kolbige Auseinandertreibung

English translation: bulbous and displaced

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German term or phrase:kolbige Auseinandertreibung
English translation:bulbous and displaced
Entered by: dmesnier

20:59 Jun 30, 2019
German to English translations [PRO]
Medical - Medical (general) / Patient records
German term or phrase: kolbige Auseinandertreibung
Hi - I'm having difficulty finding the correct English translation for kolbiger Auseinandertreibung It appears in a patient report as follows. Thanks for your help!


Leichte Degenerationszeichen der LWS. Röntgenologisch ausgeprägte Lendenlordosierung mit Aufeinandersitzen und kolbiger Auseinandertreibung der Proz. spinosi vorwiegend in den Etagen L4/5 und L5/S1. Sek. os sacrum horizontale.
dmesnier
United States
Local time: 21:58
bulbous and displaced
Explanation:

spinous process bulbous and displaced

There is some rotation of the second segment with its spinous process displaced toward the right
https://archive.org/stream/in.ernet.dli.2015.135226/2015.135...

Blinded radiographic analysis of CT scans reformatted for precise lumbar spinous process (LSP) measurement.

With age, the LSP becomes more bulbous with a loss of this ‘bowling skittle’ shape, medullary osteopenia and cortical thinning. This uniform enlargement of spinous process width made measurement straightforward as reflected by high levels of concordance between observers.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3337914/

A significant common finding in these patients was the difficult operative exposure of the interspace caused by unusually prominent, bulbous articular facets and thickened, vertically orientated laminae.

Even a small herniated intervertebral disc in an achondroplastic dwarf may cause catastrephic trauma to the spinal cord and cauda equina because of the absence of available space for displacement of these structures within the narrow
https://jnnp.bmj.com/content/jnnp/25/2/165.full.pdf


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Note added at 3 hrs (2019-07-01 00:15:03 GMT)
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noch ein kurzer, in zwei bis drei stumpfe Zacken getheilter Höcker. Die Spitzen der Querfortsätze des ersten bis zehnten Brustwirbels sind kolbig verdickt
https://archive.org/stream/b21309978_0001/b21309978_0001_djv...
Selected response from:

Stuart and Aida Nelson
United Kingdom
Local time: 03:58
Grading comment
thanks for your help!
4 KudoZ points were awarded for this answer



Summary of answers provided
3 +2bulbous and displaced
Stuart and Aida Nelson
3 +2enlarged bulbous
Anne Schulz


Discussion entries: 1





  

Answers


3 hrs   confidence: Answerer confidence 3/5Answerer confidence 3/5 peer agreement (net): +2
bulbous and displaced


Explanation:

spinous process bulbous and displaced

There is some rotation of the second segment with its spinous process displaced toward the right
https://archive.org/stream/in.ernet.dli.2015.135226/2015.135...

Blinded radiographic analysis of CT scans reformatted for precise lumbar spinous process (LSP) measurement.

With age, the LSP becomes more bulbous with a loss of this ‘bowling skittle’ shape, medullary osteopenia and cortical thinning. This uniform enlargement of spinous process width made measurement straightforward as reflected by high levels of concordance between observers.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3337914/

A significant common finding in these patients was the difficult operative exposure of the interspace caused by unusually prominent, bulbous articular facets and thickened, vertically orientated laminae.

Even a small herniated intervertebral disc in an achondroplastic dwarf may cause catastrephic trauma to the spinal cord and cauda equina because of the absence of available space for displacement of these structures within the narrow
https://jnnp.bmj.com/content/jnnp/25/2/165.full.pdf


--------------------------------------------------
Note added at 3 hrs (2019-07-01 00:15:03 GMT)
--------------------------------------------------

noch ein kurzer, in zwei bis drei stumpfe Zacken getheilter Höcker. Die Spitzen der Querfortsätze des ersten bis zehnten Brustwirbels sind kolbig verdickt
https://archive.org/stream/b21309978_0001/b21309978_0001_djv...

Stuart and Aida Nelson
United Kingdom
Local time: 03:58
Specializes in field
Native speaker of: Native in EnglishEnglish, Native in SpanishSpanish
PRO pts in category: 31
Grading comment
thanks for your help!

Peer comments on this answer (and responses from the answerer)
agree  Adrian MM.: Those readers with big, bulbous eyes need not look twice.
7 hrs
  -> Thank you, Adrian.

agree  Barbara Schmidt, M.A. (X)
9 hrs
  -> Thank you, Barbara.
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11 hrs   confidence: Answerer confidence 3/5Answerer confidence 3/5 peer agreement (net): +2
kolbige Auseinandertreibung = kolbige Auftreibung
enlarged bulbous


Explanation:
IMO, 'Auseinandertreibung' is a blunder (the previous 'Aufeinander-' may have been propagated in the author's head?), and the best interpretation I can come up with is 'Auftreibung'.

The patient is said to show lumbar hyperlordosis with kissing spines, hence, 'Auseinandertreibung' cannot mean anything like dispersal or enlarged interspinous distances.

In https://radiopaedia.org/articles/baastrup-syndrome similar findings are explained and the Case 7 image shows enlarged, 'bulbous' spinous processes of the lower lumbar vertebrae (with green sclerotic zones between them).



Anne Schulz
Germany
Local time: 04:58
Specializes in field
Native speaker of: German
PRO pts in category: 1611

Peer comments on this answer (and responses from the answerer)
agree  Stuart and Aida Nelson: I think you are right, Anne.
2 hrs
  -> Thanks very much Aida! Your interpretation may be as valid as mine, and Douglas should definitely add a translator's note, IMO.

agree  Susanne Schiewe
1 day 8 hrs
  -> Danke Susanne :-)
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