Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Spine
Abstract number: 24474
GIRDLE AND LEG PAIN IN A LADY WITH PPRP
MRINAL SHARMA
Indraprasth Apollo Hospital, New Delhi (INDIA)
40 year lady with PPRP left lower limb presented with left lower limb and girdle pain
along the midriff. Of 10 months duration.Examination revealed a Limb length
discrepancy 2.8 cm, uncompensated .Pelvis could be squared.Radicular pain left
groin on weight bearing, decreasing on flexion and right lateral bending.Left lower
limb flail. Passive rotations and movements left hip normal. Walking with a calliper
with shoe raise.pain in leg starts after loading for more than one minute. Expected
scenario of Limb length discrepancy leading to abnormal stress in the back.
Compensation for limb shortening should resolve back painX-rays showed
compression fractures of L1 and L2 vertebrae with concavity towards the shorter
side.MRI revealed Degenerative Disc Disease D12-L1 and L1-L2 with no root/thecal
compressionSerum Ca, P, ALP was within normal limits.25-Hydroxy- Vit.D was
marginally low. DEXA scan was within Normal Limits. Started on Vit. D and Calcium
treatment.Given wt. relieving caliper with shoe raise.Root blocks given to L1 and L2
roots. Temporary relief for two days. Observed for four weeks.No substantial relief.
Treated with percutaneous pedicle screw and rod fixation between T12-L2 with
distraction given on concave side and compression given on convex side.Post op
xrays showed straightening of the spinal curvature. The patient was relieved of her
symptoms.Probably an indolent root compression was relieved
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