| dc.contributor.author | Breen, Alan | |
| dc.contributor.author | Maynard, Clive | |
| dc.contributor.author | Ayer, Ravi | |
| dc.date.accessioned | 2021-08-09T13:36:06Z | |
| dc.date.available | 2021-08-09T13:36:06Z | |
| dc.date.issued | 2021 | |
| dc.identifier.citation | Breen, 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.pdf | en |
| dc.identifier.uri | https://aecc.archive.knowledgearc.net/handle/123456789/152 | |
| dc.description | Available under License - Creative Commons Attribution: https://creativecommons.org/licenses/by/4.0/ | en |
| dc.description.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. | en |
| dc.language.iso | en | en |
| dc.publisher | EC Orthopaedics | en |
| dc.title | Re-stabilization of an unstable lumbosacral segment in a patient with chronic back pain: A case report | en |
| dc.type | Article | en |
