ROLE
OF THE THIRD LUMBAR VERTEBRA IN THE GENESIS OF OSTEO-ARTICULAR DISEASES OF
MECHANICAL ORIGIN.
- Home - Introduction
- Personal clinical case - L3
role - Morphologicals types -
- L3 Muscles - Clinical application
- Bibliography & contact -
|
Professor
Delmas was the first to clarify the functional value of certain vertebrae
: - the role of knee-cap of D12, hinge vertebra on which the muscles of gutter have little insertion. |
|
- but it is especially L3 having a posterior arc very developped which is useful as a point of support with ear-thorn-bush in its action of rachis erecting as soon as L3 is fixed to pelvis by the intermediary of iliac beams of longissimus. Located at the node of lumbar lordosis with plates parallel between them, L3 is the first really mobile vertebra of the lumbar rachis. L4 and L5 strongly moored to the pelvis forming more a static transition than a dynamic one. The use ( we will see it further on ) of L4 and L5 for dynamic purposes causes lumbagos by constraint on the posterior articulars, wear of the intervertebral discs or slipped discs. For better understanding of the operation of the muscular system characterizing the dynamic attitude,we will initially describe the system being used for the rachis erection starting from L3 , then the system being used for the mooring of the rachis below L3. |
|
|
A) Above L3 :
|
|
|
|
|
B) Below L3 :
|
|
|
|
These two elements though significant are insufficient to explain low lumbar kyphosis necessary to the dynamics of the human body. We should integrate the concept of basin retroversion. PELVIC RETROVERSION : there are two kinds of retroversion but are both characterized by a sacral verticalisation. I find tempting the terminology of certain sport trainers or certain teachers in deportment.They distinguish the bascule with soft and low buttocks and the bascule with high and hard buttocks.
|
|
|
|
|
|
Notice
too that the rise of the sacrum will relieve the constraints brought
by the weight of the body at the coxo-femoral level. Moving your body will be easier. |
|
-
Home - Introduction
- Personal clinical case - L3
role - Morphologicals types -
- L3 Muscles - Clinical application
- Bibliography & contact -