Glossary of Terms

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If you've ever been confused or intimidated by all of the scientific, complicated doctor-speak, this glossary is a great place to simplify some of the more common terms you might have come across in relation to your spine and its conditions.

A

AbdomenThe section of the body located between the bottom of the rib cage and pelvis.
AcuteImmediate, severe or intense.
Annulus Fibrosus A circular structure that makes up the outer most portion of the intervertebral disc. It is a sturdy, elastic fibrous structure that encompasses the gel-like nucleus pulposus.
AnteriorLocated towards the front or forward to another object. Anterior refers to the front side of the human body.
Anterior Cervical Discectomy and Fusion (ACDF) A surgical procedure to remove and replace a degenerative disc in the cervical (neck) spine. During the procedure, an incision is made in the front of the neck to access the anterior spine. The diseased disc is removed and an interbody device is inserted between the two vertebrae, supporting the spine while it heals forming a fusion.
Anterior Lumbar Interbody Fusion (ALIF) A surgical procedure to remove and replace a degenerative disc in the lumbar (lower back) spine. During the procedure, an incision is made in the front of the body (abdomen) to access the anterior spine. The diseased disc is removed and an interbody device is implanted between the two vertebrae, supporting the spine while it heals forming a fusion.
AnterolateralA surgical approach to the spine that is between the front (anterior) and the side (lateral).
Arthritis A disease of a joint in the body, including the facet joint of the spine, usually causing inflammation, swelling and pain that may limit the motion of the joint.
ArthrodesisA surgical procedure performed to prevent motion of a joint by fusing that joint.

B

BiomechanicsThe study of mechanics of the body including the movement of joints and muscles.

C

Cervical Spine The upper most portion of the spine located just below the head and is often referred to as the neck. The cervical spine is made up of seven vertebrae, which are known as C1 to C7.
CoccyxThe lower most region of the spine below the sacrum. It is also known as the tailbone.
Computed Tomography (CT) Scan An imaging procedure that is also known as a CAT scan (computed axial tomography). A CT or CAT scan combines a series of x-ray images that creates a cross-sectional view or slices of the part of the body being imaged.

D

Decompression A surgical procedure that removes the bone or disc material that is impinging upon or compressing a nerve to relieve pain and other symptoms.
Degenerative Disc Disease (DDD) Age related deterioration of the intervertebral discs, which are located between each vertebra of the spine.
Disc Herniation Also referred to as a slipped disc, a disc herniation happens when part of the nucleus pulposus (inner portion of the disc) protrudes through the annulus fibrosus (outer layer of the disc).
DiscectomyA surgical procedure where an intervertebral disc is either partially or completely removed.
DysphoniaA disorder affecting the throat or vocal cords causing difficulty speaking and/or hoarseness.
DysphagiaA disorder affecting the throat, esophagus (stomach tube) or chest causing difficulty swallowing.

F

Facet A structure of the vertebra located at the back of the spine. A facet moves with the facet of the neighboring vertebra to form a facet joint. This joint allows motion in the back or along the spinal column. Each vertebra has two superior (above) and two inferior (below) facets.
Facet Joint A joint in the spine or back. There are two facet joints located at the back of each vertebra. The facet joint moves with the vertebra above and the vertebra below to form a motion segment in the spine.
FacetectomySurgical removal of part or all of a facet joint.
Foramen A natural opening or space in the body. In the spine, a foramen is formed by a facet joint. The nerves originating from the spine pass through the foramen to exit the spinal canal.
Foraminotomy A surgical procedure that opens the foramen by removing bone and other tissue to provide more space for the exiting nerve root that maybe compressed or impinged.
FractureA break in a bone or bony structures.
Fusion A natural or mechanical joining or healing of two adjacent bone structures by the formation of new bone between the structures.

I

Iliac Bone A bone structure located in the pelvic region of the body. It is located above the hip joint and is connected to the sacrum. It is the bone from which surgeons may remove bone graft material to use to promote healing or fusion in spinal surgical procedures.
Iliac CrestA large protruding section of the iliac bone. It is commonly called the hip bone.
IliumThe upper and largest region of the coxal bones of the pelvis.
Interbody Fusion A surgical procedure performed to remove the intervertebral disc, implant an interbody device, and permanently join or fuse two or more vertebrae together.
Intervertebral Disc The structure located between each spinal vertebra that acts as a cushion or shock absorber for the spine. The disc has a thick outer layer called the annulus fibrosus. The annulus fibrosus surrounds an inner gel like substance called the nucleus pulposus.

K

Kyphosis A forward rounding of the back; some rounding is normal but kyphosis generally refers to an exaggerated forward curvature of the upper (thoracic) spine that may create a hunchback appearance

L

Lamina Part of a vertebra that forms the arched covering or roof of the spinal canal. Each vertebra has two laminae that connect the pedicles on each side of the spine to the spinous processes in the middle of the spine.
Laminectomy A surgical procedure performed to remove the lamina of a vertebra creating more room for the spinal cord and associated nerves. A laminectomy may also be performed to create surgical access for a discectomy.
Laminotomy A surgical procedure removing part of one of the vertebral lamina creating room for the spinal cord and associated nerves.
Lateral Located towards or on the side of a structure or object. Lateral refers to the left or right side of the human body.
Lateral Lumbar Interbody Fusion (LLIF) A spinal fusion procedure where the intervertebral disc space is surgically accessed laterally from the patient’s side. An LLIF procedure is performed to fuse two or more vertebrae in the lumbar spine
Lordosis A natural backward rounding of the back, found in the cervical and lumbar spine; some rounding is normal but lordosis (also called swayback) generally refers to an exaggerated backward curvature of the lower (lumbar) spine where the spine curves significantly inward at the lower back
Lumbar Spine The lower portion of the spine located in the abdominal region of the back. The lumbar spine is comprised of five vertebrae, which are known as L1 to L5.

M

Magnetic Resonance Imaging (MRI) A medical imaging procedure that uses magnetization to create a detailed view of the internal structures of the body.
MyelopathyCompression of the spinal cord resulting in pain and weakness in a related muscle group.

N

Neck Disability Index (NDI) A patient survey based upon the Oswestry Disability Index (ODI) that is used to measure neck pain. The survey includes questions on pain, personal care, lifting, headaches, work, driving, sleeping and other daily life activities.
Nerve Organic fibers that are comprised of nerve cells, which send messages between the brain and the rest of the body.
Nerve CompressionImpingement or pressure on a nerve that may cause damage, pain and weakness in another part of the body.
Nerve RootThe beginning or foundation of a nerve that is located at the spinal cord and passes through the spinal foramen.
Nerve Root BlockAn injection of a local anesthetic that numbs a nerve believed to be causing arm or leg pain.
Nucleus PulposusThe inner gel-like, elastic center of an intervertebral disc.

O

OsteophyteOr bone spur, is a bony growth on the outside of a vertebra.
OsteoporosisA medical condition that causes bones to become brittle and fragile making them more susceptible to fracture.
Oswestry Disability Index (ODI) A patient survey used to measure the extent of low back pain and the related reduction in movement. The index measures a patient’s ability to perform everyday life activities while coping with pain.

P

PediclePart of a vertebra that connects the lamina to the vertebral body. There is one pedicle on each side of a vertebral body.
PosteriorLocated towards the back or behind a structure or object. Posterior refers to the back of the human body.
Posterior Lumbar Interbody Fusion (PLIF) A spinal fusion surgical procedure performed to fuse two or more vertebrae through a posterior approach.
Pseudarthrosis More commonly called a nonunion or nonfusion, pseudarthrosis is a failed spinal fusion where two vertebrae do not merge or fuse together across the disc space after a spinal fusion procedure.

R

Radiculopathy A medical term used to describe pain, numbness, tingling, muscle weakness or other neurological symptom(s) resulting from a condition that irritates or injures a nerve.
RadiographAlso known as an x-ray.
RetrolisthesisA medical condition where one vertebra slips or moves backward in relation to the vertebra located below it.

S

Sacroiliac JointThe joint located between the sacrum and ilium.
Sacral Spine The lower most portion of the spine located between the lumbar spine and the coccyx bone. The sacral spine is compromised of five vertebrae, which are known as S1 to S5.
Sacrum The lower-most portion of the spine located between the lumbar spine and the coccyx bone. The sacral spine is comprised of five vertebrae, which are known as S1 to S5.
Sentinel Sign A radiographic bridging of bone anterior to a surgically implanted device in the spine. It is visible in the shape of the letter ‘S’. This is where Centinel Spine derived its name.
SF-12 (Short-Form)A twelve-question survey assessing a patient's quality of life.
Spine A flexible column of bone that extends from the base of the skull to the tailbone. The spine is comprised of thirty-three bones called vertebrae. The spine is also known as the vertebral column, spinal column, or backbone.
Spinal Canal The bony channel that runs through the spine containing and protecting the spinal cord and associated nerve roots. The spinal canal is formed by the laminae and foramina of the spine.
Spinal Cord A bundle of nerves and related tissue that communicates messages and impulses to and from the brain and the rest of the body.
Spinal Fusion A surgical procedure performed to fuse two or more vertebrae thereby preventing movement at a spinal motion segment.
Spinal Motion Segment A structure in the spine that includes two neighboring vertebrae, the intervertebral disc that is located between the vertebrae, the two facet joints located at the posterior sides of the segment and all the associated ligaments and tissues.
Spinous Process Part of the vertebrae that extends posteriorly from each vertebrae. The spinous processes are the “bumps” you can feel on your back.
Spinal StenosisA narrowing of the spinal canal.
Spondylolisthesis A medical condition where one vertebra slips or moves forward in relation to the vertebra located below it.

T

Thoracic Spine The middle portion of the spine located between the cervical and lumbar spinal regions. The thoracic spine is comprised of twelve vertebrae, which are known as T1 to T12. The rib cage is connected to the thoracic spine.
Transforaminal Lumbar Interbody Fusion (TLIF) A spinal fusion surgical procedure performed to fuse two or more vertebrae through a posterior approach.

V

VertebraA bone of the spinal column.
Vertebral Arch The bony, curved structure located at the posterior or back of a vertebra. The arch surrounds and protects the spinal cord.
Vertebral BodyThe anterior or front section of a vertebra.
Vertebral Endplates The superior (above) and inferior (below) bony plates, which are the flat portion of the vertebral bones that connect to the intervertebral discs.
Visual Analog Scale (VAS) A visual scale used to measure the intensity of a patient’s pain. The higher the score the more intense the pain.

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