Spine · 2014
Rationale in the management of 4-level lumbar spondylolyses with or without instability and/or spondylolisthesis.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Vidyadhara S
Аннотация
STUDY DESIGN: Case report.
OBJECTIVE: To report the first case of 4-level lumbar spondylolysis in the literature.
SUMMARY OF BACKGROUND DATA: Although there are quite a few reported cases of 2- or 3-level spondylolysis, none reported on 4-level spondylolysis. Management guidelines have not been suggested in literature.
METHODS: A 48-year-old female presented with long-standing severe spinal instability, low back pain, and bilateral neurogenic claudication. Management of the patient with 4-level spondylolysis, varied clinical profile of each of the levels with respect to clinical symptoms and treatment based on the usefulness of pars block is described.
RESULTS: Two levels were treated with intervertebral fusions, 1 level with pars repair, and conservative treatment of the last level pars lysis yielded in good clinicoradiological outcome in our patient.
CONCLUSION: Success of management of multiple lyses depends on the choice of appropriate treatment for each level separately. Pars block is a good invasive investigation to detect the symptomatic levels in a complex situation.
OBJECTIVE: To report the first case of 4-level lumbar spondylolysis in the literature.
SUMMARY OF BACKGROUND DATA: Although there are quite a few reported cases of 2- or 3-level spondylolysis, none reported on 4-level spondylolysis. Management guidelines have not been suggested in literature.
METHODS: A 48-year-old female presented with long-standing severe spinal instability, low back pain, and bilateral neurogenic claudication. Management of the patient with 4-level spondylolysis, varied clinical profile of each of the levels with respect to clinical symptoms and treatment based on the usefulness of pars block is described.
RESULTS: Two levels were treated with intervertebral fusions, 1 level with pars repair, and conservative treatment of the last level pars lysis yielded in good clinicoradiological outcome in our patient.
CONCLUSION: Success of management of multiple lyses depends on the choice of appropriate treatment for each level separately. Pars block is a good invasive investigation to detect the symptomatic levels in a complex situation.