By Ismail Jatoi, Manfred Kaufmann, Jean-Yves Petit
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18 Muscle regeneration, electron microscopy Electron microscopy of muscle fibers (cat) 4 weeks after activity is renewed following a period of inactivity. The regeneration process can be seen in the development of new Z-lines. The arrow points to a new fiber. 19 Muscle regeneration, electron microscopy Electron microscopy of muscle (cat) showing regeneration. There are two new vertical Z-lines and a few transverse muscle filaments. 20 Muscle regeneration, electron microscopy Electron microscopy of muscle (cat) 3 months after renewed activity following a period of immobilization.
Courtesy Churchill-Livingstone (Saunders) Press ©2002 CRC Press LLC muscle fiber and the amount of actin and myocin increases. The Z-lines begin to re-form and the nuclei migrate to the periphery of the fiber. On CT and MR imaging of the spine, it is possible to visualize these changes within the posterior musculature. With immobilization, the posterior muscles are gradually replaced by fibrofatty tissue which increases with prolonged periods of inactivity. ©2002 CRC Press LLC BIBLIOGRAPHY Cooper RR.
Evaluation and classification. J Am Acad Orthopaed Surg 1995;3:345 BCR Spivak JM, Vaccaro AR, Cotler JM. Thoracolumbar spine trauma. II. Principles of management. J Am Acad Orthopaed Surg 1995;3:353 40µV 20ms Electrodiagnostic studies from a patient with unilateral cauda equina injury secondary to a lumbar disc protrusion. The cortical somatosensory evoked potentials on stimulation of the S1 dermatome and the pudendal nerve are unobtainable on the symptomatic side, whereas the responses on stimulation of the L4 and L5 dermatomes are normal.
Atlas of Back Pain Editor by Ismail Jatoi, Manfred Kaufmann, Jean-Yves Petit
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