Sosa FA, Núñez BÁ

Language: Spanish
References: 0
Page: 1232-1241
PDF size: 234.70 Kb.

ABSTRACT

Introduction: Hundreds of patients are often treated in pain clinics affected with lumbago, originated by dissimilar causes.
Clinical case: a 37-year-old patient with lumbar pain caused by a degenerative defect in the articular facet known as spondylolisthesis, diagnosed by radiological studies protocols with the use of a conventional X-ray study of the lumbar spine in the lateral view. Shows slight changes of osteoarthritis, incipient anterior displacement of L4 and solution of continuity at the level of the inferior articular facet L4, a practiced resonance study shows us additionally that the facet is thickened, compromises the diameter of the corresponding foramen with compression of the spinal ganglion L5 On the left side, and to evaluate and confirm the condition, a lumbar spine computed tomography scan with sagittal reconstruction was performed in a multidetector tomography. Clearly, continuity solution at the level of the bone cortex of the lower left side L4 is clearly evident.
Conclusion: spondylolisthesis and spondylolysis are quite frequent and cause low back pain. The conventional X-ray study of the lumbar spine is useful in the diagnosis, prognosis and evaluation of spondylolisthesis and spondylolysis. Nuclear magnetic resonance and CT provide additional information about the affected structures, and is most useful in patients with sciatica and low degree of spondylolysis.