Relation between the low back pain syndrome and X-ray findings. 3. Spina bifida occulta

Pain ◽  
1980 ◽  
Vol 9 (3) ◽  
pp. 388
Author(s):  
A. Magora ◽  
A. Schwartz
2019 ◽  
Vol 66 (1.2) ◽  
pp. 199-200 ◽  
Author(s):  
Tsuyoshi Goto ◽  
Toshinori Sakai ◽  
Nori Sato ◽  
Shinsuke Katoh ◽  
Koichi Sairyo

Cureus ◽  
2016 ◽  
Author(s):  
Maryam Kundi ◽  
Maham Habib ◽  
Sumbal Babar ◽  
Asif K Kundi ◽  
Salman Assad ◽  
...  

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Wenhao Li ◽  
Zhencheng Xiong ◽  
Chunke Dong ◽  
Jipeng Song ◽  
Liubo Zhang ◽  
...  

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.


2016 ◽  
Vol 06 (01) ◽  
pp. 079-081
Author(s):  
Amit Agrawal ◽  
Vissa Santhi ◽  
Ranjan Jena ◽  
Umamaheswara Reddy V ◽  
Yashwant Sandeep

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.


2012 ◽  
Vol 02 (04) ◽  
pp. 60-62
Author(s):  
K. Vishal ◽  
Vinay K. V. ◽  
Remya K. ◽  
Arunachalam Kumar ◽  
Shishir K.

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.


2020 ◽  
Author(s):  
Wenhao Li ◽  
Zhencheng Xiong ◽  
Chunke Dong ◽  
Jipeng Song ◽  
Liubo Zhang ◽  
...  

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.


2021 ◽  
Author(s):  
Ouidade A. Tabesh ◽  
Roba Ghossan ◽  
Soha H Zebouni ◽  
Rafic Faddoul ◽  
Michel Revel ◽  
...  

Abstract Aim. To evaluate ultrasonography findings of Thoracolumbar Fascia (TLF) enthesis in patients with low back pain (LBP) due to iliac crest pain syndrome (ICPS). Method. The ultrasonographic and clinical findings of 60 patients with LBP due to ICPS were compared to those of 30 healthy volunteers with no LBP. Thickness of the TLF was measured with ultrasound (US) at its insertion on the iliac crest. Results. Forty-eight women and 12 men with a mean age of 42.1±11.3 years were diagnosed with ICPS. In patients, the mean thickness of the TLF was 2.51±0.70mm in affected sides compared to 1.81±0.44mm in the contralateral unaffected sides. The mean thickness difference of 0.82mm between the affected and non-affected sides was statistically significant (95%CI, 0.64-0.99, P<0.0001). In volunteers, the mean thickness of the TLF was 1.6±0.2mm. The mean thickness difference of 0.89mm between the affected sides of patients and volunteers was statistically significant (95%CI, 0.73-1.06, P<0.0001). Forty-two patients who didn’t improve with conservative therapy, received injections of methylprednisolone acetate and 1% lidocaine around the TLF enthesis. All patients reported complete relief of their LBP within 20 minutes of the injections thanks to the lidocaine anesthetic effect. Fifty-six (93.3%) patients were reached by phone for a long-term follow-up. Among them, 33 (58.9%) patients experienced a sustained complete pain relief after a mean follow-up of 45±19.3 months (range, 3-74 months). Conclusion. our findings suggest that TLF enthesopathy is a potential cause of nonspecific LBP that can be diagnosed using US.


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