AI Article Synopsis
- Congenital lumbar facet joint defect is a rare condition primarily affecting the L5-S1 segments; this study reports the first case of such a defect in the left L3 inferior articular process.
- A 14-year-old boy with persistent lower back pain was diagnosed using imaging techniques, and conservative treatment significantly improved his symptoms.
- The study proposes a classification system for these defects, identifying five types with Types B and C being most common, and confirms the system's reliability for clinicians.
Article Abstract
Background: Congenital lumbar facet joint defect is a rare congenital developmental disorder with only a few reported cases in the literature, primarily affecting the L5-S1 segments. This study reports the first case of a defect in the left L3 inferior articular process; and presents a review of the existing literature on the subject, proposes a classification system, and validates the inter-observer and intra-observer reliability of this classification system.
Case Presentation: A 14-year-old boy presented to our orthopedic clinic with persistent lower back pain for 1 month. Imaging analysis, including CT scans, 3D reconstruction, and MRI, revealed a congenital lumbar facet joint defect at the L3 level, which has not been reported. Conservative treatment resulted in a significant improvement in his symptoms, and he is currently under follow-up care.
Conclusion: Congenital defect of the lumbar facet joint is a rare spinal condition. This article reports the first patient with a defect in the left L3 inferior articular process and conducts a comprehensive literature review, proposing a classification of articular process defects into five types. The two most common types are Types B and C. We have demonstrated that this system is reliable and reproducible and have described the treatment of each type.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11293910 | PMC |
| http://dx.doi.org/10.1111/os.14132 | DOI Listing |
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