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Fracture of the Thoracic and Lumbar Spine
Herniated Disk
Interbody Fusion
Kyphoplasty
Low Back Pain
Low Back Surgery
Lumbar Laminectomy
Lumbar Microdiscectomy
Lumbar Spinal Stenosis
Posterior or Transforaminal Lumbar
Sciatica
Spinal Fusion

Pre-Surgical
Return to Anatomy

 

The cervical, the thoracic and the lumbar comprise the three major sections of the spine. Each section is made up of individual bones called vertebrae:

  • 7 cervical vertebrae
  • 12 thoracic vertebrae
  • 5 lumbar vertebrae

An individual vertebra is made up of several parts. The body of the vertebra is the primary area of weight bearing and provides a resting place for the fibrous discs which separate each of the vertebrae.

The lamina covers the spinal canal , the large hole in the center of the vertebra though which the spinal nerves pass.

The spinous process is the bone you can feel when running your hands down your back.

The paired traverse
processes are oriented 90o to the spinous process and provide attachment for back muscles.

There are four facet joints associated with each vertebra. A pair that faces upward and another pair that faces downward. These interlock with the adjacent vertebrae and provide stability to the spine.

The vertebrae are separated by intervertebral discs which act as cushions between the bones. Each disc is made up of two parts. The hard, tough outer layer called the annulus surrounds a mushy, moist center termed the nucleus . When a disc herniates or ruptures, the soft nucleus spurts out through a tear in the annulus, and can compress a nerve root. The nucleus can squirt out on either side of the disc or in some cases both sides.

The amount of pain associated with a disc rupture often depends upon the amount of nucleus that breaks though the annulus, and whether it compresses a nerve.

 

 

Play
Dr. Kelly speaks to the new fellowship class of the American Academy of Orthopaedic Surgery.