Roberto Michael, Barry John, Sung Won
J Orthop Sports Phys Ther. 2020 Jun;50(6):345. doi: 10.2519/jospt.2020.9059.
A 33-year-old man was referred to physical therapy by his primary care physician for low back pain that had been present for 7 months. The neurologic screen with mixed upper and lower motor neuron signs was of concern for spinal cord involvement. The primary care physician was contacted and magnetic resonance imaging ordered. Facet arthrosis and epidural lipomatosis were present, resulting in thoracic and lumbar spinal stenosis. .
一名33岁男性因下背痛持续7个月,被其初级保健医生转诊至物理治疗科。神经系统检查发现混合性上、下运动神经元体征,怀疑脊髓受累。联系了初级保健医生并安排了磁共振成像检查。结果显示存在小关节病和硬膜外脂肪增多症,导致胸腰椎管狭窄。