Endoscopic Resection of Symptomatic Degenerative Repetitive Stress Related Fracture of the Tip of Superior Articular Process. An Unusual Cause of Severe Back Pain: Report of 2 Cases and Technical Note
Neglected stress related fracture of superior articular process fracture leading to disability is not commonly reported. Intravertebral foraminal ligament attachment to superior articular process is well described but its repetitive stress related avulsion injury was not reported. The presence of ab...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Minimally Invasive Spine Surgery Society
2020-04-01
|
| Series: | Journal of Minimally Invasive Spine Surgery and Technique |
| Subjects: | |
| Online Access: | http://www.jmisst.org/upload/pdf/jmisst-2019-00080.pdf |
| _version_ | 1797951380774715392 |
|---|---|
| author | Hyeun Sung Kim Pang Hung Wu Harshavardhan Dilip Raorane Dong Hwa Heo Yeon Jin Lee Kyung-Hoon Yang Il-Tae Jang |
| author_facet | Hyeun Sung Kim Pang Hung Wu Harshavardhan Dilip Raorane Dong Hwa Heo Yeon Jin Lee Kyung-Hoon Yang Il-Tae Jang |
| author_sort | Hyeun Sung Kim |
| collection | DOAJ |
| description | Neglected stress related fracture of superior articular process fracture leading to disability is not commonly reported. Intravertebral foraminal ligament attachment to superior articular process is well described but its repetitive stress related avulsion injury was not reported. The presence of abundant sensory and nociceptive nerve endings around the facet joint can cause significant symptoms in this uncommon condition. We hereby present 2 cases of superior articular process tip fracture. First case is a 53 years old business who presented with intractable chronic back and right gluteal pain for many years worsened with golf games with the diagnosis of nonunion of right L2 superior articular facet and second case is a 74 years old lady who had intractable left buttock and left calf radicular pain with neglected left L5 superior articular facet tip fracture after vertebroplasty treatment on L4 compression fracture; both underwent uniportal endoscopic contralateral approach for decompression and resection of the Superior Articular Process, SAP tip fragment with its attached foraminal ligament with good symptoms relief on one year follow up. Consideration can be made for endoscopic decompression SAP tip fracture in comparison to open decompression or fusion surgery in these symptomatic patients. |
| first_indexed | 2024-04-10T22:29:42Z |
| format | Article |
| id | doaj.art-73db828588314a08a7a9a18cce3d871c |
| institution | Directory Open Access Journal |
| issn | 2508-2043 |
| language | English |
| last_indexed | 2024-04-10T22:29:42Z |
| publishDate | 2020-04-01 |
| publisher | Korean Minimally Invasive Spine Surgery Society |
| record_format | Article |
| series | Journal of Minimally Invasive Spine Surgery and Technique |
| spelling | doaj.art-73db828588314a08a7a9a18cce3d871c2023-01-17T06:09:20ZengKorean Minimally Invasive Spine Surgery SocietyJournal of Minimally Invasive Spine Surgery and Technique2508-20432020-04-0151364110.21182/jmisst.2019.0008068Endoscopic Resection of Symptomatic Degenerative Repetitive Stress Related Fracture of the Tip of Superior Articular Process. An Unusual Cause of Severe Back Pain: Report of 2 Cases and Technical NoteHyeun Sung Kim0Pang Hung Wu1Harshavardhan Dilip Raorane2Dong Hwa Heo3Yeon Jin Lee4Kyung-Hoon Yang5Il-Tae Jang6 Department of Neurosurgery, Spine Surgery, Nanoori Gangnam Hospital, Seoul, Korea Department of Neurosurgery, Spine Surgery, Nanoori Gangnam Hospital, Seoul, Korea Department of Neurosurgery, Spine Surgery, Nanoori Gangnam Hospital, Seoul, Korea Department of Neurosurgery, Spine Surgery, Nanoori Gangnam Hospital, Seoul, Korea Department of Neurosurgery, Spine Surgery, Nanoori Gangnam Hospital, Seoul, Korea Department of Neurosurgery, Spine Surgery, Nanoori Gangnam Hospital, Seoul, Korea Department of Neurosurgery, Spine Surgery, Nanoori Gangnam Hospital, Seoul, KoreaNeglected stress related fracture of superior articular process fracture leading to disability is not commonly reported. Intravertebral foraminal ligament attachment to superior articular process is well described but its repetitive stress related avulsion injury was not reported. The presence of abundant sensory and nociceptive nerve endings around the facet joint can cause significant symptoms in this uncommon condition. We hereby present 2 cases of superior articular process tip fracture. First case is a 53 years old business who presented with intractable chronic back and right gluteal pain for many years worsened with golf games with the diagnosis of nonunion of right L2 superior articular facet and second case is a 74 years old lady who had intractable left buttock and left calf radicular pain with neglected left L5 superior articular facet tip fracture after vertebroplasty treatment on L4 compression fracture; both underwent uniportal endoscopic contralateral approach for decompression and resection of the Superior Articular Process, SAP tip fragment with its attached foraminal ligament with good symptoms relief on one year follow up. Consideration can be made for endoscopic decompression SAP tip fracture in comparison to open decompression or fusion surgery in these symptomatic patients.http://www.jmisst.org/upload/pdf/jmisst-2019-00080.pdfspine fractureendoscopic spine surgerysports injurysuperior articular processforaminal ligamentrepetitive stress fracturelumbar endoscopic unilateral laminotomy for bilateral decompression |
| spellingShingle | Hyeun Sung Kim Pang Hung Wu Harshavardhan Dilip Raorane Dong Hwa Heo Yeon Jin Lee Kyung-Hoon Yang Il-Tae Jang Endoscopic Resection of Symptomatic Degenerative Repetitive Stress Related Fracture of the Tip of Superior Articular Process. An Unusual Cause of Severe Back Pain: Report of 2 Cases and Technical Note Journal of Minimally Invasive Spine Surgery and Technique spine fracture endoscopic spine surgery sports injury superior articular process foraminal ligament repetitive stress fracture lumbar endoscopic unilateral laminotomy for bilateral decompression |
| title | Endoscopic Resection of Symptomatic Degenerative Repetitive Stress Related Fracture of the Tip of Superior Articular Process. An Unusual Cause of Severe Back Pain: Report of 2 Cases and Technical Note |
| title_full | Endoscopic Resection of Symptomatic Degenerative Repetitive Stress Related Fracture of the Tip of Superior Articular Process. An Unusual Cause of Severe Back Pain: Report of 2 Cases and Technical Note |
| title_fullStr | Endoscopic Resection of Symptomatic Degenerative Repetitive Stress Related Fracture of the Tip of Superior Articular Process. An Unusual Cause of Severe Back Pain: Report of 2 Cases and Technical Note |
| title_full_unstemmed | Endoscopic Resection of Symptomatic Degenerative Repetitive Stress Related Fracture of the Tip of Superior Articular Process. An Unusual Cause of Severe Back Pain: Report of 2 Cases and Technical Note |
| title_short | Endoscopic Resection of Symptomatic Degenerative Repetitive Stress Related Fracture of the Tip of Superior Articular Process. An Unusual Cause of Severe Back Pain: Report of 2 Cases and Technical Note |
| title_sort | endoscopic resection of symptomatic degenerative repetitive stress related fracture of the tip of superior articular process an unusual cause of severe back pain report of 2 cases and technical note |
| topic | spine fracture endoscopic spine surgery sports injury superior articular process foraminal ligament repetitive stress fracture lumbar endoscopic unilateral laminotomy for bilateral decompression |
| url | http://www.jmisst.org/upload/pdf/jmisst-2019-00080.pdf |
| work_keys_str_mv | AT hyeunsungkim endoscopicresectionofsymptomaticdegenerativerepetitivestressrelatedfractureofthetipofsuperiorarticularprocessanunusualcauseofseverebackpainreportof2casesandtechnicalnote AT panghungwu endoscopicresectionofsymptomaticdegenerativerepetitivestressrelatedfractureofthetipofsuperiorarticularprocessanunusualcauseofseverebackpainreportof2casesandtechnicalnote AT harshavardhandilipraorane endoscopicresectionofsymptomaticdegenerativerepetitivestressrelatedfractureofthetipofsuperiorarticularprocessanunusualcauseofseverebackpainreportof2casesandtechnicalnote AT donghwaheo endoscopicresectionofsymptomaticdegenerativerepetitivestressrelatedfractureofthetipofsuperiorarticularprocessanunusualcauseofseverebackpainreportof2casesandtechnicalnote AT yeonjinlee endoscopicresectionofsymptomaticdegenerativerepetitivestressrelatedfractureofthetipofsuperiorarticularprocessanunusualcauseofseverebackpainreportof2casesandtechnicalnote AT kyunghoonyang endoscopicresectionofsymptomaticdegenerativerepetitivestressrelatedfractureofthetipofsuperiorarticularprocessanunusualcauseofseverebackpainreportof2casesandtechnicalnote AT iltaejang endoscopicresectionofsymptomaticdegenerativerepetitivestressrelatedfractureofthetipofsuperiorarticularprocessanunusualcauseofseverebackpainreportof2casesandtechnicalnote |