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Topic: Lumbar


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In the News (Fri 27 Nov 09)

  
  Lumbar puncture   (Site not responding. Last check: 2007-11-01)
In medicine, a lumbar puncture (or spinal tap) is a diagostic procedure that is done to collect a sample of cerebrospinal fluid (CSF) for biochemical and microbiological analysis.
The most common indication for a lumbar puncture is to collect cerebrospinal fluid in a case of suspected meningitis.
In performing a lumbar puncture (in an adult), first the patient is usually placed in a left (or right) lateral position with his/her neck bent in full flexion and knees bent in full flexion up to his/her chest, approximating a fetal position as much as possible.
www.serebella.com /encyclopedia/article-Lumbar_puncture.html   (889 words)

  
 Lumbar Arthritis Symptoms
With lumbar and lumbosacral arthritis, the symtoms effect the normally soft disks between the vertebrae of the lower back gradually lose their elasticity and their ability to cushion the bones effectively.
While the exact cause of lumbar and lumbosacral arthritis is not known, some degeneration of the spine is thought to be the result of the normal aging process.
People with lumbar or lumbosacral arthritis are advised to become educated about caring for their backs: using proper lifting techniques, practicing a specific set of stretching and strengthening exercises, and modifying their activities to protect the backbone.
www.arthritis-symptom.com /Lumbar-Arthritis-symptoms/index.htm   (1532 words)

  
 Lumbar Laminectomy
Lumbar laminectomy is an operation performed on the lower spine to relieve pressure on one or more nerve roots.
The term is derived from lumbar (lower spine), lamina (part of the spinal canal's bony roof), and -ectomy (removal).
Successful recovery from lumbar laminectomy requires that you approach the operation and recovery period with confidence based on a thorough understanding of the process.
www.espine.com /diagnosis_ll.html   (741 words)

  
 NeurosurgeryToday.org | What is Neurosurgery | Patient Education Materials | lumbar spinal stenosis
The lumbar spine (lower back) consists of five vertebrae in the lower part of the spine between the ribs and the pelvis.
Lumbar spinal stenosis is a narrowing of the spinal canal which compresses the nerves traveling through the lower back into the legs.
Lumbar spinal stenosis may or may not produce symptoms, depending on the severity of your case.
www.neurosurgerytoday.org /what/patient_e/lumbar.asp   (1241 words)

  
 Lumbar Puncture (Spinal Tap)
A lumbar puncture (LP), sometimes called a spinal tap, is a procedure in which a small amount of the fluid that surrounds the brain and spinal cord, called the cerebrospinal fluid (CSF), is removed and examined.
In infants and children, a lumbar puncture is typically done to look for meningitis, an infection of the meninges, which is the membrane covering the brain and spinal cord.
There are other reasons to do lumbar punctures, too: They may be performed to remove fluid and relieve pressure with certain types of headaches, to look for other diseases in the central nervous system, or to place chemotherapy medications into the spinal fluid.
www.kidshealth.org /parent/general/sick/lumbar_puncture.html   (835 words)

  
 Dr. Koop - Lumbar Decompression Surgery- Health Encyclopedia and Reference
Lumbar Decompression Surgery is a treatment for spinal stenosis (narrowing of the spinal canal).
Spinal stenosis is narrowing of the spinal canal, which may result in pressure on the internal structures.
The configuration of the spinal canal is just as important as the diameter, and there are anatomic characteristics associated with constriction.
www.drkoop.com /encyclopedia/93/579.html   (316 words)

  
 YourSurgery.Com®-Decompressive Lumbar Laminectomy
Lumbar spinal stenosis (LSS) is a narrowing of the spinal canal.
Though LSS may occasionally occur congenitally with symptoms presenting in the thirties and forties, by far the largest number of patients with LSS acquire the disease later in life and are over 60 years of age.
The normal lumbar spine is composed of five building blocks called vertebrae that sit on the sacrum, which is the back part of the pelvic bone.
www.yoursurgery.com /ProcedureDetails.cfm?BR=2&Proc=20   (365 words)

  
 Lumbar spine fusion for degenerative disc disease
It is called a “spine fusion” because the surgery involves placing small morsels of bone either in the front of the spine (in the disc space) and/or along the back of the spine (in the posterolateral gutter) so that the bone grows together and fuses that section of the spine.
Instead, the surgery creates the conditions for the spine to be able to fuse and the fusion is a process that will set up over a 3 to 6 month (and up to 18 month) period of time following the spinal fusion surgery (see figure 1).
Lumbar spinal fusion surgery for low back pain caused by degenerative disc disease is usually considered an option for patients who:
www.spine-health.com /topics/surg/lumbdeg/lumbdeg01.html   (833 words)

  
 eMedicine - Lumbar Degenerative Disc Disease : Article by Rajeev K Patel, MD
Palpation of the lumbar paraspinals and spine stabilizers may elicit tenderness, as these muscles may be tight, have active or latent trigger or tender points, or be in reactive muscle spasm.
In the lumbar spine, CT scans are abnormal in 35% of asymptomatic volunteers of all ages and in 50% of persons aged 40 years or older.
In rats, sympathetic nerves bilaterally and multisegmentally innervate the posterior portion of the lumbar intervertebral disk and posterior longitudinal ligament.
www.emedicine.com /pmr/topic67.htm   (10274 words)

  
 Interventional procedure consultation document - lumbar subcutaneous shunt
Current evidence on the safety and efficacy of lumbar subcutaneous shunt does not appear adequate for this procedure to be used without special arrangements for consent and for audit or research.
Usually, a shunt is tunnelled under the skin, with the upper end in a cerebral ventricle and the lower end in the heart (ventriculo-atrial shunt) or in the peritoneum (ventriculo-peritoneal shunt).
Alternatively, the upper end of the shunt may be placed in the subarachnoid space in the lumbar part of the back, with the lower end draining fluid into the peritoneum (lumbo-peritoneal shunt).
www.nice.org.uk /page.aspx?mode=text&o=101803   (795 words)

  
 Lumbar Spinal Surgery Problems - Back Pain and Pain Cures
Lumbar spinal surgery is used to correct problems with the spinal bones (vertebrae), disks, or nerves of the lower...
Lumbar spinal surgery is used to correct problems with the spinal bones (vertebrae), disks, or nerves of...
Lumbar spinal surgery is done while the patient is under general anesthesia...
www.about-backpain.com /Lumbar-Spinal-Surgery-Problems.html   (630 words)

  
 Lumbar Radiculopathy
This pain is caused by compression of the roots of the spinal nerves in the lumbar region of the spine.
The five lumbar vertebrae are large and carry the majority of the body weight.
Lumbar radiculopathy is a common problem that results when nerve roots are compressed or irritated.
www.spineuniverse.com /displayarticle.php/article1469.html   (732 words)

  
 II. Osteology. 3a. 3. The Lumbar Vertebræ. Gray, Henry. 1918. Anatomy of the Human Body.
The former are wider apart than the latter, since in the articulated column the inferior articular processes are embraced by the superior processes of the subjacent vertebra.
The transverse processes are long, slender, and horizontal in the upper three lumbar vertebræ; they incline a little upward in the lower two.
In the upper three vertebræ they arise from the junctions of the pedicles and laminæ, but in the lower two they are set farther forward and spring from the pedicles and posterior parts of the bodies.
www.bartleby.com /107/23.html   (371 words)

  
 Lumbar Laminectomy
Lumbar laminectomy is a surgical procedure most often performed to treat leg pain related to herniated discs, spinal stenosis, and other related conditions.
The spinal cord begins at the base of the brain and ends in the lumbar spine area in a bundle of nerves known as the cauda equina.
A lumbar laminectomy may be necessary to relieve pressure on the spinal canal.
www.spineuniverse.com /displayarticle.php/article545.html   (494 words)

  
 Lumbar Spinal Canal Stenosis: A Common Cause of Back and Leg Pain -- familydoctor.org   (Site not responding. Last check: 2007-11-01)
The lumbar spinal canal is the space in the lower spine that carries nerves to your legs.
This narrowing is called "stenosis." As the lumbar spinal canal narrows, the nerves that go through it are squeezed.
Lumbar spinal canal stenosis is not the same as a ruptured disk.
www.familydoctor.org /256.xml   (541 words)

  
 Serial Lumbar Punctures Don't Prevent Hydrocephalus, Poor Neurodevelopmental Outcome, or Death in Neonates with ...
The 2 studies that are summarized revealed no statistical difference in outcome in regards to hydrocephalus and the need for shunt placement, poor neurological outcome, or death with the therapy of serial lumbar punctures.
It does not appear that early removal of protein and blood from CSF by serial lumbar punctures reduces morbidity/mortality in patients with asymptomatic hydrocephalus.
Lumbar punctures have been shown effective in delaying the need for shunt placement as the infant grows to a size acceptable for surgery.
www.med.umich.edu /pediatrics/ebm/cats/lumbpunct.htm   (387 words)

  
 lumbar epidural steriod injections - see information on lumbar epidural steriod injections provided by Steroid ...
lumbar disc protrusion and sciatica symptoms run their course.
Study to evaluate the effectiveness of epidural steroids in the treatment of degenerative spondylolisthesis with lumbar radiculopathy.
Epidural steroid injections can be performed at the cervical, thoracic, lumbar and even sacral region of the...
www.steroid-encyclopaedia.com /42/lumbar-epidural-steriod-injections.html   (596 words)

  
 biology - Lumbar vertebrae
The lumbar vertebrae are the largest segments of the movable part of the vertebral column, and can be distinguished by the absence of a foramen (hole) in the transverse process, and by the absence of facets on the sides of the body.
The transverse processes are long, slender, and horizontal in the upper three lumbar vertebrae; they incline a little upward in the lower two.
In the upper three vertebrae they arise from the junctions of the pedicles and laminae, but in the lower two they are set farther forward and spring from the pedicles and posterior parts of the bodies.
biosphere.biologydaily.com /biology/Lumbar_vertebrae   (416 words)

  
 eMedicine - Lumbar Disc Disease : Article by Kamran Sahrakar, MD
Today, lumbar discectomy is one of the most commonly performed elective operations in the United States.
The indications for surgical treatment of symptomatic lumbar disc disease are not clearly delineated.
Hardy RW: Extradural Cauda Equina and Nerve Root Compression from Benign Lesions of the Lumbar Spine.
www.emedicine.com /med/topic2902.htm   (2529 words)

  
 Lumbar Region (Lower Back) - Detroit, Michigan, MI, Henry Ford   (Site not responding. Last check: 2007-11-01)
The spinal canal gradually narrows, and the spinal cord and nerve roots are slowly compressed.  This lack of space interferes with the normal function of the nerves.  Lumbar stenosis produces neurogenic claudication, a syndrome of difficulty walking and hunched posture with or without low back pain.
Spondylolysis is a defect in the lamina of the vertebrae, usually the fourth or fifth lumbar vertebrae in the lower spine.
It may occur as a congenital defect or be the result of repetitive trauma.  Lower back pain is worse with strenuous exercise or activity.  Activity modification, bracing or surgical treatment may be needed to overcome persistent symptoms.
www.henryfordhealth.org /125278.cfm   (550 words)

  
 Lumbar herniated disc
The weak spot in a disc is directly under the nerve root, and a herniated disc in this area puts direct pressure on the nerve, which in turn can cause pain to radiate all the way down the patient’s leg to the foot (see Figure 1).
Using microsurgical techniques (a small operation using a microscope) to treat a lumbar herniated disc, a microdiscectomy can usually be done on an outpatient basis or with an overnight stay in the hospital, and most patients can return to work full duty in one to three weeks.
Usually, only the small portion of the disc (5-8%) that is pushing against the nerve root needs to be excised, and the majority of the disc remains intact.
www.spine-health.com /topics/cd/overview/lumbar/young/lum01.html   (490 words)

  
 Herniated Lumbar Disc   (Site not responding. Last check: 2007-11-01)
A herniated lumbar disc can press on the nerves in the spine and may cause pain, numbness, tingling or weakness of the leg called "sciatica".
Occasionally, your doctor may ask you to wear a lumbar corset (soft, flexible back brace) at the start of treatment to relieve your back pain, although it doesn’t help heal the herniated disc.
This is usually accompanied by numbness and tingling in the groin or genital area, and is one of the few indications that you need surgery immediately for a herniated lumbar disc.
www.spine.org /articles/herniatedlumbardisc.cfm   (1706 words)

  
 Treatment of Degenerative Lumbar Spinal Stenosis: Summary of Evidence Report/Technology Assessment, No. 32
Degenerative lumbar spinal stenosis is defined as a focal narrowing of the spinal canal, although there is some variation among investigators about the precise amount of narrowing that must occur before the canal is considered stenotic.
Lumbar spinal stenosis literature key words: Spinal stenosis, sciatica, backache, spinal diseases, ischialgia, compressive neuropathy, spinal claudication, neurogenic claudication, intermittent claudication, nerve root entrapment, nerve root compression, osteoarthritis, spondylosis, spondylolisthesis, cauda equina, spinal osteophytosis, stenosis (lumbar, exit zone, nerve root canal, foraminal).
At least some of the gaps in current research on lumbar spinal stenosis seem to arise from the suboptimal designs and incomplete reporting of patient characteristics and results in studies that have been conducted to date.
www.ahrq.gov /clinic/epcsums/stenosum.htm   (3294 words)

  
 THE MERCK MANUAL, Sec. 5, Ch. 62, Common Sports Injuries
Risk factors include an exaggerated lumbar lordosis, a forward-tipped pelvis, inflexible and weak paraspinal muscles, tight inflexible hamstrings, weak abdominal muscles, and an intrinsically weak lumbar structure (eg, arthritis, spondylolysis, spondylolisthesis, disk rupture, spinal stenosis, tumor, Scheuermann's epiphysitis).
Point tenderness on the lumbar spine associated with markedly increased pain on extension should be checked for spondylolysis (fracture of the pars interarticularis).
As soon as possible after the injury, the patient should be treated with rest, ice, and compression (elevation is not practicable for injuries to the trunk).
www.merck.com /pubs/mmanual/section5/chapter62/62i.htm   (305 words)

  
 lumbar steroid epidural injections - see information on lumbar steroid epidural injections provided by Steroid ...
This is another method for lumbar epidural injection, though it is usually...
Klenerman et al, Lumbar Epidural Injections in the Treatment of Sciatica, British Journal of...
Lumbar epidural steroid injections can be an excellent treatment for patients with...
www.steroid-encyclopaedia.com /42/lumbar-steroid-epidural-injections.html   (592 words)

  
 LUMBAR SPINAL STENOSIS   (Site not responding. Last check: 2007-11-01)
These changes cause narrowing of the lumbar spinal canal which is known as spinal stenosis (figure).
If your doctor determines that lumbar spinal stenosis is causing your pain, he or she will usually try nonsurgical treatments at first.
Since spinal stenosis is a narrowing of the bony canal, the goal of the surgery is to open up the bony canal to improve available space for the nerves.
www.spine.org /articles/lumbarspinalstenosis.cfm   (1327 words)

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