By Ismail Jatoi, Manfred Kaufmann, Jean-Yves Petit
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Extra info for Atlas of Back Pain Editor
Primary soft tissue tumors in the breast, lung, thyroid or prostate, as well as other tissues, can metastasize ©2002 CRC Press LLC to the spine, causing rapidly expanding and often multiple fast-growing soft tissue tumors in the spine. These tumors can erode the vertebral body of the pedicles, leading to collapse of the vertebra and paresis. Multiple myeloma originating in the spine can also lead to destruction of the vertebral body and collapse of the vertebra. If this occurs in the neck, quadriparesis can result.
On rotation of the vertebrae, the lateral canal becomes even narrower (b) vertebrae to rotate and lose their alignment with each other. INFLAMMATORY DISEASES There are a number of systemic diseases that impact on the spine and can result in changes in bony structure, resulting in deformity. Rheumatoid arthritis causes laxity in the ligaments, particularly in the cervical spine, and can lead to slippage of one vertebra on the other. Rheumatoid arthritis commonly affects the C1–C2 articulation, but can also affect the subaxial spine.
3 Central stenosis b This CT transverse section through the lumbar spine shows marked central canal stenosis. The posterior muscle has been partially replaced by fibrofatty tissue. Courtesy ChurchillLivingstone (Saunders) Press ©2002 CRC Press LLC T2 weighted MR sagittal image of the lumbar spine (a), demonstrating high-grade spinal stenosis at L2–L3, L3–L4 and L4–L5. The spinal fluid has a bright signal intensity and the compression of the intrathecal rootlets is apparent. On the axial T2 MR image (b), the central canal stenosis is caused by thickening of the posterior neural arch and ligamentum flavum, and overgrowth of the posterior facet joints.
Atlas of Back Pain Editor by Ismail Jatoi, Manfred Kaufmann, Jean-Yves Petit