scholarly journals Sacral Stress Fracture following the Bone Union of Lumbar Spondylolysis

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Tatsuro Sasaji ◽  
Hideki Imaizumi ◽  
Hiroyuki Takano ◽  
Hideo Saitoh ◽  
Taishi Murakami ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Stress Fracture ◽  
Laboratory Data ◽  
Previous History ◽  
Bone Union ◽  
Low Back ◽  
Rare Injury ◽  
Sacral Stress Fracture ◽  
Lumbar Spondylolysis

While 22 articles have reported on sacral stress fractures, it is a rare injury and its etiology is not well known. We present the case of a 16-year-old male who presented with low back pain in 2015. He was a high school soccer player with a previous history of a bilateral L5 lumbar spondylolysis in 2014. The patient refrained from soccer and wore a brace for six months. Two months after restarting soccer, he again complained of low back pain. After 1 year, a lumbar spine computed tomography revealed the bone union of the spondylolysis. At his first visit to our hospital, his general and neurological conditions were normal and laboratory data were within the normal range. Sacral coronal magnetic resonance imaging (MRI) of the left sacral ala revealed an oblique lineal signal void surrounding bone marrow edema. Based on his symptoms, sports history, and MRI, he was diagnosed with a sacral stress fracture. He again refrained from soccer; his low back pain soon improved, and, after 1 year, the abnormal signal change had disappeared on sacral MRI. Recurrent low back pain case caused by a sacral stress fracture occurring after the bone union of lumbar spondylolysis is uncommon.

scholarly journals Postpartum Sacral Stress Fracture: An Atypical Case Report

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Andrea Speziali ◽  
Matteo Maria Tei ◽  
Giacomo Placella ◽  
Marco Chillemi ◽  
Giuliano Cerulli
Keyword(s):  
Risk Factors ◽  
Low Back Pain ◽  
Back Pain ◽  
Cesarean Section ◽  
Stress Fracture ◽  
Sacral Fracture ◽  
Low Back ◽  
Mineral Density ◽  
Sacral Stress Fracture ◽  
Pregnancy And Lactation

Sacral stress fractures are common in elderly people. However, sacral stress fracture should be always screened in the differential diagnoses of low back pain during the postpartum period. We present a case of sacral fracture in a thirty-six-year-old woman with low back pain and severe right buttock pain two days after cesarean section delivery of a 3.9 Kg baby. The diagnosis was confirmed by MRI and CT scan, while X-ray was unable to detect the fracture. Contribution of mechanical factors during the cesarean section is not a reasonable cause of sacral fracture. Pregnancy and lactation could be risk factors for sacral stress fracture even in atraumatic delivery such as cesarean section. Our patient had no risk factors for osteoporosis except for pregnancy and lactation. Transient or focal osteoporosis is challenging to assess and it cannot be ruled out even if serum test and mineral density are within the normal range.

Sacral stress fracture: An unusual cause of low back pain in post-partum females

2015 ◽  
Vol 6 (1) ◽  
pp. 74-75
Author(s):  
V. Anand ◽  
A. Yadav ◽  
R. Singh ◽  
V. Sidhu ◽  
J. Sikdar ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Stress Fracture ◽  
Post Partum ◽  
Low Back ◽  
Sacral Stress Fracture

scholarly journals Low back pain during pregnancy caused by a sacral stress fracture: a case report

2012 ◽  
Vol 6 (1) ◽  
Author(s):  
Miguel Pishnamaz ◽  
Richard Sellei ◽  
Roman Pfeifer ◽  
Philipp Lichte ◽  
Hans C Pape ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Stress Fracture ◽  
Low Back ◽  
Sacral Stress Fracture

scholarly journals Increased sagittal diameter of the vertebral arch aids in diagnosis of lumbar spondylolysis

2020 ◽  
Author(s):  
Shi-Zheng Chen ◽  
An-Ni Tong ◽  
He-Hu Tang ◽  
Zhen Lv ◽  
Shu-Jia Liu ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Control Group ◽  
Low Back ◽  
Isthmic Spondylolisthesis ◽  
X Ray ◽  
Lumbar Spondylolysis ◽  
Significant Difference ◽  
Pars Interarticularis ◽  
Vertebral Arch

Abstract Objective To identify a diagnostic indicator of lumbar spondylolysis visible in plain X-ray films. Methods One hundred and seventy-two patients with low back pain who received X-ray and computerized tomography (CT) examinations were identified and studied. They were divided into three groups: the spondylosis without spondylolisthesis (SWS) group, comprising 67 patients with bilateral pars interarticularis defects at L5 and without spondylolisthesis, the isthmic spondylolisthesis (IS) group, comprising 74 patients with L5/S1 spondylolisthesis and bilateral L5 pars interarticularis defects, and the control group, comprising 31 patients with low back pain but without spondylolysis. The sagittal diameters of the vertebral arch (SDVAs) of L4 and L5 were measured in lateral X-ray image, and the differences in SDVA between L4 and L5 (DSL4-5) in each case were calculated and analyzed. Results There were no significant differences in demographic characteristics among the three groups. In the SWS and IS groups, the SDVA of L5 was significantly longer than the SDVA of L4 (p < 0.001), whereas no significant difference found in the control group (p > 0.05). DSL4-5, in which the SDVA of L4 was subtracted from the SDVA of L5, significantly differed among the three groups (p < 0.001), and the normal threshold was provisionally determined to be 1.55 mm. Conclusions In bilateral L5 spondylolysis, the SDVA of L5 is wider than the SDVA of L4, and this difference is greater in isthmic spondylolisthesis. This sign in lateral X-rays may provide a simple and convenient aid for the diagnosis of spondylolysis.

scholarly journals The relationship between findings on magnetic resonance imaging and previous history of low back pain

2016 ◽  
Vol Volume 10 ◽  
pp. 47-52 ◽  
Author(s):  
Juichi Tonosu ◽  
Hiroyuki Oka ◽  
Ko Matsudaira ◽  
Akiro Higashikawa ◽  
Hiroshi Okazaki ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Low Back Pain ◽  
Back Pain ◽  
Magnetic Resonance ◽  
Previous History ◽  
Low Back ◽  
Resonance Imaging ◽  
History Of ◽  
The Relationship

scholarly journals Investigation of the Effect of Conventional Physiotherapy and Game Based Training on Young Soccer Player with Lumbar Spondylolysis: Case Report

2021 ◽  
Vol 3 (1) ◽  
pp. 1-4
Author(s):  
Murat Emirzeoğlu ◽  
◽  
Özlem Ülger ◽  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Soccer Player ◽  
Return To Sports ◽  
Low Back ◽  
Lumbar Spondylolysis ◽  
Conventional Physiotherapy ◽  
And Performance ◽  
Conservative And Surgical Treatment

Lumbar spondylolysis (LS) is an occurrence that is not completely clear but may occur due to recurrent hyperextension and rotation in the lumbar spine. It is frequently seen in adolescent athletes with low back pain, and conservative and surgical treatment is not clearly superior to each other. In this case report, it was shown that conventional physiotherapy could reduce symptoms and contribute to a reliable return to sports in a soccer player with LS. In addition, it was found that game-based training could increase the balance and performance of the athlete.

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