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Biomechanics - Lumbar spine

AB
The primary curves of the spine arethoracic and sacral
The secondary curves of the spine arecervical and lumbar
 Side to side translation of the L-spine isgliding and that occurs in the frontal plane)
 Superior and inferior translation in the L-spineoccurs vertically
Coupling is the consistent association ofone motion about an axis with another movement around another axis
In the Internal architecture of a vertebral bodythe trabeculae are arranged along the lines of force transmission.
The Intervertebral Disc is responsible for20-33% of the length of the V. Column
The nucleus pulposus is made oftype 2 collagen to resist compression
The annulus fibrosus is made oftype 1 collagen to resist tensile forces
Within the discthe collagen fibers in any two adjacent concentric bands are arranged in opposite directions
The outer third of the annulus is innervated by branches from thevertebral and sinuvertebral nerves
 Nutrition of the disc is bydiffusion through the central portion of the cartilaginous end plate
Schmorl’s Nodes are due tointrusion of disc material into the end plate
The orientation of the zygapophyseal joints in the lumbar area favorflexion and extension
The orientation of the zygapophyseal joints in the thoracic area favorlateral flexion
Lateral flexion and rotation of the Lower L spine is limited bythe orientation of the zygapophyseal facets from L1 – L 4 .
In nutation theisreanterior inferior movement of the anterior tip of the sacrum – posterior superior movement of the coccyx
In counter- nutationthe sacrum moves posteriorly and superiorly and the coccyx moves anteriorly and inferiorly
• Zygapophyseal facet orientation favors rotationin the area of T12 - L1
according to Cailliet: The Lumbar –Pelvic RhythmThe lumbar spine flexes and the pelvis rotates anteriorly in the sagittal plane

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