Breen, A. C., Maynard, C. and Ayer, R., 2021. Re-Stabilization of an Unstable Lumbosacral Segment in a Patient with Chronic back Pain: A Case Report. EC Orthopaedics, 12 (8), 94 - 101.
Full text available as:
|
PDF
ECOR-12-00839.pdf - Published Version Available under License Creative Commons Attribution. 742kB | |
Copyright to original material in this document is with the original owner(s). Access to this content through BURO is granted on condition that you use it only for research, scholarly or other non-commercial purposes. If you wish to use it for any other purposes, you must contact BU via BURO@bournemouth.ac.uk. Any third party copyright material in this document remains the property of its respective owner(s). BU grants no licence for further use of that third party material. |
Official URL: https://www.ecronicon.com/ecor/ECOR-12-00839.php
Abstract
Background: Spinal instability is poorly understood. This case report describes the re-stabilization of an unstable vertebral motion segment in a patient with chronic low back pain. Case Presentation: A 50-year-old male presented at his local rheumatology service with chronic lumbo-pelvic pain. MRI revealed mid-lumbar disc degeneration with Modic 1 change at L3-4. An epidural steroid injection was given, followed by antibiotic therapy, but with no effect. A quantitative fluoroscopy (QF) assessment revealed instability at L5-S1 with hypomobility at the degenerate mid-lumbar levels. He received manipulation therapy to the mid-lumbar spine, plus activity modification to minimize lumbo-sacral stresses. This gave 70% improvement which was sustained over 5 years. Follow-up QF and MRI revealed reduction in lumbo-sacral instability, but no change in the L3-4-disc signal. Conclusion: This case report is the first to demonstrate restabilisation of an unstable vertebral motion segment.
Item Type: | Article |
---|---|
Additional Information: | Lumbar Spine; Instability; Quantitative Fluoroscopy; Upright MRI |
Group: | Faculty of Science & Technology |
ID Code: | 35858 |
Deposited By: | Symplectic RT2 |
Deposited On: | 02 Aug 2021 13:45 |
Last Modified: | 14 Mar 2022 14:28 |
Downloads
Downloads per month over past year
Repository Staff Only - |