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Biomedical subjects

J A Epstein

Publications and source records attributed to J A Epstein.

At least 127 records · Page 7Linked to original sources
PubMed1977

Lumbar spondylolisthesis with isthmic defects.

The importance of spondylolisthesis, aside from the obvious malalignment and malformation of the affected vertebrae, rests mainly on the possibility and the extent of impairment of activity. In this discussion the authors are concerned mainly with the myelographic signs associated with spondylolisthesis in patients with isthmic changes.

Adult↗
PubMed1977

Degenerative spondylolisthesis with an intact neural arch.

Whereas the skeletal, anatomic, and clinical aspects of this condition have been scrutinized in detail, the radiologic changes have received less attention. In this discussion the plain film changes are briefly reviewed, and emphasis is directed toward the myelographic manifestations that reflect intraspinal and intraforaminal instrusions and their clinical sequelae.

Adult↗
PubMed1976

Degenerative lumbar spondylolisthesis with an intact neural arch (pseudospondylolisthesis).

Twenty patients treated for degenerative spondylolisthesis with an intact neural arch principally at the L4-5 interspace had neural compression caused by dislocation of the vertebral bodies and intrusions of lamina and enlarged, arthrotic facets into a stenotic spinal canal. The resulting "pincer" effect caused complete or partial block demonstrable on myelography, with nerve root and cauda equina compression. Most of the patients were women aged 45-84 years. Seven had neurogenic claudication. The majority had unrestricted straight-leg raising, and no signs of acute neural entrapment were seen as in patients with a herniated disc. Absent ankle reflexes, and weakness and atrophy of the anterior tibial muscle group were common, while sensation was relatively undisturbed. Treatment consisted of liberal laminar decompression including foraminotomy and medial or total facetectomy. Good-to-excellent results were obtained, and no patient was made worse by the procedure.

Aged↗