Assessment of the normal range of the angular and linear movement at lumbo scral region in Egyptian people

The range of linear and angular movements at the lumbo-sacral region in normal Egyptian people was assessed and compared with figures with other similar works overseas. The study was conducted on 90 cases who had no previous serious lumbar problem. The assessment included history taking, clinical examination and radiological examination including antero-posterior and lateral oblique views to the lumbo- sacral region and motion films [flexion and extension] for the same region. The results denoted that the mean of lumbar movements ranged from 45 to 72 degrees and the mean of horizontal displacement at the lumbar spine ranged from 0 to 4 mm or from 0 to 10% of the antero- posterior diameter of the vertebra

Prognosis of distal tibial epiphyseal injuries: a retrospective study

The aim of this work was to study various factors affecting the prognosis of distal tibial epiphyseal injury. The study included 90 cases that were subjected to this type of injury examined by history, clinical examination and radiological examination to detect the leg length discrepancy, angular deformity and other complications. The results of this work showed poor results with open injuries, good results with SH type I, equivocal results with type II, while type III and IV have poor results, especially if the gap was more than 2 mm. From this work, it was concluded that open injuries as well as SH type VI had poor prognosis, SH type III and IV if displaced less than 2 mm had a good prognosis, type II had unsatisfactory prognosis, while type I had the best prognosis

Assessment of the correlation between open lumbar discectomy and stability of the lumbar Spine

We assessed the stability of lumbar spine in cases subjected to open lumbar discectomy. Operative interference was mainly at the level of L4-5 in 76 cases [84.4 percent]. All cases had subjected to clinical and radiological examination pre- and post-operative for a period of follow-up at least one year to detect post-operative sequel and instability. The results of this study proved that instability of lumbar spine post-operative was detected in 36 cases [40 percent]. It was found that there was a significant relation between sex and lumbar instability [more in males 52.1 percent] and a significant relationship between occupation and lumbar stability where instability was higher in manual workers [50 percent]. Also, there was a significant relation between the period of follow-up and instability. We concluded from this study that here is a significant relation between lumbar discectomy and instability, more in males and manual workers and with the length of the period of follow-up