Transitional Vertebra and Spina Bifida Occulta Related with Chronic Low Back Pain in a Young Patient

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.

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Chiropractic Care of Acute Low Back Pain and Incidental Spina Bifida Occulta: A Case Report

Journal of Chiropractic Medicine ◽

10.1016/j.jcm.2014.08.003 ◽

2014 ◽

Vol 13 (4) ◽

pp. 273-277

Author(s):

Gregory P. Cofano ◽

Benjamin C. Anderson ◽

Eric R. Stumpff

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Case Report ◽

Spina Bifida ◽

Chiropractic Care ◽

Spina Bifida Occulta ◽

Low Back ◽

Acute Low Back Pain

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Spina Bifida Occulta in an Adult Presenting as Perilesional Hemorrhage

Indian Journal of Neurosurgery ◽

10.1055/s-0036-1588040 ◽

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.

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HIGH SACRAL HIATUS WITH NON FUSION OF LAMINA OF FIRST SACRAL VERTEBRAE: A CASE REPORT

Journal of Health and Allied Sciences NU ◽

10.1055/s-0040-1703615 ◽

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.

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Distribution and imaging characteristics of spina bifida occulta in young people with low back pain

10.21203/rs.3.rs-88642/v1 ◽

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.

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