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Re-Stabilization of an Unstable Lumbosacral Segment in a Patient with Chronic back Pain: A Case Report.

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.

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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: Unnamed user with email symplectic@symplectic
Deposited On:02 Aug 2021 13:45
Last Modified:15 Aug 2021 08:30

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