Adolescents with symptomatic laminolysis: report of two cases

Adolescents with symptomatic laminolysis: report of two cases
Abstract  Retroisthmic cleft refers to a cleft in the lamina and is rarely reported. It was first described by Brocher, and later Wick et al. proposed the term “laminolysis” to describe the retroisthmic cleft by analogy with the nomenclature of the applied stress fracture of the pars interarticularis (spondylolysis) and the pedicle (pediculolysis). In this paper, we describe two adolescent sports players with symptomatic lumbar laminolysis. Both improved significantly after adequate conservative treatment. Knowledge of laminolysis in adolescent patients with low back pain is necessary to avoid overlooking it and late diagnosis. For correct diagnosis, multidetector three-dimensional computed tomography (CT) is suggested. In addition, magnetic resonance imaging (MRI)…

Leiomyosarcoma of the renal vein

Leiomyosarcoma of the renal vein
Abstract  A 43-year-old woman was referred to our clinic for evaluation of a left retroperitoneal mass. She presented to our internal medicine department complaining of back pain. Computed tomography (CT) scan revealed a left retroperitoneal mass 55 mm in size in the hilum of the left kidney. Enhanced CT scan and magnetic resonance imaging (MRI) disclosed a poorly staining mass. Metaiodobenzylguanidine scintigraphy demonstrated no accumulation in the mass; moreover, endocrinologic examination was normal. Laparoscopic resection of the left retroperitoneal tumor was attempted; however, strong adhesion between the tumor and the left renal vein was encountered. Thus, left nephrectomy after open conversion was performed. Histological findings indicated leiomyosarcoma origin…

Correct Application Of MRI: helps find causes of lower back pain

Correct Application Of MRI: helps find causes of lower back pain
Low back pain is extremely common in Western society.1 It is second only to upper respiratory illness as a symptom-related reason for visits to the doctor.2 (Source: Diagnostic Imaging)

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Primary carcinoid tumor of the filum terminale—a case report

Primary carcinoid tumor of the filum terminale—a case report
We report here about a 41-year-old patient with recurrent and progressive low back pain and bilateral S1 radiculopathy on admission. The patient underwent hemi-laminectomies of the vertebral bodies L5 and S1 and an en bloc resection of the tumor. Postoperative histopathological examination resulted in a well-differentiated intrathecal neuroendocrine tumor (carcinoid) of the terminal filum. Postoperative staging showed no pathological abnormalities and no tumor recurrence after 6 months. Even though rare, carcinoids should be considered as differential diagnosis of tumors occurring in the CNS. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00701-010-0756-9Authors Amr Abdulazim, BG-University Hospital Bergmannsheil Division of Spinal Cord Injury Bürkle-de-la-C…

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Deconditioning in chronic low back pain: might there be a relationship between fitness and magnetic resonance imaging findings?

Deconditioning in chronic low back pain: might there be a relationship between fitness and magnetic resonance imaging findings?
Abstract  The presence of persistent low back pain leads to avoidance of daily activities, contributes to further exercise intolerance and subsequent further loss of functional capacity. We sought to search for the relationship between lumbar magnetic resonance imaging findings and deconditioning in a homogeneous subset of patients with low back pain. We studied 20 sedentary, nonsmoking patients with chronic low back pain using symptom-limited cardiopulmonary exercise testing using treadmill breath-by-breath analysis using modified Bruce protocol. Lumbar facet and disc degeneration involving L1-S1 levels were assessed using 1.5 Tesla MRI. The total number of levels involved was positively correlated with age (r = 0.478, P = 0.033). The Pfirrmann grading o…

Percutaneous Intradiscal Aspiration of a Lumbar Vacuum Disc Herniation: A Case Report

Percutaneous Intradiscal Aspiration of a Lumbar Vacuum Disc Herniation: A Case Report
We report a case of an 83-year-old gentleman presenting with acute low back pain and radicular left lower extremity pain after golfing. A magnetic resonance imaging (MRI) of the lumbar spine revealed a low-signal-density lesion compressing the L5 nerve. A computed tomography scan was then ordered, confirming an extra-foraminal disc protrusion at the L5–S1 level, containing a focus of gas that was compressing the left L5 nerve root and communicating with the vacuum disc at L5–S1. After a failed left L5 transforaminal epidural steroid injection, the patient was brought back for a percutaneous intradiscal aspiration of the vacuum disc gas. This resulted in immediate relief for the patient. A follow-up MRI performed 2 months after the procedure found an approximate 25% reduction…

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13. Sacroiliac Joint Pain

13. Sacroiliac Joint Pain
The sacroiliac joint accounts for approximately 16% to 30% of cases of chronic mechanical low back pain. Pain originating in the sacroiliac joint is predominantly perceived in the gluteal region, although pain is often referred into the lower and upper lumbar region, groin, abdomen, and/ or lower limb(s). Because sacroiliac joint pain is difficult to distinguish from other forms of low back pain based on history, different provocative maneuvers have been advocated. Individually, they have weak predictive value, but combined batteries of tests can help ascertain a diagnosis. Radiological imaging is important to exclude “red flags” but contributes little in the diagnosis. Diagnostic blocks are the diagnostic gold standard but must be interpreted with caution, because false-positive as well a…

Recent low back pain guidelines offer similar advice

Recent low back pain guidelines offer similar advice
Recent clinical practice guidelines offer similar recommendations for assessing and managing low back pain, and clinicians can improve patient care by adopting these recommendations, according to a review published in the June issue of The Spine Journal, reported HealthDay News. (Source: Drug Topics - Top News)

Literature Review Discusses Lower Back Pain And Surgery

Literature Review Discusses Lower Back Pain And Surgery
A literature review, led by Dr. Joseph Lee, published in the June 2010 issue of the Journal of the American Academy of Orthopaedic Surgeons (JAAOS) suggests that a herniated disk is one of the most frequent causes of low back and leg pain in adults, but surgery is not for everyone. Between 60 and 80 percent of people will experience low back pain at some point in their lives Disks, which are strong shock absorbers between the vertebrae, can begin to herniate or weaken when their jelly-like nucleus pushes against the outer ring due to aging or a sudden injury… (Source: Health News from Medical News Today)

Back Pain Resources from American Pain Foundation

Back Pain Resources from American Pain Foundation
With summer in full swing, many people are becoming more active and are making up for the sedentary winter months by traveling more and re-engaging in exercise, sports, gardening and home improvements — all of which can increase a person’s risk of back pain. (Source: Disabled World)

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