BACKGROUND Lumbar interbody fusion has become a well established method to diminish axial back pain as well as radiculopathy in patients with degenerative disc disease, stenosis, and instability. The concept of indirect decompression of the neural foramen and spinal canal while performing fusion became popular in the mid 1990's with description of ALIF techniques. Morphometric analysis confirme...

The TMJ, a structurally and functionally complex unit, is enclosed in an articular capsule, which extends from the articular eminence and mandibular fossa superiorly to the neck of the mandibular condyle inferiorly. The condyle is covered and protected by the TMJ disc as the disc slides between the mandibular fossa and articular eminence with joint movement. The presence of the TMJ disc reduces...

BACKGROUND Several approaches have been proposed for the treatment of thoracic disc herniations. Posterior approaches include transpedicular, costotransversectomy, and lateral extracavitary; anterior approaches include retropleural and transpleural thoracotomy and thoracoscopy. OBJECTIVE We present a novel minimally invasive approach to thoracic discectomies, combining thoracoscopy and a tubu...

OBJECT Minimally invasive anterolateral approaches to the lumbar spine are options for the treatment of a number of adult degenerative spinal disorders. Nerve injuries during these surgeries, although rare, can be devastating complications. With an increasing number of spine surgeons utilizing minimal access retroperitoneal surgery to treat lumbar problems, the frequency of complications associ...

Wing imaginal disc cells in Drosophila develop by using information received from a signaling center associated with the anterior/posterior compartment border. We show here that disc cells have thin, actin-based extensions (cytonemes) that project to this signaling center. Cytonemes can be induced when cells from the lateral flanks of a wing disc are cultured next to cells from the A/P border o...

BACKGROUND The progression of disc degeneration is generally believed to be associated with low back pain and/or degenerative lumbar diseases, especially in the elderly. The purpose of this study was to quantitatively evaluate changes in lumbar disc height using radiographic measurements and to investigate risk factors for development of disc height narrowing of the elderly. METHODS From 1997...