Peculiarities of diagnosis and treatment of transverse lumbar processes neoarthroses in outpatients

Abstract

In 17 male patients, aged 18-26 years with L5 transverse processes neoarthroses clinical manifestations and X-ray data were studied. In 12 patients transverse-sacral neoarthroses were diagnosed, in 4 patients transverse-iliac neoarthroses and in 1 patient transverse-transverse neoarthroses were detected. Syndromic pattern of lumbar transverse processes neoarthroses including complaints, clinical manifestations and X-ray data was typical for spondyloartralgia. However unlike lumbar spondyarthralgia neoarthroses spondylartralgia was characterized by prevalence of monoarticular lesion symptoms with strictly local pain in neoathrosis zone at palpation, unilateral localization of painful sense and unilateral muscle tension; recurrence and increase of pain were provoked not as much by extension as by rotatory motions and inclination towards the «aching» side. Prevailing method of treatment of patients with transverse-sacral, transverseiliac as well as transverse-transverse neoarthroses is a conservative one with obligatory intra-articular corticosteroid blocades.

Keywords

neoarthrosis / neoarthrosis of the transverse processes of the lumbar vertebrae / lumbar vertebrae

References

[1] Дьяченко В.А. Аномалии развития позвоночника в рентгеновском освещении. — М., 1949.

[2] Казьмин А.И. Дисплазия позвоночника и ее значение в патологии //Всесоюз. съезд травматологов- ортопедов, 4-й: Труды. — М., 1982. — С. 167-171.

[3] Юмашев Г.С. //Там же. — С. 171-176.

[4] Finneson В.Е. Low back pain. — 2nd ed. — Philadelfia; Toronto, 1980.

[5] Harmon P.M. //Clin. Orthop. — 1966. — Vol. 44. — P. 171-186.

[6] Jonsson B., Stromqvist B., Egund N. //Spine. — 1989.— Vol. 14., N 8. — P. 831-834.

[7] Keim H.A., Kirkaldy-Willis W.H. //Clin. Symp. — 1980. — Vol. 32. — P. 1-35.

[8] McCulloch J.A., Waddell G. //J. Bone Jt Surg. — 1980. — Vol. 62B. — P. 475-480.

RIGHTS & PERMISSIONS

Eco-Vector