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Duke Orthopaedics
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Wheeless' Textbook of Orthopaedics

Radiographs of the Lumbar Spine



- 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 SpondylolisthesisSpondylolysis, 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 evidence of facet or laminar pathology



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Monday, August 29, 2011 2:56 pm