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Glossary (A-E) (F-L) (M-R) (S-Z)

A B C D E

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A

AEBI, ETTER, AND COSICA - Anterior approach to inferior C-2 to fractured dens with screws.

ALAR DYSGENESIS - Abnormality in development of the sacroiliac joint.

ALLOGRAFT BONE - Sterile bone derived from another human which is used for grafting procedures.

ANKYLOSING SPINAL HYPEROSTOSIS - Arthritic disorder in which bridgingosteophytes located anteriorly and posteriorly on the vertebral body bind two or more vertebrae together; Forestier disease.

ANKYLOSING SPONDYLITIS - stiffening or fixation of the vertebra; an inflammatory joint disease mainly affecting the spine hips, and pelvis.

ANTERIOR - Front of the body or situated nearer the front of the body.

ANTERIOR APPROACH - When used to approach the cervical, cervicodorsal, dorsal, and lumbar spines, it is designed to provide sufficient surface for multiple segmental spinal fusions; Hodgson, Roaf. For specific cervical spinal explorations and fusions; Southwick and Robinson, Bailey and Badgley, Whitesides and kelly, Henry (to vertebral artery).

ANTERIOR CERVICAL DISCECTOMY - an operation where the cervical spine is reached through a small incision in the front of your neck. After the soft tissues of the neck are separated, the intervertebral disc and bone spurs are removed.

ANTERIOR CERVICAL DISCECTOMY WITH FUSION - an operation performed on the upper spine to relieve pressure on one or more nerve roots, or on the spinal cord. The term is derived from the words anterior (front), cervical (neck), and fusion (joining the vertebrae with a bone graft).

ANTERIOR DISPLACEMENT - Forward movement of the superior segment on the inferior one.

ANTERIOR LUMBAR INTERBODY FUSION (ALIF) - operation where the lumbar spine is approached through an incision in the abdomen. A portion of the affected disc space is removed from the spine and replaced with an implant.

ANTERIOR SPINAL FUSION - Approaching the spine from the front, the intervertable disc and/or vertebral body is removed and bone graft is inserted. Some variations of this procedure include the Smith-Robinson, Cloward and dowel procedures.

ANTERIOR SPURRING - Ligament turning to bone on anterior side of vertebral body.

ANTEROLATERAL - Situated or occurring in front of and to the side.

ANTEROLATERAL APPROACH - An approach to the dorsal spine by rib resection to explore the spine anteriorly and in some cases to do spinal fusions and decompressions spinal cord.

ARACHNOID - Middle layer of membranes covering the brain and spinal cord.

ARACHNOIDITIS - Inflammation of the arachnoid membrane, most commonly seen within the spinal cord around the spinal cord and cauda equina.

ARNOLD-CHIARI MALFORMATION - A condition in which there is displacement of the medulla and cerebellum into the opening in the basilar part of the occipital bone. It is one of the causes of hydrocephalus and is usually accompanied by spina bifida and menigomyelocele.

ARTERY of ADAMKIEWICZ - An important source of blood supply to the lower portion of the spine, usually occurring at T-9 to T-11 level; however, not the only blood supply to the cord at that level.

ARTHRALGIA - Joint pain.

ARTHRITIS - Inflammation of a joint usually characterized by swelling, pain and restriction of motion.

ARTHRODESIS - The fusion of bones across a joint space, thereby limiting or eliminating movement. It may occur spontaneously or as a result of a surgical procedure, such as fusion of the spine.

ARTHROPATHY - Any disease or disorder involving a joint.

ARTHROPLASTY - The surgical remodeling of a diseased or damaged joint.

ARTHROSCOPE - An instrument inserted into it's joint cavity to view the interior of a joint and correct certain abnormalities. An arthroscope is an endoscope for use in a joint.

ARTHROSCOPY - The procedure of visualizing the inside of a joint by means of an arthroscope.

ARTICULAR - Pertaining to a joint.

ATLANTO-AXIAL -Pertaining to the atlas and the axis; denoting the joint between the first two cervical vertebrae.

ATLANTO-EPISTRPHIC - See atlanto-axial.

ATLANTO-OCCIPITAL - Relating to the atlas and the occipital bone.

ATLANTO-ODONTOID - Relating to the atlas and the dens of the axis.

ATLAS - First cervical vertebrae, articulating with the occipital bone and rotating around the dens of the axis.

ATROPHY - A wasting of the tissues of a body part.

AUTOGENOUS BONE - Bone originating from the same individual; i.e., an individual's own bone.

AUTOGRAFT BONE - Bone transplanted from one part to another part of the body in the same individual.

AXIS - The vertebral column. The second cervical vertebra, about which the first cervical vertebra rotates, allowing head movement.

AXON - The part of a nerve cell that usually sends signals to other nerves or structures.

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B

BACKBONE - See Spine.

BACK PAIN - nonspecific term used to describe pain below the cervical spine

BMP-LIKE PRODUCTS - proteins that enhance mineralization, which can increase bone formation.

BONE - The hard tissue that provides structural support to the body. It is primarily composed of hydroxyapatite crystals and collagen. Individual bones may be classed as long, short, or flat.

BONE DERIVATIVE - One of the substances extracted from bone, such as bone morphogenic proteins (BMP).

BONE GRAFT - Bone which is harvested from one location in an individual and placed in another individual (allograft bone) or in a different location in the same individual (autogenous bone).

BONE HARVESTING - the removal of bone for transplantation to another site. The most common sources are the iliac crests because these bones contain a large amount of cancellous bone, the inner spongy part, which is useful for getting grafts to "take."

BONE MARROW - The tissue contained within the internal cavities of the bones. A major function of this tissue is to produce red blood cells.

BONE MORPHOGENETIC PROTEIN-2 (BMP-2) - one of a family of BMPs- naturally occurring chemicals in the body- that play a major role in bone growth. BMP-like products: proteins that enhance mineralization, which can increase bone formation.

BONE PLATE - Usually a relatively thin metal device which is affixed to bone via screws. Bone plates are used to immobilize bones or bone fragments such that healing can occur.

BONE SCREW - A threaded metal device which is inserted into bone. The functions of bone screws are to immobilize bones or bone fragments or to affix other medical devices, such as metal bone plates, to bones.

BROOKS and JENKINS - Loops of wire around lamina of C-1 and C-2 to hold bone graft between lamina.

BROWN-SEQUARD'S SYNDROME - Loss of sensation of touch, position sense, and movement on the side of a spinal cord lesion, with loss of pain sensation on the other side. Caused by a lesion limited to one side of spinal cord.

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C

CADAVER - A term generally applied to a dead human body preserved for anatomical study.

CANCELLOUS BONE - The spongy or honeycomb structure of some bone tissue typically found at the ends of long bones.

CARPAL TUNNEL - Space under a ligament in wrist through which the median nerve enters the palm of the hand.

CARPAL TUNNEL SYNDROME - A condition caused by compression of the median nerve in the carpal tunnel, characterized especially by discomfort and disturbances of sensation in the hand.

CARTILAGE - The hard, thin layer of white glossy tissue that covers the end of bone at a joint. This tissue allows motion to take place with a minimum amount of friction.

CAUDA EQUINA - The bundle of spinal nerve roots arising from the end of the spinal cord and filling the lower part of the spinal canal(from approximately the thoraco-lumbar junction down).

CAUDA EQUINA SYNDROME - Sufficient pressure on the nerves in the low back to produce multiple nerve root irritation and commonly loss of bowel and bladder control.

CENTRAL CORD SYNDROME - Most common of the incomplete traumatic spinal cord syndromes characterized by motor impairment that is proportionately greater in the upper limbs than in the lower, with bladder dysfunction and a variable degree of sensory loss below the level of the cord lesion.

CERVICAL - Of or relating to the neck.

CERVICAL PLEXUS - Plexus of nerves that supply the neck muscles with branches named by muscles supplied, a portion which is called the ansa cervicalis.

CERVICAL RIB - Riblike structure in the seventh cervical vertebra that may cause nerve root irritation.

CERVICAL SPINAL FUSION - Spinal fusion involving the seven cervical segments. This may include the base of the skull, the occiput, and the first thoracic spine.

CHEMONUCLEOLYSIS - A treatment of an intervertebral disc that consists of an injection of chymopapain, a drug that dissolves part of the disc.

COCCYALGIA - Pain in the coccyx region5 coccygodynia, coccyodynia, coccydynia.

COCCYGEAL - Remaining three or four, somewhat fixed, fused segments at the end of the spine (tailbone) that articulate with sacrum above.

COCCYGECTOMY - Excision of the coccyx (tailbone).

COCCYGOTOMY - Incision into the coccyx (tailbone).

COCCYX - The small bone at the end of the spinal column in man, formed by the fusion of four rudimentary vertebrae. The three, and sometimes four, segments of bone just below the sacrum; referred to as the tailbone.

COMPRESSION - A squeezing together; the exertion of pressure on a body in such a way as to tend to increase its density; the decrease in a dimension of a body under the action of two external forces directed toward one another in the same straight line.

CONGENITAL SCOLIOSIS - Scoliosis due to bony abnormalities present at birth involving either failure of formation of a vertebra or separation of adjacent vertebrae.

CORDOTOMY - Transverse incision into the spinal cord.

CORPECTOMY - Excision of vertebral body usually combined with interpostion of prosthesis or bone graft.

CORTICAL BONE - The dense bone that forms the outer surface of bone.

COSTO - Combining form denoting relation to ribs.

COSTOCHONDRAL JUNCTION - junction of the rib into cartilage in the anterior chest. NOTE: Most of the ribs have attachment to the cartilage rather than a direct junction with the breast bone.

COSTOVERTEBRAL ANGLE - Juncture of tissue inferior and lateral to the twelfth rib and vertebral body.

COSTOVERTEBRAL JOINT - Junction of the rib with the thoracic spine.

COTREL-DUBOUSSET - Posterior fixation device for spinal deformity, fracture, tumor, and degenerative conditions.

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D

DECOMPRESSION - In relation to the spine this procedure is carried out to relieve pressure on the spinal cord or nerve roots.

DECOMPRESSIVE LAMINECTOMY - A decompression done by removing the lamina and spinous process.

DEGENERATIVE - The lesion results from intersegmental instability of long duration.

DEGENERATIVE DISC DISEASE - Gradual or rapid deterioration of the chemical composition and physical properties of the disc space.

DEGENERATIVE TENOSIS - Gradual hypertrophy of the vertebral body margin, facet joints, and ligamentum flavum leading to stenosis.

DE-MINERALIZED BONE - Bone tissue which has been depleted of its minerals; e.g., calcium and phosphorous.

DEMINERALIZED BONE MATRIX (DMB) - is a source of BMP and is derived from pulverized bone specimens that are demineralized with an acid solution. It is used as a bone grafting material, but DMB has produced disappointing results in clinical studies, probably due to low concentrations of BMP that can also vary from batch to batch.

DERMATOME - Refers to the distribution of sensory nerves near the skin that are responsible for pain, tingling, and other sensations (or lack of).

DIASTEMATOMYELIA - Congenital defect associated with spina bifida in which the spinal cord is split in half by bony spicules or fibrous bands, each half being surrounded by a dural sac.

DISC - The intervertebral disc - cartilaginous cushion found between the vertebrae of the spinal column. It may bulge beyond the vertebral body and compress the nearby nerve root, causing pain. The terms "slipped disc", "ruptured disc" and "herniated disc" are often used interchangeably even though there are subtle differences.

DISC DEGENERATION - The loss of the structural and functional integrity of the disc.

DISCECTOMY - Surgical removal of part or all of an intervertebral disc material placing pressure on neural elements.

DISCITIS - Nonbacterial inflammation of an intervertebral disc or disc space.

DISC SPACE INFECTION - Infection in the space normally occupied by an intervertebral disc.

DISKOGRAM - The graphic record, usually radiographic, of diskography.

DISKOGRAPHY - Radiographic demonstration of intervertebral disc by injection of contrast media into the nucleus of the pulposus.

DURA - Dura mater.

DYSESTHESIA - A condition in which a disagreeable sensation is produced by ordinary touch, temperature or movement.

DYSPHASIA - Difficulty in the use of language due to a brain lesion without mental impairment.

DYSPLASTIC - Congenital abnormalities of the arch of the sacrum or the arch of L-5 that permit the slipping to occur.

DYSRAPHISM - Any failure of closure of the primary neural tube. This general category would include the disorder myelomeningocele.

DYSTONIA MUSCULORM DEFORMANS - An affl iction occurring especially in children, marked by muscular contractions producing distortions of the spin and hips.

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E

ENDOSCOPE - A medical device for viewing internal portions of the body. It is usually comprised of fiber optic tubes and video display instruments.

ENDOSCOPY - Inspection of internal body structures or cavities using an endoscope.

EPENDYMA - The membrane lining the cerebral ventricles of the brain and central canal of the spinal cord.

EPENDYMOMA - A growth in the brain or spinal cord arising from ependymal tissue. Tumor of the spinal cord.

EPIDURAL - Immediately outside the dura mater. Same as extradural.

EXTRUSION - Displaced material reaches the spinal canal through fibers of the annulus, but remains connected to the central disc material.

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