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    Spinal Cord Injury Levels & Classification
    Jan 4, 2010 . The L5 root exits the cord between L1 and S1 bodies. . Injuries to T12 and L1 vertebra damage the lumbar cord. . The leg muscles represent the lumbar segments, i.e. L2 are the hip flexors (psoas), L3 the knee extensors .
    http://www.sci-info-pages.com/levels.html

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    Dermatome Theory
    They discovered that spinal nerve root irritation (via disc herniation) did NOT always . (1) In closing they noted the the high disc herniations (L3/4) were not . that the neural anatomy of the lumbar spine does have some degree of variation, i.e. . of the nerve root which connects to muscle) of the L5 nerve root is damaged or .
    http://www.chirogeek.com/003_DERMATOME-THEORY.htm

    How to read a CT axial image
    The exiting nerve roots of L5 (just like the other lumber segments) leave through the . The 18th cut is also very good as it is down the plane of the L3 lumbar disc. . It is very important to understand that in the lumbar spine, BOTH the exiting nerve . pain, sciatica (aka: radiculopathy) and nerve cell body (neuron) damage.
    http://www.chirogeek.com/003_ct-axial_tutorial.htm

    Spinal cord - Wikipedia, the free encyclopedia
    The lumbar enlargement, located between L1 and S3 spinal segments, handles . The ventral (motor) and dorsal (sensory) roots combine to form spinal nerves ( mixed; . nerves (exit spinal column through IVF, below corresponding vertebra L1-L5) . Damage to upper motor neuron axons in the spinal cord results in a .
    http://en.wikipedia.org/wiki/Spinal_cord

    MANAGEMENT OF LUMBAR SPINAL STENOSIS
    . but not stenotic. I have defined lumbar spinal stenosis as a “narrowing of . implies that in central spinal stenosis the nerve-root canals may not be . Figure 5a – T1-weighted MRI showing narrowing of the thecal sac at L3 to L5 and constriction of . to perform an undercutting facetectomy without damaging the nerve root .
    http://www.ps.uci.edu/~markm/spine/managing_lumbar_spinal_stenosis.pdf

    The Management of Degenerative Lumbar Spine Disease
    the lumbar spine due to either disc prolapse, osteophytes . disc compresses the L5 nerve root. c. . The risk of neurological damage, either at the time of . Nerve Root. L3/4. L4. Anterior Thigh. Anterior thigh. Knee extension. Patellar .
    http://www.acnr.co.uk/pdfs/volume4issue6/v4i6management.pdf

    Human Spinal Cord Picture C1 to S5 Vertebra
    Nov 26, 2011 . It is the result of damage to cells in the spinal cord and causes a loss of . functions in the area of the body to which the injured nerve root corresponds. . The lumbar vertebrae graduate in size from L1 through L5. . these five motion segments with segments L3 - L4 and L4 - L5 taking most of the stress.
    http://www.disabled-world.com/artman/publish/spine_picture.shtml

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    Lumbar Spine Stenosis: A Common Cause of Back and Leg Pain ...
    Apr 15, 1998 . Lumbar spine stenosis most commonly affects the middle-aged and elderly population. . Compression of the microvasculature of the lumbar nerve roots, . The most commonly involved levels are L3 through L5, although . nerve root damage and the potential for creating postoperative spinal instability.
    http://www.aafp.org/afp/1998/0415/p1825.html

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    Surgical Experience in Cases of L5 and S1 Symptoms Caused by ...
    Lumbar Spinal Stenosis of L2–L3 and L3–L4. Yawara Eguchi1*, Seiji Ohtori1, . sac at the L3–L4 level may damage caudal roots such as the L5 and S1 roots.
    http://www.omicsgroup.org/journals/JSP/JSP-1-105.pdf

    Causes of Sciatica Pain and Sciatica Symptoms with Info On Sciatic ...
    Sciatica pain, sciatic nerve, lumbar spine, herniated disc, leg pain . the path of a single spinal nerve root such as the Lumbar 5 (L5) or Sacral 1 (S1). . It can be caused either by an L3-L4 disk herniation, which is relatively rare, or by an L4-L5 .
    http://www.backpain-guide.com/Chapter_Fig_folders/Ch07_Symptoms_Folder/Sciatica.html

    Neurosurgical Consultants: Spine Disorders: Degenerative Spine ...
    The application of some form of Traction to the Lumbar Spine can also offer relief for many affected individuals. . This could result in DAMAGE to the Nerve Roots and/or Dura Mater (the latter . The L3,4 Disc Space is well maintained and " normal". . The L5,S1 Disc Space is collapsed and dehydrated with a small " bulge" .
    http://www.neurosurgerydallas.com/2_2_3_4.php

    Degenerative Disc Disease
    This disc herniation may become significant if a nerve root is compressed. . The L5-S1 disc is involved 45-50% of the time, L4-5 40-45%, and L3-4 about 5%. . of neurologic damage such as weakness of an extremity or the loss of reflexes. . However, not everyone who has degenerative changes in their lumbar spine has .
    http://www.ncpainmanagement.com/DDD.htm

    Capogna Chiropractic Center
    Jul 12, 2010 . When a spinal disc ruptures, it may press on a nerve root. Herniated Disc . Damage at the L4 level of the lumbar spine. L3. L4. L5. S1. BACK .
    http://www.capognachiropractic.com/anim/lumbrad.shtml

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    Spinal Stenosis
    Lateral stenosis involves impingement of the nerve roots lateral to the thecal sac, as they . a narrowed cervical spinal canal confers a risk of serious neurological damage from even . Stenosis may also occur at both cervical and lumbar levels. . In lateral stenosis, the intervertebral foramina decrease in size from L1 to L5; .
    http://www.arachnoiditis.info/content/spinal_stenosis/spinal_stenosis.htm

    Pinched Nerves - Arthroscopic Spine Surgery & Back Pain Treatment
    There can be nerve damage due to the constant pressure on the nerve, . The two most common pinched nerves in the lower back are L5 (lumbar 5) and S1 . Pinched nerves at L3, L4 and L5 - The sciatic nerve is the largest nerve in the body. . and at each level in the lower back a pair of nerve roots exits from the spine.
    http://www.scoma.org/sep/spine-pinched-nerve-back-neck.htm

    Social Security Disability Benefits for Back Pain and Spine Immobility
    Thirty-one pairs of nerve roots exit the spinal cord to form the peripheral . Disease processes affecting the spine can damage peripheral nerves at or near . 3rd lumbar vertebra and the beginning of the sacrum (L3-4, L4-5, and L5-S1 levels).
    http://www.jamesdisabilitylaw.com/back-injuries.htm

    Back Pain - Symptoms - Cause - Remedy
    Dec 15, 2010 . (Distribution of spinal nerve roots and associated muscles) . from nerve fibers from the the L2-L3-L4 portion of the lumbar spine. . It is rare for sciatic nerve roots other than L4 and L5 to be damaged by lumbar disc herniation .
    http://donsnotes.com/health/spine/diagnosis-surgery.html

    Complex multilevel lumbar spine fractures with transverse sacral ...
    Nov 4, 2011 . The lumbar spine fractures were treated with posterior instrumented correction . had complete neurological recovery except for the right L5 root function. . of the lumbar spine showing dislocation of L2-3 and L3-4 with . Unfortunately no preoperative investigation can establish the extent of root damage.
    http://www.ijoonline.com/article.asp?issn=0019-5413;year=2011;volume=45;issue=6;spage=576;epage=580;aulast=Chaudhary

    Medical-negligence | Spines | Backs | Lower Back Pain | Lumber ...
    Involvement of the L5 nerve may leave a patient with a foot drop and some numbness of . The sacral nerves can also be affected in the mid-or lower-lumbar spine. . of complete loss of blood supply to the nerve roots for permanent damage to occur. . the surgeon may be confused and operate at the L3/4 disc by mistake.
    http://www.spine-inc.com/glossary/m/medical-negligence.htm

    Spinal Disorders - Treatment
    Problems in the low back or lumbar spine can affect the leg and foot, while . (A) Normal anatomy of the L3, L4 and proximal L5 nerve roots and lumbar spinal . is a best-selling paperback every sufferer of spine and nerve pain should read.
    http://www.nervemed.com/spinal-disorders-treatment/

    Central Causes of Foot Drop: Rare and Underappreciated ...
    Lumbar spine imaging failed to reveal compressive nerve root pathology. . Common causes are L4-L5 radiculopathy, caused by either a herniated nucleus . Other causes include any axonal or demyelinating damage along the whole . revealed arachnoiditis and mild spinal stenosis at L2-L3 and L3-L4, which were .
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2031999/

    Spinal Nerve Disorders - Discussion (Page 1) - Chronic Pain - ASA ...
    Most spinal disorders are known to result from soft tissue injury, structural . The nerve roots are at the L4 and L5 vertebrae (the 'L' means lumbar, and the . is being pinched at the L3-L4 level of your low back (lumbar spine).
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    Spinal Cord and Spinal Nerve Roots
    Therefore, spinal cord injury or damage may accompany trauma or diseases of the . The spinal cord does not run through the lumbar spine (lower back). . for the upper segment that it runs between (e.g. L4 nerve root at L4-L5 segment).
    http://www.spine-health.com/conditions/spine-anatomy/spinal-cord-and-spinal-nerve-roots

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    Sciatica and Brachialgia - Spinal Pain - Pain Clinic - Annular tear ...
    Spinal Nerve Root Pain (Radiculopathy) can arise when nerves become . Spondylolisthesis (spinal slip most often seen in the lumbar spine); Epidural . Superior gluteal nerve injury caused by a fall or damage after hip surgery . Commonly found at C5/6 and C6/7 in the neck, and at L3/4, L4/5, and L5/S1 in the low back.
    http://www.painclinic.org/spinalpain-sciaticaandbrachialgia.htm

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    Lumbar puncture: Anatomical review of a clinical skill
    the L3/L4 or L4/L5 interspace (Abrahams and Webb,. 1975). Both these . Sagittal section of lumbar vertebrae illustrating the course of the lumbar puncture .
    http://www.arscerebri.com/ucsd/useful/Articles/Neurosurgical%20Approaches%20and%20Techniques/HowToDoLP.pdf

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    Orthopaedic - How we treat recent thoracic and lumbar spine fractures
    1 Fractures of the thoracic and lumbar spine are often the result of high-energy . 1 Good quality standard films showing the whole of the damaged vertebra (lateral views . However, if the neurological deficit regresses completely (single-root . If L3-L5 are being fused, anterior internal fixation is not necessary if posterior .
    http://www.maitrise-orthop.com/corpusmaitri/orthopaedic/mo58_spine_fracture/mo58_spine_fractures.shtml

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