Shim Dae Moo, Oh Sung Kyun
Department of Orthopedic Surgery, Wonkwang University, School of Medicine, Ik San, Korea.
Asian Spine J. 2008 Dec;2(2):106-8. doi: 10.4184/asj.2008.2.2.106. Epub 2008 Dec 31.
A congenital absence of a lumbar articular process is a rare condition with an uncertain etiology. However, an intervertebral instability caused by this anomaly can cause occasional lower back pain. A 20 years old man presented with lower back pain. The physical examination revealed no neurological deficits. Plain radiographs of the lumbar spine revealed an absence of the left inferior articular process at the fourth lumbar vertebra associated with hypoplasia of the left lamina. The patient's symptoms were resolved after conservative treatment. We report a case of a congenital absence of articular process at the fourth lumbar vertebra.
先天性腰椎关节突缺如是一种病因不明的罕见病症。然而，由这种异常情况引起的椎间不稳定可偶尔导致下背部疼痛。一名20岁男性因下背部疼痛前来就诊。体格检查未发现神经功能缺损。腰椎X线平片显示第四腰椎左侧下关节突缺如，伴有左侧椎板发育不全。经保守治疗后，患者症状缓解。我们报告一例第四腰椎关节突先天性缺如的病例。
