A surgical procedure whereby metal instruments (screws and plates) are fixed to the front of the lumbar spine to diminish anteroposterior movement.
what is the cpt code for open treatment of a closed traumatic anterior hip dislocation with out fixation
Lumbar
28540
28540
28540
This condition is called lumbar hyperlordosis. It can lead to lower back pain, muscle imbalances, and increased stress on the lumbar spine. Treatment typically involves strengthening the abdominal and gluteal muscles, correcting posture, and addressing any underlying issues that may be causing the increased anterior pelvic tilt.
The medical term for anterior curvature of the spine is lordosis. It is a normal curve in the cervical and lumbar regions of the spine that helps distribute weight and maintain balance.
The sternal area (the area near the breastbone) is superior to the umbilical area (the area near the bellybutton or navel.)
Assuming the subject is in a standing upright postion ANTERIOR PELVIC TILT- topographically speaking, the anterior superior iliac spines will be forward of the pubic symphysis; FLATTENED LUMBAR SPINE- a term understood but I prefer some topograpical measurements, as numbers are easier to understand. To determine the lumbar lordosis, it can be calculated by taking a measurement with an inclinometer at T12 level and S1 level. The T12 measurement is usually found to be in a position of EXTENSION {-} in relationship to the vertical plane. The S1 measurement is usually in a position of FLEXION {+}. Example T12 -20 degrees and S1 +20 degrees the lumbar lordosis would be 40 degrees measured topographically. Now using the following classification: A DEEP LORDOSIS 50 - 70 degrees range {60 or more} A MEDIAN LORDOSIS 30 - 50 degrees range A SHALLOW LORDOSIS 15 - 30 degrees range { 20 or less } At this point, the LUMBAR LORDOSIS can be considered SYMMETRICAL when the T12 and S1` measurements are equal and ASYMMETRICAL when they are not equal. A SYMMETRICAL LUMBAR LORDOSIS is not a common finding whereas the ASYMMETRICAL LUMBAR LORDOSIS is common. CLINICAL SIGNIFICANCE Suspect the following in the presence of---- 1. Any LUMBAR LORDOSIS that is ASYMMETRICAL with the S1 measurement larger than the T12 measurement and the S1 measurement is greater than 30 degrees- AN ANTERIOR PELVIC TILT WEDGED-SHAPED VERTEBRAL BODY OF L5 WEDGED-SHAPED DISCS OF L4/L5 AND L5/S1 RULE OUT Spondylolisthesis, Spondylolysis, and a transitional vertebra of the last lumbar segment. 2. Any LUMBAR LORDOSIS that is ASYMMETRICAL with the S1 measurement smaller than the T12 measurement and the S1 measurment is less than 10 degrees--- A POSTERIOR PELVIC TILT REDUCED SACRAL FLEXION ANGLE MULTIPLE LEVEL SPONDYLOSIS MEASURE THE SUBJECT BUT CHANCES ARE GREAT THAT WITH AN ANTERIOR PELVIC TILT THE LUMBAR LORDOSIS WOULD NOT BE FLATTENING UNLESS THERE ARE GROSS STRUCTURAL CHANGES PRESENCE. What is the range of motion of the lumbar spine----and what is the lumbar/pelvic rhythm?
Inter-fixATION
Nitrogen Fixation -Eugene Chung
This refers to the normal apppearance of some vertebrae, specifically the lumbar vertebrae, which have a wedged shape. The anterior aspect of lumbar vertebrae are shorter than the posterior aspect, giving them a wedged shape from posterior to anterior. This shape helps contribute to the lumbar lordosis (normal curve). The lumbar curve is called an elliptical curve (so not a "c" curve like the neck but more like an ellipse). The vertebrae can appear like this if there is a past compression fracture or fractures.