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Clinical Anatomy of the Lumbar Spine, 2d ed.


The authors of this text have written a very informative review of the anatomy and biomechanics of the human lumbar spine Lumbar spine
The segment of the human spine above the pelvis that is involved in low back pain. There are five vertebrae, or bones, in the lumbar spine.

Mentioned in: Low Back Pain
, including a brief, but relevant, presentation of lumbar spinal pain and pathomechanics. Each of the 14 chapters is well illustrated and referenced, which greatly strengthens the content of the book. The authors did an excellent job applying basic anatomy to clinical situations by presenting overviews of informational and research articles in their discussions.

Chapters 1 through 5 describe the vertebrae Vertebrae
Bones in the cervical, thoracic, and lumbar regions of the body that make up the vertebral column. Vertebrae have a central foramen (hole), and their superposition makes up the vertebral canal that encloses the spinal cord.
, joints, and ligaments and the relationships of the articulated lumbar spine. Chapters 6 and 7 describe the biomechanics of the lumbar spine. The muscles, nerve supply, blood supply, and embryology embryology

Study of the formation and development of an embryo and fetus. Before widespread use of the microscope and the advent of cellular biology in the 19th century, embryology was based on descriptive and comparative studies.
 of the low back are described in chapters 8 through 11, respectively.

The last three chapters of the book are most directly related to clinical practice. Chapter 12, entitled Age Changes of the Lumbar Spine," details how the intervertebral intervertebral /in·ter·ver·te·bral/ (-ver´te-bral) situated between two contiguous vertebrae; see under disk.

in·ter·ver·te·bral
adj.
Located between vertebrae.
 disk, vertebral ver·te·bral
adj.
1. Of, relating to, or of the nature of a vertebra.

2. Having or consisting of vertebrae.

3. Having a spinal column.
 body, and zygapophyseal joints vary in individuals and with age. Chapters 13 and 14 expound ex·pound  
v. ex·pound·ed, ex·pound·ing, ex·pounds

v.tr.
1. To give a detailed statement of; set forth: expounded the intricacies of the new tax law.

2.
 on the information from the earlier chapters by describing the mechanisms and pain patterns of low back pain. These chapters are the strength of the book because they relate to the type of low back pain problems that clinicians treat on a regular basis.

This second edition has been updated to include relevant information that has been published since the first edition. Current information about normal lumbar mechanics and pathomechanics, innervation innervation /in·ner·va·tion/ (in?er-va´shun)
1. the distribution or supply of nerves to a part.

2. the supply of nervous energy or of nerve stimulation sent to a part.
 of the vertebrae and disk, and how the spine changes with age have been added. Chapter 14 has been significantly changed to de-emphasize the importance of disk disease as a cause of low back pain and to emphasize the mechanical causes of low back pain.

Clinical Anatomy of the Lumbar Spine, ed 2, is an excellent reference for both the clinician and the academician to review the basic anatomy, mechanics, and pathology of mechanical disorders of the lumbar spine. The authors explain that their intent was to present the more common disorders of low back pain. Although the content is not complete, they have written a very informative book that should be of use to any health care professional who treats patients who have low back pain.
COPYRIGHT 1993 American Physical Therapy Association, Inc.
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 1993, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Author:Walker, J. Randy, Jr.
Publication:Physical Therapy
Article Type:Book Review
Date:Apr 1, 1993
Words:365
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