stored on magneto-optical (MO) discs - ... Compact discs (CD-ROM) - Method for estimating the life expectancy based on the effects of temperature and relative humidity ... Recordable compact disc systems - Method for estimating the life expectancy based on the effects of temperature and relative ...
... intervertebral disc displacement MeSH C05.116.900.480 - ossification of posterior longitudinal ligament MeSH C05.116.900.540 - ...
... spondylopathy 722 Intervertebral disc disorders 722.0 Displacement cervical intervertebral disc 722.1 Lumbar disc displacement ... lumbar 722.6 Degeneration of intervertebral disc, site unspecified Degenerative disc disease 722.7 Intervertebral disc disorder ... cervical 722.5 Degeneration of thoracic or lumbar intervertebral disc 722.51 Degenerative disc disease, thoracic 722.52 ... w/o myelopathy 722.2 Degeneration of intervertebral disc site unspecified 722.3 Schmorl's nodes 722.4 Degenerative disc disease ...
... in the nucleus pulposis of the adjacent intervertebral disc), reduction of disc height with corresponding loss of the disc ... A posterior displacement of up to ¼ of the IVF is graded as Grade 1, ¼ to ½ as Grade 2, ½ to ¾ as Grade 3, ¾ to total occlusion ... disc narrowing, desiccation and disc bulging. "A retrolisthesis hyperloads at least one disc and puts shearing forces on the ... these patients had either intervertebral disc bulging or protrusion on CT examination ranging from 3-7 mm into the spinal canal ...
... "slipped disc", is the result of a tear in the outer ring (anulus fibrosus) of the intervertebral disc, which lets some of the ... Spondylolisthesis is the forward displacement of a vertebra and retrolisthesis is a posterior displacement of one vertebral ... Ther are also many different spinal diseases in humans that can affect both the bony vertebrae and the intervertebral discs, ... The nucleus pulposus and the fibers of the anulus fibrosus make up the intervertebral disc. The primary curves (thoracic and ...
In a 1993 study, J.D. Cassidy, DC, and co-workers concluded that the treatment of lumbar intervertebral disk herniation by side ... Infrequent, but potentially serious side effects, include: vertebrobasilar accidents (VBA), strokes, spinal disc herniation, ... of articular or periarticular adhesions Unbuckling of motion segments that have undergone disproportionate displacement As with ...
SCI may occur in intervertebral disc disease, and spinal cord vascular disease. Spontaneous bleeding can occur within or ... but do not give very detailed images and can miss injuries to the spinal cord or displacement of ligaments or disks that do not ... Lafuente DJ, Andrew J, Joy A (June 1985). "Sacral sparing with cauda equina compression from central lumbar intervertebral disc ... Cauda equina syndrome may also be caused by central disc prolapse or slipped disc, infections such as epidural abscess, spinal ...
Intervertebral disc annuloplasty - Intervertebral disc arthroplasty - Intramedullary rod - Intramembranous ossification - ... Displacement (orthopedic surgery) - Distal radius fracture - Distraction osteogenesis - Drawer test - Dupuytren's contracture ...
Intervertebral disc arthroplasty: also called Artificial Disc Replacement (ADR), or Total Disc Replacement (TDR), is a type of ... Typical radiographic findings include disc space narrowing, displacement of vertebral bodies, fusion of adjacent vertebral ... Intervertebral disc annuloplasty (IDET): A procedure wherein the disc is heated to 90 °C for 15 minutes in an effort to seal ... Schol, Jordy; Sakai, Daisuke (April 2019). "Cell therapy for intervertebral disc herniation and degenerative disc disease: ...
... but the goal of the procedure is to remove the portion of the intervertebral disc that is protruding into the vertebral foramen ... are those associated with damage to both anterior and posterior aspects of the vertebral column resulting in displacement of ... A total disc replacement can also be performed to address a herniated disc. Rather than removing only the portion of the disc ... The MSU Classification for herniated discs uses the proximity of the disc to the facet joint when measuring the size of a ...
... which may harm the Intervertebral disc. Hole-in-one Technique/Toggle Recoil Technique - Synonyms for the upper cervical ... This differs from the medical definition of subluxation as a significant structural displacement, which can be seen with static ... spinal disc herniation, vertebral and rib fractures and cauda equina syndrome. A scoping review found that benign (mild- ...
These changes are commonly seen in people who have spinal degeneration that occurs with aging (e.g., spinal disc herniation). ... Narrowing of spinal structures in the spinal cord such as the central canal, the lateral recesses, or the intervertebral ... Forward displacement of a proximal vertebra in relation to its adjacent vertebra in association with an intact neural arch, and ...
Cervical intradural disc herniation is very rare following spinal manipulation therapy. Chiropractors sometimes employ ... D. D. Palmer repudiated his earlier theory that vertebral subluxations caused pinched nerves in the intervertebral spaces in ... This differs from the medical definition of subluxation as a significant structural displacement, which can be seen with static ... Hahne AJ, Ford JJ, McMeeken JM (May 2010). "Conservative management of lumbar disc herniation with associated radiculopathy: a ...
This study shows further evidence of the influence of disc morphology on predicting LDH regression as well as provides the ... Intervertebral Disc Displacement* / complications * Intervertebral Disc Displacement* / diagnostic imaging * Intervertebral ... The primary outcome was to assess the probability of disc regression for each disc morphology, with a secondary analysis for ... Systematic review and meta-analysis of predictive factors for spontaneous regression in lumbar disc herniation J Neurosurg ...
This meta-analysis showed that cervical disc arthroplasty was superior over anterior discectomy and fusion for the treatment of ... symptomatic cervical disc disease in terms of overall success, NDI success, neurological success, implant/surgery-related ... Intervertebral Disc Degeneration / surgery* * Intervertebral Disc Displacement / surgery* * Randomized Controlled Trials as ... Purpose: This study aimed to investigate the mid- to long-term outcomes of cervical disc arthroplasty (CDA) versus anterior ...
ICD-10 code S33.0XXA for Traumatic rupture of lumbar intervertebral disc, initial encounter is a medical classification as ... Traumatic rupture of lumbar intervertebral disc, initial encounter S33.0. Excludes1: rupture or displacement (nontraumatic) of ... Excludes1: nontraumatic rupture or displacement of lumbar intervertebral disc NOS (M51.-). obstetric damage to pelvic joints ... ICD-10-CM Code for Traumatic rupture of lumbar intervertebral disc, initial encounter S33.0XXA ICD-10 code S33.0XXA for ...
... displacement or herniation of intervertebral disc with myelopathy, radiculopathy, radiculitis or neuritis; spinal stenosis with ... and other diagnoses for pain believed to originate in the discs, ligaments, muscles, or other soft tissues of the lumbar spine ...
DWD 81.12(1)(c)1.a. a. Displacement of cervical intervertebral disc, ICD-9-CM code 722.0, excluding fracture. ... documented reextrusion or redisplacement of lumbar intervertebral disc, ICD-9-CM code 722.10, after previous successful disc ... low back pain with positive nerve root tension signs and an imaging study showing displacement of lumbar intervertebral disc ... DWD 81.12(1)(d)4.a. a. For the first surgery only, degenerative disc disease, ICD-9-CM code 722.4, 722.5, 722.6, or 722.7, with ...
Herniated Discs. Intervertebral Disc Degeneration. Intervertebral Disc Displacement. Lumbar Radiculopathy. Lumbar Spinal ...
Degeneration of the intervertebral disc, facet joints, and its capsules, and ligamentum flavum all can also cause spinal canal ... This abnormal weight bearing from bone displacement will cause spondylosis to occur. Poor postures and loss of the normal ... MRI can show intervertebral foramen, spinal canal, ligaments, degree of disc degeneration or herniation, alignment of the spine ... Cervical X-rays may show osteophytes, decreased intervertebral disc height, narrowing of the spinal canal, and abnormal ...
... and internal disc disruption (IDD). HNP (seen in the image below) is defined as localized displacement of nucleus, cartilage, ... fragmented apophyseal bone, or fragmented anular tissue beyond the intervertebral di... ... Cervical disc disorders encountered in physiatric practice include herniated nucleus pulposus (HNP), degenerative disc disease ... The intervertebral disc has few pain receptors and little innervation, except in the periphery of the disc. The intervertebral ...
Intervertebral Disc Degeneration. *Intervertebral Disc Displacement. *Intracerebral Hemorrhage (ICH). *Lumbar Radiculopathy. * ...
It is also important to note that the displacement of the fracture occurred at more than eight weeks after injury, suggesting ... with late presenting displacement following conservative management. Chance fractures are flexion-distraction injuries to the ... and the intervertebral disc at the level below (Figure 1). There was, therefore, some bony involvement, with the fracture ... with a rupture of the ligamentum flavum at T7/8 and a hyperintense signal in the intervertebral disc at T8/9 on MRI (Figure 1 ...
Is a Unilateral Surgical Approach Effective in Patients with Bilateral Leg Pain with Unilateral Lumbar Disc Herniation? A ... Herniated lumbar disc is a displacement of disc material (nucleus pulposus or annulus fibrosis) beyond the intervertebral disc ... The disc herniation causes displacement and impaction of the dural sac with the emerging nerve roots in a narrowed lateral ... Clinical studies have shown that, in many low back pain patients, damage of the vertebral bodies and or the intervertebral disc ...
Disc Injuries (Non-Surgical Options). As we discussed earlier, the intervertebral disc resembles a jelly filled donut. All of ... options below focus on reducing the irritation or compression to the spinal nerves created by the abnormal displacement of the ... Disc Injury - The lumbar intervertebral disc acts as a spacer between adjacent vertebrae to help absorb compressive forces and ... "bulged disc." In more severe cases, the jelly can actually exit through the donut wall leading to a "ruptured disc." The discs ...
... increase intervertebral disc delamination and subsequent herniation risk as a result of mechanically unsound force displacement ...
... to displacement of intervertebral disc (725) ICDA Codes 379.0-379.3 ICDA Code NHDS Modification 379.0-379.3 Omitted; coded to ...
Age-related degenerative changes of the intervertebral discs can also cause displacement of the vertebrae, even without ... Spinal disc herniation *Intervertebral disc wear *Vertebral joint ostheoarthritis *Spinal canal stenosis *Vertebral body ... Spinal disc herniation *Intervertebral disc wear *Vertebral joint ostheoarthritis *Spinal canal stenosis *Vertebral body ... the condition of the intervertebral discs and the vertebral body bordering them. ...
Intervertebral Disc Displacement. Feeling Overwhelmed About Mobility Aids. FooDog. 697d. I was told to start looking at ...
JTD Keywords: Intervertebral disc, Permeability, Fractional factorial design, Design of experiments, Finite element analysis ... on the displacement, fluid pore pressure and velocity fields. Three different loading modes were investigated: compression, ... A statistical factorial analysis approach was conducted on a poroelastic finite element model of a lumbar intervertebral disc ... Statistical factorial analysis on the poroelastic material properties sensitivity of the lumbar intervertebral disc under ...
CONCLUSION: Our findings indicate that lymphatic vessels are not present in the normal adult intervertebral disc but that, when ... vascularised cellular fibrous tissue can be found in pathological conditions involving the disc such as disc herniation. ... Ingrowth of fibrous tissue was seen in 73% of herniated disc specimens of which 36% contained LYVE1+/podoplanin + lymphatic ... non-herniated lumbar and thoracic discs but were present in the surrounding ligaments. ...
Keywords : intervertebral disc; minimally invasive surgical procedures; sciatica; back pain; intervertebral disc displacement; ... RESULTS: Magnetic resonance imaging (MRI) demonstrated a cystic lesion imaging at the level of the L4-L5 disc. The cystic mass ... Its clinical presentation can be mistaken for disc herniation, with back pain, radiculopathy and neurological deficit. It is ...
Intervertebral Disc Displacement 66% * Intervertebral Disc 58% * Tendinopathy 51% * Shoulder 46% 6 Citations (Scopus) ... Increased risk for adhesive capsulitis of the shoulder following cervical disc surgery. Kang, J. H., Lin, H. C., Tsai, M. C. & ...
Intervertebral Disc Displacement: The cartilage disc between spinal bones might shift, bulge, herniate, or rupture, leading to ...
Intervertebral disc displacement. 12.87. 12.74. 4. 15046. 135. 34941746. Aortic valve sclerosis. 12.86. 12.74. 7. 15043. 1007. ... Intervertebral disc displacement. 17.65. 12.66. 6. 21115. 443. 79722824. Metabolic acidosis. 17.64. 12.66. 55. 21066. 82474. ...
Intervertebral Disc Displacement 1 0 Kidney Failure, Chronic 1 0 Lymphatic Metastasis 1 0 ...
Intervertebral Disc Displacement. An INTERVERTEBRAL DISC in which the nucleus pulposus has protruded through surrounding ... Intervertebral Disc Degeneration. Degenerative changes in the INTERVERTEBRAL DISC due to aging or structural damage, especially ... Excision, in part or whole, of an INTERVERTEBRAL DISC. The most common indication is disk displacement or herniation. In ... A type of juvenile osteochondrosis affecting the fibrocartilaginous disc (INTERVERTEBRAL DISC) in the thoracic or thoracolumbar ...
Intervertebral Disc Displacement 100% * radiography 99% * computed tomography 97% * Radiography 73% * dogs 58% ... Comparison of plain radiography and computed tomography in the diagnosis of type 1 disc herniation in dogs. Rosmery, D. V., ... Comparison of plain radiography and computed tomography in the diagnosis of type 1 disc herniation in dogs. ...
  • This meta-analysis showed that cervical disc arthroplasty was superior over anterior discectomy and fusion for the treatment of symptomatic cervical disc disease in terms of overall success, NDI success, neurological success, implant/surgery-related serious adverse events, secondary procedure, functional outcomes, patient satisfaction and recommendation, and superior adjacent segment degeneration. (nih.gov)
  • Disc herniation is most often the result of gradual wear and tear related to aging, called pulpal nucleus degeneration. (theneoorthopaedicclinic.com)
  • Long term exposure to these risk factors has been shown to increase the symptoms of LBP (i.e. intervertebral disc degeneration, muscle fatigue, and sciatic pain). (cdc.gov)
  • Relatively little evidence exists on predictive factors for the spontaneous regression of lumbar disc herniation (LDH), although it is a well-documented phenomenon. (nih.gov)
  • Cervical radiculopathy can result from nerve root injury in the presence of disc herniation or stenosis, most commonly foraminal stenosis, leading to sensory, motor, or reflex abnormalities in the affected nerve root distribution. (medscape.com)
  • Is a Unilateral Surgical Approach Effective in Patients with Bilateral Leg Pain with Unilateral Lumbar Disc Herniation? (researchgate.net)
  • Interestingly, some patients can present with radicular symptoms on the opposite side of the disc herniation. (researchgate.net)
  • Lumbar disc herniation (LDH) is a relatively common pathology usually presenting with unilateral radiculopathy ipsilateral to the disc herniation. (researchgate.net)
  • OBJECTIVE: Although the normal adult human intervertebral disc is considered to be avascular, vascularised cellular fibrous tissue can be found in pathological conditions involving the disc such as disc herniation. (ox.ac.uk)
  • Its clinical presentation can be mistaken for disc herniation, with back pain, radiculopathy and neurological deficit. (bvsalud.org)
  • The root cause is at the cellular level when the discs lose elasticity and strength, and impacts can lead to rupture or herniation. (psychreg.org)
  • Disc herniation means the movement of discs in the spine. (theneoorthopaedicclinic.com)
  • Lumbar disc herniation occurs when the movement of the intervertebral disc has occurred at the lumbar level. (theneoorthopaedicclinic.com)
  • Cervical disc herniation occurs when the displacement of the intervertebral disc has occurred in the upper part of the spine. (theneoorthopaedicclinic.com)
  • In the case of lumbar disc herniation, there is pain in the thighs and buttocks, which can radiate to the leg below the knee. (theneoorthopaedicclinic.com)
  • Disc herniation treatment should not be delayed because the pain subsided at some point. (theneoorthopaedicclinic.com)
  • All the patients showed a protruded or extruded soft disc herniation at the lumbar level on magnetic resonance imaging and computed tomography. (koreamed.org)
  • Classify patients according to surgical risk and the anatomical characteristics of disc herniation allows for complete decompression, minimizing morbidity and mortality. (wdcom.website)
  • Disc bulge, is not a true herniation, per se. (medscape.com)
  • Extrusion applies to herniation of nuclear material when, in at least one plane, any one distance between the edges of the disc material beyond the disc space is greater than the distance between the edges of the base, or when no continuity exists between the disc material beyond the disc space and that within the disc space. (medscape.com)
  • Examples of disc herniation are seen in the images below. (medscape.com)
  • Disc herniation classification. (medscape.com)
  • Focal herniation involves less than 25% of the disc circumference, whereas broad-based herniations involves between 25-50% of the disc circumference. (medscape.com)
  • As the disease progresses, symptoms related to radiculopathy (due to compression of exiting spinal nerve by narrowed intervertebral foramen) or myelopathy (due to compression on the spinal cord) can occur. (wikipedia.org)
  • Degenerative process of spondylosis such as disc bulging, osteophyte formation, and hypertrophy of the superior articular process all contributes to the narrowing of the spinal canal and intervertebral foramen, leading to compression of these spinal nerves that results in radiculopathy-related symptoms. (wikipedia.org)
  • The objective of this article is to review the current literature on lumbar disc herniations with contralateral radiculopathy and answer main questions regarding pathophysiological basis and best surgical approach. (researchgate.net)
  • At the first follow-up appointment lateral X-ray of the thoracic spine showed no displacement of the vertebrae, and fortnightly follow-up was arranged thereafter. (hindawi.com)
  • Disc Injury - The lumbar intervertebral disc acts as a spacer between adjacent vertebrae to help absorb compressive forces and create space for the spinal nerves to exit the spinal column. (mytpi.com)
  • Age-related degenerative changes of the intervertebral discs can also cause displacement of the vertebrae, even without spondylolysis. (orthopaede.com)
  • Use of cardiac pacemaker, recent operation, epilepsy or migraine, protrusion of lumbar intervertebral disc and anterior displacement of bone vertebrae. (hakii.com)
  • We report the first case of a combined bony and soft tissue Chance fracture in the thoracic spine, with late presenting displacement following conservative management. (hindawi.com)
  • MRI of the thoracic spine on presentation to the ED, showing rupture of the ligamentum flavum at T7/8 and a hyperintense signal in the intervertebral disc at T8/9. (hindawi.com)
  • CTPA was negative for PE and also demonstrated that there continued to be no displacement of the thoracic spine. (hindawi.com)
  • However, at ten weeks following initial presentation, the patient complained of increased thoracic back pain, and lateral X-ray of the thoracic spine suggested displacement of the vertebra at the fracture site. (hindawi.com)
  • RESULTS: Lymphatic vessels were not found in the nucleus pulposus or annulus fibrosus of intact, non-herniated lumbar and thoracic discs but were present in the surrounding ligaments. (ox.ac.uk)
  • A type of juvenile osteochondrosis affecting the fibrocartilaginous disc ( INTERVERTEBRAL DISC ) in the thoracic or thoracolumbar region of the SPINE . (lookformedical.com)
  • Indicated for burst fractures, herniated or bulging discs, facet syndrome, post-op spinal stabilization, spinal stenosis, the Delta TLSO is designed to provide motion restriction for the thoracic and lumbar regions.The posterior extends from the sacrococcygeal junction to just inferior of the scapular spine with tongues providing lateral strength. (elitemedicalsupply.com)
  • Most disc pathologies create radiating pain into the buttocks or the leg (think sciatica) due to the irritation of spinal nerves. (mytpi.com)
  • In a soft tissue Chance fracture there is rupture of the interspinous ligaments, facet joint capsules, and ligamentum flavum posteriorly and the posterior longitudinal ligament and intervertebral disc anteriorly [ 1 ]. (hindawi.com)
  • Implications of lumbar plexus anatomy for removal of total disc replacements through a posterior approach. (uams.edu)
  • When one maintains a seated posture with inadequate lumbar support, the lumbar spine flattens leading to increased tensile force on the posterior part of the intervertebral discs and more muscle activity occurs in order to stabilize the spine. (cdc.gov)
  • When one sits the lumbar curve flattens, the posterior height of the intervertebral disc increases, the facets becomes disengaged and motion becomes significantly more flexible in the anterior posterior direction, and the intervertebral disc pressure increases (Wilder et al. (cdc.gov)
  • Whether conservative treatment or an operation is recommended, not only the cause, type and severity of the spondylolisthesis and the symptoms are taken into consideration but also the age of the patient (a possible degenerative form of spondylolisthesis), physical activity, the condition of the intervertebral discs and the vertebral body bordering them. (orthopaede.com)
  • It arises in the vertebral body or affects the intervertebral discs. (psychreg.org)
  • Disc herniations in the National Football League. (uams.edu)
  • Predisposition to sedentary lifestyle, prolonged sitting, increased exertion after a longer period of rest, lifting weights incorrectly, but also spinal cord injuries are among the causes of disc herniations, explains the orthopaedic in Delhi . (theneoorthopaedicclinic.com)
  • The disc absorbs shock, accommodates movement, provides support, and separates vertebral bodies to lend height to intervertebral foramina. (medscape.com)
  • and medially by the vertebral bodies, intervertebral foramina, and the intervertebral discs. (medscape.com)
  • Sitting for prolonged periods of time, bending forward into a slouched position, or lifting heavy objects can all exacerbate disc symptoms. (mytpi.com)
  • The symptoms of a herniated disc differ depending on the area in which it occurs. (theneoorthopaedicclinic.com)
  • This article reports a case of disc displacement and closed lock in a patient who reported limited mouth opening and pain as the main symptoms. (bvsalud.org)
  • Therefore, Spurling's test, which take advantage of this phenomenon, is performed by extending and laterally flexing the patient's head and placing downward pressure on it to narrow the intervertebral foramen. (wikipedia.org)
  • The presence and absence of lymphatic vessels in the adult human intervertebral disc: relation to disc pathology. (ox.ac.uk)
  • Positive effects (26 reviews) were mainly related to osteoarthritis (4 revisions), obstetric labor (4), intervertebral disc displacement (2) and dyspepsia (2). (bvsalud.org)
  • Displacement of cervical intervertebral disc, ICD-9-CM code 722.0, excluding fracture. (wisconsin.gov)
  • It is also important to note that the displacement of the fracture occurred at more than eight weeks after injury, suggesting that instability may not present immediately. (hindawi.com)
  • Review of the imaging by the orthopaedic team at this time revealed a possible combined bony and soft tissue Chance fracture, with a rupture of the ligamentum flavum at T7/8 and a hyperintense signal in the intervertebral disc at T8/9 on MRI (Figure 1 ). (hindawi.com)
  • rupture or displacement (nontraumatic) of lumbar intervertebral disc NOS ( M51 . (aapc.com)
  • Percutaneous discal cyst rupture in a professional football player using sublaminar epidural injection for thecal sac displacement. (uams.edu)
  • The cartilage disc between spinal bones might shift, bulge, herniate, or rupture, leading to nerve pressure and back pain. (mobidoctor.eu)
  • The disease is often referred to as displacement or rupture of the intervertebral disc. (psychreg.org)
  • The discs are also susceptible to degenerative changes over time. (mytpi.com)
  • CONCLUSION: Our findings indicate that lymphatic vessels are not present in the normal adult intervertebral disc but that, when there is extrusion of disc material into surrounding soft tissue, there is ingrowth of reparative fibrous tissue containing lymphatic vessels. (ox.ac.uk)
  • Extrusion may be further specified as sequestration, if the displaced disc material has lost completely any continuity with the parent disc. (medscape.com)
  • The term migration may be used to signify displacement of disc material away from the site of extrusion, regardless of whether sequestrated or not. (medscape.com)
  • A: Normal disc anatomy demonstrating nucleus pulposus (NP) and annular margin (AM). B: Disc protrusion, with NP penetrating asymmetrically through annular fibers but confined within the AM. C: Disc extrusion with NP extending beyond the AM. D: Disc sequestration, with nuclear fragment separated from extruded disc. (medscape.com)
  • Patients undergoing surgical discectomy for single-level, herniated lumbar disc were prospectively evaluated preoperatively, and at 6 weeks and 3, 6, and 12 months postoperatively. (johnshopkins.edu)
  • HNP (seen in the image below) is defined as localized displacement of nucleus, cartilage, fragmented apophyseal bone, or fragmented anular tissue beyond the intervertebral disc space. (medscape.com)
  • The primary outcome was to assess the probability of disc regression for each disc morphology, with a secondary analysis for any other predictive factors identified. (nih.gov)
  • Intractable and incapacitating regional low back pain with positive nerve root tension signs and an imaging study showing displacement of lumbar intervertebral disc that impinges significantly on a nerve root or the thecal sac, ICD-9-CM code 722.10. (wisconsin.gov)
  • It occurs when the nucleus pulposus (gelled disc material) flows out through the annulus fibrosus. (psychreg.org)
  • Most of the available evidence is related to osteoarthritis, hypertension, and intervertebral disc displacement outcomes. (bvsalud.org)
  • This study evaluates the spinal canal, its relationship to the spinal cord, and nerve root impingement from disc, spur, or foraminal encroachment. (medscape.com)
  • This study aimed to investigate the mid- to long-term outcomes of cervical disc arthroplasty (CDA) versus anterior cervical discectomy and fusion (ACDF) for the treatment of 1-level or 2-level symptomatic cervical disc disease. (nih.gov)
  • Understanding cervical disc disease requires basic knowledge of anatomy and biomechanics. (medscape.com)
  • Trends between increased smoking level and long-term disability were identified for persons with knee injuries, rotator cuff injuries, and intervertebral disc displacement. (cdc.gov)
  • Auto Accident - Our client suffered injuries to neck tissues and structures including herniated disc at C5-6. (autoaccident.com)
  • Herein, we present an operative technique, and the early results, for a percutaneous endoscopic lumbar discectomy in herniated lumbar disc disease. (koreamed.org)
  • CONCLUSIONS: We conclude that, in properly selected patients, a percutaneous endoscopic lumbar discectomy is a safe, noninvasive and effective treatment modality for herniated lumbar intervertebral disc disease. (koreamed.org)
  • Sagittal magnetic resonance imaging (MRI) scan demonstrating cervical intervertebral disc protrusions at C3-C4 and C7-T1. (medscape.com)
  • Extruded and sequestered discs were also significantly more likely to completely regress than smaller morphologies. (nih.gov)
  • Auto Accident - Our client suffered multiple herniated cervical discs and bony hypertrophic changes with spinal cord impingement. (autoaccident.com)
  • No disc exists between C1 and C2, and only ligaments and joint capsules resist excessive motion. (medscape.com)
  • Cervical disc disorders encountered in physiatric practice include herniated nucleus pulposus (HNP), degenerative disc disease (DDD), and internal disc disruption (IDD). (medscape.com)
  • In both groups, surgery was performed on the ipsilateral side of the herniated disc. (researchgate.net)
  • A literature search was conducted of the Cochrane, Embase, and MEDLINE databases for articles that described LDH in terms of the North American Spine Society task force definitions: bulging, protruded, extruded, and sequestered disc morphologies. (nih.gov)
  • The intervertebral disc is a functional unit connecting 2 vertebral bodies of the spine. (medscape.com)
  • Any of these disc problems can leave the spinal nerves vulnerable to irritation or compression resulting in dysfunction and pain. (mytpi.com)
  • The operation consists of removing the fragments of the disc or even the entire herniated disc that compresses the spinal nerves. (theneoorthopaedicclinic.com)
  • Over the years, disc surgery has progressively evolved in the direction of decreasing trauma and its invasiveness. (koreamed.org)
  • This study shows further evidence of the influence of disc morphology on predicting LDH regression as well as provides the first meta-analysis of data indicating additional predictive factors. (nih.gov)
  • Microdiscectomy improves pain-associated depression, somatic anxiety, and mental well-being in patients with herniated lumbar disc. (johnshopkins.edu)
  • To assess the effect of microdiscectomy on depression, somatization, and mental well-being in patients with herniated lumbar discs. (johnshopkins.edu)
  • Dive into the research topics of 'Microdiscectomy improves pain-associated depression, somatic anxiety, and mental well-being in patients with herniated lumbar disc. (johnshopkins.edu)
  • For most cervical disc disorders, studies support conservative treatment, such as the McKenzie approach and cervicothoracic stabilization programs, combined with aerobic conditioning. (medscape.com)