Publication:
Unusual cause of acute low-back pain: sudden annulus fibrosus rupture

dc.contributor.coauthorÖktenoğlu, Tunç
dc.contributor.coauthorSasani, Mehdi
dc.contributor.coauthorKaner, Tuncay
dc.contributor.coauthorErcelen, Ömür
dc.contributor.coauthorCanbulat, Nazan
dc.contributor.departmentSchool of Medicine
dc.contributor.kuauthorÖzer, Ali Fahir
dc.contributor.schoolcollegeinstituteSCHOOL OF MEDICINE
dc.date.accessioned2024-11-09T22:58:55Z
dc.date.issued2012
dc.description.abstractLow-back pain is a common problem in neu-rosurgery practice, and an algorithm has been developed for assessing these cases. However, one subgroup of these patients shares several clinical features and these individuals are not easy to categorize and diagnose. We present our observations for 8 of these patients, individuals with low-back pain caused by atypical annulus fibrosus rupture (AAR). The aim of this study is to show the consequences of overlooked annular tears on acute onset of low back pain. Eight patients with acute-onset severe low-back pain were admitted. Physical examinations were normal and each individual was examined neurologically and assessed with neuroradiologic studies [plain x-rays, magnetic resonance imaging (MRI), discography and computed tomography (CT) discography]. AAR was ultimately diagnosed with provocative discography. In all cases, MRI showed a healthy disc or mild degeneration, whereas discography and CT discography demonstrated disc disease. Anterior interbody cage implantation was performed in 3 of the 8 cases and posterior dynamic stabilization was carried out in 3 cases. The other 2 individuals refused surgery, and we were informed that one of them developed disc herniation at the affected level 1 year after our diagnosis. Clinical and radiological outcomes were evaluated. In cases where AAR is suspected, MRI, discography, and CT discography should be performed in addition to routine neuroradiologic studies.
dc.description.indexedbyWOS
dc.description.indexedbyPubMed
dc.description.issue2
dc.description.openaccessNO
dc.description.publisherscopeInternational
dc.description.sponsoredbyTubitakEuN/A
dc.description.volume4
dc.identifier.doi10.4081/or.2012.e22
dc.identifier.eissn2035-8164
dc.identifier.issn2035-8237
dc.identifier.urihttps://doi.org/10.4081/or.2012.e22
dc.identifier.urihttps://hdl.handle.net/20.500.14288/7799
dc.identifier.wos219198800008
dc.keywordsAtypical annulus fibrosus rupture
dc.keywordsCT discography
dc.keywordsLow-back pain
dc.language.isoeng
dc.publisherPagepress Publ
dc.relation.ispartofOrthopedic Reviews
dc.subjectOrthopedics
dc.titleUnusual cause of acute low-back pain: sudden annulus fibrosus rupture
dc.typeJournal Article
dspace.entity.typePublication
local.contributor.kuauthorÖzer, Ali Fahir
local.publication.orgunit1SCHOOL OF MEDICINE
local.publication.orgunit2School of Medicine
relation.isOrgUnitOfPublicationd02929e1-2a70-44f0-ae17-7819f587bedd
relation.isOrgUnitOfPublication.latestForDiscoveryd02929e1-2a70-44f0-ae17-7819f587bedd
relation.isParentOrgUnitOfPublication17f2dc8e-6e54-4fa8-b5e0-d6415123a93e
relation.isParentOrgUnitOfPublication.latestForDiscovery17f2dc8e-6e54-4fa8-b5e0-d6415123a93e

Files