Surgical excision of symptomatic lumbar spinous process pseudoarthrosis.
Publication/Presentation Date
10-1-2004
Abstract
BACKGROUND: Isolated spinous process fractures of the thoracic or lumbar spine are not well described in the literature. Initial conservative treatment of these fractures can result in resolution of symptoms without lasting effect. However, in cases where localized pain persists despite appropriate treatment, pseudoarthrosis should be suspected.
METHODS: The diagnosis, surgical treatment, and outcome of one patient with isolated pseudoarthrosis of the lumbar spine that failed conservative treatment and was surgically excised are reviewed.
RESULTS: Following excision of the spinous process pseudoarthrosis, the patient's pain resolved, allowing return to competitive sports without limitation.
CONCLUSIONS: In certain cases, excision of an isolated spinous process pseudoarthrosis can improve patients' back pain. However, prior to surgery, conservative treatment must be exhausted and other causes of back pain must be ruled out.
Volume
17
Issue
5
First Page
439
Last Page
441
ISSN
1536-0652
Published In/Presented At
Fayyazi, A. H., & Segal, L. (2004). Surgical excision of symptomatic lumbar spinous process pseudoarthrosis. Journal of spinal disorders & techniques, 17(5), 439–441. https://doi.org/10.1097/01.bsd.0000112081.04960.2e
Disciplines
Medicine and Health Sciences
PubMedID
15385885
Department(s)
Department of Surgery
Document Type
Article