ABNORMAL SPINAL ANATOMY
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Figure 1.
The drawings to the right and below represent the appearance
of a herniated or ruptured disc. Both drawings show the disruption
of the annulus fibrosus, the outer ring-like portion of an intervertebral
disc.
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The tissue located in the center of the
intervertebral disc, the nucleus pulposus, is
partially extruded from the intervertebral disc.
The extruded nucleus pulposus material can exert
pressure on nerves thus causing pain, numbness, and
muscle weakness due to nerve damage.
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Figure 2.
An abnormal spinal condition known as scoliosis
is shown in this drawing. Scoliosis is a lateral
(sideways) curvature of the spine.
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Figure 3.
Spondylolisthesis is an abnormal spinal
condition in which one vertebra slips or is
displaced over another vertebra. The drawing shows
spondylolisthesis as a result of a lumbar vertebra
(L5) slipping over the sacrum (S1).
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Figure 4.
This drawing depicts the spinal condition of
kyphosis. Kyphosis is an abnormal increase in
normal kyphotic (posterior) curvature of the
thoracic spine which can result in a noticeable
round back deformity.
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Figure 5.
This drawing represents the spinal condition of
lordosis. Lordosis is the abnormal increase in
normal lordotic (anterior) curvature of the lumbar
spine. This can lead to a noticeable "sway-back"
appearance.
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Figure 6.
This drawing illustrates degenerative and hypertrophic arthritis
between the 3rd, 4th, and 5th lumbar vertebrae, as well as the
lumbosacral joint (L5-S1 disc space). The degeneration of the
intervertebral discs has reduced the height of the discs.
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There are bone spurs or hypertrophic bone adjacent to the discs and
hypertrophic arthritis of the facet joints. This results in reduced
range of motion of the spine. Also, the hypertrophic bone and narrowing
of the intervertebral foramen can produce nerve root impingement thereby
causing back and leg pain, as well as numbness and weakness of leg muscles.
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