An unusual natural history of a L5-S1 spondylolisthesis presenting with a sacral insufficiency fracture.

Détails

ID Serval
serval:BIB_2210FC8EBE74
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
An unusual natural history of a L5-S1 spondylolisthesis presenting with a sacral insufficiency fracture.
Périodique
European Spine Journal
Auteur(s)
Schizas C., Theumann N.
ISSN
0940-6719
Statut éditorial
Publié
Date de publication
2006
Peer-reviewed
Oui
Volume
15
Numéro
4
Pages
506-509
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Résumé
Sacral insufficiency fractures have been described in association with conditions leading to osteoporosis. No association with spondylolisthesis has been described to date. A 60-year-old patient with known lumbosacral isthmic spondylolisthesis presented with exacerbation of symptoms initially thought to be linked to her known spinal pathology. Plain radiography, computer tomography, MRI and bone scan confirmed the presence of a recent sacral insufficiency fracture with anterior angulation. Conservative treatment resulted in improvement of symptoms after 6 months. Care should be taken when considering older patients for more aggressive treatment if they present with exacerbation of back pain and sciatica in the presence of a pre-existing spondylolisthesis. A suspicion of insufficiency fracture should be raised if risk factors exist and further investigations ordered in particular if plain radiography is normal. Lumbosacral fusion might be inappropriate in this setting.
Mots-clé
Female, Humans, Middle Aged, Sacrum, Spinal Fractures, Spondylolisthesis
Pubmed
Web of science
Création de la notice
23/03/2009 16:26
Dernière modification de la notice
20/08/2019 13:58
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