一名患有非特异性下背痛的青春期女孩的腰椎骨髓炎

Lumbar Spine Osteomyelitis in an Adolescent Girl With Nonspecific Low Back Pain.

作者信息

Wall Christopher M, Paterno Mark V, Sturm Peter F

出版信息

J Orthop Sports Phys Ther. 2017 Oct;47(10):814. doi: 10.2519/jospt.2017.6883.

DOI:10.2519/jospt.2017.6883

Abstract

A 13-year-old adolescent girl presented to the emergency department with low back pain of acute onset after bending forward. Lumbar spine radiographs were taken and found to be unremarkable, and the patient was referred to physical therapy. Following examination, the patient was referred to her physician for a suspected nonmechanical cause. Magnetic resonance imaging assessment revealed L3-4 discitis, with osteomyelitis extending into the adjacent right iliopsoas muscle. Further testing and bone biopsy confirmed osteomyelitis. J Orthop Sports Phys Ther 2017;47(10):814. doi:10.2519/jospt.2017.6883.

摘要

一名13岁青春期女孩因向前弯腰后急性发作的下背部疼痛就诊于急诊科。拍摄了腰椎X线片，结果未见异常，该患者被转诊至物理治疗科。检查后，该患者因怀疑非机械性病因被转诊给她的医生。磁共振成像评估显示L3 - 4椎间盘炎，骨髓炎蔓延至相邻的右侧髂腰肌。进一步检查和骨活检确诊为骨髓炎。《骨科与运动物理治疗杂志》2017年；47(10):814。doi:10.2519/jospt.2017.6883 。