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Related Experiment Videos

Interspinous bursitis in an athlete.

M J DePalma1, C W Slipman, E Siegelman

  • 1The Penn Spine Center, Department of Physical Medicine and Rehabilitation, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia 19104, USA.

The Journal of Bone and Joint Surgery. British Volume
|September 28, 2004
PubMed
Summary

We report a case of L2/3 interspinous bursitis treated with extraspinal injections. This method confirms the clinical relevance of MRI findings and offers pain relief for lumbar bursal cavities.

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Area of Science:

  • Orthopedics
  • Radiology
  • Pain Management

Background:

  • Interspinous bursal cavities in the lumbar spine increase with age.
  • These bursae can cause localized midline lower back pain, worsened by extension.
  • Symptoms may mimic spondylolysis in young athletes.

Observation:

  • Magnetic resonance imaging (MRI) effectively detects soft-tissue injury in posterior spinal elements.
  • Fluoroscopically guided spinal injections have not previously been used to confirm the clinical significance of these bursae.
  • A case of L2/3 interspinous bursitis was treated with extraspinal injections.

Findings:

  • Extraspinal injections guided by fluoroscopy can confirm the clinical relevance of MRI-detected interspinous bursae.
  • This technique provides both diagnostic confirmation and therapeutic pain relief.

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Implications:

  • Fluoroscopically guided extraspinal injections offer a valuable tool for diagnosing and managing pain associated with lumbar interspinous bursitis.
  • This approach enhances the clinical utility of MRI findings in identifying the source of low back pain.
  • It provides a targeted treatment option for patients with this specific condition.