Primary intradural/extradural Ewing’s sarcoma of the sacral spine: A case report and literature review

Background: Ewing’s sarcoma (ES) is a malignant mesenchymal tumor, most often found in the long bones, and usually affecting children and adolescents in the second decade of life. ES of the spine is a clinical rarity. Case Description: A 45-year-old male presented with a 3-month history of lower back pain which acutely worsened in conjunction with urinary retention. The magnetic resonance imaging revealed a mass extending from L5 to S2 with additional extension through the left S2-3 neural foramen. The metastatic workup was negative. At surgery, the lesion was both intradural and extradural. Following complete surgical resection, the patient was later treated with radiation and chemotherapy. Conclusion: Here, we report an adult male who acutely presented with low back pain attributable to primary intradural/extradural sacral ES.

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An Exploration of Pre-Professional Dancers’ Beliefs of the Low Back and Dance-Specific Low Back Movements

Medical Problems of Performing Artists ◽

10.21091/mppa.2019.3025 ◽

2019 ◽

Vol 34 (3) ◽

pp. 141-146

Author(s):

Danica Hendry ◽

Leon Straker ◽

Amity Campbell ◽

Luke Hopper ◽

Rhianna Tunks ◽

...

Keyword(s):

Back Pain ◽

Perceived Risk ◽

Mixed Model ◽

Linear Mixed Model ◽

Low Back ◽

Dance Movement ◽

Lower Back ◽

Negative Beliefs ◽

History Of ◽

Professional Dancers

OBJECTIVE: Low back pain (LBP) is common in dancers. A biopsychosocial model should be considered in the aetiology of LBP, including a dancer’s general beliefs of the low back and movements of the spine. This study aimed to determine pre-professional dancers’ beliefs about their lower back in general and dance-specific movements of the spine and to explore whether these beliefs were influenced by a history of disabling LBP. METHODS: 52 pre-professional female dancers (mean age 18.3 [1.4] yrs) were recruited and reported whether they had a history of disabling LBP and completed the Back Pain Attitudes Questionnaire (Back-PAQ) and a dance movement beliefs questionnaire. A linear mixed model was applied to determine the effect of a history of disabling LBP on dancers’ beliefs (p<0.05). RESULTS: 20 dancers reported a history of disabling LBP. Regardless of this LBP history, dancers held generally negative beliefs as measured by the Back-PAQ (p=0.130). A history of disabling LBP did not influence dancers’ perceived movement safety of all tasks (p=0.867), and dancers held negative beliefs towards extension activities. These beliefs were linked to the conceptions of perceived risk of damage and the need to protect the lower back. CONCLUSIONS: Dancers hold negative general beliefs around the low back and low back movements, regardless of a history of disabling LBP. Dancers perceive extension activities as more dangerous than flexion activities. These beliefs may reflect a combination of pain experience and beliefs specific to dance.

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The relationship between findings on magnetic resonance imaging and previous history of low back pain

Journal of Pain Research ◽

10.2147/jpr.s122380 ◽

2016 ◽

Vol Volume 10 ◽

pp. 47-52 ◽

Cited By ~ 7

Author(s):

Juichi Tonosu ◽

Hiroyuki Oka ◽

Ko Matsudaira ◽

Akiro Higashikawa ◽

Hiroshi Okazaki ◽

...

Keyword(s):

Magnetic Resonance Imaging ◽

Low Back Pain ◽

Back Pain ◽

Magnetic Resonance ◽

Previous History ◽

Low Back ◽

Resonance Imaging ◽

History Of ◽

The Relationship

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Overuse or underuse of MRI scanners in private radiology centers in Tehran

International Journal of Technology Assessment in Health Care ◽

10.1017/s0266462308080379 ◽

2008 ◽

Vol 24 (03) ◽

pp. 277-281 ◽

Cited By ~ 2

Author(s):

Soheil Saadat ◽

Seyed Mohammad Ghodsi ◽

Kavous Firouznia ◽

Mahyar Etminan ◽

Khadijeh Goudarzi ◽

...

Keyword(s):

Back Pain ◽

Low Back ◽

Resonance Imaging ◽

Specific Point ◽

Mri Findings ◽

Lower Back ◽

Frequency Of Use ◽

Negative Findings ◽

Mri Scans ◽

Magnetic Resonance Imaging Mri

Objectives:The semiprivate health system in Iran has created an opportunity for unnecessary uses of advanced medical equipments including magnetic resonance imaging (MRI). This study aimed to evaluate the evidence for MRI overuse in private diagnostic imaging centers in Tehran, Iran. The objectives of this study were to determine the frequency of use of MRI scans for different complaints and to explore frequency of normal MRI findings as a function of unnecessary MRI use.Methods:We conducted a survey among private MRI centers in Tehran, Iran, to study the proportion of MRI scans that may result in significant clinical finding. All MRI reports at a specific point in time at selected MRI centers were reviewed by a physician and the findings were recorded as normal, abnormal, or substantial changes.Results:Of all the MRI reports, 17.2 percent had resulted in normal findings; 9.8 percent ordered for examination of headache, and 4.8 percent for lower back pain.Conclusion:Unnecessary MRIs are most likely to result in normal finding; although not all the MRI with normal results could be identified as unnecessary. Negative findings from MRI scans may be reassuring to both clinicians and patients. The proportion of normal findings in MRI scans did not provide evidence of MRI overuse in Iran. The results of this study warrant formation of guidelines for the use of MRIs for headache and low back pain disorders.

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Prevalence of Self-Reported Work-Related Lower Back Pain and Its Associated Factors in Ethiopia: A Systematic Review and Meta-Analysis

Journal of Environmental and Public Health ◽

10.1155/2021/6633271 ◽

2021 ◽

Vol 2021 ◽

pp. 1-19

Author(s):

Mihretu Jegnie ◽

Mekbeb Afework

Keyword(s):

Systematic Review ◽

Low Back Pain ◽

Back Pain ◽

Lower Back Pain ◽

Associated Factors ◽

Musculoskeletal Disorder ◽

Meta Analysis ◽

Low Back ◽

Lower Back ◽

History Of

Introduction. Low back pain is the commonest musculoskeletal disorder affecting every socioeconomic group of the world’s population. The lifetime risk of developing low back pain is about 60%–80%. The pooled prevalence and associated factors of low back pain have not yet been determined in Ethiopia. Thus, this study was aimed at assessing the overall prevalence of low back pain and its associated factors in Ethiopia. Methods. A systematic search of PubMed, Scopus, Science Direct, and Google Scholar for observational studies reporting data on the prevalence and associated factors of low back pain was conducted. Relevant data were extracted with a standardized data extraction excel form. Stata 14 was employed for the meta-analysis. Heterogeneity was assessed by Cochran’s Q test and I2 values of a forest plot. Publication bias was checked using a funnel plot and Egger’s test. A random-effects model was used in the analysis. Result. A total of thirty-two studies were included for the systematic review. Twenty-four and sixteen studies were used to pool the overall low back pain prevalence and associated factors, respectively. The overall pooled annual prevalence of low back pain in Ethiopia was estimated to be 54.05% (95% CI: 48.14–59.96). Age, sex, body mass index, work experience, working hours, lack of safety training, awkward working posture, work shift, prolonged standing, lifting heavy objects, sleeping disturbance, history of back trauma, previous medical history of musculoskeletal disorder, and lack of adequate rest interval at work were significantly associated with low back pain. Conclusion. The current systematic review and meta-analysis revealed a higher prevalence of lower back pain in Ethiopia. Most of the low back pain epidemiological studies conducted in Ethiopia focused on specific occupational settings, making pooling of data and comparison with other countries challenging. Thus, further general population studies are recommended.

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Prevalence and Risk Factors of Low Back Pain among Medical Professionals Working In Selected Tertiary Hospitals in Dhaka City

Bangladesh Journal of Neurosurgery ◽

10.3329/bjns.v9i2.44889 ◽

2020 ◽

Vol 9 (2) ◽

pp. 135-141

Author(s):

Md Joynul Islam ◽

Fariha Haseen ◽

Sanat Kumar Saha ◽

Moshiur Rahman Khasru ◽

Mahboob Morshed ◽

...

Keyword(s):

Health Care ◽

Low Back Pain ◽

Back Pain ◽

Lower Back Pain ◽

Moderate Intensity ◽

Medical Professionals ◽

Low Back ◽

Dhaka City ◽

Lower Back ◽

History Of

Background: Health care workers are most frequently suffering from lower back pain. Objective: The purpose of the present study was to determine the prevalence and the effects of low back pain among health care providers working in Dhaka city. Methodology: This descriptivecross sectional study was conducted in Department of Neurosurgery at National Institute of Neurosciences & Hospital, Dhaka, Bangladesh from July 2012 to June 2013 for a period of one (1) year. The physicians and nurses who were working in the public hospital at any age group of both male and female were selected as study population. The details of the history of the physicians and nurses regarding their life style, hour of practising, and the mode of work and so on were asked in face to faced interview. A survey was carried out to174 conveniently selected participants to be filled and completed. Both descriptive and inferential tests were reported. Result:A total number of 117 medical professional were recruited from 5 hospital in Dhaka city. Majority medical professionals were from BSMMU (48.0%).The majority study subjects were mentioned that they had spent 6 to 12 hours every day for work which was 92(53.8%). Most of the respondents mentioned that the working environment was very good to fair. The prevalence of low back pain was found in almost every respondents which was 113(66.1) subjects. Interestingly most of the respondents were clearly stated that the LBP was occurred after joining in the work. In this study majority of the respondents were given the history of localized low back pain which was 86(76.1%) subjects. Moderate intensity of pain was reported by most of the respondents which was 67(59.3%) subjects. Intermittent nature of pain was mostly recorded which was 70(61.9%) subjects.There were several individual and profession risks factors were retrieved from the respondents. Many study subjects were given the answer about lifting objects or patients from bed to bed or wheel chair which was 55(48.7%) subjects. About 91(80.5%) respondents had said that pain was due to bad body posture. Conclusion: In conclusion most of the medical professionals are suffering from moderate intensity lower back pain after joining of their job Bang. J Neurosurgery 2020; 9(2): 135-141

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Critical analysis and unique management of Gridhrasi w.s.r. to Sciatica - A Case Report

Journal of Ayurveda and Integrated Medical Sciences (JAIMS) ◽

10.21760/jaims.v3i4.13310 ◽

2018 ◽

Vol 3 (4) ◽

Author(s):

Dr. Rangarajan B. ◽

Dr. Muralidhara .

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Case Report ◽

Total Population ◽

The Body ◽

Walking Distance ◽

Common Symptom ◽

Low Back ◽

Short Term ◽

Lower Back

Gridhrasi (Sciatica) is a disorder in which low back pain is found, that spreads through the hip, to the back of the thigh and down the inside of the leg. Mechanical low back pain (LBP) remains the second most common symptom related reason for seeing a physician. 85% of total population will experience an episode of mechanical LBP at some point during their lifetime. Fortunately, the LBP resolves for the vast majority within 2-4 weeks. There are many causes for low back pain, however true sciatica is a symptom of inflammation or compression of the sciatica nerve. The sciatica nerve carries impulses between nerve roots in the lower back and the muscles and nerve of the buttocks, thighs and lower legs. Compression of a nerve root often occurs as a result of damage to one of the discs between the vertebrae. In some cases, sciatic pain radiate from other nerves in the body. This is called referred pain. Pain associated with sciatica often is severe, sharp and shooting. It may be accompanied by other symptom, such as numbness, tingling, weakness and sensitivity to touch. There is only conservative treatment giving short term relief in pain or surgical intervention with side effect. But these are not successful and therefore those who are suffering from this are always in search of result oriented remedy. Walking distance and SLR test were taken for assessment parameter, VAS score was adopted for pain. Before treatment patient was not able to walk even 4 to 5 steps due to severe pain, was brought on stretcher and his SLR was 30° of right side. After 22 days of treatment he was able to walk up to 500 meters without any difficulty, SLR was changed to 60° and patient had got 80 % relief in pain. This case report showed that Ayurvedic protocol is potent and safe in the treatment of Gridhrasi.

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Extraosseous Ewing’s Sarcoma: Pictorial Review of Imaging Findings, Differential Diagnosis, and Pathologic Correlation

Indian Journal of Radiology and Imaging ◽

10.1055/s-0041-1729770 ◽

2021 ◽

Author(s):

Alan Alexander ◽

Kyle Hunter ◽

Michael Rubin ◽

Ambarish P. Bhat

Keyword(s):

Differential Diagnosis ◽

Ewing’S Sarcoma ◽

Ewing's Sarcoma ◽

Multimodality Imaging ◽

Imaging Features ◽

Older Children ◽

Radiologic Findings ◽

Pictorial Review ◽

Malignant Mesenchymal Tumor ◽

Extraosseous Ewing’S Sarcoma

AbstractExtraosseous Ewing’s sarcoma (EES), first described in 1969, is a malignant mesenchymal tumor just like its intraosseous counterpart. Although Ewing’s sarcomas are common bone tumors in young children, EESs are rarer and more commonly found in older children/adults, often carrying a poorer prognosis. We discuss the multimodality imaging features of EES and the differential diagnosis of an aggressive appearing mass in proximity to skeletal structures, with pathologic correlates. This review highlights the need to recognize the variability of radiologic findings in EES such as the presence of hemorrhage, rich vascularity, and cystic or necrotic regions and its imaging similarity to other neoplasms that are closely related pathologically.

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Development of a Logic Model for a Programme to Reduce the Magnetic Resonance Imaging Rate for Non-Specific Lower Back Pain in a Tertiary Care Centre

Healthcare ◽

10.3390/healthcare9020238 ◽

2021 ◽

Vol 9 (2) ◽

pp. 238

Author(s):

Ahmed Alhowimel ◽

Faris Alodaibi ◽

Mazyad Alotaibi ◽

Dalyah Alamam ◽

Hana Alsobayel ◽

...

Keyword(s):

Magnetic Resonance Imaging ◽

Back Pain ◽

Magnetic Resonance ◽

Lower Back Pain ◽

Tertiary Care ◽

Logic Model ◽

Resonance Imaging ◽

Tertiary Care Centre ◽

Additional Time ◽

Lower Back

Tertiary care centres continue to experience over-utilisation of diagnostic imaging services for lower back pain cases that may not be required. Moreover, these services may require additional time and consequently delay access to services that offer conservative management, i.e., physiotherapy, and hence, increase the direct and indirect costs with no added quality of care. A logic model was developed based on qualitative and quantitative studies that explains the plan and process evaluation strategies to reduce imaging for lower back pain in tertiary hospitals. Logic models are useful tools for defining programme components. The delivery of the components is ensured by well-defined process evaluations that identify any needed modifications. The proposed logic model provides a road map for spine clinics in tertiary care hospitals to decrease the number of patient referrals for magnetic resonance imaging and waiting times for consultations and services and promote early access to physiotherapy services.

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Sinonasal FUS-ERG-Rearranged Ewing’s Sarcoma Mimicking Glomangiopericytoma

Case Reports in Oncology ◽

10.1159/000511415 ◽

2020 ◽

Vol 13 (3) ◽

pp. 1393-1396

Author(s):

Maggie Zhou ◽

Yen Chen Kevin Ko ◽

Gregory W. Charville ◽

Kristen N. Ganjoo

Keyword(s):

Ewing’S Sarcoma ◽

Ewing's Sarcoma ◽

Staining Pattern ◽

Gene Arrangement ◽

Round Cell ◽

The Family ◽

History Of ◽

Blue Cell ◽

Aggressive Tumor ◽

Membranous Staining

Ewing’s sarcoma is a rare and aggressive tumor that typically arises in the long bones of the extremities. It belongs in the family of small round blue cell tumors and is characterized immunohistochemically by diffuse CD99 expression and molecularly by one of several oncogenic translocations, most commonly t(11;22)(q24;q12) between the EWSR1 gene and the FLI1 gene. Here we present a rare case of Ewing’s sarcoma in the sinonasal tract with FUS-ERG gene arrangement that was regarded for almost a decade as a sinonasal-type hemangiopericytoma (glomangiopericytoma). This case illustrates the surprisingly prolonged natural history of Ewing’s sarcoma that did not receive therapy for many years and the importance of considering alternative genetic translocations. Our experience suggests that the presence of diffuse CD99 membranous staining pattern in a small blue round cell tumor with morphology typical for Ewing’s sarcoma but FISH negative for EWSR1 rearrangement should prompt consideration of FUS-ERG fusion.

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