(1) Department of Neurological Surgery, The George Washington University School of Medicine and Health Sciences, Washington, DC, USA (2) Department of Neurological Surgery, The GW Medical Faculty Associates, Washington, DC,…
Fig. 16.1 (a) Axial MRI images of a 38 y/o nonathletic patient with a L5-S1 HNP. (b) Axial MRI images of 19 y/o elite athlete (who is currently an elite NFL…
Symptoms Rule out Fever, malaise, unintentional weight loss Infection Fever, malaise, unintentional weight loss, night pain, history of cancer Cancer Neurologic deficits, bowel or bladder dysfunction Cauda equina Abnormal behavior,…
Fig. 17.1 Three cases of spondylolysis from one family In 1978, Haukipuro et al. reviewed the pedigrees of spondylolysis families and concluded that inheritance of lumbar spondylolysis is autosomal dominant…
Level Nerve root/dermatome Motor weakness Sensory distortion Reflex loss L1–L2, L2–L3 L2,L3 Hip flexors Anterior thigh None L3–L4 L4 Quadriceps Medial calf Patellar Tibialis anterior Medial foot L4–L5 L5 Extensor…
Fig. 12.1 This is a case presentation of a 30-year-old professional basketball player. He presented to our clinic after an in-game hyperextension injury. He had experienced an episode of transient…
Fig. 3.1 Watkins’ lumbar rehabilitation program Fig. 3.2 Dead bug exercise . (a) Level 1 of the exercise. The spine is kept in a neutral tucked position, and feet are…
Fig. 10.1 Classification system for posterior C1 ring anomalies. (a) Failure of posterior midline fusion of the two hemiarches. (b) Unilateral clefts. A defect is present in one of the…
Fig. 19.1 Pertinent anatomy of costovertebral articulations . Axial figure of costovertebral joint shows costocentral and costotransverse articulations, normal on the right and disrupted on the left. (From: O’Brien and…
Fig. 18.1 Lateral and AP radiograph of the lumbar spine with relevant anatomy labeled. (From: Valladares-Otero [33]. Reprinted with permission from Springer Nature) (a) X-Ray Lateral View Lumbar Spine. (b)…
