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Bilateral retrosomatic clefts at multiple lumbar levels

M Soleimanpour1, M L Gregg, R Paraliticci

  • 1Department of Radiology, St Elizabeth Hospital Medical Center, Youngstown, Ohio 44501, USA.

AJNR. American Journal of Neuroradiology
|September 1, 1995
PubMed
Summary

This study details a case of low back pain in a woman with rheumatoid arthritis. Imaging revealed bilateral pedicle defects and retrosomatic clefts, indicating spinal abnormalities.

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Area of Science:

  • Rheumatology
  • Spinal Imaging
  • Radiology

Background:

  • Rheumatoid arthritis is a chronic autoimmune disease.
  • Low back pain is a common symptom with various causes.
  • Spinal abnormalities can lead to significant pain and disability.

Observation:

  • A 44-year-old woman with rheumatoid arthritis presented with low back pain.
  • Lumbar spine radiographs showed bilateral pedicle defects at L3-L5.
  • Widening of the spinal canal and spondylolisthesis at L5-S1 were noted.

Findings:

  • Computed tomography (CT) clearly visualized bilateral retrosomatic clefts at multiple lumbar levels.
  • Pedicle defects and retrosomatic clefts suggest developmental or degenerative spinal anomalies.
  • These findings correlate with the patient's reported low back pain.

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Implications:

  • Understanding spinal manifestations in rheumatoid arthritis is crucial for diagnosis.
  • Advanced imaging techniques like CT are vital for characterizing complex spinal pathologies.
  • Identifying retrosomatic clefts aids in diagnosing the cause of low back pain and guiding treatment.