By Ismail Jatoi, Manfred Kaufmann, Jean-Yves Petit
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11 Rheumatoid arthritis of the cervical spine This radiograph shows advanced degenerative changes at multiple levels in the lumbar and lower thoracic spine which have resulted in rotational scoliosis convex to the left side Lateral radiograph shows anterior displacement of C2 on C3. 13 Scheuermann's kyphosis Lateral radiograph demonstrates increased radiodensity in the L4 and L5 vertebrae with narrowing of the disc space and degenerative osteophytes in a patient with Paget's disease of bone Lateral radiograph of the thoracic spine in a patient with Scheuermann's kyphosis.
2002 CRC Press LLC Scheuermann’s disease is a condition of unknown etiology whereby there is progressive wedging of vertebrae with the appearance of endplate defects. Material from the intervertebral disc can herniate into the vertebral body, causing multiple level Schmorl’s nodes. As this progresses, there is an increase in the normal thoracic kyphosis. In a percentage of patients, this is asymmetric, causing a low degree of lateral scoliosis. Neurologic deficits, however, are unusual in this condition.
12 Muscle regeneration after direct trauma Light microscopy of muscle fibers (monkey) showing regeneration after direct trauma. The transverse band of myoblast nuclei is noted to be central in a new muscle fiber. 13 Muscle regeneration Light microscopy of muscle (cat) showing muscle regeneration. There is a central band of myoblast nuclei, each with two small dark nucleoli. 14 Muscle 3 months after injury Light microscopy of muscle (monkey) 3 months after injury. The upper field shows new muscle fibers (red).
Atlas of Back Pain Editor by Ismail Jatoi, Manfred Kaufmann, Jean-Yves Petit