Lumbar intervertebral disc calcification in adult
Intervertebral disc calcification (IVDC) is a rare cause of spinal pain. Both children and adults can be involved, however this affection is more common in cervical and thoracic spine than lumbar column. A 52-year-old man, previously healthy, presented with an acute lumbalgia. He complained of spont...
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| Format: | Article |
| Language: | English |
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PAMJ
2020-07-01
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| Series: | PAMJ Clinical Medicine |
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https://www.clinical-medicine.panafrican-med-journal.com/content/article/3/88/pdf/88.pdf
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| _version_ | 1829106852916363264 |
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| author | Ali Akhaddar Amine Adraoui |
| author_facet | Ali Akhaddar Amine Adraoui |
| author_sort | Ali Akhaddar |
| collection | DOAJ |
| description | Intervertebral disc calcification (IVDC) is a rare cause of spinal pain. Both children and adults can be involved, however this affection is more common in cervical and thoracic spine than lumbar column. A 52-year-old man, previously healthy, presented with an acute lumbalgia. He complained of spontaneous low back pain for more than 4 months, aggravated for the last few weeks. He denied any history of injury, important change in weight, systemic disease or recent episodes of fever. Physical examination revealed limitation in low back movements with paraspinal muscle spasm. Straight leg test and tendon reflexes were normal without any neurologic deficits. Computed tomography scan (A, B, C) showed an unusual homogenous, well limited, calcified lesion at the L4-L5 intervertebral level (arrows) with a straightness of the lumbar spine. The calcified structure rather corresponds to the nucleus pulposus: the central portion of intervertebral disc. Laboratory finding showed no inflammatory sign. The patient was treated with rest, analgesic and anti-inflammatory agents. Symptoms resolved few weeks later. The etiology of IVDC still remains uncertain and in most adult patients, this phenomenon is known as an idiopathic rare condition. The majority of cases are pauci or asymptomatic. Calcification in children is usually spontaneously resolved, unlike in adults in whom calcified deposits in discs are rather permanent. As seen in our patient, most symptomatic cases are treated conservatively with an excellent prognosis. Rarely, the calcified discs may occasionally lead to nerve root or spinal cord compression. Thus, neurosurgical decompression with excision can be planned |
| first_indexed | 2024-12-12T06:29:00Z |
| format | Article |
| id | doaj.art-7bcdf070cf6c4042b542bf48a0dd62db |
| institution | Directory Open Access Journal |
| issn | 2707-2797 2707-2797 |
| language | English |
| last_indexed | 2024-12-12T06:29:00Z |
| publishDate | 2020-07-01 |
| publisher | PAMJ |
| record_format | Article |
| series | PAMJ Clinical Medicine |
| spelling | doaj.art-7bcdf070cf6c4042b542bf48a0dd62db2022-12-22T00:34:40ZengPAMJPAMJ Clinical Medicine2707-27972707-27972020-07-0138810.11604/pamj-cm.2020.3.88.2443824438Lumbar intervertebral disc calcification in adultAli Akhaddar0Amine Adraoui1 Department of Neurosurgery. Avicenne Military Hospital of Marrakech, Marrakech, Morocco Department of Neurosurgery. Avicenne Military Hospital of Marrakech, Marrakech, Morocco Intervertebral disc calcification (IVDC) is a rare cause of spinal pain. Both children and adults can be involved, however this affection is more common in cervical and thoracic spine than lumbar column. A 52-year-old man, previously healthy, presented with an acute lumbalgia. He complained of spontaneous low back pain for more than 4 months, aggravated for the last few weeks. He denied any history of injury, important change in weight, systemic disease or recent episodes of fever. Physical examination revealed limitation in low back movements with paraspinal muscle spasm. Straight leg test and tendon reflexes were normal without any neurologic deficits. Computed tomography scan (A, B, C) showed an unusual homogenous, well limited, calcified lesion at the L4-L5 intervertebral level (arrows) with a straightness of the lumbar spine. The calcified structure rather corresponds to the nucleus pulposus: the central portion of intervertebral disc. Laboratory finding showed no inflammatory sign. The patient was treated with rest, analgesic and anti-inflammatory agents. Symptoms resolved few weeks later. The etiology of IVDC still remains uncertain and in most adult patients, this phenomenon is known as an idiopathic rare condition. The majority of cases are pauci or asymptomatic. Calcification in children is usually spontaneously resolved, unlike in adults in whom calcified deposits in discs are rather permanent. As seen in our patient, most symptomatic cases are treated conservatively with an excellent prognosis. Rarely, the calcified discs may occasionally lead to nerve root or spinal cord compression. Thus, neurosurgical decompression with excision can be planned https://www.clinical-medicine.panafrican-med-journal.com/content/article/3/88/pdf/88.pdf calcificationdegenerationintervertebral disclumbar spinenucleus pulposusradiculopathyspinal calcification |
| spellingShingle | Ali Akhaddar Amine Adraoui Lumbar intervertebral disc calcification in adult PAMJ Clinical Medicine calcification degeneration intervertebral disc lumbar spine nucleus pulposus radiculopathy spinal calcification |
| title | Lumbar intervertebral disc calcification in adult |
| title_full | Lumbar intervertebral disc calcification in adult |
| title_fullStr | Lumbar intervertebral disc calcification in adult |
| title_full_unstemmed | Lumbar intervertebral disc calcification in adult |
| title_short | Lumbar intervertebral disc calcification in adult |
| title_sort | lumbar intervertebral disc calcification in adult |
| topic | calcification degeneration intervertebral disc lumbar spine nucleus pulposus radiculopathy spinal calcification |
| url |
https://www.clinical-medicine.panafrican-med-journal.com/content/article/3/88/pdf/88.pdf
|
| work_keys_str_mv | AT aliakhaddar lumbarintervertebraldisccalcificationinadult AT amineadraoui lumbarintervertebraldisccalcificationinadult |