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 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 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

Uterus-like mass of müllerian origin in the lumbosacral region causing cord tethering

2007 ◽  
Vol 6 (1) ◽  
pp. 73-76 ◽  
Author(s):  
Mehar Chand Sharma ◽  
Chitra Sarkar ◽  
Deepali Jain ◽  
Vaishali Suri ◽  
Ajay Garg ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Spinal Dysraphism ◽  
Tethered Cord ◽  
Conus Medullaris ◽  
Mass Lesion ◽  
Pathological Examination ◽  
Low Back ◽  
Lumbosacral Region ◽  
First Case

✓The presence of müllerian-origin tissue in the lumbosacral region is extremely uncommon. The authors report two cases of müllerian-origin tissue in that region. In the first case a 33-year-old woman harbored a conus medullaris mass lesion. Spinal dysraphism, tethered cord syndrome (TCS), and diastematomyelia were also present. In the second case a 24-year-old woman presented with low-back pain and a conus medullaris lesion, which was a cause of the TCS. Pathological examination in both cases revealed a uterus-like structure with evidence of fresh and old hemorrhage. The rarity of this lesion and its association with diastematomyelia requires documentation.

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 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 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.

scholarly journals ACUTE LOW BACK PAIN

2016 ◽  
Vol 23 (04) ◽  
pp. 484-488
Author(s):  
Muhammad Imran Hameed Daula ◽  
Saima Amin ◽  
Asma Bano
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Spina Bifida ◽  
Young Patients ◽  
Lumbosacral Spine ◽  
Low Back ◽  
X Rays ◽  
Acute Low Back Pain ◽  
Transitional Vertebra ◽  
Lumbosacral Transitional Vertebra

Objectives: X ray of the lumbosacral spine is widely used in our clinical settingearly on in the management of patients presenting with nonspecific acute low back pain. Thispractice is in contradiction to the clinical practice guidelines however patient satisfaction isusually the main motive declared by clinicians following this practice. This study was conductedto detect the radiologic prevalence of the most commonly diagnosed congenital anomaliesin lumbosacral spine X rays done for patients presenting with nonspecific acute low backpain. Study Design & Setting: Prospective descriptive study at Shalamar Hospital Lahore,Pakistan. Duration of Study: Six months from September 2014 to February 2015. Subjectsand Methods: Radiographs of 400 patients presenting with non-specific acute low back painand fulfilling the inclusion / exclusion criteria were examined. Data was analyzed on SPSSversion 13 and percentage and frequency of patients with non-specific acute low back painwith lumbosacral transitional vertebra (LSTV), spina bifida and spondylolysis was calculated.Results: Out of 400 patients 185 were males and 215 were females. Age of the patients rangedfrom 15 to 36 years with mean age of 28 (SD ±4.84). 145 patients (36.25%) were found to havecongenital anomalies of lumbosacral vertebrae in question. The prevalence of LSTV was 19.5%(78 patients), spina bifida was 10% (40 patients) and spondylolysis was 9% (36 patients). 2%(9 patients) had more than one anomaly. Conclusions: This study shows a higher prevalenceof lumbosacral transitional vertebra (LSTV) and spondylolysis in Pakistani patients presentingwith non-specific acute low backache, compared to that quoted in literature. This arguably mayconstitute a convincing argument in favor of obtaining lumbosacral spine X-rays early on in themanagement of young patients presenting with non-specific acute low backache.

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