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dc.contributor.authorBreen, Alan
dc.contributor.authorMaynard, Clive
dc.contributor.authorAyer, Ravi
dc.date.accessioned2021-08-09T13:36:06Z
dc.date.available2021-08-09T13:36:06Z
dc.date.issued2021
dc.identifier.citationBreen, A., Maynard, C., 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 https://www.ecronicon.com/ecor/pdf/ECOR-12-00839.pdfen
dc.identifier.urihttps://aecc.archive.knowledgearc.net/handle/123456789/152
dc.descriptionAvailable under License - Creative Commons Attribution: https://creativecommons.org/licenses/by/4.0/en
dc.description.abstractBackground: 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.en
dc.language.isoenen
dc.publisherEC Orthopaedicsen
dc.titleRe-stabilization of an unstable lumbosacral segment in a patient with chronic back pain: A case reporten
dc.typeArticleen


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