Title |
Primary pain generator identification by CT–SPECT in a patient with low back pain: a case report
|
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Published in |
BMC Research Notes, March 2017
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DOI | 10.1186/s13104-017-2458-3 |
Pubmed ID | |
Authors |
Gabriel Tender, Adriana Constantinescu, Andrew Conger, Anthony DiGiorgio |
Abstract |
Chronic low back pain is one of the most common conditions encountered in the middle-age population. Identifying the primary pain generator is notoriously difficult. The computed tomography-single-photon emission computed tomography (CT-SPECT) is emerging as a new diagnostic modality for this purpose. This 68-year-old Caucasian male presented with intractable low back pain refractory to maximal conservative treatment, including medication and extensive physical therapy. The lumbar computed tomography, magnetic resonance imaging, and flexion-extension X-rays showed advanced degenerative changes throughout the lumbar spine, but no single level significantly worse than the others. The CT-SPECT showed markedly increased uptake at the L1-2 disc level and only minimal uptake at the other levels. The patient underwent a minimally invasive lateral L1-2 fusion with near-complete resolution of his low back pain. The CT-SPECT may provide a unique tool in establishing the primary pain generator in patients with degenerative spine disease. |
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