Lumbar Disc Herniation in a Patient With Congenital Vertebral Body Anomaly: A Case Report

Abstract

Lumbar disc herniation is characterized with low back and leg pain resulting from the degenerated lumbar disc compressing the spinal nerve root. The etiology of degenerative spine is related to age, smoking, microtrauma, obesity, disorders of familial collagen structure, occupational and sports-related physical activity. However, disc herniations induced by congenital lumbar vertebral anomalies are rarely seen. Vertebral fusion defect is one of the causes of congenital anomalies. The pathogenesis of embryological corpus vertebral fusion anomaly is not fully known. In this paper, a 30-year-old patient who had the complaints of low back and right leg pain after falling from a height is presented. She had right L5-S1 disc herniation that had developed on the basis of S1 vertebra corpus fusion anomaly in Lumbar computed tomography. This case has been discussed in the light of literature based on evaluations of Lumbar Computed Tomography (CT) and Magnetic Resonance Imaging (MRI). This case is unique in that it is the first case with development of lumbar disc herniation associated with S1 vertebral corpus fusion anomaly. Congenital malformations with unusual clinical presentation after trauma should be evaluated through advanced radiological imaging techniques.

Pediatric lumbar disc herniation: A case series on diagnosis and management

“…Moreover, repetitive activities that place a significant amount of stress on the lumbar spine, such as gymnastics, dance, and football, can also increase the risk of lumbar disc herniation [13] , [14] , [15] . Also, children born with congenital abnormalities of the spine may be at a higher risk of developing lumbar disc herniation [16] .…”

CHRNA5/CHRNA3 gene cluster is a risk factor for lumbar disc herniation: a case-control study

“…Lumbar disc herniation (LDH) is one of the more common spinal diseases caused by the degeneration and the displacement of nucleus pulposus or annulus fibrosis beyond the intervertebral disc space [1]. LDH is characterized with low back and leg pain resulting from the degenerated lumbar disc compressing the spinal nerve root [2]. Many studies have demonstrated that 70–85% of all people will suffer from low back pain at some time in life [3].…”

Prevención y tratamiento de lesiones lumbares con herramientas físico-médicas. Una revisión sistemática

“…Esta etapa consiste en realizar ejercicios de estabilización lumbar, fuerza, de aumento de flexibilidad, combinándolos con ejercicios de tipo aeróbico. Ya que para prevenir o disminuir la hernia lumbar y del sacro es importante fortalecer la zona abdominal y el tono muscular en general (Atabey et al, 2014).…”