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Sacral ala - Winglike anatomic process of the sacrum articulating with the ilium on its lateral side by the sacro-iliac joint.

Sacral nerve stimulation - Electrical pulses sent to the sacral nerve by a neurostimulator.

Sacral nerves - Nerves located near the base of the spinal cord in the lower back. Sacral nerves control the bladder, bowel and pelvic organs.

Sacral plexus - A nerve plexus that lies against the posterior and lateral walls of the pelvis. It is formed by the union of the lumbosacral trunk and the first, second and third sacral nerves and continues into the thigh as the sciatic nerve.

Sacral promontory - The inwardly projecting anterior part of the body of the first sacral vertebra.

Sacrum - Curved triangular bone at the base of the spine, consisting of five fused vertebrae known as sacral vertebrae. The sacrum articulates with the last lumbar vertebra and laterally with the pelvic bones.

Sagittal balance - Alignment of C7 to the posterior superior aspect of the sacrum on an upright long cassette radiograph of the spine.

Scalloped - Having curved projections at the border.

Sciatic nerve - Either of the pair of largest nerves in the body that arise one on each side from the sacral plexus and that pass out of the pelvis through the greater sciatic foramen and down the back of the thigh to its lower third where division into the tibial and common peroneal nerves occur.

Sciatica - Pain along the course of the sciatic nerve.

Scoliometer - a proprietary name for an inclinometer used in measuring trunk rotation.

Scoliosis - lateral deviation of the normal vertical line of the spine which, when measured by X-ray, is greater than ten degrees. Scoliosis consists of a lateral curvature of the spine with rotation of the vertebrae within the curve.

Spinal instrumentation - metal implants fixed to the spine to improve spinal deformity while the fusion matures. This includes a wide variety of rods, hooks, wires and screws used in various combinations.

Secure hemostatic seal - A closure to prevent blood leakage.

Segmental instability - Abnormal response to applied loads characterized by motion in the motor segment beyond normal constraints.

Semilunar valves - The aortic and pulmonary valves within the human heart are called semilunar valves because their leaflets have a half-moon configuration.

Seroma - A fluid-filled mass in a tissue or organ.

Shear stress - Intensity of force parallel to the surface on which it acts.

Skeleton - The rigid framework of bones that gives shape to the body and protects inner organs.

Spina Bifida - Congenital defect of the spine marked by a defective closure of the vertebral arch. There are three types of Spina Bifida : the Spina Bifida Occulta, the Meningocele and the Myelomeningocele.

Spina Bifida Occulta - When there is an opening in one or more of the vertebrae of the spinal column without apparent damage to the spinal cord.

Spinal canal - Body channel that contains and helps protect the spinal cord and nerve roots.

Spinal cord - Thick longitudinal cord or nervous tissue that extends along the back dorsal to the bodies of the vertebrae and is enclosed in the spinal canal formed by their neural arches. Serves not only as a pathway for nervous impulses to and from the brain but also as a center for carrying out and coordinating many reflex actions independently of the brain.

Spinal cord stimulation - Spinal cord stimulation uses a small neurostimulation system that is surgically placed under the skin to send mild electrical impulses to the spinal cord. The electrical impulses are delivered through a lead (a special medical wire) that is also surgically placed. These electrical impulses block the signal of pain from reaching the brain.

Spinal fusion - Surgical fusion of two or more vertebrae for remedial immobilization of the spine.

Spinal instrumentatiion - Metal implants fixed to the spine to improve spinal deformity while the fusion matures. This includes a wide variety of rods, hooks, wires and screws used in various combinations.

Spinal stenosis - Degenerative narrowing of the spinal canal, nerve roots canals and / or intervertebral foramina caused by bone and / or ligaments hypertrophy in local, segmental or generalized regions. This narrowing results in compression of spinal nerves and nerve roots causing lower back pain, neurogenic claudication and lower extremity pain.

Spine - The flexible bone column extending from the base of the skull to the tailbone. It is made up of bones, discs, ligaments and muscles. The spine is also referred to as the vertebral column, spinal column or backbone.

Spinous process - The median spinelike or platelike dorsal process of the neural arch of a vertebra.

Spondylitis - an inflammatory disease of the spine.

Spondylolisthesis - an anterior displacement (either congenital or due to a pars defect or traumatic or degenerative) of a vertebra on the adjacent lower vertebra. It occurs in the lower part of the lumbar spine, mostly in L4 or L5.

Spondylolysis - Inadequacy or absence of ossification of the vertebral arch at the level of the pars interarticularis. It is a rupture due to bone fatigue, sometimes a malformation.

Spondylosis - Degenerative disease of both the disc and the zygapophyseal joint.

Stable vertebrae - The most proximal thoracic or lumbar vertebra most closely bisected by a vertically directed central sacral line assuming the pelvis is level. In the sagittal plane, the vertical line is drawn proximal from the posterior superior edge of S1.

Static load - A load applied to a specimen is called static if it remains constant with respect to time.

Stenosis - When a passage does not fully open; a constriction or narrowing.

Stiffness - A measure of resistance offered to external loads by a specimen or structure as it deforms.

Strain - The change in unit length or angle in a material subjected to load.

Stress - The force per unit area of a structure and a measurement of the intensity of load.

Structural curve - a segment of the spine that has fixed lateral curvature.

Subdural hematoma - A blood clot under the dura mater, the outermost membrane surrounding the brain.

Subluxation - An incomplete dislocation.

Supine - Lying flat on the back with the face up.

Supraspinous ligament - It joins the tips of the spinous processes from the seventh cervical vertebra to the sacrum.

Synovium - Thin membrane surrounding a moveable joint.