Woo C C
J Manipulative Physiol Ther. 1986 Dec;9(4):279-84.
Early onset of disabling backache in acromegaly is infrequent. A case is presented of a young acromegalic with acute sacroiliac strain caused by improper occupational lifting, precipitated by the instability of joints due to hypersomatotropism and concomitant with lumbosacral facet tropism. The newly observed radiological feature of the acromegalic, hyperostosis of the spinous processes is believed to contribute to the aching in the low back. The patient resumed working after ten adjustments to the sacroiliac joint, supplemented with cryotherapy, sacral brace and postural education. It is postulated that backache in acromegalics is primarily related to acute accidental, or to chronic repeated, occupational or recreational microtraumas to the low back or to the hyperostosis of the lumbar spinous processes.
肢端肥大症患者早期出现致残性背痛的情况并不常见。本文报告一例年轻的肢端肥大症患者，因不当的职业性提举动作导致急性骶髂关节劳损，这是由生长激素过多引起的关节不稳定所致，且伴有腰骶小关节错位。肢端肥大症患者新观察到的影像学特征——棘突骨质增生，被认为是导致下背痛的原因。经过对骶髂关节进行十次调整，并辅以冷冻疗法、骶骨支撑和姿势教育后，患者恢复了工作。据推测，肢端肥大症患者的背痛主要与急性意外性、或慢性重复性的职业性或娱乐性腰部微创伤，或腰椎棘突骨质增生有关。
