Surgical excision of symptomatic lumbar spinous process pseudoarthrosis

Journal of Spinal Disorders & Techniques
Amir H Fayyazi, Lee Segal

Abstract

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. 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. Following excision of the spinous process pseudoarthrosis, the patient's pain resolved, allowing return to competitive sports without limitation. 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.

References

Dec 1, 1991·Sports Medicine·J Harvey, S Tanner
Jul 1, 1972·The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine·J J Cancelmo
Sep 1, 1982·Surgical Neurology·P G MeyerJ S Leo
Feb 19, 1998·Seminars in Nuclear Medicine·G F Gates
Dec 7, 1964·JAMA : the Journal of the American Medical Association·J R VENABLED J KILIAN

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Citations

Feb 26, 2008·Current Sports Medicine Reports·John Alsobrook, James R Clugston
Jan 22, 2010·American Journal of Physical Anthropology·Ella BeenAlon Barash
Jul 15, 2015·Case Reports in Orthopedics·Jacob M KirschRakesh D Patel

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