%0 Journal Article
%T Intractable Chronic Low-Back Pain Caused by Ligamentopathia Treated Using a Spinous Process Plate (S-plate)
%A Koichi Iwatsuki
%A Toshiki Yoshimine
%A Kazuhiro Yoshimura
%A Masahiro Ishihara
%A Yu-ichiro Ohnishi and Yuko Goto
%J Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders
%D 2012
%I 
%R 10.4137/CMAMD.S3831
%X We report a case of intractable chronic low-back pain in a gymnast that was caused by ligamentopathia in the interspinous region of the lumbar vertebrae. Sprained interspinous ligaments are a common mechanical cause of acute low-back pain in athletes. Although conservative therapy is generally effective in such cases, in this case it was not. The patient experienced severe low-back pain during lumbar flexion with tension between the L5/S interspinous ligaments. We performed interspinous fixation by using a spinous process plate system, which has been developed for short in situ fusions, and following which the low-back pain resolved. Conservative therapy for low-back pain caused by ligamentopathia is first-line choice, but interspinous fixation with instrumentation might be recommended in intractable cases with conservative therapy.
%U http://www.la-press.com/intractable-chronic-low-back-pain-caused-by-ligamentopathia-treated-us-article-a1907