A Study Of Patients With Low Back Pain Who Underwent Surgical Treatment

10.5580/fc3 ◽  
2005 ◽  
Vol 14 (2) ◽  
2009 ◽  
Vol 13 (S1) ◽  
Author(s):  
N. Lobjanidze ◽  
M. Janelidze ◽  
A. Gvelesiani ◽  
M. Beridze ◽  
L. Bakradze ◽  
...  

2016 ◽  
Vol 24 (3) ◽  
pp. 398-401 ◽  
Author(s):  
Sang-Hyun Han ◽  
Seung-Jae Hyun ◽  
Tae-Ahn Jahng ◽  
Ki-Jeong Kim

Spontaneous bilateral pedicle fractures of the lumbar spine are rare, and an optimal surgical treatment has not been suggested. The authors report the case of a 50-year-old woman who presented with low-back pain and right leg radiating pain of 1 year’s duration. Radiological studies revealed a spontaneous bilateral pedicle fracture of L-5. All efforts at conservative treatment failed, and the patient underwent surgery for osteosynthesis of the fractured pedicle using bilateral pedicle screws connected with a bent rod. Her low-back and right leg pain were relieved postoperatively. A CT scan performed 3 months postoperatively revealed the disappearance of the pedicle fracture gap and presence of newly formed bony trabeculation. In rare cases of spontaneous bilateral pedicle fracture of the lumbar spine, osteosynthesis of the fractured pedicle using bilateral pedicle screws and a bent rod is a motion-preserving technique that may be an effective option when conservative management has failed.


2008 ◽  
Vol 62 (suppl_5) ◽  
pp. ONS454-ONS455 ◽  
Author(s):  
Kene T. Ugokwe ◽  
Tsu-Lee Chen ◽  
Eric Klineberg ◽  
Michael P. Steinmetz

Abstract Objective: This article aims to provide more insight into the presentation, diagnosis, and treatment of Bertolotti's syndrome, which is a rare spinal disorder that is very difficult to recognize and diagnose correctly. The syndrome was first described by Bertolotti in 1917 and affects approximately 4 to 8% of the population. It is characterized by an enlarged transverse process at the most caudal lumbar vertebra with a pseudoarticulation of the transverse process and the sacral ala. It tends to present with low back pain and may be confused with facet and sacroiliac joint disease. Methods: In this case report, we describe a 40-year-old man who presented with low back pain and was eventually diagnosed with Bertolotti's syndrome. The correct diagnosis was made based on imaging studies which included computed tomographic scans, plain x-rays, and magnetic resonance imaging scans. The patient experienced temporary relief when the abnormal pseudoarticulation was injected with a cocktail consisting of lidocaine and steroids. In order to minimize the trauma associated with surgical treatment, a minimally invasive approach was chosen to resect the anomalous transverse process with the accompanying pseudoarticulation. Results: The patient did well postoperatively and had 97% resolution of his pain at 6 months after surgery. Conclusion: As with conventional surgical approaches, a complete knowledge of anatomy is required for minimally invasive spine surgery. This case is an example of the expanding utility of minimally invasive approaches in treating spinal disorders.


2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Dilip K. Sengupta ◽  
Harry N. Herkowitz

Posterior dynamic stabilization (PDS) indicates motion preservation devices that are aimed for surgical treatment of activity related mechanical low back pain. A large number of such devices have been introduced during the last 2 decades, without biomechanical design rationale, or clinical evidence of efficacy to address back pain. Implant failure is the commonest complication, which has resulted in withdrawal of some of the PDS devices from the market. In this paper the authors presented the current understanding of clinical instability of lumbar motions segment, proposed a classification, and described the clinical experience of the pedicle screw-based posterior dynamic stabilization devices.


Author(s):  
Olena Lazarieva ◽  
◽  
Miroslawa Cieslicka ◽  
Blazej Stankiewicz ◽  
Radoslaw Muszkieta ◽  
...  

Author(s):  
Shenglei Shu ◽  
Lan Cheng ◽  
Jing Wang ◽  
Chuansheng Zheng

Abstract We report a case of a 58-year-old female with Stanford type A aortic dissection sparring the donor aorta 2 years after heart transplantation. Lumbar spine magnetic resonance examination for low back pain discovered the aortic dissection which was confirmed by following computed tomography angiography. The patient received surgical treatment including total arc replacement and thoracic aortic endovascular repair and recovered well.


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