Lumbar laminotomy and replantation for the treatment of adult spinal epidermoid cyst: A case report

In this study, we presented a brief report of an adult lumbar epidermoid cyst and introduced another surgical approach.Patient concerns:This 28-year-old woman has been complaining of the severe right buttock pain and right thigh radiating pain for half a year. She had been diagnosed as sacroiliitis, spinal arthritis, and lumbar disc herniation at 3 different hospitals before coming to our hospital. And she received a variety of conservative treatments, including non-steroidal anti-inflammatory drugs, aspirin, acetaminophen, glucocorticoids, acupuncture, physical therapy, and so on. However, her pain did not diminish at all. Finally, we find a space-occupying lesion in her lumbar magnetic resonance images (MRI). The lesion was slightly low, equal, and uneven equal-low signals on T1WI. T2WI showed slightly higher, equal, and uneven equal-high signals. And a thin-rim enhancement was observed on Gd-DTPA-enhanced MRI.Diagnoses:Adult spinal epidermoid cyst.Interventions:The patient underwent a surgery of lumbar laminectomy, tumor excision, and spinous process-vertebral plate in situ replantation.Outcomes:Postoperative pathology prompted that the tumor was cystoid. The patient's symptoms were completely removed 1 week after surgery. Three-month postoperative MRI confirmed that the spinal epidermoid cyst had been completely removed and three-dimensional CT prompted lumbar lamina in situ. Bony fusion occurred at 6 months after the surgery.Lessons:Lumbar laminotomy and replantation pro...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

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ConclusionScreening criteria for IBD in patients with SpA, and vice versa, have been developed. These criteria will be useful for early detection of both diseases.ResumenObjetivoDefinir criterios clínicos de cribado de espondiloartritis (SpA) en pacientes con enfermedad inflamatoria intestinal (EII) y vice versa, que sirvan de referencia en la derivación entre Reumatología y Aparato Digestivo.Material y métodosRevisión sistemática de la literatura y Delphi a dos rondas. Formaron parte del comité científico 2 reumatólogos y 2 digestólogos; del panel de ex...
Source: Reumatologia Clinica - Category: Rheumatology Source Type: research
AbstractInflammatory back pain (IBP) is an important clinical feature for axial spondyloarthritis (SpA). Yet, little is known about their prevalences in China. We conducted an epidemiological study in a university to detect the prevalences of IBP and axial SpA according to the Assessment of SpondyloArthritis International Society (ASAS) criteria. We investigated 3770 participants from South China Agricultural University by face-to-face questionnaires and evaluated the prevalences of chronic low back pain (CLBP) and IBP. In addition, 333 students including all IBP patients volunteered to do HLA-B27 test, and we performed X-...
Source: Clinical Rheumatology - Category: Rheumatology Source Type: research
CONCLUSIONS: The presence of LSTV was associated with an increased prevalence of LBP. This association was probably due to the confounding effect of OSD. The level of occupational physical activity was not associated with LSTV-related LBP. We speculate that advanced age and female sex caused the spurious association of LSTV with LBP in our study, rendering LSTV-related LBP controversial in published literature. PMID: 29879766 [PubMed]
Source: Asian Spine Journal - Category: Orthopaedics Tags: Asian Spine J Source Type: research
Study Design. A nationwide cross-sectional study. Objectives. To measure the associations between cigarette smoking (defined as serum cotinine concentration>15 ng/mL) and the 3-month prevalence of spinal pain (neck pain, low back pain, low back pain with pain below knee, and self-reported diagnosis of arthritis/rheumatism) and related limitations, and to verify whether these associations are mediated by serum concentrations of vitamin C. Summary of Background Data. Cigarette smoking has been consistently associated with back pain, but this association has never been explained. Because vitamin C has recently be...
Source: Spine - Category: Orthopaedics Tags: Epidemiology Source Type: research
Tramadol, a weak agonist at the μ-opioid receptor and a serotonin and norepinephrine reuptake inhibitor, was approved by the Food and Drug Administration in 1995 for the treatment of moderate to moderately severe pain in adults 1, 2. In contrast to standard opioid analgesics, tramadol additionally alleviates pain through modulat ion of norepinephrine and serotonin descending neuronal inhibitory pathways 3. Clinical studies have demonstrated that tramadol is effective in reducing pain associated with neuropathy, osteoarthritis, rheumatoid arthritis, and low back pain 4, 5.
Source: The American Journal of Medicine - Category: General Medicine Authors: Source Type: research
A 56-year-old man was admitted for complaints of low back pain and fever in the afternoon for about 2 months. He had a 10-year history of intermittent gouty arthritis on his feet treated with Colchicine, with the most recent attack occurred 12 months before.
Source: The American Journal of Medicine - Category: General Medicine Authors: Tags: Diagnostic Dilemma Source Type: research
Authors: Geler-Külcü D, Batıbay S, Öztürk G, Mesci N Abstract Background/aim: Increased neuropathic pain (NP) symptoms are seen in rheumatologic diseases such as fibromyalgia, osteoarthritis, and rheumatoid arthritis, but no studies have demonstrated a relationship between ankylosing spondylitis (AS) and NP except for a brain imaging study. The aim of this study was to estimate the presence of NP in patients with AS and to investigate how NP was related to disease activity, functional status, and quality of life. Materials and methods: A total of 100 AS patients (71 males and 29 females; ...
Source: Turkish Journal of Medical Sciences - Category: General Medicine Tags: Turk J Med Sci Source Type: research
More and more people are suffering from lowback pain worldwide - an issue that is being made worse by the widespread prevalence of inappropriate treatment methods. This is the conclusion of a series of new scientific papers published by The Lancet, which have reviewed evidence from high and low-income countries, finding that this is a global problem that can only be solved through better adherence to best practice treatment guidelines. A global problem exacerbated by ineffective care The first of these new reviews revealed that low backpain is now the leading cause of disability on a global basis, with the issue becoming m...
Source: Arthritis Research UK - Category: Rheumatology Source Type: news
Neurostimulation has the capacity to stop pain signals from traveling up to the brain, but to mask the pain effectively and for long periods of time clinicians have turned to implants. That is because conventional TENS (Transcutaneous Electrical Nerv...
Source: Medgadget - Category: Medical Devices Authors: Tags: Exclusive Medicine Orthopedic Surgery Pain Management Source Type: blogs
Subject to inappropriate and costly tests and treatments; best practice guidance ignored Related items fromOnMedica Paracetamol 'does not help back pain or arthritis' Exercise better for back pain than acupuncture say experts Nurofen TV ad is banned for being ‘misleading’ NSAIDs no better than placebo for spinal pain
Source: OnMedica Latest News - Category: UK Health Source Type: news
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