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Orthopaedic Surgery American Academy of Orthopaedic Surgeons Clinical Faculty Olympia Medical Center Cedars Sinai Medical Center Century City Doctors Hospital ,[object Object],[object Object],[object Object]
Here is the normal spine of an 18 year old cadaver male. Notice the nice ample, round space available for the spinal cord and neural elements
With time the space begins to narrow slowly as Arthritis develops
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With time the space begins to narrow to an almost Triangular space and can compress the neural elements within
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Here is what I mean by a foundation concept. You will see side view images and top down images throughout this presentation and on your MRIs. This can be hard to grasp unless we stop and point a few things out initially The  Sagittal view  is also called the lateral view and this is pictured here it displays the spine as viewed from the SIDE.
Here is what I mean by a foundation concept. You will see side view images and top down images throughout this presentation and on your MRIs. This can be hard to grasp unless we stop and point a few things out initially The  Axial view  is a top down view of the spine. This image repsents a slice obtained as if an Axe were to chop you, therefore the name Axial view.
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Joint Facet Nucleus  Pulposus Right Nerve Root  Left Nerve Root As you can see here on MRI and CT scans the Facet joints end up looking like the buns of a hamburger. Its just the way the happen to look when they are sliced in this plane. We will show you this on some examples later Annulus Fibrosus Axial View of the Disc and Neural elements
 
 
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On this diagram The number 2 is the nerve exiting the spine through a hole called the Foramen From here the nerve will provide sensation and strength to the legs
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Lumbar Decompression

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  • 3. Here is the normal spine of an 18 year old cadaver male. Notice the nice ample, round space available for the spinal cord and neural elements
  • 4. With time the space begins to narrow slowly as Arthritis develops
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  • 6. With time the space begins to narrow to an almost Triangular space and can compress the neural elements within
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  • 9. Here is what I mean by a foundation concept. You will see side view images and top down images throughout this presentation and on your MRIs. This can be hard to grasp unless we stop and point a few things out initially The Sagittal view is also called the lateral view and this is pictured here it displays the spine as viewed from the SIDE.
  • 10. Here is what I mean by a foundation concept. You will see side view images and top down images throughout this presentation and on your MRIs. This can be hard to grasp unless we stop and point a few things out initially The Axial view is a top down view of the spine. This image repsents a slice obtained as if an Axe were to chop you, therefore the name Axial view.
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  • 13. Joint Facet Nucleus Pulposus Right Nerve Root Left Nerve Root As you can see here on MRI and CT scans the Facet joints end up looking like the buns of a hamburger. Its just the way the happen to look when they are sliced in this plane. We will show you this on some examples later Annulus Fibrosus Axial View of the Disc and Neural elements
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  • 21. On this diagram The number 2 is the nerve exiting the spine through a hole called the Foramen From here the nerve will provide sensation and strength to the legs
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