High heel footwear may be destructive for the spine because of an increased erector spinae muscle bioelectrical activity and increased ground reaction forces affecting lower limbs and the spine. The aim of this study was to evaluate the changes of bioelectrical activity in cervical paraspinal muscle during gait in low and in high heel shoes in different age groups. In 31 women aged 20-25 years ...

BACKGROUND Degenerative disc disease of the lumbar spine is common, with severe disease increasing the risk for chronic low back pain. This cross-sectional study examined whether disc degeneration is representative of a 'whole-organ' pathology, by examining its association with bone (vertebral endplate) and soft tissue (paraspinal muscle fat) abnormalities. METHODS Seventy-two community-based...

THORACIC PARASPINAL LINE IN HYPERTENSION AND MITRAL VALWLAR DISEASE. S.K. Gupta and V. Mohan. Institute of Medical Sciences, Banaras Hindu university, Varanasi, India. Thoracic paraspinal line produced by the posteromedial border of the left lung casts a linear shadow running along the left side of thoracic spine from the level of D4 to Dll or D12 vertebra medial to the shadow of descending tho...

CONTEXT Soft tissue sarcomas generally first metastasize to the lungs followed by the involvement of other sites such as lymph nodes and bones as part of the disseminated disease. Cerebellar and pancreatic metastases from tumors of mesenchymal origin such as soft tissue sarcomas are exceptional, more so in the absence of pulmonary metastases. CASE REPORT A previously treated case of chest wal...

A case of hemangiopericytoma in the cervicothoracic spine is reported. A 43-year-old man was admitted to our hospital with pain in the scapular region radiating to the left upper extremity, numbness, and weakness of the legs. Magnetic resonance image revealed an intraspinal, extradural mass at the level of the C6-T2 vertebral bodies. The lesion also involved the dorsal paraspinal area with a gi...

The purpose of this study was to investigate the recruitment of the paraspinal muscles longissimus and iliocostalis during dynamic contractions of superman exercises on stable and unstable surfaces, and during unloaded bodyweight squats. Surface electromyography (EMG) was measured from these two muscles bilaterally while participants performed the exercises. Participants (n = 17, age 24 ± 3.1 y...

We present a case of a 5th Lumbar Vertebra (L5) spinous process osteochondroma as a rare cause of lumbar pain in an old patient. A 70-year-old male presented with progressive and disabling lower lumbar pain. Tenderness over the central and left paraspinal area of the lower lumbar region and a palpable mass were evident. CT scan showed a mass arising from the spinous process of L5. Marginal rese...

Myolipoma is a rare, benign, lipomatous tumour which most commonly occurs in the retroperitoneum, pelvis, and abdomen. A 4-year-old boy presented with a painless enlarging mass in the left paraspinal region. Magnetic Resonance Imaging (MRI) revealed a soft tissue lesion with high fat content and areas of calcification. Excision and histopathological analysis revealed a tumour composed of lobule...

STUDY DESIGN A prospective randomized and blinded comparative study of 2 patient groups with >5-year follow-up. OBJECTIVE To compare the clinical outcomes and postoperative posterior muscle changes in patients with advanced degenerative disk disease undergoing 2-level circumferential spinal fusion using a posterior midline versus a paraspinal approach. SUMMARY OF BACKGROUND DATA Lumbar spin...