By Gregory P. Grieve FCSP DipTP
Describes the genesis, pathology, scientific positive aspects, presentation, syndromes, medical exam, research methods, remedy, prophylaxis, and surgical procedure of universal vertebral joint difficulties.
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Extra resources for Common Vertebral Joint Problems
The decade of life, the plate is perforated by blood vessels which communicate between the pulp and the spongiosaj after their obliteration during child hood the sites of these erforations are evident as small, scarre areas on the surface 0 t e p ate, an t ese remain as sites of oorcntial weak�s, sometimes allowing tiny herniations of the nuclear pulp into the spongiosa. These should not be confused with macroscopic and compara tively massive vertical herniations of pulp into the ver tebral bodies which are radiologically evident (as Schmorl's nodes) and observed in spines which have with stood much compression in daily living; neither do they necessarily give rise to symptoms.
1 18 On a posterior view ofthe trunk, the line of the rib angles is not vertical ; that of the 8th rib is usually furthest from the mid-line, and both above and below this level a line joining them deviates slightly inwards, more so above the 8th rib. Grant ( 1 958)'" states : Si9-ce [he deep muscles of the back diminish in b"lk as they ascend. it follows that the angles become ro ressivel nearer the tubercles from e ow upwards, till the first rib is reached. The important point is that generally they are nearer the tubercle more cranially, and further away more caudally.
CERVICAL SPINE The posterior tubercle of the atlas (CI) may be felt in the mid-line ( Figs 1 . 2), under the 'eaves' of the overhang ing occiput, in a small proportion of people but for the mostpart it is an impalpable bonyPOInt, unless consider able and uncomfortable pressure is unwisely applied. Its surface mark is thus the soft-tissue sulcus between the occiput and the prominent spinous process of the axis (C2). Unless the patient'S cervical tissues are very thickened, the posterior arches of atlas (CI) can be palpated postero laterally immediately under the occiput.