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Patient of Congenital Absence of a Lumbar Pedicle With Nerve Root Anomaly Presenting With Ipsilateral Foraminal Stenosis by Vertebral Fracture
Patients with congenital absence of a lumbar pedicle and nerve root anomaly presenting with ipsilateral foraminal stenosis are extremely rare. An 80-year-old man had low back and right thigh pain. Radiographs and computed tomography (CT) showed L3 vertebral body fracture and the absence of the right...
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Published in: | Case reports in orthopedics 2024, Vol.2024 (1), p.2671270 |
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description | Patients with congenital absence of a lumbar pedicle and nerve root anomaly presenting with ipsilateral foraminal stenosis are extremely rare.
An 80-year-old man had low back and right thigh pain. Radiographs and computed tomography (CT) showed L3 vertebral body fracture and the absence of the right L3 lumbar pedicle. He was diagnosed with L2-L3 right foraminal stenosis caused by an L3 vertebral fracture and underwent lumbar fusion at L2-L3 and L3-L4. Intraoperatively, we confirmed that an anomalous nerve root was divided from the right L2 nerve root near the dorsal root ganglion (DRG).
Patients with congenital absence of a lumbar pedicle are less prone to ipsilateral foraminal stenosis because they theoretically have a large space in the foramen. This rare case was caused because of additional instability due to vertebral fracture under the condition of a nerve root anomaly and lumbar degeneration. |
doi_str_mv | 10.1155/2024/2671270 |
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An 80-year-old man had low back and right thigh pain. Radiographs and computed tomography (CT) showed L3 vertebral body fracture and the absence of the right L3 lumbar pedicle. He was diagnosed with L2-L3 right foraminal stenosis caused by an L3 vertebral fracture and underwent lumbar fusion at L2-L3 and L3-L4. Intraoperatively, we confirmed that an anomalous nerve root was divided from the right L2 nerve root near the dorsal root ganglion (DRG).
Patients with congenital absence of a lumbar pedicle are less prone to ipsilateral foraminal stenosis because they theoretically have a large space in the foramen. This rare case was caused because of additional instability due to vertebral fracture under the condition of a nerve root anomaly and lumbar degeneration.</description><identifier>ISSN: 2090-6749</identifier><identifier>EISSN: 2090-6757</identifier><identifier>DOI: 10.1155/2024/2671270</identifier><identifier>PMID: 39108600</identifier><language>eng</language><publisher>United States: John Wiley & Sons, Inc</publisher><subject>Asymptomatic ; Back pain ; Case Report ; CT imaging ; Fractures ; Genetic disorders ; Health aspects ; Magnetic resonance imaging ; Morphology ; Orthopedics ; Patients ; Pediatrics ; Scoliosis ; Stenosis ; Surgery ; Vertebrae</subject><ispartof>Case reports in orthopedics, 2024, Vol.2024 (1), p.2671270</ispartof><rights>Copyright © 2024 Shotaro Fukada et al.</rights><rights>COPYRIGHT 2024 John Wiley & Sons, Inc.</rights><rights>Copyright © 2024 Shotaro Fukada et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2024 Shotaro Fukada et al. 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c433t-ba4ceabdfed5ff70224a154aee288a9175c42a59c863fd069f342b890cdfedbb3</cites><orcidid>0000-0002-1516-3107</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/3091427438/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/3091427438?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,4024,25753,27923,27924,27925,37012,37013,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39108600$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Itshayek, Eyal</contributor><contributor>Eyal Itshayek</contributor><creatorcontrib>Fukada, Shotaro</creatorcontrib><creatorcontrib>Tsujimoto, Takeru</creatorcontrib><creatorcontrib>Kanayama, Masahiro</creatorcontrib><creatorcontrib>Oha, Fumihiro</creatorcontrib><creatorcontrib>Shimamura, Yukitoshi</creatorcontrib><creatorcontrib>Hasegawa, Yuichi</creatorcontrib><creatorcontrib>Fukase, Shogo</creatorcontrib><creatorcontrib>Hashimoto, Tomoyuki</creatorcontrib><creatorcontrib>Iwasaki, Norimasa</creatorcontrib><title>Patient of Congenital Absence of a Lumbar Pedicle With Nerve Root Anomaly Presenting With Ipsilateral Foraminal Stenosis by Vertebral Fracture</title><title>Case reports in orthopedics</title><addtitle>Case Rep Orthop</addtitle><description>Patients with congenital absence of a lumbar pedicle and nerve root anomaly presenting with ipsilateral foraminal stenosis are extremely rare.
An 80-year-old man had low back and right thigh pain. Radiographs and computed tomography (CT) showed L3 vertebral body fracture and the absence of the right L3 lumbar pedicle. He was diagnosed with L2-L3 right foraminal stenosis caused by an L3 vertebral fracture and underwent lumbar fusion at L2-L3 and L3-L4. Intraoperatively, we confirmed that an anomalous nerve root was divided from the right L2 nerve root near the dorsal root ganglion (DRG).
Patients with congenital absence of a lumbar pedicle are less prone to ipsilateral foraminal stenosis because they theoretically have a large space in the foramen. This rare case was caused because of additional instability due to vertebral fracture under the condition of a nerve root anomaly and lumbar degeneration.</description><subject>Asymptomatic</subject><subject>Back pain</subject><subject>Case Report</subject><subject>CT imaging</subject><subject>Fractures</subject><subject>Genetic disorders</subject><subject>Health aspects</subject><subject>Magnetic resonance imaging</subject><subject>Morphology</subject><subject>Orthopedics</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Scoliosis</subject><subject>Stenosis</subject><subject>Surgery</subject><subject>Vertebrae</subject><issn>2090-6749</issn><issn>2090-6757</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptkk1vEzEQhlcIRKvSG2e0EhcOpPXnrveEoopCpAgiPo-W7Z1NHe3awfZWyp_gN-NtQiAI--DR-H2f0YymKJ5jdIUx59cEEXZNqhqTGj0qzglq0Kyqef34GLPmrLiMcYPyqRAWjD4tzmiDkagQOi9-rlSy4FLpu_LGuzU4m1RfznUEZ2DKqnI5DlqFcgWtNT2U3226Kz9AuIfyk_epnDs_qH5XrgJkU7JuvZcsttH2KkHIvFsf1GBdjj4ncD7aWOpd-Q1CAv3wH5RJY4BnxZNO9REuD-9F8fX27Zeb97Plx3eLm_lyZhilaaYVM6B020HLu65GhDCFOVMARAjV4JobRhRvjKho16Kq6SgjWjTITBat6UWx2HNbrzZyG-ygwk56ZeVDwoe1VCFN7UpEGgwdaK6wYa1uNQZQHa9bQduW1Sqz3uxZ21EP0Jo8g9zSCfT0x9k7ufb3EmOKKOIoE14dCMH_GCEmOdhooO-VAz9GSZFohCCs5ln68h_pxo8hD3ZSNZiRmlHxR7VWuQPrOp8Lmwkq5wIxniuLiXX1H1W-LQzWeAedzfkTw-u9wQQfY4Du2CRGctpHOe2jPOxjlr_4ezBH8e_to78AzSfbuA</recordid><startdate>2024</startdate><enddate>2024</enddate><creator>Fukada, Shotaro</creator><creator>Tsujimoto, Takeru</creator><creator>Kanayama, Masahiro</creator><creator>Oha, Fumihiro</creator><creator>Shimamura, Yukitoshi</creator><creator>Hasegawa, Yuichi</creator><creator>Fukase, Shogo</creator><creator>Hashimoto, Tomoyuki</creator><creator>Iwasaki, Norimasa</creator><general>John Wiley & Sons, Inc</general><general>Hindawi Limited</general><general>Wiley</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CWDGH</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-1516-3107</orcidid></search><sort><creationdate>2024</creationdate><title>Patient of Congenital Absence of a Lumbar Pedicle With Nerve Root Anomaly Presenting With Ipsilateral Foraminal Stenosis by Vertebral Fracture</title><author>Fukada, Shotaro ; Tsujimoto, Takeru ; Kanayama, Masahiro ; Oha, Fumihiro ; Shimamura, Yukitoshi ; Hasegawa, Yuichi ; Fukase, Shogo ; Hashimoto, Tomoyuki ; Iwasaki, Norimasa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c433t-ba4ceabdfed5ff70224a154aee288a9175c42a59c863fd069f342b890cdfedbb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Asymptomatic</topic><topic>Back pain</topic><topic>Case Report</topic><topic>CT imaging</topic><topic>Fractures</topic><topic>Genetic disorders</topic><topic>Health aspects</topic><topic>Magnetic resonance imaging</topic><topic>Morphology</topic><topic>Orthopedics</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Scoliosis</topic><topic>Stenosis</topic><topic>Surgery</topic><topic>Vertebrae</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fukada, Shotaro</creatorcontrib><creatorcontrib>Tsujimoto, Takeru</creatorcontrib><creatorcontrib>Kanayama, Masahiro</creatorcontrib><creatorcontrib>Oha, Fumihiro</creatorcontrib><creatorcontrib>Shimamura, Yukitoshi</creatorcontrib><creatorcontrib>Hasegawa, Yuichi</creatorcontrib><creatorcontrib>Fukase, Shogo</creatorcontrib><creatorcontrib>Hashimoto, Tomoyuki</creatorcontrib><creatorcontrib>Iwasaki, Norimasa</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Middle East & Africa Database</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Case reports in orthopedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fukada, Shotaro</au><au>Tsujimoto, Takeru</au><au>Kanayama, Masahiro</au><au>Oha, Fumihiro</au><au>Shimamura, Yukitoshi</au><au>Hasegawa, Yuichi</au><au>Fukase, Shogo</au><au>Hashimoto, Tomoyuki</au><au>Iwasaki, Norimasa</au><au>Itshayek, Eyal</au><au>Eyal Itshayek</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patient of Congenital Absence of a Lumbar Pedicle With Nerve Root Anomaly Presenting With Ipsilateral Foraminal Stenosis by Vertebral Fracture</atitle><jtitle>Case reports in orthopedics</jtitle><addtitle>Case Rep Orthop</addtitle><date>2024</date><risdate>2024</risdate><volume>2024</volume><issue>1</issue><spage>2671270</spage><pages>2671270-</pages><issn>2090-6749</issn><eissn>2090-6757</eissn><abstract>Patients with congenital absence of a lumbar pedicle and nerve root anomaly presenting with ipsilateral foraminal stenosis are extremely rare.
An 80-year-old man had low back and right thigh pain. Radiographs and computed tomography (CT) showed L3 vertebral body fracture and the absence of the right L3 lumbar pedicle. He was diagnosed with L2-L3 right foraminal stenosis caused by an L3 vertebral fracture and underwent lumbar fusion at L2-L3 and L3-L4. Intraoperatively, we confirmed that an anomalous nerve root was divided from the right L2 nerve root near the dorsal root ganglion (DRG).
Patients with congenital absence of a lumbar pedicle are less prone to ipsilateral foraminal stenosis because they theoretically have a large space in the foramen. This rare case was caused because of additional instability due to vertebral fracture under the condition of a nerve root anomaly and lumbar degeneration.</abstract><cop>United States</cop><pub>John Wiley & Sons, Inc</pub><pmid>39108600</pmid><doi>10.1155/2024/2671270</doi><orcidid>https://orcid.org/0000-0002-1516-3107</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Asymptomatic Back pain Case Report CT imaging Fractures Genetic disorders Health aspects Magnetic resonance imaging Morphology Orthopedics Patients Pediatrics Scoliosis Stenosis Surgery Vertebrae |
title | Patient of Congenital Absence of a Lumbar Pedicle With Nerve Root Anomaly Presenting With Ipsilateral Foraminal Stenosis by Vertebral Fracture |
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