Thoracolumbar hinge syndrome: clinical impact on the differential diagnosis of low back pain and abdominal pathologies
Keywords:
Lumbar Vertebrae, Thoracic Vertebrae, Low Back Pain, Joint Diseases, Diagnosis, DifferentialAbstract
Introduction: The thoracolumbar syndrome is an unknown pathology for many physicians. Few studies have been published in the literature. It’s a pathology of great importance that influences the differential diagnosis of back and abdominal pain, and leads into mistaken diagnosis in many specialties. The purpose of this study is to divulge the knowledge of this pathology and to present the author’s experience in its treatment.
Methods: We included patients with thoracolumbar syndrome that consulted the Hospital Universitario de Barranquilla, the Clínica Bautista, and the autor’s particular consultation between January 1995 and january 2020.
Results: Two hundred and fifty eight cases have been studied from January 1995 to January 2010. We analyzed false diagnosis finding a clear ignorance of this pathology.
Discussion: This is a syndrome that involves the diagnostic skills of orthopedists, neurologists, neurosurgeons, urologists, gynecologists and rheumatologists.
Downloads
References
Gregersen GG, Lucas DB. An in vivo study of de axial rotation of the human thoraco-lumbar spine. J Bone Joint Surg 1967; 49(2): 247-62.
Maigne R. Un síndrome nuevo y frecuente, el síndrome T12-L1 (lumbalgias bajas, dolores pseudoviscerales, falsos dolores de cadera. Rehabilitación 1977; 11:197-210.
Teissandier MJ. Le syndrome de la charnière fonctionnelle thoracique et les “deux rachis”. Ann Réadapt Méd Phys 1993; 36(6): 437-43.
Einsenstein SM, Parry CR. The lumbar face artrosis syndrome, cli¬nical presentation and articular surface changes. J Bone Joint Surg Br 1987; 69: 3-7.
Lewin GR, Rueff A, Mendell LM. Peripheral and central mechanisms of NCF-induced hiperalgesia. Eur J Neurosci 1994; 6(12): 1993-1912.
Leclaire MD, Fortin L, Lambert R. Radiofrequency facet joint de¬nervation in the treatment of low back pain. Spine 2001; 26: 1411-7.
Knochaert DC, Boonen AL, Bruyninckx FL, Bobbaers HJ. Electrom¬yographic finding in ilioinguinal-ilio-hypogastric nerve entrapment syndrome. Acta Clin Belg 1996; 51: 150-60.
Maigne JY, Lazareth JP, Guérin-Surville H, Maigne R. The lateral cu¬taneous branches of the dorsal rami of the thoracolumbar junction. An anatomical study on 37 dissections. Surg Radiol Anat 1986; 8: 251-6.
Maigne R. Diagnostic et traitement des douleurs communes d’origine rachidienne. 4a ed. Paris: Exp Scient Franc Ed; 1989. p. 516.
Maigne R. Dérangements intervertebraux mineurs et syndrome dellulo-tenomyalgique. Conception nouvelle des mécaniques des douleurs vertébrales communes. Rev Mediter Scj Med 1978 ; 5 : 337-48.
Teissandier MJ. Lombalgies d’origine dorsal et latéroflexions du tronc. Ann Réadapt Méd Phys 1986; 29(3): 285-8.
Berthelot JM. Syndromes canalaires des nerfs ilio-hypogastriques, ilio-inguinaux, génitofémoraux, obturateurs et pudendal. Revue du Rhumatisme 2007; 74: 384-92.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Sociedad Colombiana de Ortopedia y Traumatología
This work is licensed under a Creative Commons Attribution 4.0 International License.
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
