1. Classification of the Congenital Defect of the Lumbar Facet Joint: Case Report and Literature Review.
- Author
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Wang, Shuo, Lin, Gengxiao, Zhao, Geng, Qiu, Cheng, Wang, Lianlei, Yuan, Suomao, Tian, Yonghao, and Liu, Xinyu
- Subjects
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ZYGAPOPHYSEAL joint , *LUMBAR pain , *LITERATURE reviews , *HUMAN abnormalities , *CONGENITAL disorders - Abstract
Background: Congenital lumbar facet joint defect is a rare congenital developmental disorder with only a few reported cases in the literature, primarily affecting the L5‐S1 segments. This study reports the first case of a defect in the left L3 inferior articular process; and presents a review of the existing literature on the subject, proposes a classification system, and validates the inter‐observer and intra‐observer reliability of this classification system. Case Presentation: A 14‐year‐old boy presented to our orthopedic clinic with persistent lower back pain for 1 month. Imaging analysis, including CT scans, 3D reconstruction, and MRI, revealed a congenital lumbar facet joint defect at the L3 level, which has not been reported. Conservative treatment resulted in a significant improvement in his symptoms, and he is currently under follow‐up care. Conclusion: Congenital defect of the lumbar facet joint is a rare spinal condition. This article reports the first patient with a defect in the left L3 inferior articular process and conducts a comprehensive literature review, proposing a classification of articular process defects into five types. The two most common types are Types B and C. We have demonstrated that this system is reliable and reproducible and have described the treatment of each type. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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