By Franco Postacchini
"... This special textbook bargains a extensive but focused examine the only subject of lumbar disc herniation ... Franco Postacchini and his colleagues have supplied us with 24 specified chapters starting from a superb old standpoint via anatomy, pathophysiology, biochemistry and biomechanics, and finishing with diagnostic imaging remedy algorithms and problems ... the fantastic figures, brief tables, and simply learn textual content make this a really beneficial ebook for these training and treating sufferers with lumbar disc herniations ... i've got loved analyzing Franco Postacchini's textbook and applaud him and his small variety of colleagues on delivering us with over 500 illustrations, 2800 references and critical point of view on a standard medical challenge for which there is still a lot uncertainty and lots more and plenty version in perform ...” From the Foreword of James N. Weinstein
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Additional resources for Lumbar Disc Herniation
10. Annulus fibrosus of newborn rat. Electron micrograph of the outer (A), middle (B) and inner (C) portions. In the outer portion, the cells have fibroblast-like features and are arranged in parallel rows. Cytoplasmic projections join the cells in the same row (arrowheads) or adjacent rows (arrows). In the middle portion, the cells show intermediate features between fibroblasts and chondroblasts; as in the outer portion, cytoplasmic projections connect cells in a single row or adjacent rows. The cells in the inner portion are spindle-shaped, have no cytoplasmic projections and are surrounded by a thin pericellular lacuna.
In one type, three adjacent lamellae become two as a result of the interruption of the middle lamella; in the other type, one lamella splits along its fiber direction to pass on either side of the middle lamella (Fig. 21). Approximately half of the lamellae of the annulus fibrosus are incomplete; the lowest rate of incomplete lamellae has been found in the anterior portion (77, 127) and the highest in the posterolateral (77) or posterior (127) portion (Fig. 22). The number of incomplete lamellae is higher in the middle, than in the outer, portion of the annulus fibrosus and increases in old age (77, 127).
Burton (17) distinguished a central and a foraminal zone. Lee et al. (71) identified: an entrance zone, situated ventrally and medially to the superior articular process; a middle zone located ventrally to the pars interarticularis and inferiorly to the pedicle; and an exit zone, corresponding to the area situated laterally to the pedicle. Van Akkerveeken (128) indicated the three zones as ostium internum, pedicular zone and ostium externum. These authors include the intervertebral foramen in the lateral vertebral canal, probably with the aim at indicating, using a single expression, the entire area through which the radicular nerve runs to exit from the spine.