BACKGROUND AND PURPOSE Inadvertent intrafacet injection can occur during interlaminar epidural steroid injection, resulting in a false-positive loss of resistance and nontarget injection of medication. The purpose of this investigation was to compare the observed rates of this phenomenon during lumbar interlaminar epidural steroid injection performed by using conventional fluoroscopic and CT fl...

Decreased lumbar spine trabecular bone score (TBS), a dual-energy X-ray absorptiometry (DXA)-derived image texture measurement, is a risk factor for major osteoporotic fracture (MOF) and hip fracture (HF) independent of 10-year fracture probability estimated using FRAX. We determined how often applying the TBS adjustment to fracture probability altered treatment qualification. Using a populatio...

BACKGROUND AND AIMS Osteopenia and osteoporosis are frequent in Crohn's disease. However, there are few data on related vertebral fractures. Therefore, we evaluated prospectively the prevalence of osteoporotic vertebral fractures in these patients. METHODS A total of 293 patients were screened with dual energy x ray absorptiometry of the lumbar spine (L1-L4) and proximal right femur. In 156 p...

BACKGROUND To assess the radiographic results in patients who underwent transforaminal lumbar interbody fusion (TLIF), particularly the changes in segmental lordosis in the fusion segment, whole lumbar lordosis and disc height. METHODS Twenty six cases of single-level TLIF in degenerative lumbar diseases were analyzed. The changes in segmental lordosis, whole lumbar lordosis, and disc height ...

Burst fractures most frequently affect the thoracolumbar spine due to the fulcrum of increased motion occurring at the T12-L1 junction. However, isolated burst fractures of the fifth lumbar (L5) vertebra can occur but are very rare. We present a woman with a fracture-dislocation of the fifth lumbar vertebra complicated by neurological damage. She was treated by posterior surgery with transpedic...

Eck and collaborators are to be congratulated for detailing an elegant treatment approach to thoracolumbar burst fractures in their ‘‘Minimally invasive corpectomy and posterior stabilization for lumbar burst fracture’’ case report [1]. Although satisfying, their report leaves us with questions that these authors (and the hundreds of contributors before them) have been unable to answer. Some of...