By James J. Yue, Richard Guyer, J. Patrick Johnson, Larry T. Khoo, Stephen H. Hochschuler
The excellent therapy of the getting older backbone offers the entire cutting-edge assurance you would like on either operative and non-operative remedies for various scientific pathologies of the getting older backbone. Dr James Yue and a crew of proficient, pioneering orthopedic surgeons and neurosurgeons conceal scorching themes like minimally invasive fusion, dynamic stabilization, cutting-edge intraspinous and biologic units, and more…in print and on-line.
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Extra info for The Comprehensive Treatment of the Aging Spine
The medial and anterior capsule is formed by a lateral extension of the ligamentum flavum. The capsules and ligaments are innervated by primary articular branches from larger peripheral nerves and accessory articular nerves. Such nerves consist of both proprioceptive and nociceptive fibers. They are monitored by the central nervous system, and may perceive excessive joint motion (potentially due to instability or an injury) as a noxious stimulus and mediate a muscular reflex to counteract such excursions.
G. M. B. Sweet, Biochemical changes in intervertebral disc degeneration, Biochim. Biophys. Acta 673 (1981) 443–453. Y. Kawaguchi, M. Kanamori, H. , The association of lumbar disc disease with vitamin D receptor gene polymorphism, J. Bone Joint Surg. Am. 84 (2002) 2022–2028. T. Kimura, K. Nakata, N. , Progressive generation of the articular cartilage and intervertebral discs: an experimental study in transgenic mice bearing a type IX collagen mutation, Int. Orthop. 20 (1996) 177–181. G. Dommissee, Morphological aspects of the lumbar spine and lumbosacral regions, Orthop.
Finally, subchondral fractures can lead to complete fractures and loose bodies as alluded to earlier in this chapter. By the same token, the synovial membrane will thicken through this inflammatory process and develop an effusion, which can become exudative and create fibrosis. If capsular tears occur, they may cause initial instability. Recovery with minor trauma is usually complete, though it can lead to a more prolonged vulnerable (unstable) phase. CHAPTER 4 With major traumatic episodes, the damage is different in that endplate fractures or detachment of peripheral annulus from the endplate can occur.
The Comprehensive Treatment of the Aging Spine by James J. Yue, Richard Guyer, J. Patrick Johnson, Larry T. Khoo, Stephen H. Hochschuler