Non-Traumatic Myositis Ossificans in the Lumbar Spine

Abdallah, Anas; Gökçedağ, Akın; Ofluoglu, Ali Ender; Emel, Erhan

doi:10.12659/ajcr.891151

Cited by 12 publications

(3 citation statements)

References 9 publications

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“…As long as I surveyed, only 3 cases of myositis ossificans in lumbar spine were found on PubMed line. [2][3][4] Interestingly, all of the 3 cases had no traumatic history like our case. It could be because the muscle contusion by playing sports might be rarer in the spine than in the extremities.…”

Section: Discussionmentioning

confidence: 48%

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Myositis Ossificans in the Lumbar Spine: A Case Report

Kobashi

Ogiwara²,

Fukuda³

2016

Sport Exerc Med Open J

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Objective: Relatively rare case. Background: Myositis ossificans is a benign condition which appears as a heterotopic, welldefined bone formation in muscles and soft tissues. It is most common in children and young athletes. Most myositis ossificans occur in the large muscles of proximal extremities such as the quadriceps and brachialis and it is rare to occur in the lumber spine. Case Report: We present a case of a 12 year-old Japanese boy with severe lower back pain. On physical examination, a severe tenderness and swelling was present in the left lumbar region, at level of L4/5. He had a traumatic history of his back. He hit nunchak (one of tools of Chinese martial arts) on the back when he was practicing it at school three months ago. Both lumbar radiograph and lumbar Computed Tomography (CT) examination showed a ring like osteoblastic lesion calcification around left facet joint of L4/5 suggestive of myositis ossificans. He received conservative treatment. His back pain and swelling disappeared in 2 months. Follow up lumbar CT examination 8 months later showed the osteoblastic lesion calcification was more prominent than the one in the previous CT. Soft tissue swelling around the osteoblastic calcific area was not detected. Conclusion: This case was unusual location for myositis ossificans. Careful correlation of the clinical and radiological findings is necessary to avoid surgical treatment.

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Section: Discussionmentioning

confidence: 48%

“…Although the exact etiology remains unclear, it is most commonly reported after major traumatic events, and to larger muscle groups. 2 We present a rare case of myositis ossificans in the lumbar spine.…”

Section: Introductionmentioning

confidence: 97%

Myositis Ossificans in the Lumbar Spine: A Case Report

Kobashi

Ogiwara²,

Fukuda³

2016

Sport Exerc Med Open J

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“…However, there is no basis to suggest that a structurally altered vertebra and intervertebral disc would change with yoga. In specific cases pain is associated with changes in the skeletal muscle [ 31 ], but that was not the case here. The only study which documented MRI changes in the spine was a matched controlled study carried out on asymptomatic normal individuals who did not have LBP.…”

Section: Discussionmentioning

confidence: 91%

A Randomized Controlled Trial to Assess Pain and Magnetic Resonance Imaging-Based (MRI-Based) Structural Spine Changes in Low Back Pain Patients After Yoga Practice

et al. 2016

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BackgroundThe present study aimed at determining whether 12 weeks of yoga practice in patients with chronic LBP and MRI-based degenerative changes would result in differences in: (i) self-reported pain, anxiety, and spinal flexibility; and (ii) the structure of the discs or vertebrae.Material/MethodsSixty-two persons with MRI-proven degenerative intervertebral discs (group mean ±S.D., 36.2±6.4 years; 30 females) were randomly assigned to yoga and control groups. However, testing was conducted on only 40 subjects, so only their data are included in this study. The assessments were: self-reported pain, state anxiety, spinal flexibility, and MRI of the lumbosacral spine, performed using a 1.5 Tesla system with a spinal surface column. The yoga group was taught light exercises, physical postures, breathing techniques, and yoga relaxation techniques for 1 hour daily for 3 months. No intervention was given to the control group except for routine medical care. A repeated-measures analysis of variance (ANOVA) with post hoc analyses (which was Bonferroni-adjusted) was used. The Ethics Committee of Patanjali Research Foundation had approved the study which had been registered in the Clinical Trials Registry of India (CTRI/2012/11/003094).ResultsThe yoga group showed a significant reduction in self-reported pain and state anxiety in a before/after comparison at 12 weeks. A few patients in both groups showed changes in the discs and vertebrae at post-intervention assessment.ConclusionsWithin 12 weeks, yoga practice reduced pain and state anxiety but did not alter MRI-proven changes in the intervertebral discs and in the vertebrae.

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Myositis ossificans traumatica with associated pseudarthroses in an adult from Late Bronze Age Athens, Greece

Smith

Liston

2020

Intl J of Osteoarchaeology

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This case study documents an unusual heterotopic ossification with associated pseudarthroses of the lumbar spine. We examined the partial skeletal remains of an adult from a Late Bronze Age (Mycenaean Late Helladic IIB‐IIIA1 period, approximately1400–1375 BCE) chamber tomb from the Athenian Agora excavations in Greece. This individual had a large bony mass in the region of the intertransversarius muscle that spanned L3–L5 vertebrae and formed pseudarthroses at the superior and inferior ends. The differential diagnosis of the bony mass included dystrophic and neoplastic calcifications and myositis ossificans traumatica (MOT). MOT is a benign heterotopic bone growth typically found in skeletal muscles. MOT usually results from a trauma and is most commonly found in the thigh, buttocks, or upper arm, although it has been documented clinically in other areas as well, such as in paravertebral muscles. The mature, remodelled cortex of the bony mass and the two well‐developed pseudarthroses indicate that this individual lived with this condition for a number of years.

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Non-Traumatic Myositis Ossificans in the Lumbar Spine

Cited by 12 publications

References 9 publications

Myositis Ossificans in the Lumbar Spine: A Case Report

Myositis Ossificans in the Lumbar Spine: A Case Report

A Randomized Controlled Trial to Assess Pain and Magnetic Resonance Imaging-Based (MRI-Based) Structural Spine Changes in Low Back Pain Patients After Yoga Practice

Myositis ossificans traumatica with associated pseudarthroses in an adult from Late Bronze Age Athens, Greece

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