Sacral Stress Fracture following the Bone Union of Lumbar Spondylolysis
While 22 articles have reported on sacral stress fractures, it is a rare injury and its etiology is not well known. We present the case of a 16-year-old male who presented with low back pain in 2015. He was a high school soccer player with a previous history of a bilateral L5 lumbar spondylolysis in...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2016/9412315 |
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| author | Tatsuro Sasaji Hideki Imaizumi Hiroyuki Takano Hideo Saitoh Taishi Murakami Ryuichi Kanabuchi Motohiko Sekiya |
| author_facet | Tatsuro Sasaji Hideki Imaizumi Hiroyuki Takano Hideo Saitoh Taishi Murakami Ryuichi Kanabuchi Motohiko Sekiya |
| author_sort | Tatsuro Sasaji |
| collection | DOAJ |
| description | While 22 articles have reported on sacral stress fractures, it is a rare injury and its etiology is not well known. We present the case of a 16-year-old male who presented with low back pain in 2015. He was a high school soccer player with a previous history of a bilateral L5 lumbar spondylolysis in 2014. The patient refrained from soccer and wore a brace for six months. Two months after restarting soccer, he again complained of low back pain. After 1 year, a lumbar spine computed tomography revealed the bone union of the spondylolysis. At his first visit to our hospital, his general and neurological conditions were normal and laboratory data were within the normal range. Sacral coronal magnetic resonance imaging (MRI) of the left sacral ala revealed an oblique lineal signal void surrounding bone marrow edema. Based on his symptoms, sports history, and MRI, he was diagnosed with a sacral stress fracture. He again refrained from soccer; his low back pain soon improved, and, after 1 year, the abnormal signal change had disappeared on sacral MRI. Recurrent low back pain case caused by a sacral stress fracture occurring after the bone union of lumbar spondylolysis is uncommon. |
| format | Article |
| id | doaj-art-c53cdd3cd80c4015982fb757a7d0e572 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-c53cdd3cd80c4015982fb757a7d0e5722025-02-03T05:59:12ZengWileyCase Reports in Medicine1687-96271687-96352016-01-01201610.1155/2016/94123159412315Sacral Stress Fracture following the Bone Union of Lumbar SpondylolysisTatsuro Sasaji0Hideki Imaizumi1Hiroyuki Takano2Hideo Saitoh3Taishi Murakami4Ryuichi Kanabuchi5Motohiko Sekiya6Department of Orthopedic Surgery, Osaki Citizen Hospital, 3-8-1 Furukawa Honami, Osaki-shi, Miyagi 989-6183, JapanDepartment of Orthopedic Surgery, Osaki Citizen Hospital, 3-8-1 Furukawa Honami, Osaki-shi, Miyagi 989-6183, JapanDepartment of Orthopedic Surgery, Osaki Citizen Hospital, 3-8-1 Furukawa Honami, Osaki-shi, Miyagi 989-6183, JapanDepartment of Orthopedic Surgery, Osaki Citizen Hospital, 3-8-1 Furukawa Honami, Osaki-shi, Miyagi 989-6183, JapanDepartment of Orthopedic Surgery, Osaki Citizen Hospital, 3-8-1 Furukawa Honami, Osaki-shi, Miyagi 989-6183, JapanDepartment of Orthopedic Surgery, Osaki Citizen Hospital, 3-8-1 Furukawa Honami, Osaki-shi, Miyagi 989-6183, JapanSekiya Orthopedic Surgery, 5-1-19 Furukawa Ekimae Odori, Osaki-shi, Miyagi 989-6182, JapanWhile 22 articles have reported on sacral stress fractures, it is a rare injury and its etiology is not well known. We present the case of a 16-year-old male who presented with low back pain in 2015. He was a high school soccer player with a previous history of a bilateral L5 lumbar spondylolysis in 2014. The patient refrained from soccer and wore a brace for six months. Two months after restarting soccer, he again complained of low back pain. After 1 year, a lumbar spine computed tomography revealed the bone union of the spondylolysis. At his first visit to our hospital, his general and neurological conditions were normal and laboratory data were within the normal range. Sacral coronal magnetic resonance imaging (MRI) of the left sacral ala revealed an oblique lineal signal void surrounding bone marrow edema. Based on his symptoms, sports history, and MRI, he was diagnosed with a sacral stress fracture. He again refrained from soccer; his low back pain soon improved, and, after 1 year, the abnormal signal change had disappeared on sacral MRI. Recurrent low back pain case caused by a sacral stress fracture occurring after the bone union of lumbar spondylolysis is uncommon.http://dx.doi.org/10.1155/2016/9412315 |
| spellingShingle | Tatsuro Sasaji Hideki Imaizumi Hiroyuki Takano Hideo Saitoh Taishi Murakami Ryuichi Kanabuchi Motohiko Sekiya Sacral Stress Fracture following the Bone Union of Lumbar Spondylolysis Case Reports in Medicine |
| title | Sacral Stress Fracture following the Bone Union of Lumbar Spondylolysis |
| title_full | Sacral Stress Fracture following the Bone Union of Lumbar Spondylolysis |
| title_fullStr | Sacral Stress Fracture following the Bone Union of Lumbar Spondylolysis |
| title_full_unstemmed | Sacral Stress Fracture following the Bone Union of Lumbar Spondylolysis |
| title_short | Sacral Stress Fracture following the Bone Union of Lumbar Spondylolysis |
| title_sort | sacral stress fracture following the bone union of lumbar spondylolysis |
| url | http://dx.doi.org/10.1155/2016/9412315 |
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