1. A Quick Survey of the Scourge of Low Back Pain
Low Back Pathology 101
A Quick Survey of the
Scourge of
Low Back Pain
Warren Silverman MD
April 2005

3. Sprains and Strains

4. Name those parts Vertebral Body Intervertebral Disc Neural Foramen
Facet Joints
Pedicle
Spinous Process
Nerve Root

5. Try the ligaments

6. How does it work?

7. How do we see it?

8. The Disk

10. Degenerative Disk (DDD)
Normal Aging Process
Wear and Tear
Decreased water content of the annulus; Pulposa shrinkage
Decreased Flexibility and shock absorbtion
Osteophyte formation
Instability
Stenosis

11. Degenerative Disk

13. Symptoms
Back Pain
Stiffness
Nerve Root Compression
Sciatica
Weakness

14. Degenerative Joints (DJD)
Arthritis of the facets
Sclerosis
Hypertory
Osteophytes
Ligamentous hypertrophy
Foraminal and Canal stenosis
Radiculopathy

15. Spurs and Spondylosis

16. Stenosis due to Spondylosis

17. Disk Herniation

18. Disk Rupture and extrusion

19. Spondylolysis and Spondylolysthesis

20. What it looks like

21. Sacroiliitis

23. Piriformis Syndrome

25. Laminectomy

26. Discectomy