TY - BOOK AU - Ihab Elsayied Hussein AU - Hassan M. Elgamal , AU - Mohamed Tawfek Koptan , AU - Youssry Mohamed Kamal Elhawary , TI - Management of lumbosacral instability using oswestry pedicle screw system (OPSS) / PY - 2000/// CY - Cairo : PB - Ihab Elsayied Hussein , KW - High - pressure injection injuries of the hand KW - Mechanism KW - Rehabilitation N1 - Thesis (Ph.D) - Cairo University - Faculty of Medicine - Department of Orthopdics Surgery; Issued also as CD N2 - Instability can be defined as the clinical statues of the patient with back problems whom with the least provocation steps from the mildly symptomatic to the severe episode . During the acute phase the patient may have backache alone or backache with radiating sciatica with or without neurologic signs Certain symptoms can alert the physician to instability such as recurrent low back pain accompaanied by sciatica with or without neurologic signs ER -