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Most injuries of the back occur at which portion of the spine?

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Final answer:

Back injuries most commonly occur in the lower spine, specifically at the L4/L5 or L5/S1 intervertebral discs, due to increased shear forces and pressure from physical activities and traumatic events.

Step-by-step explanation:

The most common location for back injuries is the lower part of the spine, specifically at the L4/L5 or L5/S1 intervertebral discs. These regions are more susceptible due to the high amount of stress and shear forces they endure during everyday activities especially when lifting heavy objects or during traumatic events such as accidents. Due to the normal curvature of the spine, increased curvature can lead to higher shear forces, making the lumbosacral disc particularly at risk. The nature of the nucleus pulposus within the intervertebral discs contributes to this vulnerability. When bending forward or engaging in significant physical activity, pressure on a weakened disc can result in herniation or a slipped disc, causing pain and potentially nerve compression. Common symptoms include sciatica, characterized by pain radiating from the lower back down the limb.

Injuries higher up, like at the C5/C6 or C6/C7 intervertebral discs, can lead to pain in the neck, shoulder, and upper limbs. The location of a spinal cord injury is critical, as damage to a lower segment of the spinal cord can lead to paralysis below the point of injury.

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