- Discussion:
- correlation w/ back pain:
-
traction spurs &/or
severe disc space narrowing do correlate w/ pain;
- spondylosis,
Spondylolisthesis, & adult
Scoliosis may or may not
be associated with back pain;
- there is little correlation between back pain and:
- lumbar lordosis
- transitional vertebra
- disc space narrowing
- disc vaccum sign, and claw spurs;
- Radiographs:
-
Oblique views are useful for defining
Spondylolisthesis &
Spondylolysis, but are not useful in the facet syndrome and
hypertrophic arthritis of the lumbar spine;
-
Ferguson view (20 deg caudocephalic anteroposterior x-ray) is of value
in the diagnosis of the "far out syndrome"
- 5th root compression produced by a large transverse process of
5th
Lumbar vertebrae against the ala of the
Sacrum;
-
angled caudal views localized to areas of concern may show evidense of
facet or laminar pathology;
