Analysis of Forensic Identification on 32 Cases of Lumbar Spondylolysis / 法医学杂志

OBJECTIVES@#To explore the casual relationship and the significance of identification among the injury, disease and damage consequence in the disability evaluation of lumbar spondylolysis by the standard for identifying grading of disability caused by work-related injuries.@*METHODS@#The general data, injury manner, clinical treatment and the imaging examination of 32 lumbar spondylolysis cases were collected and retrospectively analyzed. According to the degree of participation in the injury and damage consequence, the identification and assessment of casual relationship was made, and the grading of disability was assessed.@*RESULTS@#For 32 cases, injury had no effect on damage consequence in 7 cases, slight effect in 5 cases, secondary effect in 13 cases, equivalent effect in 4 cases, and complete effect in 3 cases. According to the related items in the standard for identifying grading of disability caused by work-related injuries, 3 cases were rated level 7, 5 cases were level 8, 6 cases were level 9, 11 cases were level 11 among the cases which existed causal relationship.@*CONCLUSIONS@#The formation of lumbar spondylolysis is connected to the factors of age, anatomy, occupation and injury manner etc. The degree of disability should be accessed comprehensively after the analysis of the casual relationship among the injury, disease and damage consequence.

Multilevel Thoracolumbar Spondylolysis with Spondylolisthesis at L4 on L5

A 24-year-old male patient was initially evaluated for persistent back pain. The visual analogue scale (VAS) score was 7 points. Physical examination revealed a decreased range of lumbar spinal motion, which caused pain. Simple X-ray revealed Meyerding grade 1 spondylolisthesis at L4 on L5, with mild dome-shaped superior endplate and consecutive multilevel spondylolysis at T12-L5. Standing anteroposterior and lateral views of the entire spine revealed normal balance of sagittal and coronal alignment. A computed tomography scan revealed bilateral spondylolysis at T12-L4, left unilateral spondylolysis at L5, and spina bifida at L5 to sacral region. Magnetic resonance imaging revealed mild dural ectasia at the lumbar region. Due to the absence of any neurological symptoms, the patient was managed conservatively. He was rested a few weeks with corset brace and physiotherapy. After treatment, his back pain improved, VAS score changed from 7 to 2, and he was able to return to normal activity.

Fusiones lumbosacras y deporte / Lumbosacral fusion and sports

Fueron tratados quirurgicamente 46 pacientes deportistas, portadores de patologia lumbosacra (hernias discales inestables, espondilolisis y espondilolistesis) a los que se les realizo una artrodesis del segmento LV - SI o LIV . LV - SI, con instrumentacion pedicular e injerto autologo de cresta iliaca. El objetivo de la presente publicacion analiza en forma retrospectiva los resultados obtenidos con las tecnicas de fusion y establece tiempos de reintegro deportivo despues de una cirugia de artrodesis. Por ultimo, evalua los grados de limitacion de la movilidad y biomecanica de los pacientes finalizado el proceso de rehabilitacion a los 6 meses de postoperatorio y al año del reintegro deportivo.