Familial development of lumbar spondylolysis: a familial case report of 7- and 4-year-old brothers and their father

The incidence of lumbar spondylolysis is affected by sex, race, and congenital abnormalities. These differences suggest a genetic component to the etiology of spondylolysis. However, no definitive evidence has been presented regarding the inheritance of lumbar spondylolysis. We report familial cases of lumbar spondylolysis in 7- and 4-year-old brothers and their father, each of whom visited our clinic complaining of low back pain. Spondylolysis in the fifth lumbar vertebra (L5) was identified in both boys and their father from clinical, radiographic, computed tomographic, and magnetic resonance imaging examinations. Conservative treatment was provided for both boys. No bony union of any spondylolytic lesions was obtained, but they returned to sports activity without low back pain. Frequent development of spondylolysis, even at younger ages, in all male family members might indicate an underlying genetic etiology in lumbar spondylolysis, primarily in the form of autosomal dominant inheritance. However, information on patients and their parents should be considered carefully, as bony union with conservative therapy is not expected in such patients.

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RELATIONSHIP BETWEEN SACRALIZATION AND LOW BACK PAIN IN RURAL POPULATION

Journal of medical pharmaceutical and allied sciences ◽

10.22270/jmpas.v10i4.1302 ◽

2021 ◽

Vol 10 (4) ◽

pp. 3280-3283

Author(s):

Madhura Darware

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Lumbar Vertebra ◽

Transverse Process ◽

Lumbosacral Spine ◽

Common Symptom ◽

Low Back ◽

Back Ache ◽

Fifth Lumbar Vertebra ◽

The Relationship

Sacralization is an embryo congenital defect in which the fifth lumbar vertebra is fused to the sacrum in various degrees. The prevalence of sacralization is 7.5 percent. Sacralization can be unilateral or bilateral. This disorder arises due to irregularities in the lumbosacral spine segmentation during development. Transverse process of the L5 on one side or both sides is wider than usual and fuses into the sacrum or ilium or both in the sacralization of the fifth lumbar vertebra. Low back pain is the most common symptom in most of the population throughout their lifetime. As low back pain is a leading cause of disability, interfering with quality of life and job outcomes our goal is to assess the association between sacralisation and low back pain. Purpose: To study the relationship between sacralization and low back pain. Because the role of sacralization throughout causing LBP is still controversial. This is the observational study which includes 55 participants who have low back ache. The participants are between the ages 60 to 70 years. The intensity of pain was assessed through NPRS. To assess the relationship between Sacralization and low back pain, all the participants were sent for Xray and the presence of Sacralization was assessed by X-ray. We found that there was a significant relationship between sacralization and low back pain. The patients with sacralization show the high intensity of low back pain. We concluded that Sacralization affects the lumbosacral spine in different ways and result in pain in lower back. And there is significant association of sacralization with low back ache.

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Multilevel Direct Repair Surgery for Three-Level Lumbar Spondylolysis

Case Reports in Orthopedics ◽

10.1155/2013/472968 ◽

2013 ◽

Vol 2013 ◽

pp. 1-6 ◽

Cited By ~ 4

Author(s):

Tetsu Arai ◽

Koichi Sairyo ◽

Isao Shibuya ◽

Ko Kato ◽

Akira Dezawa

Keyword(s):

Computed Tomography ◽

Low Back Pain ◽

Back Pain ◽

Pedicle Screw ◽

Bony Union ◽

Low Back ◽

Screw Head ◽

Direct Repair ◽

Lumbar Spondylolysis ◽

Rod System

A 45-year-old man presented to our clinic requesting evaluation for surgical treatment of chronic low back pain of more than 20 years duration. He was diagnosed with 3-level lumbar spondylolysis at L3–5. Direct repair using the pedicle screw and hook-rod system was conducted for all three levels. After the surgery, his low back pain completely disappeared. Six months later, he felt discomfort and heard a metallic sound as he twisted his trunk. Computed tomography and radiography indicated that the hook head for L3 and the screw head for L4 were interfering with each other, causing the sound. We confirmed bony union at L3 and removed the L3 system. Surgeons should be aware of such complications if direct repair using a pedicle screw and hook-rod system is conducted for multilevel spondylolysis.

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

Skeletal Radiology ◽

10.1007/s00256-020-03658-8 ◽

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.

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Adipose Tissue in the Filum Terminale: A Computed Tomographic Finding That May Indicate Tethering of the Spinal Cord

Neurosurgery ◽

10.1227/00006123-198805000-00010 ◽

1988 ◽

Vol 22 (5) ◽

pp. 873-876 ◽

Cited By ~ 63

Author(s):

Roger E. McLendon ◽

Jerry W. Oakes ◽

Ralph E. Heinz ◽

Andrew E. Yeates ◽

Peter C. Burger

Keyword(s):

Spinal Cord ◽

Adipose Tissue ◽

Low Back Pain ◽

Back Pain ◽

Ct Scan ◽

Tethered Cord ◽

Ct Scanning ◽

Low Back ◽

Filum Terminale ◽

Computed Tomographic

Abstract Adipose tissue in the filum terminale is frequently associated with tethering of the spinal cord in patients with spina bifida occulta (3, 8). We recently saw a patient with low back pain and no spina bifida occulta, in whom adipose tissue was noted in the area of the filum on an unenhanced computed tomographic (CT) scan. The patient had a tethered cord. This case suggested that, when CT scanning is done as the first imaging study in the evaluation of low back pain, fatty tissue in the area of the filum may be an indicator for tethering of the spinal cord. The present study was undertaken to determine the validity of using CT scan-detectable filal fat in the identification of possible tethered spinal cords among a group of patients experiencing low back pain. The presence of fat in the fila of 12 patients with the radiologically and histologically tethered cord syndrome was evaluated and the fila of 47 autopsied patients whose clinical history showed no back pain were examined histologically. There were accumulations of adipose tissue in the fila of 11 of the 12 (91%) patients with the tethered cord syndrome and in the fila of 9 of the 47 patients (17%) in the autopsy series. Of the 9 autopsy patients with fat in their fila, however only 3 patients (6%) exhibited collections of adipose tissue in the CT detection range (2 mm). These results demonstrate that, although CT scan-detectable adipose tissue can be found in the filum of an occasional patient without tethered cord, CT detectable fat in the filum of a patient with low back pain should prompt an evaluation for a tethered spinal cord. CT scanning has potential as a noninvasive tool in such a work-up.

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Minimally Invasive Surgical Treatment of Bertolotti's Syndrome: Case Report

Operative Neurosurgery ◽

10.1227/01.neu.0000326034.77585.88 ◽

2008 ◽

Vol 62 (suppl_5) ◽

pp. ONS454-ONS455 ◽

Cited By ~ 3

Author(s):

Kene T. Ugokwe ◽

Tsu-Lee Chen ◽

Eric Klineberg ◽

Michael P. Steinmetz

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Case Report ◽

Surgical Treatment ◽

Minimally Invasive ◽

Lumbar Vertebra ◽

Transverse Process ◽

Low Back ◽

X Rays ◽

Invasive Approach

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.

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Chiropractic management of mechanical low back pain secondary to multiple-level lumbar spondylolysis with spondylolisthesis in a United States Marine Corps veteran: a case report

Journal of Chiropractic Medicine ◽

10.1016/j.jcm.2009.04.003 ◽

2009 ◽

Vol 8 (3) ◽

pp. 125-130 ◽

Cited By ~ 13

Author(s):

Andrew S. Dunn ◽

Shayne Baylis ◽

Danielle Ryan

Keyword(s):

United States ◽

Low Back Pain ◽

Back Pain ◽

Case Report ◽

Marine Corps ◽

United States Marine Corps ◽

Low Back ◽

Multiple Level ◽

Lumbar Spondylolysis

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Hamstring tightness causing low back pain among college going students - a cross-sectional study

Biomedicine ◽

10.51248/.v40i4.335 ◽

2021 ◽

Vol 40 (4) ◽

pp. 531-534

Author(s):

Kamalakannan, M. ◽

Hemamalini P. ◽

Divya T.

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Knee Extension ◽

Cross Sectional Study ◽

Low Back ◽

Knee Angle ◽

Sports Activity ◽

Cross Sectional ◽

College Going ◽

The Right

Introduction and aim: Posterior thigh muscles are also called the Hamstring group of muscles. Its major action is knee flexion and minor action in hip extensor. It is one of the two joint muscles that involve the hip joint and knee joint. When these muscles are shortened or become tight the movement in the hip and knee is affected or reduced. This shortened muscle causes a posterior pelvic tilt that leads to a flat back. Prolonged tightness causes low back pain. Tightness is mainly due to inadequate physical activity results in stiffness, osteoarthritis, and osteoporosis. The aim of this study is to find whether tight hamstring causes low back pain in college-going students. Materials and methods: The method used to measure the hamstring length in this study is the Active Knee Extension Test. The knee angle is measure using universal goniometry. The knee angle should be between 80-90 degrees. If the range is below 80 degrees, then that subject has a tight hamstring. Results: Mean hamstring tightness in males is calculated and found that the left is more affected than the right. The mean hamstring tightness in the female is calculated and found that the right side is more affected than the left side. Both males and females having tightness at the range of 30-40 degrees are more. Conclusion: This study shows that most of the colleges going students have knee range below 80 degrees. And investigation reveals that 2/4th of the total experienced low back pain in their life. This pain experience is present in all age group that comes under this study. Some students who involve in sports activities have tight hamstring. But some do not have because of stretching muscles before and after the sports activity. By this, it is concluded that prevalence is more among college-going, students.

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

International Journal of Sport Exercise and Health Research ◽

10.31254/sportmed.3101 ◽

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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