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The Journal of Bone and Joint Surgery 82:299-300 (2000)
© 2000 The Journal of Bone and Joint Surgery, Inc.


Book Review

LUMBAR SEGMENTAL INSTABILITY. Edited by Marek Szpalski, Robert Gunzburg, and Malcolm H. Pope. Philadelphia, Lippincott Williams and Wilkins, 1999. $105.00, 314 pp.

Leela Rangaswamy, M.D.

This thought-provoking book is the product of a meeting on lumbar segmental instability, a subject of great controversy, that was held in Brussels, Belgium. The organizers of the meeting assembled an international group of specialists that included neurosurgeons and orthopaedic surgeons as well as radiologists, anatomists, biostatisticians, engineers, and others who study the basic science of the spine.

One of the authors, Eisenstein, explains the reason for the controversy: "The problem with spinal instability is not the concept but the fact that the concept means so many different things to different people." He discusses the problems of jargon and misinterpretation and points out that the definitions of key words are not always universally understood or accepted.

The section on basic science includes chapters on the biomechanics of the spine, the clinical relevance of the biomechanics of lumbar spinal instability, biomechanical measurements, and the semantics of lumbar instability. The text is . . . [Full Text of this Article]


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