nach oben

Clinical Orthopaedics and Related Research®

Erschienen in:

01.04.2014 | Orthopaedic Case of the Month

A 33-year-old Man With Low Back Pain

verfasst von: Dafang Zhang, MD, Kathryn Hess, BA, G. Petur Nielsen, MD, Joseph H. Schwab, MD

Erschienen in: Clinical Orthopaedics and Related Research® | Ausgabe 4/2014

Einloggen, um Zugang zu erhalten

Excerpt

A 33-year-old man was evaluated in the clinic for a 9-month history of low back pain. The pain was dull and low grade, worse with activity, occasionally waking him at night. He had no history of antecedent trauma. He had no radiation of pain, focal neurologic symptoms, balance difficulties, or difficulties with fine motor tasks. He had tried aspirin with variable relief, and acupuncture and chiropractic care with no significant improvement. He had no medical conditions, never had spine surgery, and never smoked. He exercised daily doing weight lifting and martial arts, with which his back pain interfered. …

Avimadje AM, Goupille P, Zerkak D, Begnard G, Brunais-Besse J, Valat JP. Monostotic fibrous dysplasia of the lumbar spine. Joint Bone Spine. 2000;67:65–70.PubMed

Bertram C, Madert J, Eggers C. Eosinophilic granuloma of the cervical spine. Spine (Phila Pa 1976). 2002;27:1408–1413.

Biermann JS. Common benign lesions of bone in children and adolescents. J Pediatr Orthop. 2002;22:268–273.PubMed

Boriani S, Amendola L, Bandiera S, Simoes CE, Alberghini M, Di Fiore M, Gasbarrini A. Staging and treatment of osteoblastoma in the mobile spine: a review of 51 cases. Eur Spine J. 2012;21:2003–2010.PubMedCentralPubMedCrossRef

Campanacci M, Baldini N, Boriani S, Sudanese A. Giant-cell tumor of bone. J Bone Joint Surg Am. 1987;69:106–114.PubMed

Chapurlat RD, Gensburger D, Jimenez-Andrade JM, Ghilardi JR, Kelly M, Mantyh P. Pathophysiology and medical treatment of pain in fibrous dysplasia of bone. Orphanet J Rare Dis. 2012;7:S3.PubMedCentralPubMedCrossRef

Chen G, Yang H, Gan M, Li X, Chen K, Nalajala B, Wang G. Polyostotic fibrous dysplasia of the thoracic spine: case report and review of the literature. Spine (Phila Pa 1976). 2011;36:E1485–E1488.CrossRef

Dahlin DC, Unni KK. Conditions that commonly simulate primary neoplasms of bone. Bone Tumors: General Aspects and Data on 8,542 Cases. 4th ed. Springfield, IL: Charles C. Thomas; 1986:413–420.

de Sanctis L, Delmastro L, Russo MC, Matarazzo P, Lala R, de Sanctis C. Genetics of McCune-Albright syndrome. J Pediatr Endocrinol Metab. 2006;19:577–582.PubMed

10.

Edgerton MT, Persing JA, Jane JA. The surgical treatment of fibrous dysplasia: with emphasis on recent contributions from cranio-maxillo-facial surgery. Ann Surg. 1985;202:459–479.PubMedCentralPubMedCrossRef

11.

Fu CJ, Hsu CY, Shih TT, Wu MZ. Monostotic fibrous dysplasia of the thoracic spine with malignant transformation. J Formos Med Assoc. 2004;103:711–714.PubMed

12.

Harris WH, Dudley HR Jr, Barry RJ. The natural history of fibrous dysplasia: an orthopaedic, pathological, and roentgenographic study. J Bone Joint Surg Am. 1962;44:207–233.PubMed

13.

Healy M, Herz DA, Pearl L. Spinal hemangiomas. Neurosurgery. 1983;13:689–691.PubMedCrossRef

14.

Hu SS, Healey JH, Huvos AG. Fibrous dysplasia of the second cervical vertebra: a case report. J Bone Joint Surg Am. 1990;72:781–783.PubMed

15.

Huang W, Yang X, Cao D, Xiao J, Yang M, Feng D, Huang Q, Wu Z, Zheng W, Jia L, Wu S. Eosinophilic granuloma of spine in adults: a report of 30 cases and outcome. Acta Neurochirurgica. 2010;152:1129–1137.PubMedCrossRef

16.

Klenke FM, Wenger DE, Inwards CY, Rose PS, Sim FH. Giant cell tumor of bone: risk factors for recurrence. Clin Orthop Relat Res. 2011;469:591–599.PubMedCentralPubMedCrossRef

17.

Kwon JW, Chung HW, Cho EY, Hong SH, Choi SH, Yoon YC, Yi SK. MRI findings of giant cell tumors of the spine. AJR Am J Roentgenol. 2007;189:246–250.PubMedCrossRef

18.

Lane JM, Khan SN, O’Connor WJ, Nydick M, Hommen JP, Schneider R, Tomin E, Brand J, Curtin J. Bisphosphonate therapy in fibrous dysplasia. Clin Orthop Relat Res. 2001;382:6–12.PubMedCrossRef

19.

Lau YS, Sabokbar A, Gibbons CL, Giele H, Athanasou N. Phenotypic and molecular studies of giant-cell tumors of bone and soft tissue. Hum Pathol. 2005;36:945–954.PubMedCrossRef

20.

Lieberman PH, Jones CR, Steinman RM, Erlandson RA, Smith J, Gee T, Huvos A, Garin-Chesa P, Filippa DA, Urmacher C, Gangi MD, Sperber M. Langerhans cell (eosinophilic) granulomatosis: a clinicopathologic study encompassing 50 years. Am J Surg Pathol. 1996;20:519–552.PubMedCrossRef

21.

Lim JB, Sharma H, Reid R, Reece AT. Aneurysmal bone cysts of the vertebrae. J Orthop Surg (Hong Kong). 2012;20:201–204.

22.

Luther N, Bilsky MH, Hartl R. Giant cell tumor of the spine. Neurosurg Clin N Am. 2008;19:49–55.PubMedCrossRef

23.

Mancini F, Corsi A, De Maio F, Riminucci M, Ippolito E. Scoliosis and spine involvement in fibrous dysplasia of bone. Eur Spine J. 2009;18:196–202.PubMedCentralPubMedCrossRef

24.

Marshman LA, David KM, O’Donovan DG, Chawda SJ. Fibrous dysplasia of the cervical spine presenting as a pathological fracture. Br J Neurosurg. 2004;18:527–533.PubMedCrossRef

25.

Mezzadri JJ, Acotto CG, Mautalen C, Basso A. Surgical treatment of cervical spine fibrous dysplasia: technical case report and review. Neurosurgery. 1999;44:1342–1346; discussion 1346–1347.PubMed

26.

Mirabello L, Troisi RJ, Savage SA. Osteosarcoma incidence and survival rates from 1973 to 2004: data from the Surveillance, Epidemiology, and End Results Program. Cancer. 2009;115:1531–1543.PubMedCentralPubMedCrossRef

27.

Nguyen JP, Djindjian M, Badiane S. [Vertebral hemangioma with neurologic signs: clinical presentation, results of a survey by the French Society of Neurosurgery][in French]. Neurochirurgie. 1989;35:270–274, 305–308.

28.

Novais EN, Rose PS, Yaszemski MJ, Sim FH. Aneurysmal bone cyst of the cervical spine in children. J Bone Joint Surg Am. 2011;93:1534–1543.PubMedCrossRef

29.

Park SK, Lee IS, Choi JY, Cho KH, Suh KJ, Lee JW, Song JW. CT and MRI of fibrous dysplasia of the spine. Br J Radiol. 2012;85:996–1001.PubMedCentralPubMedCrossRef

30.

Pastushyn AI, Slin’ko EI, Mirzoyeva GM. Vertebral hemangiomas: diagnosis, management, natural history and clinicopathological correlates in 86 patients. Surg Neurol. 1998;50:535–547.PubMedCrossRef

31.

Poleksic ZR, Lalosevic VJ, Milinkovic ZB. Osteoblastoma of the spine. Acta Chir Iugosl. 2010;57:63–68.PubMedCrossRef

32.

Proschek D, Orler R, Stauffer E, Heini P. Monostotic fibrous dysplasia of the spine: report of a case involving a cervical vertebra. Arch Orthop Trauma Surg. 2007;127:75–79.PubMedCrossRef

33.

Przybylski GJ, Pollack IF, Ward WT. Monostotic fibrous dysplasia of the thoracic spine: a case report. Spine (Phila Pa 1976). 1996;21:860–865.CrossRef

34.

Rao VV, Schnittger S, Hansmann I. G protein Gs alpha (GNAS 1), the probable candidate gene for Albright hereditary osteodystrophy, is assigned to human chromosome 20q12-q13.2. Genomics. 1991;10:257–261.PubMedCrossRef

35.

Sambasivan M, Sanalkumar P, Mahesh S, Nair KR, Basheer A. Monostotic fibrous dysplasia of the C4 cervical spine. Neurol India. 2008;56:497–498.PubMedCrossRef

36.

Schoenfeld AJ, Koplin SA, Garcia R, Hornicek FJ, Mankin HJ, Raskin KA, Springfield D, Rosenberg AE, Schwab JH. Monostotic fibrous dysplasia of the spine: a report of seven cases. J Bone Joint Surg Am. 2010;92:984–988.PubMedCrossRef

37.

Yildiz C, Erler K, Atesalp AS, Basbozkurt M. Benign bone tumors in children. Curr Opin Pediatr. 2003;15:58–67.PubMedCrossRef

Titel: A 33-year-old Man With Low Back Pain
verfasst von: Dafang Zhang, MD
Kathryn Hess, BA
G. Petur Nielsen, MD
Joseph H. Schwab, MD
Publikationsdatum: 01.04.2014
Verlag: Springer US
Erschienen in: Clinical Orthopaedics and Related Research® / Ausgabe 4/2014
Print ISSN: 0009-921X
Elektronische ISSN: 1528-1132
DOI: https://doi.org/10.1007/s11999-014-3502-4

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Proximale Humerusfraktur: Auch 100-Jährige operieren?

01.05.2024 DCK 2024 Kongressbericht

Mit dem demographischen Wandel versorgt auch die Chirurgie immer mehr betagte Menschen. Von Entwicklungen wie Fast-Track können auch ältere Menschen profitieren und bei proximaler Humerusfraktur können selbst manche 100-Jährige noch sicher operiert werden.

Sind Frauen die fähigeren Ärzte?

30.04.2024 Gendermedizin Nachrichten

Patienten, die von Ärztinnen behandelt werden, dürfen offenbar auf bessere Therapieergebnisse hoffen als Patienten von Ärzten. Besonders gilt das offenbar für weibliche Kranke, wie eine Studie zeigt.

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Arthroskopie kann Knieprothese nicht hinauszögern

25.04.2024 Gonarthrose Nachrichten

Ein arthroskopischer Eingriff bei Kniearthrose macht im Hinblick darauf, ob und wann ein Gelenkersatz fällig wird, offenbar keinen Unterschied.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Excerpt

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 4/2014

In Vivo Pilot Study Evaluating the Thumb Carpometacarpal Joint During Circumduction

Physician Competence and Skill Part I: The Role of Hospital Corporate Liability

Long-term Results of Comprehensive Clubfoot Release Versus the Ponseti Method: Which Is Better?

Editorial Comment: Symposium: Thumb Carpometacarpal Arthritis

Medial Open Wedge High Tibial Osteotomy: Can Delayed or Nonunion Be Predicted?