scholarly journals An Adolescent Athlete with Low Back Pain Associated with Spina Bifida Occulta at the Thoracolumbar Junction : A Case Report

2019 ◽  
Vol 66 (1.2) ◽  
pp. 199-200 ◽  
Author(s):  
Tsuyoshi Goto ◽  
Toshinori Sakai ◽  
Nori Sato ◽  
Shinsuke Katoh ◽  
Koichi Sairyo
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Spina Bifida ◽  
Spina Bifida Occulta ◽  
Thoracolumbar Junction ◽  
Low Back ◽  
Adolescent Athlete

scholarly journals HIGH SACRAL HIATUS WITH NON FUSION OF LAMINA OF FIRST SACRAL VERTEBRAE: A CASE REPORT

2012 ◽  
Vol 02 (04) ◽  
pp. 60-62
Author(s):  
K. Vishal ◽  
Vinay K. V. ◽  
Remya K. ◽  
Arunachalam Kumar ◽  
Shishir K.
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Spina Bifida ◽  
Accurate Diagnosis ◽  
Spina Bifida Occulta ◽  
Pelvic Cavity ◽  
Low Back ◽  
Painful Condition ◽  
Sacral Hiatus

AbstractSacrum is a large triangular bone, forming postero-superior wall of the pelvic cavity. During the routine study of bones in the department of Anatomy, an unusual variation in the sacrum was noted. The bone showed high sacral hiatus i.e., at the level of 3rd sacral vertebrae and non-fusion of lamina of 1st sacral vertebrae This type of anomaly is very rare, which prompted us to report the case. The knowledge about this rare variation is important for orthopaedicians and anesthetists since the high sacral hiatus may lead to clinical procedural failures. It is also important for accurate diagnosis of patients with low back pain. Non-fusion of lamina of 1st sacral vertebrae may be associated with spina bifida occulta and may lead to painful condition of back.

scholarly journals Transitional Vertebra and Spina Bifida Occulta Related with Chronic Low Back Pain in a Young Patient

Cureus ◽  
2016 ◽  
Author(s):  
Maryam Kundi ◽  
Maham Habib ◽  
Sumbal Babar ◽  
Asif K Kundi ◽  
Salman Assad ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Spina Bifida ◽  
Young Patient ◽  
Chronic Low Back Pain ◽  
Spina Bifida Occulta ◽  
Low Back ◽  
Transitional Vertebra

scholarly journals Distribution and imaging characteristics of spina bifida occulta in young people with low back pain: a retrospective cross-sectional study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Wenhao Li ◽  
Zhencheng Xiong ◽  
Chunke Dong ◽  
Jipeng Song ◽  
Liubo Zhang ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Young People ◽  
Spina Bifida ◽  
Spinous Process ◽  
Young Patients ◽  
Spina Bifida Occulta ◽  
Low Back ◽  
Cross Sectional ◽  
Imaging Characteristics

Abstract Purpose Spina bifida occulta (SBO) is one of the most common congenital spinal deformities. Although many studies have demonstrated the influence of lumbosacral dysplasia on low back pain (LBP) in young athletes, there have been few studies on SBO among young people in other occupations. The purpose of this study is to investigate the distribution of SBO in young people with LBP and to classify SBO from the perspective of lamina development. Methods The X-ray films of 148 young patients with LBP were analyzed to quantify the distribution of SBO and classify abnormal laminae. Results Of the 148 patients, 93 (61.49%) had SBO: 83 cases involved S1 alone, 2 involved L5–S1, 5 involved S1–2, 2 involved S1–4, and 1 involved L4–S4. According to the degree of the defect, the patients with SBO were divided on the basis of five grades: 9 patients with grade I, 53 with grade II, 23 with grade III, and 8 with grade IV. The cases were classified by the shape of the laminae into 4 types: 15 cases of type a, 11 cases of type b, 37 cases of type c, and 30 cases of type d. Conclusion Among the young people with LBP that we surveyed, SBO is the most common lumbosacral dysplasia, which frequently involves the S1 segment. Most laminae in SBO are in the developmental stage of the spinous process, and an abnormal laminar growth direction and laminar stenosis are the most common laminar morphologies in SBO.

scholarly journals Spina Bifida Occulta in an Adult Presenting as Perilesional Hemorrhage

2016 ◽  
Vol 06 (01) ◽  
pp. 079-081
Author(s):  
Amit Agrawal ◽  
Vissa Santhi ◽  
Ranjan Jena ◽  
Umamaheswara Reddy V ◽  
Yashwant Sandeep
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Spina Bifida ◽  
Histopathological Examination ◽  
Spinal Dysraphism ◽  
Spina Bifida Occulta ◽  
Lumbosacral Spine ◽  
Low Back ◽  
Lumbosacral Region ◽  
Altered Blood

AbstractOccult spinal dysraphism with spinal lipoma, is a rare congenital spinal dysraphic anomaly which usually involves lumbosacral region and manifests in childhood. In the present article, we discuss a case of a 26-year-old man who developed sudden low back pain following intercourse. Magnetic resonance imaging of the lumbosacral spine was suggestive of spina bifida occulta with hemorrhage. The patient underwent a L4–5 laminectomy in the emergency. There was the presence of altered blood in the vicinity of the lesion suggestive of recent hemorrhage. Histopathological examination of the lesion was suggestive of the lipoma. In the present case, the patient had occult spina bifida due to lumbosacral lipoma leading to the tethering of the dura. Strenuous activity resulted in overstretching of the tethered structures and subsequent hemorrhage and intense low back pain which responded well to the surgical treatment.

scholarly journals Distribution and imaging characteristics of spina bifida occulta in young people with low back pain

2020 ◽  
Author(s):  
Wenhao Li ◽  
Zhencheng Xiong ◽  
Chunke Dong ◽  
Jipeng Song ◽  
Liubo Zhang ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Young People ◽  
Spina Bifida ◽  
Spinous Process ◽  
Young Patients ◽  
Growth Direction ◽  
Spina Bifida Occulta ◽  
Low Back ◽  
Imaging Characteristics

Abstract Purpose Spina bifida occulta (SBO) is one of the most common congenital spinal deformities. Although many studies have demonstrated the influence of lumbosacral dysplasia on low back pain (LBP) in young athletes, there have been few studies on SBO among young people in other occupations. The purpose of this study was to investigate the distribution of SBO in young people with LBP and to classify SBO from the perspective of lamina development. Methods The X-ray films of 148 young patients with LBP were analyzed to quantify the distribution of SBO and classify abnormal laminae. Results Of the 148 patients, 93 (61.49%) had SBO: 83 cases involved S1 alone, 1 involved L5, 2 involved L5-S1, 5 involved S1-2, 1 involved S1-4 and 1 involved L4-S4. According to the degree of the defect, the patients with SBO were divided on the basis of five grades: 9 patients with grade I, 53 with grade II, 23 with grade III, and 8 with grade IV. The cases were classified by the shape of the laminae into 4 types: 15 cases of type a, 11 cases of type b, 37 cases of type c and 30 cases of type d. Conclusion Among the young people with LBP that we surveyed, SBO is the most common lumbosacral dysplasia, which frequently involves the S1 segment. Most laminae in SBO are in the developmental stage of the spinous process, and an abnormal laminar growth direction and laminar stenosis are the most common laminar morphologies in SBO.

Critical analysis and unique management of Gridhrasi w.s.r. to Sciatica - A Case Report

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Dr. Rangarajan B. ◽  
Dr. Muralidhara .
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Total Population ◽  
The Body ◽  
Walking Distance ◽  
Common Symptom ◽  
Low Back ◽  
Short Term ◽  
Lower Back

Gridhrasi (Sciatica) is a disorder in which low back pain is found, that spreads through the hip, to the back of the thigh and down the inside of the leg. Mechanical low back pain (LBP) remains the second most common symptom related reason for seeing a physician. 85% of total population will experience an episode of mechanical LBP at some point during their lifetime. Fortunately, the LBP resolves for the vast majority within 2-4 weeks. There are many causes for low back pain, however true sciatica is a symptom of inflammation or compression of the sciatica nerve. The sciatica nerve carries impulses between nerve roots in the lower back and the muscles and nerve of the buttocks, thighs and lower legs. Compression of a nerve root often occurs as a result of damage to one of the discs between the vertebrae. In some cases, sciatic pain radiate from other nerves in the body. This is called referred pain. Pain associated with sciatica often is severe, sharp and shooting. It may be accompanied by other symptom, such as numbness, tingling, weakness and sensitivity to touch. There is only conservative treatment giving short term relief in pain or surgical intervention with side effect. But these are not successful and therefore those who are suffering from this are always in search of result oriented remedy. Walking distance and SLR test were taken for assessment parameter, VAS score was adopted for pain. Before treatment patient was not able to walk even 4 to 5 steps due to severe pain, was brought on stretcher and his SLR was 30° of right side. After 22 days of treatment he was able to walk up to 500 meters without any difficulty, SLR was changed to 60° and patient had got 80 % relief in pain. This case report showed that Ayurvedic protocol is potent and safe in the treatment of Gridhrasi.

scholarly journals Cognitive–Evaluative Dimension of Pain in Neuropathic Pain Relapse in Sciatica: A Case Report

Medicina ◽  
2021 ◽  
Vol 57 (7) ◽  
pp. 658
Author(s):  
Tsubasa Kawasaki ◽  
Takuya Yada ◽  
Masahiro Ohira
Keyword(s):  
Neuropathic Pain ◽  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Acute Phase ◽  
Low Back ◽  
Evaluative Dimension ◽  
Long Duration ◽  
Improvement Process ◽  
Insight Into

The cognitive–evaluative (C–E) dimension of pain is commonly observed in patients with a relatively long duration of pain. However, little is known about the effects of pain relapse on the C–E dimension of pain. Moreover, the improvement process of the C–E dimension of pain following treatment is unknown. The objective of this case report was to (a) demonstrate that the C–E dimension was affected in the acute phase of neuropathic pain in cases of pain relapse, and (b) demonstrate the improvement process of the C–E dimension of pain. A woman was diagnosed with low back pain (LBP) and sciatica. The patient had previously experienced symptoms of LBP and sciatica; thus, this episode was a case of pain relapse. At the beginning of rehabilitation, the C–E dimension of pain was present in addition to the sensory–discriminative (S–D) dimension of pain. It was observed that improvement of the C–E dimension of pain was delayed in comparison with that of the S–D dimension of pain. The C–E dimension of pain was observed with pain relapse even though it was in the acute phase of pain. This case provides a novel insight into the C–E dimension of pain. Moreover, the delay in improving the C–E dimension of pain indicates a difference in the improvement process for each pain dimension.

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