scholarly journals Spinal dorsal rami injection and radiofrequency neurolysis for low back pain caused by osteoporosis-induced thoracolumbar vertebral compression fractures

2021 ◽  
Vol 4 (1) ◽  
pp. jrmcc00054
Author(s):  
L Zhou ◽  
J Zhou
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Vertebral Compression Fractures ◽  
Low Back ◽  
Compression Fractures ◽  
Spinal Dorsal ◽  
Dorsal Rami

scholarly journals Clonazepam for pain due to muscle spasm in a patient with vertebral compression fractures caused by multiple myeloma: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Kazuki Akita ◽  
Yasutomo Kumakura ◽  
Emi Nakajima ◽  
Hiroki Ishiguro ◽  
Tetsuya Iijima
Keyword(s):  
Multiple Myeloma ◽  
Low Back Pain ◽  
Back Pain ◽  
Muscle Relaxant ◽  
Facet Joint ◽  
Lumbar Vertebrae ◽  
Muscle Spasm ◽  
Vertebral Compression Fractures ◽  
Low Back ◽  
Compression Fractures

Abstract Background Vertebral compression fractures can cause severe back pain. Although many types of analgesics and interventional treatments are available, they are sometimes ineffective in mitigating the pain. We encountered a case where clonazepam was effective for the management of severe low back pain caused by lumbar vertebral compression fractures. Case presentation A 44-year-old male was diagnosed with multiple myeloma and had vertebral compression fractures of the first and second lumbar vertebrae. He had been suffering from severe low back pain on movement with muscle spasm and pain-associated anxiety. We considered this breakthrough low back pain to be caused by facet joint pain; thus, we prescribed clonazepam as a muscle relaxant and anxiolytic. Following this treatment, the intractable breakthrough pain was dramatically relieved. Conclusion Clonazepam, which has both muscle relaxant and anxiolytic effects, might be helpful in mitigating pain, associated anxiety, and muscle spasms due to vertebral compression fractures.

scholarly journals CEMENT LEAKAGE FOLLOWING PERCUTANEOUS VERTEBRAL AUGMENTATION: CASE REPORT

2021 ◽  
Vol 506 (1-2) ◽  
Author(s):  
Tran Huy Hung ◽  
Nguyen Minh Tien
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Percutaneous Vertebroplasty ◽  
Clinical Signs ◽  
Cement Leakage ◽  
Vertebral Compression Fractures ◽  
Low Back ◽  
Urine Retention ◽  
Compression Fractures ◽  
Second Surgery

Background: Percutaneous vertebroplasty (PV) has become an important minimally invasive surgical technique for vertebral compression fractures. However, indications for PV in these cases due to trauma had many rivals and unclearly. These complications, especially cement leakage still common, has many severe consequent. Object and method research: A 60-years-old man, who underwent vertebroplasty in low medical level. He had complete paralised of two leg, urine retention, and severe low back pain. We examined clinical signs, imaging, find and compared with literatures. Case presentation and discussion: We present a case, 60-years-old man, had labor accident, after that he could returned to state of normality. At the second day, he went to local hospital, had diagnosis: compression fractures of L1-L2. He underwent percutaneous vertebroplasty of L1-2 under local anesthesia. Post-operative, he had complete paralised of two leg, urine retention, and severe low back pain. He had exmined again, MRI and took second surgery to removed part of cement leakage. After the second surgery, radiological showed they had complete removed cement leakage, but the patient’s recovery was uneventful and stable. The patient was hospitalized at our instituation after 03 day with complaints of severe low back pain, urine retention and complete paralised of two leg. Conclusion: This is basic technique, widely and rewarding; also has many severe incident, complications. Consequently, we suggest that this technique have to perform in right indications, in the modern medical centre and fully trained surgeon.

scholarly journals Treatment of low back pain in patients with vertebral compression fractures and superior cluneal nerve entrapment neuropathies

2015 ◽  
Vol 6 (25) ◽  
pp. 619 ◽  
Author(s):  
Kyongsong Kim ◽  
Toyohiko Isu ◽  
Yasuhiro Chiba ◽  
Naotaka Iwamoto ◽  
Kazuyoshi Yamazaki ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Nerve Entrapment ◽  
Vertebral Compression Fractures ◽  
Low Back ◽  
Compression Fractures ◽  
Entrapment Neuropathies

scholarly journals The Anatomy of the Lateral Branches of the Sacral Dorsal Rami: Implications for Radiofrequency Ablation

2014 ◽  
Vol 5;17 (5;9) ◽  
pp. 459-464
Author(s):  
Joseph Fortin
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Radiofrequency Ablation ◽  
Sacroiliac Joint ◽  
Low Back ◽  
Sacral Foramina ◽  
Dorsal Rami ◽  
Lateral Branches ◽  
The Right ◽  
Segmental Innervation

Background: The sacroiliac joint (SIJ) is a major source of pain in patients with chronic low back pain. Radiofrequency ablation (RFA) of the lateral branches of the dorsal sacral rami that supply the joint is a treatment option gaining considerable attention. However, the position of the lateral branches (commonly targeted with RFA) is variable and the segmental innervation to the SIJ is not well understood. Objectives: Our objective was to clarify the lateral branches’ innervation of the SIJ and their specific locations in relation to the dorsal sacral foramina, which are the standard RFA landmark. Methods: Dissections and photography of the L5 to S4 sacral dorsal rami were performed on 12 hemipelves from 9 donated cadaveric specimens. Results: There was a broad range of exit points from the dorsal sacral foramina: ranging from 12:00 – 6:00 position on the right side and 6:00 – 12:00 on the left positions. Nine of 12 of the hemipelves showed anastomosing branches from L5 dorsal rami to the S1 lateral plexus. Limitations: The limitations of this study include the use of a posterior approach to the pelvic dissection only, thus discounting any possible nerve contribution to the anterior aspect of the SIJ, as well as the possible destruction of some L5 or sacral dorsal rami branches with the removal of the ligaments and muscles of the low back. Conclusion: Widespread variability of lateral branch exit points from the dorsal sacral foramen and possible contributions from L5 dorsal rami and superior gluteal nerve were disclosed by the current study. Hence, SIJ RFA treatment approaches need to incorporate techniques which address the diverse SIJ innervation. Key words: Sacroiliac joint pain, radiofrequency ablation, dorsal sacral rami, low back pain

scholarly journals EFEKTIVITAS NEURAL MOBILIZATION TERHADAP PENINGKATAN AKTIVITAS DAN KEMAMPUAN FUNGSIONAL PADA ISCHIALGIA

2019 ◽  
Vol 1 (1) ◽  
pp. 6-16
Author(s):  
Siti Khadijah ◽  
Ilham Setya Budi
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Low Back ◽  
Compression Fractures ◽  
Pain Disability ◽  
Disability Questionnaire

Tujuan: Mengidentifikasi efektivitas neural mobilization terhadap peningkatan kemampuan fungsional pada pasien ischialgia et causa compression fractures.Metode: Metode penelitian meliputi studi kasus “case report” yang dilakukan pada 2 orang pria dengan kondisi ischialgia et causa compression fractures. Alat ukur yang digunakan seperti VAS untuk derajat nyeri, pita ukur untuk ROM trunk, SLR test untuk pemeriksaan sensitivitas jaringan neurologis terhadap tekanan mekanis, MMT untuk kekuatan otot, dan modified oswestry low back pain disability questionnaire untuk kemampuan fungsional. Intervensi fisioterapi dengan neural mobilization. Evaluasi diukur setelah 2 kali perlakuan dengan menggunakan alat ukur yang sama. Outcome yang digunakan adalah modified oswestry low back pain disability questionnaire untuk mengukur kemampuan fungsional pasien.Hasil: Setelah dilakukannya terapi sebanyak 2 kali didapatkan hasil penilaian pada pasien 1 dan 2 ialah adanya perubahan pada derajat nyeri, ROM trunk, namun belum adanya perubahan pada kekuatan otot.Kesimpulan: Adanya perubahan terhadap derajat nyeri dan ROM trunk, namun belum adanya perubahan pada kekuatan otot yang menunjang peningkatan aktivitas dan kemampuan fungsional pasien. Merujuk pada hasil penelitian, perlu dilakukannya penelitian dengan waktu yang cukup lama untuk menyelesaikan permasalahan pada ischialgia et causa compression fractures.

scholarly journals Effects of Electro-Acupuncture and Acupotomy Dissolution on mRNA Expression of Center Pro-Opiomelanocortin Detected by In Situ Hybridization in Rats with Non-Specific Low Back Pain

2016 ◽  
Vol 5 (4) ◽  
pp. 194-99
Author(s):  
Shapour Badiee Aval ◽  
Ali Khorsand ◽  
Seyed Javad Mojtabavi ◽  
Shima Rezaei Deloei ◽  
Guo Chang Qin
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Mrna Expression ◽  
Dorsal Horn ◽  
Spinal Dorsal Horn ◽  
Low Back ◽  
Model Group ◽  
Peripheral Tissues ◽  
Spinal Dorsal ◽  
Pomc Mrna

Background: Pro-opiomelanocortin (POMC) mainly exists in the pituitary gland, hypothalamus, and peripheral tissues and can relieve pain through its degradation product β-endorphin. Its mRNA expression quantity represents the level of gene expression of endorphin system. We aimed to determine the effects of electro-acupuncture and acupotomy dissolution on the mRNA expression of center POMC in rats with non-specific low back pain.Materials and Methods: This study was performed on 42 Sprague-Dawley rats in four groups of normal, model, electro-acupuncture, and acupotomy. The normal group did not receive any intervention, while non-specific low back pain was established in other groups. Then, the model group did not receive any treatment, electro-acupuncture and acupotomy groups were treated with electro-acupuncture therapy and acupotomy, respectively. Microscopic images of the slices, prepared from spinal dorsal horn and hypothalamus, were analyzed to evaluate the mRNA expression of center POMC. Results: Under light microscopy examination, the positive POMC mRNA cells of electro-acupuncture and acupotomy groups increased more than the model group, while its expression in the hypothalamus and spinal dorsal horn was less than the model group, but the difference was not significant (P<0.01). Conclusion: Electro-acupuncture and acupotomy could reduce POMC mRNA expression in spinal cord and increase it in the hypothalamus of rats with non-specific low back pain.[GMJ.2016;5(4):194-99]

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