INTRODUCTION The diagnosis of lumbar hernia can be easily missed, as it is a rare case to which most orthopedists are not exposed in their common clinical practice. Approximately 300 cases have been reported in the literature since it was first described by Barbette in 1672. CASE PRESENTATION A 76-year-old woman who had been diagnosed with a femoral intertrochanteric fracture was sent to our ...

Received March 5, 1984; accepted May 18, 1984. On physical examination, there was tenderness in the L 1 area. Neurologic examination was normal. Initial radiographs (fig. 1A) of the lumbosacral spine revealed a compression fracture of the L 1 vertebra; subsequent myelography demonstrated an extradural block at the same level. At surgery, a standard posterior exposure of the dorsal arches of T10...

plastic formation of heterotopic bone in the skeletal muscle (1-5). Although myositis ossificans can occur anywhere in the body following trauma, it is predominantly localized to high-risk sites of injury, such as large muscles of the extremities (2-4). Most lesions are related to direct major trauma or repeated minor injuries. No history of trauma is present in approximately 40% of patients (2...

The objective of this study were to: (i) describe the typical three-dimensional (3D) angular kinematics of the lumbar spine and pelvis during running and; (ii) assess whether the movements of the lumbar spine and pelvis during running are coordinated. A cohort of 20 non-injured male runners who usually ran >20 km/week were voluntarily recruited. All trials were conducted on a treadmill at a run...

Generally, patients with severe burst fractures, instability, or neurological deficits require surgical treatment. In most cases, circumferential reconstruction is performed. Surgical methods for three-column include anterior, lateral, and posterior approaches. cases involving an anterior lateral approach, collaboration general thoracic surgeons may be necessary because the adjacent anatomical ...

Postero-anterior (PA) mobilization is widely used to manage low back pain by physiotherapists. The PA load applied through the spinous process of a vertebra. Low bone density counter-indication mobilization, whether may cause fractures in fragile vertebrae unclear. Therefore, aim this study was quantify role on fracture risk first lumbar vertebra subjected load. A finite element model lumbar (L...

A 71-year-old woman presented with extreme low back pain. Her lumbar spine radiographs revealed a pathological fracture of L4. The hematology profile was normal (hemoglobin: 12.6 g/dL). The serum electrophoresis revealed an “M”-protein of 39 g/L and the immunofixation showed an immunoglobulin (Ig) G-l paraprotein. The bone marrow trephine biopsy demonstrated a clonal plasma-cell infiltration of...

OBJECTIVE: We aimed to analyze the applicability of a fracture risk assessment tool for the prediction of osteoporotic fractures in middle-aged and elderly healthy Chinese adults. METHODS: A standard questionnaire was administered, and bone mineral density was measured in residents visiting the Dongliu Street Community Health Service Center. Paired t-tests were used to compare the FRAX-based ...

Distal junctional failure (DJF) with fracture at the last instrumented vertebra is a rare occurrence. In this case report, we present two patients with L5 vertebral fracture post-instrumented fusion of the lumbar spine. The first patient is a 78-year-old female who had multi-level degenerative disc disease, spinal stenosis and degenerative scoliosis involving levels T12 to L5. She underwent ins...

BACKGROUND There were higher numbers of tertiary blast injuries from terrorist bombing in southern Thailand. There was no previous report about spinal trauma in tertiary blast injury. MATERIAL AND METHOD Between January 2007 and December 2007, there were 100 Thai military personnel injured in combat and 18 cases were classified to tertiary blast injury (type III). Six patients with spine and ...