orthopaedic clinic with low back pain and left leg pain for last three months. The low back pain was of gradual onset and was progressive. The pain was aggravated on walking and standing. On clinical examination the patient was fit and well. She had bilateral free straight leg raise. Femoral nerve stretch test on the left leg was positive. She was intact neurologically and the range of movement...

Cycling is a daily activity that needs a high demand of human-bicycle fitness. However, studies into the fitness or ergonomic aspects are very little. In this study, the simulated 20 min bicycling test were performed by 26 male participants under 5 handle height conditions. Body joint angles and external cervical/lumbar spine lordosis were measured at the initial and cycling after 20 min. Resul...

Perineural cysts are common and usually detected incidentally during magnetic resonance imaging of the lumbosacral spine. Treatment is indicated only when the cyst is symptomatic. We report one such patients presented with cauda equina syndrome and another with low back pain with claudication. They underwent excision and duraplasty; both motor and sensory fibres were carefully separated from th...

This paper describes the results of an experimental study aimed at evaluating the biomechanical effects of working in a spatially restricted environment on manual lifting tasks. The main objective of the study is to estimate the biomechanical loading (in terms of peak compression and shear forces) on the lumbar spine for the selected combinations of limited headroom heights and twisting angles....

Osteogenesis imperfecta is a genetic disorder of type I collagen. Although multiple genotypes and phenotypes are associated with osteogenesis imperfecta, approximately 90% of the mutations are in the COL1A1 and COL1A2 genes. Osteogenesis imperfecta is characterized by bone fragility. Patients typically have multiple fractures or limb deformity; however, the spine can also be affected. Spinal ma...

Congenital insensitivity to pain (CIP) is a rare autosomal recessive genetic disease caused by mutations in the SCN9A gene. We report a patient with the clinical features consistent with CIP in whom we detected a novel homozygous G2755T mutation in exon 15 of this gene. Routine electrophysiological studies are typically normal in patients with CIP. In our patient, these studies were abnormal an...

The orthopaedic surgeon should be familiar with various supports and braces for the treatment of low back pain. Severe cases of spinal instability always need a Hohmann overbridging brace, whereas the milder form of motion-segment instability is treated with one of the elastic supports. In cases of osteoporosis of the spine and insufficiency of the lumbosacral junction the Lindemann 2/3 semi-el...

Background: Metastasis of systemic neoplasms to the spine is common; however, metastasis primary spinal cord tumors other regions in body an infrequent occurrence. A few case reports have described tumors, and most cases, patients were younger than 30 years age. Case Description: We present illustrative a 47-year-old female with metastatic lesions lumbosacral vertebrae after initial diagnosis i...

We present a new MRI finding within the lumbar spine in a series of six patients admitted with CT proven subarachnoid haemorrhage (SAH) where cerebral angiography demonstrated no aneurysm and who had not had a lumbar puncture. A retrospective audit of 130 patients presenting to a regional neurosciences centre over a 13 month period with a suspected diagnosis of SAH was performed. Seven patients...