Vertebral fractures occur with only slight trauma in patients with diffuse idiopathic skeletal hyperostosis (DISH). However, a lumbar vertebra fracture, due to an intraoperative body position has not been previously reported. An 87-year-old woman with kyphosis sustained a left trochanteric fracture of her femur. The patient was placed in a supine position during the operation. Postoperatively, ...

Dural metastasis from primary gastric adenocarcinoma has been rarely reported, and its prognosis is very poor because it frequently leads to acute subdural hematoma. Here, we describe a case with sequential spinal and cranial dural metastases from gastric adenocarcinoma without subdural hematoma. A 43-year-old woman with gastric adenocarcinoma and well-controlled peritoneal carcinomatosis prese...

METHODS: This is a retrospective study of 732 patients with CMLBP who were treated between 1997 and 2007. All patients had received injections of methylprednisolone and bupivacaine into the facet joints of L3-4, L4-5, and L5-S1. None had tumor, infection, or major trauma causing fracture of the spine, disruption of the major ligaments of the lumbosacral spine, or cauda equina syndrome. Patients...

A 76-year-old man presented with a 4-day history of bilateral leg pain. Magnetic resonance imaging (MRI) of the lumbosacral spine revealed a spinal subarachnoid and spinal epidural haematomas. MRI of the brain revealed a chronic intracranial subdural haematoma with a midline shift. On further questioning, the patient reported a history of a fall 6 weeks earlier and had no evidence of coagulopat...

Background: Paragangliomas (PGLs) are neuroendocrine tumors that arise from the neuroepithelial cell group called paraganglia. Spinal paragangliomas (SPs) are extremely rare, most of which are observed as intradural tumors in the cauda equine, the filum terminale, and the lumbosacral region, but rarely in the thoracic region. We aimed to study the clinical, radiographic and pathologic character...

Patients frequently suffer from lumbosacral plexus disorder. When conducting a neurological examination, it is essential to assess the extent of muscle paresis, sensory disorder distribution, pain occurrence, and blocked spine. An electromyography (EMG) can confirm axonal lesions and their severity and extent, root affliction (including dorsal branches), and disorders of motor and sensory fiber...

BACKGROUND Any spine structure that is innervated by afferent nociceptive nerve fibers is a potential pain generator. In the lumbar spine, the most studied pain generators include: sacroiliac joints, the zygapophysial joints, the intervertebral discs, myofascial structures. Anomalous lumbosacral articulations, the spinous processes, and lumbar spine osteophytes are less commonly reported. OBJ...