scholarly journals Evaluating the Reliability of Anatomic Landmarks in Safe Lumbar Puncture Using Magnetic Resonance Imaging: Does Sex Matter?

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Maryam Rahmani ◽  
Seyed Mehran Vaziri Bozorg ◽  
Ahmad Reza Ghasemi Esfe ◽  
Afsaneh Morteza ◽  
Omid Khalilzadeh ◽  
...  
Keyword(s):  
Intervertebral Disc ◽  
Lumbar Puncture ◽  
Elderly Women ◽  
Conus Medullaris ◽  
Lumbosacral Spine ◽  
Anatomical Landmarks ◽  
Intervertebral Disc Space ◽  
Disc Space ◽  
Age And Gender ◽  
And Gender

Aim. To determine the level of the conus medullaris-Tuffier's line, and conus medullaris-Tuffier's line distance using imaging and evaluate their relation to age and gender.Methods. We performed a cross-sectional study of 189 adult participants, who underwent MR imaging of lumbosacral spine. Each vertebra was divided into 3 equal segments (upper, middle, and lower), and intervertebral disc space was also assumed as one segment. All segments from T12 upper segment to L5S1 intervertebral disc were numbered consecutively. The position of conus medullaris and Tuffier's line was determined by the vertebral segment or intervertebral disc space at the same level. The patients were stratified into high/low conus medullaris position (cutpoint: L1 middle segment) and short/long conus-Tuffier's distance (cutpoint: 14 segments).Results. Women with low conus were significantly more than men, in patients older than 50 years old (72.7% in females versus 55.3% in males; ), whereas there was not such a sexual dimorphism in patients younger than 50 years old. Similarly, short conus-Tuffier's distance was more frequent among women than men in patients older than 50 years old (59.7% in females versus 39.5% in males; ), whereas there was not any gender difference in patients younger than 50 years old. Conus-Tuffier's distance was negatively correlated with age (, ) in all studied population.Conclusion. Anatomical landmarks vary according to age and gender, with a lower end of conus medullaris in women, so clinicians should use more caution on the identification of the appropriate site for lumbar puncture, particularly in elderly women.

Intervertebral disc space cyst simulating a recurrent herniated nucleus pulposus

1988 ◽  
Vol 69 (1) ◽  
pp. 137-139 ◽  
Author(s):  
Jordan C. Grabel ◽  
Raphael Davis ◽  
Rosario Zappulla
Keyword(s):  
Intervertebral Disc ◽  
Preoperative Diagnosis ◽  
Relevant Literature ◽  
Radicular Pain ◽  
Lumbar Region ◽  
Intervertebral Disc Space ◽  
Disc Space ◽  
Content Type ◽  
Herniated Nucleus Pulposus ◽  
Fine Print

✓ The case presented is of a patient with an intervertebral disc space cyst producing recurrent radicular pain following microdiscectomy in the lumbar region. Difficulties with the preoperative diagnosis of this and other recurrent radicular syndromes are discussed, and a review of the relevant literature is presented.

Radiographic Morphometry of Lumbar Intervertebral Disc Space in Normal Korean

2007 ◽  
Vol 14 (3) ◽  
pp. 129 ◽  
Author(s):  
Eun-Su Moon ◽  
Nam-Hyun Kim ◽  
Jin-Oh Park ◽  
Si-Young Park ◽  
Ho-Joong Kim ◽  
...  
Keyword(s):  
Intervertebral Disc ◽  
Intervertebral Disc Space ◽  
Disc Space ◽  
Lumbar Intervertebral Disc ◽  
Radiographic Morphometry

THE HARTSHILL HORSESHOE: THE TREATMENT OF CHRONIC PAIN PATIENTS WITH DISCOGENIC PAIN IN THE ABSENCE OF NEURAL COMPRESSION A PROSPECTIVE 2½- TO 3-YEAR REVIEW

2000 ◽  
Vol 04 (03) ◽  
pp. 209-220 ◽  
Author(s):  
W. Peckett ◽  
P. Hardcastle ◽  
J. Sheppherd ◽  
C. Sridhar
Keyword(s):  
Intervertebral Disc ◽  
Bone Graft ◽  
Spinal Fusion ◽  
Central Area ◽  
Disc Height ◽  
Intervertebral Disc Space ◽  
Disc Space ◽  
Discogenic Pain ◽  
Radiological Results ◽  
Intervertebral Disc Height

Interbody fusion is a well-recognized technique to achieve spinal fusion. The advantage of using tricortical blocks as opposed to the dowel technique is that intervertebral disc height can be restored. Both techniques can be performed either by the anterior or posterior approach. The traditional tricortical block technique has advantages over using dowels as it is a more stable construct and can restore intervertebral disc height. However, autologous bone graft has an unpredictable behavior causing potential problems of disc space collapse, forward displacement of the graft and donor bone graft site morbidity. The Hartshill horseshoe was developed to overcome these autograft problems. It is an implant that is placed within the periphery of the intervertebral disc space where the vertebral end plate is strongest to resist compression forces. It has holes that allow screw fixation of the implant to bone to provide immediate stability and a central area for bone graft where the vertebral body is most vascular to allow incorporation of such a graft. Previous reports on the Hartshill horseshoe have used autograft (single tricortical graft). This prospective study reports the clinical and radiological results of 19 patients who underwent this procedure using xenograft 2½ to 3 years postoperative. The radiological results do not show any evidence of loosening of the screws or implant nor evidence of intervertebral disc space subsidence. It was not possible to assess the exact incidence of spinal fusion.

Outcome and prognostic factors in nonambulatory Hansen Type I intervertebral disc extrusions: 308 cases

2006 ◽  
Vol 19 (01) ◽  
pp. 29-34 ◽  
Author(s):  
D. A. Allen ◽  
E. R. Schertel ◽  
M. D. Barnhart ◽  
E. R. Wilson ◽  
J. A. Lineberger ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Intervertebral Disc ◽  
Motor Neuron ◽  
Lower Motor Neuron ◽  
Decompressive Surgery ◽  
Type I ◽  
Lumbar Region ◽  
Intervertebral Disc Space ◽  
Disc Space ◽  
Favourable Prognosis

SummaryThoracolumbar intervertebral disc disease is the most common cause of caudal paresis in dogs (1). Whilst the pathogenesis of the extrusion has been widely studied, treatment protocols and prognostic factors relating to outcome remain controversial. Recent studies have examined a multitude of factors relating to time to regain ambulation after decompressive surgery. Most intervertebral disc herniations occur in the thoracolumbar region, causing upper motor neuron signs in the rear limbs, which are thought to have a more favourable prognosis compared to the lower motor neuron signs created by herniation of an intervertebral disc in the caudal lumbar region. Due to the potential disruption of the lumbar intumescence, lower motor neuron signs have been reported as having a less favourable prognosis. The purpose of this study was to evaluate the intervertebral disc space as a prognostic factor relating to ambulatory outcome and time to ambulation after decompressive surgery. Hansen Type I intervertebral disc extrusions were studied in 308 non-ambulatory dogs. Preoperative and postoperative neurological status, corticosteroid use, signalment, intervertebral disc space, postoperative physical rehabilitation, previous hemilaminectomy surgery, disc fenestration, return to ambulation, and time to ambulation were reviewed.

scholarly journals Poverty, old age and gender in nineteenth-century England: the case of Hertfordshire

2005 ◽  
Vol 20 (3) ◽  
pp. 351-384 ◽  
Author(s):  
NIGEL GOOSE
Keyword(s):  
Nineteenth Century ◽  
Family Support ◽  
Elderly Women ◽  
The Elderly ◽  
Elderly Male ◽  
Age And Gender ◽  
Local Sources ◽  
Short And Long Term ◽  
And Gender

This article examines the relative incidence of poverty among the elderly in nineteenth-century Hertfordshire with special reference to gender. Both national and local sources are employed to highlight the particular difficulties experienced by the elderly, male poor under the New Poor Law, and the short and long term problems they faced as a result of seasonal unemployment and an overstocked labour market. For elderly women, the extent to which their poverty was relieved by employment in cottage industry, almshouse accommodation, the continuing receipt of out-relief and a higher incidence of family support are examined to provide an assessment of the manner in which poverty was gendered in the nineteenth century.

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