Rare and overlooked two diagnoses in low back pain: Osteitis condensans ilii and lumbosacral transitional vertebrae
Keywords:Osteitis condensans ilii, Lumbosacral transitional vertebra, Computed tomography
Aim: In this study, we investigated the prevelance of osteitis condensans ilii (OCI) and lumbosacral transitional vertebra (LSTV), relationship of these diseases with age and gender, and whether there was a relationship between these two conditions.
Methods: The computed tomography (CT) scans of 599 patients who underwent lumbar CT between January 2016 and March 2016 due to lumbar pain were evaluated retrospectively. All of the CT scans were performed with a 16-slice CT scanner. For each patient; age, gender, LSTV anomaly presence and type (lumbalisation, sacralization), and presence and side information of OCI were recorded.
Results: OCI was not detected in 577 patients (96.3%) and was detected in 22 patients (3.7%). LSTV was not detected in 522 patients (87.2%) and was present in 77 patients (12.8%). The mean age of the patients who detected OCI was 30.7 years (+/- 9.5) while without OCI was 43.1 years (+/- 16.6) . 18 (81.8%) of the 22 OCI detected cases were female while 4 (18.2%) cases were male. OCI was more common in young people and female. LSTV was observed in 41 (16.2%) of the female patients while in 36 of the male patients (10.3%). LSTV was observed more frequently in female patients. There was no statistically significant difference between groups with and without OCI disease in terms of presence of LSVT.
Conclusion: Both OCI and LSVT are situations that cause back pain. These two diagnoses must be taken into account in examinations made with lumbar pain cause.
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