L5 Vertebra Sacralisation Case Studies
A CASE REPORT OF A VARIANT OF LUMBOSACRAL TRANSITION VERTEBRAE : CASTELLVI TYPE IIA SACRALISATION
Dr Subhendu Pandit*, Dr Monalisa**, Dr Samrat Sapkota**, Dr Sushil Kumar***
* Associate Professor, Dept of Anatomy, AFMC Pune
** Resident, Dept of Anatomy, AFMC Pune
*** Professor and Head, Dept of Anatomy, AFMC Pune
ABSTRACT
Lumbosacral transitional vertebra (LSTV) are congenital anomalies of the lumbosacral spine causing sacralisation or lumbarisation. Sacralisation has been defined as an abnormality where one of the transverse processes of L5 vertebra may articulate or fuse with the sacrum. The sacralisation has been studied for almost a century for its association with low back pain as “Bertolotti Syndrome”, but there are studies for and
…show more content…
This controversy is due to an incomplete understanding of the variations in the lumbosacral anatomy and an absence of a comprehensive classification system.[6] The dysplastic transverse processes in the Type I is generally considered to be of no clinical significance, but the etiologies behind the low back pain associated with type II sacralisation maybe due to nerveroot compression between the hypertrophic TP of L5 and the sacral ala, may arise from an abnormal articulation between the TP and the sacral ala or may present in the opposite side of the lower back as a facetogenic pain due degenerative changes in the joint.[2] Type IIA sacralisation exhibits an accelerated disc degeneration and disc protrusion above the transitional vertebra due to an abnormal torque and hypermobility, with a protective action on the disc below due to restriction in the rotational and bending movements as a result of stabilization provided by the anomalous articulation.[1,2,5,14,15,16] Castellvi in his observations had associated the Type II with presence of disc herniation at the level of transition with a greater incidence at a level just above the transition vertebra.[5] Extraforaminal stenosis is more often observed in type I. Vergauven has observed that the abnormal vertebra is in itself not a risk factor for spinal degenerative changes but if it does occur, it is at the suprajacent level of the transition vertebra.[16] Significant association have also been found with presence of cervical ribs in the presence of sacralisation suggesting developmental anomalies.[17] Recent studies have hypothesized presence of mutations in the HOX genes which are involved with the
Orleda Lee Harris Case Summary
302 Words | 2 PagesAn MRI was performed of the lumbar spine. The examination found no significant extra
Nursing Case Memo
647 Words | 3 PagesDOI: 4/16/2012. Patient is a 29-year-old male technician who sustained injury when he was 25-feet up on a ladder when the ladder slid and he fell onto the pavement. He had an open reduction internal fixation (ORIF x 2) for a compound tibia fibula fracture and had hardware removal in 4/25/2013. MRI of the lumbar spine performed on 3/24/2016 revealed L5-S1 small right paracentral disc protrusion without significant spinal canal stenosis or neuroforaminal narrowing.
Low Back Pain Case Studies
934 Words | 4 PagesThis is a 47-year-old male with a 2/1/2007 date of injury, who injured his low back from lifting a large bucket of cut grass. DIAGNOSIS: 1. Left SI radicular symptoms. Lumbar discogenic pain with high-intensity zone at L5-S1 per MRI April 2007. X-ray showed 4-mm retrolisthesis at L5-S 1.
Room 3b Case Study
859 Words | 4 PagesQEP Scripts for Two Recordings – Audio for Musculoskeletal System; “OK, Team! We have a new patient in Room 3B who is being admitted with a progressive (gradual, advancing) decrease in mobility (movement) of his back and legs, and increase in pain located in the lumbosacral (lower back above the tailbone of the spine) area. The patient’s Primary Care Provider has sent along Computed Tomography scans (CT, a rotating x-ray emitter, detailed internal scanner) showing spinal stenosis (narrowing of the spine causing pressure on the nerves and spinal cord causing lower back pain.) and decrease of the normal lordosis (abnormal curvature lower spine, excessive inward curvature of the spine) in the thoracic vertebrae (upper and middle back). Lumbosacral
Sacroiliac Joint Dysfunction Essay
731 Words | 3 PagesSacroiliac joint dysfunction is found in 15 to 30% individuals with low back pain.1 Sacroiliac joint dysfunction can be a result of acute trauma, heavy lifting, prolonged bending, torsional strain, fall on to the buttocks and motor vehicle accidents. Chronic and repetitive shear or torsional forces associated with sports like golf, bowling, skating may also result in sacroiliac joint dysfunction. Prolonged sitting or lying on the affected side, more weight bearing on the affected side during walking or standing, forward bending with knees extended may also predispose a person to sacroiliac joint dysfunction.3 Mechanism of dysfunction: Dysfunction occurs mostly when a person lifts something in a forward flexed position or stands in lordotic posture. Due to this, line of gravity shifts anterior to the acetabulum which creates rotational force in extension around
Percocet Case Summary
284 Words | 2 PagesDOI: 5/19/2010. Patient is a 57-year-old male electrician who sustained injury when he was struck in the back by a car in a parking lot. He underwent a L5 laminectomy and decompression of the neutral elements 2011. Per the progress report dated 5/18/16, the patient complained of low back and left leg pain.
Iw Case Studies
312 Words | 2 PagesThe patient has completed physical therapy, time, rest, medications, chiropractic care, and acupuncture with no alleviation of the pain. Significant pathology on the MRI is noted with degenerative disk disease, neural foraminal stenosis and a nerve root impingement in the cervical spine. Treatment plan includes epidural at the bilateral C5-C6 level, continuation with home exercise program and medications and follow up in 2 weeks.
Pneumothorax Presentation
891 Words | 4 PagesThis article presents a case report about a 31 year old male patient, a teacher at a university, who started experiencing mid back pain after weightlifting one day.3 About 3 hours after weightlifting, the patient began to feel sharp back pain, at levels T4-T8. His pain began to worsen that night causing muscle spasms of his paraspinal muscles, with intermittent radiating pain to his lateral thorax and chest.3 This patient had been diagnosed with thoracic facet injuries in the past, and just assumed it was that.3 However, after the pain did not subside the patient went to his physician who claimed the patient was just having muscle spasms and needed myofascial release.3 However, a radiograph was also done that revealed end plate degenerative changes at T7-T8.3 The patients clinical evaluation revealed muscle spasms of the paraspinal muscles between T3-T12, tenderness to palpate between T6-T8, full shoulder ROM, 5/5 shoulder muscle strength, and normal distal pulses and sensations.3 The patient was diagnosed with thoracic pain and muscle spasms and was give muscle relaxants and exercises for myofascial release.3 Three days after the physician visit, the patient decided to do some walking, to work on his cardio, and experienced mild shortness of
Chiropractor Interview Analysis
459 Words | 2 PagesOf course, scheduling an appointment for an evaluation by a chiropractic doctor in Fort Collins is the first step to finding relief from the pain. Interview with the chiropractor and seek his or her opinion before you begin care. Each Fort Collins chiropractor has a different technique and belief. You need to find one a chiropractor in Fort Collins who you trust, so the initial visit is important.
Homeostasis Worksheet Answers
646 Words | 3 PagesCervical 42. Back (dorsal) 43. Scapular- Shoulder blade 44. Vertebral- Spine 45. Lumbar- Flank 46.
Analysis Of Robert Murphy's The Body Silent
1642 Words | 7 PagesInjuries and growths in the high cervical region of the spine, including the C2, have limited or no movement from the neck down, though a person
Essay On Kyphosis
801 Words | 4 PagesIntroduction Kyphosis is a spinal disorder involving an excessive outward curve that causes an abnormal rounding of the upper back. It occurs when the spinal bones (vertebrae) in the upper back (thoracic spine) become wedge-shaped and cause deformity. Kyphosis is sometimes called dowager's hump, hunchback, or roundback. It is most common among elderly people, but can happen at any age. There are four main types of kyphosis: Postural kyphosis.
Essay On Low Back Pain
1001 Words | 5 PagesLow back pain is neither a disease nor a diagnostic entity of any sort. The term refers to pain of variable duration in an area of the anatomy afflicted so often that it is has become a paradigm of responses to external and internal stimuli (Ehrlich GE 2003). Research study on low back pain has shown that it is a common problem in general population. As seen in Western industrialized countries, back pain is one of the major health problems (R Ayiesah and D Ismail 2007).
Spondylosis Research Paper
823 Words | 4 PagesPage Title: Spondylosis Prevention and Treatment | Health Inquire Meta Description: Spondylosis is an age-related condition that affects the parts of the spine. Learn how you can prevent or even treat it in our article here. Tips for Preventing and Treating Spondylosis For those who don’t already know, spondylosis is a broad term that refers to the age-related degeneration of the bones and ligaments in the spine. It can occur in the lumbar spine (lower back), cervical spine (neck), and thoracic spine (upper and mid back).
Essay On Human Spine
1235 Words | 5 PagesBACKGROUND AND LITERATURE REVIEW 2. Clinical Background 2.1 The human spine The human spine (also referred to as vertebral column or spinal column) is a bony structure in the middle of the back starts at the base of the skull and continues to the pelvis. It consists of vertebrae (small bones) and joints (intervertebral disks) together to form a flexible and stable spinal column.
More about L5 Vertebra Sacralisation Case Studies
Orleda Lee Harris Case Summary
302 Words | 2 PagesNursing Case Memo
647 Words | 3 PagesLow Back Pain Case Studies
934 Words | 4 PagesRoom 3b Case Study
859 Words | 4 PagesSacroiliac Joint Dysfunction Essay
731 Words | 3 PagesPercocet Case Summary
284 Words | 2 PagesIw Case Studies
312 Words | 2 PagesPneumothorax Presentation
891 Words | 4 PagesChiropractor Interview Analysis
459 Words | 2 PagesHomeostasis Worksheet Answers
646 Words | 3 PagesAnalysis Of Robert Murphy's The Body Silent
1642 Words | 7 PagesEssay On Kyphosis
801 Words | 4 PagesEssay On Low Back Pain
1001 Words | 5 PagesSpondylosis Research Paper
823 Words | 4 PagesEssay On Human Spine
1235 Words | 5 Pages