Stereo radiography of lumbar spine motion. 1985

M J Pearcy

The technique of Biplanar Radiography for the computer analysis of orthogonal radiographs of the human spine enables the calculation of three-dimensional coordinates for anatomical landmarks on the vertebrae. Three-dimensional intervertebral movements are deduced from the changes in the relative orientations of the vertebrae as a subject moves from one position to another. The three-dimensional coordinates of the anatomical landmarks on the vertebrae were found to have an RMS error of less than 1 mm. The RMS errors for translational movements were less than 2 mm and for rotations were less than 1.5 degrees. This study of normal subjects has defined the ranges of voluntary flexion and extension, axial rotation, and lateral bending in the lumbar spines of young males. The range of flexion plus extension at each lumbar intervertebral joint is approximately 14 degrees with the L4/5 level being slightly more mobile than the others. There are approximately 2 degrees of axial rotation at each joint with L3/4 and L4/5 being slightly more mobile. Lateral bending of approximately 10 degrees occurs at the upper three levels while there is significantly less movement of 6 degrees and 3 degrees at L4/5 and L5/S1 respectively. In flexion and extension accompanying axial rotation of 2 degrees or more and lateral bending of 3 degrees or more occurred rarely and any larger accompanying rotation at an intervertebral joint should be considered abnormal. During twisting and side bending axial rotation to the right is accompanied by lateral bending to the left and vice versa at the three upper levels. At L5/S1 axial rotation and lateral bending generally accompany each other in the same direction while L4/5 is a transitional level. During lateral bending there is also generally extension at the upper levels and flexion at L5/S1. The measurement in vivo of the accompanying rotations in the other planes has demonstrated that there is no simple mechanical coupling of the rotations. Finally, this study has provided a base line of normal movements to which the movements seen in pathological conditions can be compared.

UI MeSH Term Description Entries
D007403 Intervertebral Disc Any of the 23 plates of fibrocartilage found between the bodies of adjacent VERTEBRAE. Disk, Intervertebral,Intervertebral Disk,Disc, Intervertebral,Discs, Intervertebral,Disks, Intervertebral,Intervertebral Discs,Intervertebral Disks
D008297 Male Males
D009068 Movement The act, process, or result of passing from one place or position to another. It differs from LOCOMOTION in that locomotion is restricted to the passing of the whole body from one place to another, while movement encompasses both locomotion but also a change of the position of the whole body or any of its parts. Movement may be used with reference to humans, vertebrate and invertebrate animals, and microorganisms. Differentiate also from MOTOR ACTIVITY, movement associated with behavior. Movements
D011829 Radiation Dosage The amount of radiation energy that is deposited in a unit mass of material, such as tissues of plants or animal. In RADIOTHERAPY, radiation dosage is expressed in gray units (Gy). In RADIOLOGIC HEALTH, the dosage is expressed by the product of absorbed dose (Gy) and quality factor (a function of linear energy transfer), and is called radiation dose equivalent in sievert units (Sv). Sievert Units,Dosage, Radiation,Gray Units,Gy Radiation,Sv Radiation Dose Equivalent,Dosages, Radiation,Radiation Dosages,Units, Gray,Units, Sievert
D011859 Radiography Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film). Radiology, Diagnostic X-Ray,Roentgenography,X-Ray, Diagnostic,Diagnostic X-Ray,Diagnostic X-Ray Radiology,X-Ray Radiology, Diagnostic,Diagnostic X Ray,Diagnostic X Ray Radiology,Diagnostic X-Rays,Radiology, Diagnostic X Ray,X Ray Radiology, Diagnostic,X Ray, Diagnostic,X-Rays, Diagnostic
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D001696 Biomechanical Phenomena The properties, processes, and behavior of biological systems under the action of mechanical forces. Biomechanics,Kinematics,Biomechanic Phenomena,Mechanobiological Phenomena,Biomechanic,Biomechanic Phenomenas,Phenomena, Biomechanic,Phenomena, Biomechanical,Phenomena, Mechanobiological,Phenomenas, Biomechanic
D013122 Spinal Diseases Diseases involving the SPINE. Disease, Spinal,Diseases, Spinal,Spinal Disease
D013131 Spine The spinal or vertebral column. Spinal Column,Vertebrae,Vertebral Column,Vertebra,Column, Spinal,Column, Vertebral,Columns, Spinal,Columns, Vertebral,Spinal Columns,Vertebral Columns

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