کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2620195 1135570 2012 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Partial lumbosacral transitional vertebrae: 2 cases of unilateral sacralization
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب مکمل و جایگزین
پیش نمایش صفحه اول مقاله
Partial lumbosacral transitional vertebrae: 2 cases of unilateral sacralization
چکیده انگلیسی

ObjectiveLumbosacral transitional vertebrae (LSTV) are relatively common skeletal anomalies with a debated role in low back pain. There are few documented cases of conservative care being used to address LSTV-associated symptomatology. The current report discusses chiropractic management of 2 patients with unilateral sacralization.Clinical FeaturesTwo patients with LSTV involving unilateral sacralization of L5, a Castellvi type IIIa variant, presented with back pain to a chiropractic clinic. Each case presented with symptomatology similar to piriformis syndrome.Intervention and OutcomeManual therapy, including spinal manipulation soft tissue therapies and exercise/stretching, was used to address the presenting symptoms. Approximately 2 weeks after initial treatment, the first patient subjectively reported a 70% improvement in symptoms, with lumbar extension increased to full in active range of motion at the lumbar spine but with continued tenderness and hypertonicity at the left piriformis and gluteus medius. After 4 weeks of treatment, the second patient reported improvement in pain and perceived mobility, although prolonged standing remained an aggravating factor. Although both showed improvement, neither case resulted in complete resolution of symptoms.ConclusionThe presenting cases demonstrated partial resolution of symptoms after chiropractic management. It is proposed that sacralization is a possible cause of back pain in these cases.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Chiropractic Medicine - Volume 11, Issue 2, June 2012, Pages 77–83
نویسندگان
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